{"reporting_entity_name": "Oscar Health", "reporting_entity_type": "Health Insurance Issuer", "plan_id": "21525FL002", "last_updated_on": "2026-08-23", "version": "2.0.0", "out_of_network": [{"name": "3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation", "billing_code_type": "CPT", "billing_code": "76376", "billing_code_type_version": "2022", "description": "3D RENDERING W/INTERP & POSTPROCESS SUPERVISION", "allowed_amounts": [{"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1952310476]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1457619017, 1366627804, 1821148743]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1669458246, 1861443327]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1508319815]}]}]}, {"tin": {"type": "ein", "value": "592487572"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1396768552, 1225079668, 1255393294, 1386975175]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1184680852]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 13.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1205815289, 1649764531, 1235578980, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1881012060]}]}]}]}, {"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": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.42, "providers": [{"billed_charge": 400.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 219.92, "providers": [{"billed_charge": 330.0, "npi": [1336863414]}]}, {"allowed_amount": 330.0, "providers": [{"billed_charge": 330.0, "npi": [1679923601]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.14, "providers": [{"billed_charge": 327.0, "npi": [1497171912]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 425.12, "providers": [{"billed_charge": 438.0, "npi": [1578054920]}]}]}, {"tin": {"type": "ein", "value": "262824776"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.19, "providers": [{"billed_charge": 378.0, "npi": [1740466424]}]}]}, {"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.42, "providers": [{"billed_charge": 1000.0, "npi": [1144416975]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 172.88, "providers": [{"billed_charge": 1465.0, "npi": [1922083120]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.42, "providers": [{"billed_charge": 262.0, "npi": [1700315025, 1104288836, 1235517558, 1538588207]}]}, {"allowed_amount": 212.56, "providers": [{"billed_charge": 262.0, "npi": [1700315025]}]}, {"allowed_amount": 262.0, "providers": [{"billed_charge": 262.0, "npi": [1700315025, 1104288836]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 270.68, "providers": [{"billed_charge": 1394.0, "npi": [1962844944]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 109.79, "providers": [{"billed_charge": 715.0, "npi": [1861726952, 1023570827, 1447372131, 1710179676]}]}, {"allowed_amount": 299.78, "providers": [{"billed_charge": 715.0, "npi": [1750516720]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 110.07, "providers": [{"billed_charge": 2271.0, "npi": [1144813536]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.86, "providers": [{"billed_charge": 611.0, "npi": [1497929954]}]}, {"allowed_amount": 227.22, "providers": [{"billed_charge": 611.0, "npi": [1497929954]}]}, {"allowed_amount": 409.74, "providers": [{"billed_charge": 611.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 352.0, "providers": [{"billed_charge": 352.0, "npi": [1023052990]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.7, "providers": [{"billed_charge": 1200.0, "npi": [1053570358]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3457.1, "providers": [{"billed_charge": 1847.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.22, "providers": [{"billed_charge": 880.0, "npi": [1841226214]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 204.05, "providers": [{"billed_charge": 692.0, "npi": [1477883189]}]}, {"allowed_amount": 204.87, "providers": [{"billed_charge": 692.0, "npi": [1477883189]}]}, {"allowed_amount": 409.74, "providers": [{"billed_charge": 692.0, "npi": [1477883189]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.59, "providers": [{"billed_charge": 361.0, "npi": [1194753434, 1083931935]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.84, "providers": [{"billed_charge": 541.0, "npi": [1861629354]}]}, {"allowed_amount": 389.82, "providers": [{"billed_charge": 541.0, "npi": [1598406688, 1750365938, 1194288613]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.18, "providers": [{"billed_charge": 361.0, "npi": [1356752919]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.5, "providers": [{"billed_charge": 590.0, "npi": [1346995537, 1417490749]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5881.8, "providers": [{"billed_charge": 2500.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "994174677"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 409.74, "providers": [{"billed_charge": 13000.0, "npi": [1831154301]}]}]}]}, {"name": "Acylcarnitines; qualitative, each specimen", "billing_code_type": "CPT", "billing_code": "82016", "billing_code_type_version": "2022", "description": "ACYLCARNITINES QUALITATIVE EACH SPECIMEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.49, "providers": [{"billed_charge": 16.49, "npi": [1518983642]}]}, {"allowed_amount": 144.31, "providers": [{"billed_charge": 16.49, "npi": [1518983642]}]}, {"allowed_amount": 146.07, "providers": [{"billed_charge": 8.9, "npi": [1518983642]}]}, {"allowed_amount": 154.63, "providers": [{"billed_charge": 8.9, "npi": [1518983642]}]}, {"allowed_amount": 155.83, "providers": [{"billed_charge": 8.9, "npi": [1518983642]}]}]}]}, {"name": "Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes", "billing_code_type": "CPT", "billing_code": "97153", "billing_code_type_version": "2022", "description": "ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "020697158"}, "billing_class": "professional", "service_codes": ["99", "03"], "payments": [{"allowed_amount": 12.51, "providers": [{"billed_charge": 12.51, "npi": [1659182616, 1376075010]}]}]}, {"tin": {"type": "ein", "value": "455584219"}, "billing_class": "professional", "service_codes": ["12", "99", "03"], "payments": [{"allowed_amount": 15.39, "providers": [{"billed_charge": 15.66, "npi": [1538903703]}]}]}, {"tin": {"type": "ein", "value": "473572561"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 0.25, "npi": [1679238455]}]}, {"allowed_amount": 12.26, "providers": [{"billed_charge": 12.26, "npi": [1679238455]}]}, {"allowed_amount": 15.39, "providers": [{"billed_charge": 20.0, "npi": [1679238455]}]}]}, {"tin": {"type": "ein", "value": "474981425"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.52, "providers": [{"billed_charge": 25.0, "npi": [1871362376]}]}]}, {"tin": {"type": "ein", "value": "812313093"}, "billing_class": "professional", "service_codes": ["12", "11", "03"], "payments": [{"allowed_amount": 12.51, "providers": [{"billed_charge": 12.51, "npi": [1245824796, 1154198711]}]}]}, {"tin": {"type": "ein", "value": "821481055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 12.51, "providers": [{"billed_charge": 12.51, "npi": [1336612936]}]}]}, {"tin": {"type": "ein", "value": "821778687"}, "billing_class": "professional", "service_codes": ["12", "03"], "payments": [{"allowed_amount": 12.51, "providers": [{"billed_charge": 12.51, "npi": [1659873750]}]}]}, {"tin": {"type": "ein", "value": "821869633"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 13.82, "providers": [{"billed_charge": 13.82, "npi": [1700496106, 1205481462, 1710588991]}]}]}, {"tin": {"type": "ein", "value": "822707687"}, "billing_class": "professional", "service_codes": ["12", "11"], "payments": [{"allowed_amount": 12.19, "providers": [{"billed_charge": 12.19, "npi": [1235778457, 1356291074]}]}]}, {"tin": {"type": "ein", "value": "824091350"}, "billing_class": "professional", "service_codes": ["12", "11", "03"], "payments": [{"allowed_amount": 13.82, "providers": [{"billed_charge": 13.82, "npi": [1861849713, 1710496211, 1174030670, 1285084475]}]}]}, {"tin": {"type": "ein", "value": "824492820"}, "billing_class": "professional", "service_codes": ["03"], "payments": [{"allowed_amount": 15.39, "providers": [{"billed_charge": 40.0, "npi": [1215410493]}]}]}, {"tin": {"type": "ein", "value": "833639551"}, "billing_class": "professional", "service_codes": ["12", "03"], "payments": [{"allowed_amount": 0.0, "providers": [{"billed_charge": 0.0, "npi": [1457025967]}]}, {"allowed_amount": 12.51, "providers": [{"billed_charge": 12.51, "npi": [1457025967]}]}]}, {"tin": {"type": "ein", "value": "843701768"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 0.0, "providers": [{"billed_charge": 0.0, "npi": [1518822675, 1588531115]}]}, {"allowed_amount": 12.26, "providers": [{"billed_charge": 12.26, "npi": [1518822675, 1588531115]}]}]}, {"tin": {"type": "ein", "value": "852488872"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 0.0, "providers": [{"billed_charge": 0.0, "npi": [1003406869]}]}]}, {"tin": {"type": "ein", "value": "852969734"}, "billing_class": "professional", "service_codes": ["12", "03"], "payments": [{"allowed_amount": 12.51, "providers": [{"billed_charge": 12.51, "npi": [1477168466]}]}]}, {"tin": {"type": "ein", "value": "853414783"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 15.3, "providers": [{"billed_charge": 19.86, "npi": [1023529518]}]}, {"allowed_amount": 15.39, "providers": [{"billed_charge": 19.86, "npi": [1023529518]}]}]}, {"tin": {"type": "ein", "value": "863598471"}, "billing_class": "professional", "service_codes": ["12", "03"], "payments": [{"allowed_amount": 19.2, "providers": [{"billed_charge": 20.0, "npi": [1164234993]}]}]}, {"tin": {"type": "ein", "value": "863902386"}, "billing_class": "professional", "service_codes": ["12", "11", "99"], "payments": [{"allowed_amount": 15.39, "providers": [{"billed_charge": 330.0, "npi": [1417101585, 1609154947]}]}, {"allowed_amount": 17.72, "providers": [{"billed_charge": 330.0, "npi": [1417101585]}]}, {"allowed_amount": 42.5, "providers": [{"billed_charge": 330.0, "npi": [1841169406]}]}, {"allowed_amount": 82.0, "providers": [{"billed_charge": 330.0, "npi": [1417101585]}]}, {"allowed_amount": 85.0, "providers": [{"billed_charge": 330.0, "npi": [1609154947, 1043893837, 1417101585, 1588263826, 1588168728, 1841169406]}]}]}, {"tin": {"type": "ein", "value": "921306962"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 0.0, "providers": [{"billed_charge": 0.0, "npi": [1396250130, 1841824554]}]}, {"allowed_amount": 12.26, "providers": [{"billed_charge": 12.26, "npi": [1841824554, 1396250130]}]}]}, {"tin": {"type": "ein", "value": "921877564"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 16.68, "providers": [{"billed_charge": 16.68, "npi": [1497562946, 1477030666]}]}]}, {"tin": {"type": "ein", "value": "992231107"}, "billing_class": "professional", "service_codes": ["12", "99"], "payments": [{"allowed_amount": 0.0, "providers": [{"billed_charge": 0.0, "npi": [1215744420, 1386395788]}]}, {"allowed_amount": 12.51, "providers": [{"billed_charge": 12.51, "npi": [1215744420, 1386395788]}]}]}]}, {"name": "Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes", "billing_code_type": "CPT", "billing_code": "97155", "billing_code_type_version": "2022", "description": "ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "473572561"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 19.05, "providers": [{"billed_charge": 19.05, "npi": [1679238455]}]}, {"allowed_amount": 19.17, "providers": [{"billed_charge": 19.17, "npi": [1679238455]}]}, {"allowed_amount": 19.2, "providers": [{"billed_charge": 25.0, "npi": [1679238455]}]}]}, {"tin": {"type": "ein", "value": "822707687"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 19.05, "providers": [{"billed_charge": 19.05, "npi": [1235778457]}]}]}, {"tin": {"type": "ein", "value": "824091350"}, "billing_class": "professional", "service_codes": ["12", "11"], "payments": [{"allowed_amount": 18.14, "providers": [{"billed_charge": 18.14, "npi": [1861849713, 1285084475]}]}, {"allowed_amount": 19.2, "providers": [{"billed_charge": 21.35, "npi": [1710496211, 1174030670]}]}]}, {"tin": {"type": "ein", "value": "824492820"}, "billing_class": "professional", "service_codes": ["03"], "payments": [{"allowed_amount": 19.2, "providers": [{"billed_charge": 60.0, "npi": [1215410493]}]}]}, {"tin": {"type": "ein", "value": "843701768"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 19.17, "providers": [{"billed_charge": 19.17, "npi": [1588531115]}]}]}, {"tin": {"type": "ein", "value": "852969734"}, "billing_class": "professional", "service_codes": ["12", "03"], "payments": [{"allowed_amount": 16.42, "providers": [{"billed_charge": 16.42, "npi": [1477168466]}]}, {"allowed_amount": 19.32, "providers": [{"billed_charge": 19.32, "npi": [1477168466]}]}]}, {"tin": {"type": "ein", "value": "853414783"}, "billing_class": "professional", "service_codes": ["02", "03"], "payments": [{"allowed_amount": 0.0, "providers": [{"billed_charge": 0.0, "npi": [1639528433]}]}, {"allowed_amount": 18.91, "providers": [{"billed_charge": 27.68, "npi": [1023529518]}]}, {"allowed_amount": 19.2, "providers": [{"billed_charge": 27.68, "npi": [1639528433]}]}]}, {"tin": {"type": "ein", "value": "863902386"}, "billing_class": "professional", "service_codes": ["10", "02", "12", "11", "99"], "payments": [{"allowed_amount": 28.38, "providers": [{"billed_charge": 475.0, "npi": [1417101585]}]}, {"allowed_amount": 28.75, "providers": [{"billed_charge": 475.0, "npi": [1417101585]}]}, {"allowed_amount": 85.0, "providers": [{"billed_charge": 475.0, "npi": [1588263826]}]}, {"allowed_amount": 130.0, "providers": [{"billed_charge": 475.0, "npi": [1588168728, 1417101585, 1588263826, 1841169406]}]}]}, {"tin": {"type": "ein", "value": "921306962"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 19.17, "providers": [{"billed_charge": 19.17, "npi": [1841824554]}]}]}]}, {"name": "Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm", "billing_code_type": "CPT", "billing_code": "14301", "billing_code_type_version": "2022", "description": "ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM", "allowed_amounts": [{"tin": {"type": "ein", "value": "200235451"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 687.89, "providers": [{"billed_charge": 4500.0, "npi": [1689650079]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 225.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3715.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "271329260"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 148.36, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3570.0, "npi": [1952114241, 1588037865]}]}]}, {"tin": {"type": "ein", "value": "271978178"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 690.56, "providers": [{"billed_charge": 2327.32, "npi": [1871674770]}]}]}, {"tin": {"type": "ein", "value": "394248979"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 641.06, "providers": [{"billed_charge": 6253.5, "npi": [1629390109]}]}]}, {"tin": {"type": "ein", "value": "455341340"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1105.28, "providers": [{"billed_charge": 12372.0, "npi": [1770700429]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 112.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 885.0, "npi": [1821704552]}]}, {"allowed_amount": 225.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 885.0, "npi": [1821704552]}]}]}, {"tin": {"type": "ein", "value": "473033715"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 59.05, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 21150.0, "npi": [1235895194]}]}, {"allowed_amount": 112.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 21150.0, "npi": [1184427007]}]}, {"allowed_amount": 225.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 21150.0, "npi": [1235895194, 1184427007]}]}, {"allowed_amount": 496.21, "providers": [{"billed_charge": 21150.0, "npi": [1134353345]}]}, {"allowed_amount": 828.56, "providers": [{"billed_charge": 21150.0, "npi": [1134353345, 1326542739]}]}, {"allowed_amount": 1538.75, "providers": [{"billed_charge": 21150.0, "npi": [1326542739]}]}]}, {"tin": {"type": "ein", "value": "475091016"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 133.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2327.32, "npi": [1518369578]}]}]}, {"tin": {"type": "ein", "value": "593490927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 5631.0, "npi": [1275252918]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 74.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1082.0, "npi": [1760862510]}]}, {"allowed_amount": 136.17, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1082.0, "npi": [1881415271]}]}, {"allowed_amount": 238.13, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1082.0, "npi": [1881561801, 1205694221, 1760862510]}]}]}]}, {"name": "Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate", "billing_code_type": "CPT", "billing_code": "99497", "billing_code_type_version": "2022", "description": "ADVANCE CARE PLANNING FIRST 30 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 82.75, "providers": [{"billed_charge": 334.0, "npi": [1679919963]}]}, {"allowed_amount": 121.11, "providers": [{"billed_charge": 334.0, "npi": [1649622176, 1609367523, 1033525316, 1023519683, 1114374311, 1093975658, 1275947434, 1013595289, 1902268154, 1679919963, 1841562014]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 82.75, "providers": [{"billed_charge": 284.0, "npi": [1942732904]}, {"billed_charge": 318.0, "npi": [1750775904]}]}, {"allowed_amount": 121.11, "providers": [{"billed_charge": 318.0, "npi": [1750775904, 1942732904, 1386264331, 1053666420, 1770166068, 1356920086, 1447810072, 1629509146, 1083973150, 1134431455]}]}]}, {"tin": {"type": "ein", "value": "205438009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 100.0, "npi": [1033436696]}]}]}, {"tin": {"type": "ein", "value": "263544680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.75, "providers": [{"billed_charge": 66.75, "npi": [1598549271]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 546.0, "npi": [1154948818]}]}]}, {"tin": {"type": "ein", "value": "333473960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.11, "providers": [{"billed_charge": 125.0, "npi": [1316456528]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 135.0, "npi": [1770045205, 1689310559]}]}]}, {"tin": {"type": "ein", "value": "392489217"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1316456528]}]}]}, {"tin": {"type": "ein", "value": "393587365"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 94.75, "providers": [{"billed_charge": 159.0, "npi": [1679382626]}]}]}, {"tin": {"type": "ein", "value": "460829877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1366936866]}]}, {"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1366936866, 1497224588, 1689440422]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 152.0, "npi": [1710382312, 1396157657]}]}]}, {"tin": {"type": "ein", "value": "462964889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.31, "providers": [{"billed_charge": 280.0, "npi": [1518499979, 1154551349]}]}, {"allowed_amount": 139.23, "providers": [{"billed_charge": 280.0, "npi": [1518499979]}]}]}, {"tin": {"type": "ein", "value": "471346318"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 125.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 234.0, "npi": [1508284118]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.14, "providers": [{"billed_charge": 313.0, "npi": [1932423704]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.41, "providers": [{"billed_charge": 262.0, "npi": [1194353037]}]}]}, {"tin": {"type": "ein", "value": "591940256"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 112.93, "npi": [1316577588]}]}, {"allowed_amount": 112.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 112.93, "npi": [1316577588, 1598339541, 1306224654]}]}]}, {"tin": {"type": "ein", "value": "592122578"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.41, "providers": [{"billed_charge": 79.41, "npi": [1003023581]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 248.0, "npi": [1508543885, 1578983607]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1598750648, 1275627622]}]}]}, {"tin": {"type": "ein", "value": "593577370"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 173.22, "npi": [1184202806, 1861498131, 1689819534]}]}]}, {"tin": {"type": "ein", "value": "612037805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 166.0, "npi": [1801027818]}]}]}, {"tin": {"type": "ein", "value": "800674849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.75, "providers": [{"billed_charge": 164.02, "npi": [1487285714, 1417300492, 1629674205]}]}, {"allowed_amount": 121.11, "providers": [{"billed_charge": 164.02, "npi": [1164758082, 1689253064, 1417300492, 1144679739, 1699756312, 1588785240, 1114506300, 1629674205]}]}]}, {"tin": {"type": "ein", "value": "812611928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1932548880]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 156.0, "npi": [1235624552]}]}]}, {"tin": {"type": "ein", "value": "813172922"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 697.0, "npi": [1003303504, 1710449731, 1720669260, 1932669983]}]}]}, {"tin": {"type": "ein", "value": "814912881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1548413024]}]}, {"allowed_amount": 134.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1548413024]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 242.0, "npi": [1356441661, 1215375423]}]}]}, {"tin": {"type": "ein", "value": "841958549"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 124.11, "providers": [{"billed_charge": 160.0, "npi": [1730112715]}]}, {"allowed_amount": 125.31, "providers": [{"billed_charge": 160.0, "npi": [1730112715]}]}]}, {"tin": {"type": "ein", "value": "842805012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1669863189]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 359.0, "npi": [1588957328, 1184236473, 1508506163]}]}, {"allowed_amount": 92.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 359.0, "npi": [1366683997, 1891114823]}]}, {"allowed_amount": 121.11, "providers": [{"billed_charge": 359.0, "npi": [1972243970, 1295115012, 1588957328, 1578051355, 1033640743, 1134625064, 1942485289, 1114501038, 1508506163, 1184236473, 1053666495, 1891114823, 1952920779, 1699017681, 1316180060, 1467080796, 1366683997, 1386118511, 1851611768, 1154792059]}]}]}, {"tin": {"type": "ein", "value": "843785275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1760794556]}]}]}, {"tin": {"type": "ein", "value": "843937974"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 74.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 193.0, "npi": [1245978345]}]}, {"allowed_amount": 121.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 193.0, "npi": [1245978345]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.38, "providers": [{"billed_charge": 526.0, "npi": [1861044166]}]}]}, {"tin": {"type": "ein", "value": "871278138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 120.0, "npi": [1821048968]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 124.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.0, "npi": [1023647732]}]}, {"allowed_amount": 125.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.0, "npi": [1023647732, 1386104941, 1679100317]}]}, {"allowed_amount": 160.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.0, "npi": [1407505746]}]}]}, {"tin": {"type": "ein", "value": "931879238"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.11, "providers": [{"billed_charge": 205.0, "npi": [1689061681]}]}, {"allowed_amount": 125.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 205.0, "npi": [1689061681]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.27, "providers": [{"billed_charge": 519.0, "npi": [1417449273, 1699787804, 1538801071]}]}]}]}, {"name": "Advanced life support, level 2 (als 2)", "billing_code_type": "CPT", "billing_code": "A0433", "billing_code_type_version": "2022", "description": "Advanced life support, level 2 (als 2)", "allowed_amounts": [{"tin": {"type": "ein", "value": "431496774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1002.78, "providers": [{"billed_charge": 4266.84, "npi": [1578613253]}]}]}, {"tin": {"type": "ein", "value": "566001520"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 950.0, "providers": [{"billed_charge": 950.0, "npi": [1154363380]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 596.99, "providers": [{"billed_charge": 1009.38, "npi": [1255668331]}]}, {"allowed_amount": 1108.49, "providers": [{"billed_charge": 2054.35, "npi": [1255668331]}]}]}, {"tin": {"type": "ein", "value": "590908106"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 886.55, "providers": [{"billed_charge": 1000.0, "npi": [1710028410]}]}]}, {"tin": {"type": "ein", "value": "590977961"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 830.0, "providers": [{"billed_charge": 830.0, "npi": [1790848232]}]}]}, {"tin": {"type": "ein", "value": "591113462"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 886.55, "providers": [{"billed_charge": 886.7, "npi": [1245241603]}]}]}, {"tin": {"type": "ein", "value": "591205666"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 886.55, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}]}, {"tin": {"type": "ein", "value": "591227491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1528733623]}]}]}, {"tin": {"type": "ein", "value": "592908075"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 781.19, "providers": [{"billed_charge": 873.2, "npi": [1235103029]}]}]}, {"tin": {"type": "ein", "value": "593051173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 781.19, "providers": [{"billed_charge": 956.5, "npi": [1992973499]}]}]}, {"tin": {"type": "ein", "value": "596000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 813.35, "providers": [{"billed_charge": 850.0, "npi": [1679584007]}]}]}, {"tin": {"type": "ein", "value": "596000308"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1679505432]}]}]}, {"tin": {"type": "ein", "value": "596000319"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 877.94, "providers": [{"billed_charge": 1030.3, "npi": [1649281924]}]}, {"allowed_amount": 886.55, "providers": [{"billed_charge": 1030.3, "npi": [1649281924]}]}, {"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1649281924]}]}, {"allowed_amount": 1030.3, "providers": [{"billed_charge": 1030.3, "npi": [1649281924]}]}]}, {"tin": {"type": "ein", "value": "596000335"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 591.19, "providers": [{"billed_charge": 980.0, "npi": [1780788463]}]}, {"allowed_amount": 950.0, "providers": [{"billed_charge": 950.0, "npi": [1780788463]}]}]}, {"tin": {"type": "ein", "value": "596000344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 740.0, "providers": [{"billed_charge": 740.0, "npi": [1356341531]}]}]}, {"tin": {"type": "ein", "value": "596000375"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 591.19, "providers": [{"billed_charge": 1040.0, "npi": [1821109612]}]}, {"allowed_amount": 596.99, "providers": [{"billed_charge": 1015.0, "npi": [1821109612]}, {"billed_charge": 1040.0, "npi": [1821109612]}, {"billed_charge": 1115.0, "npi": [1821109612]}]}, {"allowed_amount": 1090.0, "providers": [{"billed_charge": 1090.0, "npi": [1821109612]}]}]}, {"tin": {"type": "ein", "value": "596000391"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 886.55, "providers": [{"billed_charge": 1000.0, "npi": [1003958471]}]}]}, {"tin": {"type": "ein", "value": "596000396"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1044.37, "providers": [{"billed_charge": 1087.0, "npi": [1508167040]}]}]}, {"tin": {"type": "ein", "value": "596000411"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 877.94, "providers": [{"billed_charge": 1394.05, "npi": [1891790424]}]}, {"allowed_amount": 1087.36, "providers": [{"billed_charge": 1394.05, "npi": [1891790424]}]}]}, {"tin": {"type": "ein", "value": "596000448"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 813.35, "providers": [{"billed_charge": 850.0, "npi": [1215071964]}]}, {"allowed_amount": 850.0, "providers": [{"billed_charge": 850.0, "npi": [1215071964]}]}]}, {"tin": {"type": "ein", "value": "596000501"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 781.19, "providers": [{"billed_charge": 1547.22, "npi": [1780610287]}]}]}, {"tin": {"type": "ein", "value": "596000534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 870.0, "providers": [{"billed_charge": 870.0, "npi": [1437262565]}]}, {"allowed_amount": 886.55, "providers": [{"billed_charge": 1489.81, "npi": [1437262565]}]}, {"allowed_amount": 990.0, "providers": [{"billed_charge": 990.0, "npi": [1437262565]}]}, {"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1437262565]}]}, {"allowed_amount": 1087.36, "providers": [{"billed_charge": 1489.81, "npi": [1437262565]}]}]}, {"tin": {"type": "ein", "value": "596000573"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 591.19, "providers": [{"billed_charge": 955.0, "npi": [1588768279]}]}, {"allowed_amount": 596.99, "providers": [{"billed_charge": 900.0, "npi": [1588768279]}, {"billed_charge": 955.0, "npi": [1588768279]}, {"billed_charge": 980.0, "npi": [1588768279]}, {"billed_charge": 985.0, "npi": [1588768279]}, {"billed_charge": 1005.0, "npi": [1588768279]}]}, {"allowed_amount": 925.0, "providers": [{"billed_charge": 925.0, "npi": [1588768279]}]}, {"allowed_amount": 950.0, "providers": [{"billed_charge": 950.0, "npi": [1588768279]}]}, {"allowed_amount": 955.0, "providers": [{"billed_charge": 955.0, "npi": [1588768279]}]}, {"allowed_amount": 980.0, "providers": [{"billed_charge": 980.0, "npi": [1588768279]}]}, {"allowed_amount": 1005.0, "providers": [{"billed_charge": 1005.0, "npi": [1588768279]}]}, {"allowed_amount": 1010.0, "providers": [{"billed_charge": 1010.0, "npi": [1588768279]}]}, {"allowed_amount": 1035.0, "providers": [{"billed_charge": 1035.0, "npi": [1588768279]}]}]}, {"tin": {"type": "ein", "value": "596000598"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 773.61, "providers": [{"billed_charge": 1650.0, "npi": [1518960426]}]}]}, {"tin": {"type": "ein", "value": "596000605"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 800.0, "providers": [{"billed_charge": 800.0, "npi": [1851400881]}]}]}, {"tin": {"type": "ein", "value": "596000695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 785.0, "providers": [{"billed_charge": 785.0, "npi": [1811476930]}]}]}, {"tin": {"type": "ein", "value": "596000702"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 875.0, "providers": [{"billed_charge": 875.0, "npi": [1477663839]}]}]}, {"tin": {"type": "ein", "value": "596000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 850.0, "providers": [{"billed_charge": 850.0, "npi": [1700050705]}]}]}, {"tin": {"type": "ein", "value": "596000785"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 805.45, "providers": [{"billed_charge": 890.0, "npi": [1962412072]}]}, {"allowed_amount": 813.35, "providers": [{"billed_charge": 890.0, "npi": [1962412072]}]}, {"allowed_amount": 890.0, "providers": [{"billed_charge": 890.0, "npi": [1962412072]}]}]}, {"tin": {"type": "ein", "value": "596000809"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1548296338]}]}]}, {"tin": {"type": "ein", "value": "596000848"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 781.19, "providers": [{"billed_charge": 871.0, "npi": [1619036050]}]}]}, {"tin": {"type": "ein", "value": "596017775"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1087.36, "providers": [{"billed_charge": 1100.0, "npi": [1225040827]}]}]}, {"tin": {"type": "ein", "value": "596017984"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 900.0, "providers": [{"billed_charge": 900.0, "npi": [1386777340]}]}]}, {"tin": {"type": "ein", "value": "596019762"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 850.0, "providers": [{"billed_charge": 850.0, "npi": [1356348312]}]}, {"allowed_amount": 880.0, "providers": [{"billed_charge": 880.0, "npi": [1356348312]}]}]}, {"tin": {"type": "ein", "value": "596044104"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 800.0, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}]}, {"allowed_amount": 815.0, "providers": [{"billed_charge": 815.0, "npi": [1114937422]}]}]}, {"tin": {"type": "ein", "value": "596045863"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 800.0, "providers": [{"billed_charge": 800.0, "npi": [1669408233]}]}]}, {"tin": {"type": "ein", "value": "596046527"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1087.36, "providers": [{"billed_charge": 1215.07, "npi": [1003827130]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1394.54, "providers": [{"billed_charge": 1360.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "746001468"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1246.9, "providers": [{"billed_charge": 1800.0, "npi": [1629007547]}]}]}]}, {"name": "Albumin; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code": "82040", "billing_code_type_version": "2022", "description": "ALBUMIN SERUM PLASMA/WHOLE BLOOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.19, "providers": [{"billed_charge": 111.54, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.95, "providers": [{"billed_charge": 92.24, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.95, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 8.66, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.02, "providers": [{"billed_charge": 60.0, "npi": [1982606992]}]}]}]}, {"name": "Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg", "billing_code_type": "CPT", "billing_code": "J7613", "billing_code_type_version": "2022", "description": "Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.2, "providers": [{"billed_charge": 0.56, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.07, "providers": [{"billed_charge": 10.0, "npi": [1992109896]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 3.0, "npi": [1902003635]}]}, {"allowed_amount": 0.2, "providers": [{"billed_charge": 3.0, "npi": [1902003635]}]}, {"allowed_amount": 0.21, "providers": [{"billed_charge": 3.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 32.0, "npi": [1164072393]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.85, "providers": [{"billed_charge": 2.42, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 0.19, "npi": [1912420050]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 10.0, "npi": [1871681999]}]}, {"allowed_amount": 0.1, "providers": [{"billed_charge": 10.0, "npi": [1336613603, 1629776232, 1093291916, 1255388815, 1871681999]}]}, {"allowed_amount": 0.18, "providers": [{"billed_charge": 10.0, "npi": [1578949491]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 5.0, "npi": [1659653954]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 5.5, "npi": [1699259333]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 1.0, "npi": [1841402369]}]}]}]}, {"name": "Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme", "billing_code_type": "CPT", "billing_code": "J7620", "billing_code_type_version": "2022", "description": "Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme", "allowed_amounts": [{"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.41, "providers": [{"billed_charge": 25.0, "npi": [1548682941]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 15.0, "npi": [1629763552]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 10.0, "npi": [1407650658]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 10.0, "npi": [1427436229]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["11", "20"], "payments": [{"allowed_amount": 0.32, "providers": [{"billed_charge": 100.0, "npi": [1548938491]}]}, {"allowed_amount": 0.56, "providers": [{"billed_charge": 30.0, "npi": [1811391352]}]}]}, {"tin": {"type": "ein", "value": "275349332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.33, "providers": [{"billed_charge": 2.0, "npi": [1346113222]}]}]}, {"tin": {"type": "ein", "value": "332294109"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 1.0, "npi": [1376762377]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.26, "providers": [{"billed_charge": 10.0, "npi": [1538051990, 1164803078]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 10.0, "npi": [1538051990]}]}, {"allowed_amount": 0.32, "providers": [{"billed_charge": 10.0, "npi": [1558182824, 1407682255]}]}, {"allowed_amount": 0.34, "providers": [{"billed_charge": 10.0, "npi": [1588533509, 1407682255]}]}, {"allowed_amount": 0.5, "providers": [{"billed_charge": 10.0, "npi": [1447735030]}]}]}, {"tin": {"type": "ein", "value": "461470761"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 0.25, "npi": [1689083537]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 15.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "473019167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 50.0, "npi": [1932590601]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 5.0, "npi": [1447266523, 1932602406]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 10.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 15.0, "npi": [1871027185]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 15.0, "npi": [1871027185]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 15.0, "npi": [1710745120, 1407634298]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 1.0, "npi": [1205276201, 1689173155]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.5, "providers": [{"billed_charge": 130.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "831838152"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.23, "providers": [{"billed_charge": 0.5, "npi": [1215498290]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 10.0, "npi": [1700405818, 1134101710]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 10.0, "npi": [1407079817, 1093315947, 1093291916, 1871681999, 1386324051]}]}, {"allowed_amount": 0.28, "providers": [{"billed_charge": 10.0, "npi": [1255388815]}]}, {"allowed_amount": 0.5, "providers": [{"billed_charge": 10.0, "npi": [1386324051, 1093315947]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 1.0, "npi": [1154480218]}]}, {"allowed_amount": 0.3, "providers": [{"billed_charge": 1.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.28, "providers": [{"billed_charge": 1.0, "npi": [1659187680]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 5.0, "npi": [1376329110]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 215.0, "npi": [1740932318]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}, {"allowed_amount": 0.57, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 47.0, "npi": [1386487593]}]}, {"allowed_amount": 0.32, "providers": [{"billed_charge": 47.0, "npi": [1386487593]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 1.0, "npi": [1841402369]}]}]}]}, {"name": "Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders", "billing_code_type": "MS-DRG", "billing_code": "897", "billing_code_type_version": "39.1", "description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC", "allowed_amounts": [{"tin": {"type": "ein", "value": "204865588"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 947.0, "providers": [{"billed_charge": 2221.52, "npi": [1942471065]}, {"billed_charge": 2233.07, "npi": [1942471065]}]}]}, {"tin": {"type": "ein", "value": "261938381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 910.0, "providers": [{"billed_charge": 2400.17, "npi": [1811336902]}, {"billed_charge": 2400.38, "npi": [1811336902]}, {"billed_charge": 2403.57, "npi": [1811336902]}]}]}, {"tin": {"type": "ein", "value": "451343206"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4528.0, "providers": [{"billed_charge": 9600.85, "npi": [1528357357]}]}]}, {"tin": {"type": "ein", "value": "455052733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 676.0, "providers": [{"billed_charge": 2600.0, "npi": [1760729669]}]}, {"allowed_amount": 3380.0, "providers": [{"billed_charge": 13000.0, "npi": [1760729669]}]}]}, {"tin": {"type": "ein", "value": "580566223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6154.92, "providers": [{"billed_charge": 8974.77, "npi": [1871556621]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1093.92, "providers": [{"billed_charge": 8388.95, "npi": [1902857386]}, {"billed_charge": 8395.18, "npi": [1902857386]}, {"billed_charge": 8561.08, "npi": [1902857386]}]}, {"allowed_amount": 1795.92, "providers": [{"billed_charge": 10566.13, "npi": [1902857386]}, {"billed_charge": 10776.73, "npi": [1902857386]}]}, {"allowed_amount": 4396.67, "providers": [{"billed_charge": 9770.37, "npi": [1912964768]}]}, {"allowed_amount": 9561.21, "providers": [{"billed_charge": 21247.11, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4847.79, "providers": [{"billed_charge": 14780.59, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1639.0, "providers": [{"billed_charge": 9001.47, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5183.36, "providers": [{"billed_charge": 13284.79, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "872281680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 900.0, "providers": [{"billed_charge": 2750.0, "npi": [1881327443]}]}]}]}, {"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": "203434780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 31.7, "providers": [{"billed_charge": 31.7, "npi": [1972657914]}]}, {"allowed_amount": 50.7, "providers": [{"billed_charge": 50.7, "npi": [1972657914]}]}, {"allowed_amount": 62.4, "providers": [{"billed_charge": 62.4, "npi": [1972657914]}]}]}, {"tin": {"type": "ein", "value": "231740898"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 107.5, "providers": [{"billed_charge": 350.0, "npi": [1114919396]}]}, {"allowed_amount": 116.27, "providers": [{"billed_charge": 350.0, "npi": [1114919396]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 111.62, "providers": [{"billed_charge": 425.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "330829318"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1053453951]}]}]}, {"tin": {"type": "ein", "value": "562332847"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 108.59, "providers": [{"billed_charge": 200.0, "npi": [1356326615]}]}, {"allowed_amount": 322.0, "providers": [{"billed_charge": 200.0, "npi": [1356326615]}]}]}, {"tin": {"type": "ein", "value": "566000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1073574786]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1073574786]}]}]}, {"tin": {"type": "ein", "value": "566000300"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1932258506]}]}]}, {"tin": {"type": "ein", "value": "566000306"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 41.25, "npi": [1588626519]}]}]}, {"tin": {"type": "ein", "value": "566000307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1891825782]}]}]}, {"tin": {"type": "ein", "value": "566000337"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 66.67, "providers": [{"billed_charge": 66.67, "npi": [1225083413]}]}]}, {"tin": {"type": "ein", "value": "576000311"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1821073115]}]}]}, {"tin": {"type": "ein", "value": "576000351"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1205887874]}]}]}, {"tin": {"type": "ein", "value": "596000873"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 70.93, "providers": [{"billed_charge": 75.0, "npi": [1427087717]}]}]}, {"tin": {"type": "ein", "value": "746000341"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 59.75, "providers": [{"billed_charge": 59.75, "npi": [1861410664]}]}]}, {"tin": {"type": "ein", "value": "746000978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 359.57, "providers": [{"billed_charge": 257.21, "npi": [1114995586]}]}]}, {"tin": {"type": "ein", "value": "746001468"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 111.62, "providers": [{"billed_charge": 300.0, "npi": [1629007547]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 113.89, "providers": [{"billed_charge": 156.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "770324739"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 67.68, "providers": [{"billed_charge": 67.68, "npi": [1659305902]}]}, {"allowed_amount": 72.28, "providers": [{"billed_charge": 72.28, "npi": [1659305902]}]}, {"allowed_amount": 133.5, "providers": [{"billed_charge": 133.5, "npi": [1659305902]}]}]}, {"tin": {"type": "ein", "value": "846000721"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 100.0, "npi": [1538149315]}]}]}, {"tin": {"type": "ein", "value": "933788510"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 106.17, "providers": [{"billed_charge": 200.0, "npi": [1255193140]}]}]}]}, {"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": "016000440"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 896.46, "providers": [{"billed_charge": 1050.0, "npi": [1790719706]}]}]}, {"tin": {"type": "ein", "value": "042574482"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 935.61, "providers": [{"billed_charge": 4290.49, "npi": [1619911971]}]}]}, {"tin": {"type": "ein", "value": "111562701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2297.94, "providers": [{"billed_charge": 3990.0, "npi": [1366459570]}]}]}, {"tin": {"type": "ein", "value": "112420013"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1061.55, "providers": [{"billed_charge": 1800.0, "npi": [1033343389]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1061.55, "providers": [{"billed_charge": 1680.0, "npi": [1083715460]}]}]}, {"tin": {"type": "ein", "value": "141745417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 999.86, "providers": [{"billed_charge": 3990.0, "npi": [1306839337]}]}]}, {"tin": {"type": "ein", "value": "146003838"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 904.69, "providers": [{"billed_charge": 1440.0, "npi": [1801188404]}]}]}, {"tin": {"type": "ein", "value": "161451102"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 904.69, "providers": [{"billed_charge": 2189.26, "npi": [1255424800]}]}, {"allowed_amount": 913.56, "providers": [{"billed_charge": 2189.26, "npi": [1255424800]}]}]}, {"tin": {"type": "ein", "value": "200639479"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 553.06, "providers": [{"billed_charge": 1304.05, "npi": [1477553980]}]}]}, {"tin": {"type": "ein", "value": "200817213"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 829.52, "providers": [{"billed_charge": 1913.0, "npi": [1285630459]}]}]}, {"tin": {"type": "ein", "value": "201919780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 897.72, "providers": [{"billed_charge": 2662.86, "npi": [1952995888]}]}]}, {"tin": {"type": "ein", "value": "203434780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1237.86, "npi": [1972657914]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1237.86, "npi": [1972657914]}, {"billed_charge": 1469.56, "npi": [1972657914]}]}]}, {"tin": {"type": "ein", "value": "203948307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 869.94, "providers": [{"billed_charge": 2370.75, "npi": [1376644609]}]}]}, {"tin": {"type": "ein", "value": "204560963"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 750.0, "npi": [1013104116]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 750.0, "npi": [1013104116]}]}]}, {"tin": {"type": "ein", "value": "208201707"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 553.06, "providers": [{"billed_charge": 825.0, "npi": [1740496934]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2711.89, "providers": [{"billed_charge": 6092.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1661.88, "providers": [{"billed_charge": 4296.0, "npi": [1922095116]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1661.88, "providers": [{"billed_charge": 2787.66, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "223420314"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 984.61, "providers": [{"billed_charge": 2999.5, "npi": [1811055569]}]}]}, {"tin": {"type": "ein", "value": "231740898"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 829.37, "providers": [{"billed_charge": 1400.0, "npi": [1114919396]}]}]}, {"tin": {"type": "ein", "value": "232390018"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 821.32, "providers": [{"billed_charge": 1200.0, "npi": [1235113986]}]}]}, {"tin": {"type": "ein", "value": "261698687"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 950.78, "providers": [{"billed_charge": 2131.0, "npi": [1265933980]}]}]}, {"tin": {"type": "ein", "value": "261706720"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 767.02, "providers": [{"billed_charge": 1700.0, "npi": [1295113868]}]}]}, {"tin": {"type": "ein", "value": "262219376"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 408.46, "providers": [{"billed_charge": 1200.0, "npi": [1457175655]}, {"billed_charge": 1800.0, "npi": [1457175655]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 1200.0, "npi": [1457175655]}, {"billed_charge": 1800.0, "npi": [1457175655]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 1200.0, "npi": [1457175655]}]}, {"allowed_amount": 572.87, "providers": [{"billed_charge": 1200.0, "npi": [1457175655]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 1200.0, "npi": [1457175655]}, {"billed_charge": 1800.0, "npi": [1457175655]}]}, {"allowed_amount": 624.43, "providers": [{"billed_charge": 1200.0, "npi": [1457175655]}, {"billed_charge": 1800.0, "npi": [1457175655]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 1200.0, "npi": [1457175655]}, {"billed_charge": 1800.0, "npi": [1457175655]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 265.9, "providers": [{"billed_charge": 2100.0, "npi": [1871724864]}]}, {"allowed_amount": 861.5, "providers": [{"billed_charge": 2100.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "270851187"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 933.41, "providers": [{"billed_charge": 1840.22, "npi": [1164759726]}]}]}, {"tin": {"type": "ein", "value": "271466450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 894.01, "providers": [{"billed_charge": 1355.91, "npi": [1881915155]}]}, {"allowed_amount": 902.78, "providers": [{"billed_charge": 1355.91, "npi": [1881915155]}]}]}, {"tin": {"type": "ein", "value": "271720808"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 408.46, "providers": [{"billed_charge": 800.0, "npi": [1902118805]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 800.0, "npi": [1902118805]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 766.8, "npi": [1902118805]}]}, {"allowed_amount": 572.87, "providers": [{"billed_charge": 766.8, "npi": [1902118805]}, {"billed_charge": 800.0, "npi": [1902118805]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 766.8, "npi": [1902118805]}]}, {"allowed_amount": 624.43, "providers": [{"billed_charge": 766.8, "npi": [1902118805]}, {"billed_charge": 800.0, "npi": [1902118805]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 766.8, "npi": [1902118805]}, {"billed_charge": 800.0, "npi": [1902118805]}]}, {"allowed_amount": 800.0, "providers": [{"billed_charge": 800.0, "npi": [1902118805]}]}]}, {"tin": {"type": "ein", "value": "273923442"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 647.66, "providers": [{"billed_charge": 886.0, "npi": [1376845008]}]}]}, {"tin": {"type": "ein", "value": "311113219"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 832.05, "providers": [{"billed_charge": 2000.0, "npi": [1306895248]}]}]}, {"tin": {"type": "ein", "value": "311836178"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 759.57, "providers": [{"billed_charge": 3980.0, "npi": [1821028945]}]}]}, {"tin": {"type": "ein", "value": "316000175"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 652.54, "providers": [{"billed_charge": 870.0, "npi": [1265433130]}]}]}, {"tin": {"type": "ein", "value": "316001090"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 658.94, "providers": [{"billed_charge": 1110.0, "npi": [1255333621]}]}]}, {"tin": {"type": "ein", "value": "330753384"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 953.43, "providers": [{"billed_charge": 3343.37, "npi": [1558479543]}]}]}, {"tin": {"type": "ein", "value": "330829318"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1007.83, "providers": [{"billed_charge": 3408.0, "npi": [1053453951]}]}]}, {"tin": {"type": "ein", "value": "331104558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 875.63, "providers": [{"billed_charge": 1617.0, "npi": [1225070840]}]}]}, {"tin": {"type": "ein", "value": "346000646"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 658.94, "providers": [{"billed_charge": 889.2, "npi": [1699867077]}]}]}, {"tin": {"type": "ein", "value": "346001656"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 658.94, "providers": [{"billed_charge": 1000.0, "npi": [1821014978]}]}]}, {"tin": {"type": "ein", "value": "346400022"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 652.54, "providers": [{"billed_charge": 870.0, "npi": [1295921930]}]}]}, {"tin": {"type": "ein", "value": "351494500"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 847.75, "providers": [{"billed_charge": 2492.22, "npi": [1376576181]}]}]}, {"tin": {"type": "ein", "value": "356003121"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 856.06, "providers": [{"billed_charge": 1500.0, "npi": [1649227364]}]}]}, {"tin": {"type": "ein", "value": "362698031"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 664.09, "providers": [{"billed_charge": 2174.94, "npi": [1982656369]}]}]}, {"tin": {"type": "ein", "value": "366005820"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 664.09, "providers": [{"billed_charge": 3384.0, "npi": [1376554592]}]}]}, {"tin": {"type": "ein", "value": "372039688"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 412.47, "providers": [{"billed_charge": 863.53, "npi": [1346830676]}]}, {"allowed_amount": 572.87, "providers": [{"billed_charge": 600.0, "npi": [1346830676]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1346830676]}]}, {"allowed_amount": 773.37, "providers": [{"billed_charge": 863.53, "npi": [1346830676]}]}]}, {"tin": {"type": "ein", "value": "382142110"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 706.01, "providers": [{"billed_charge": 2406.67, "npi": [1881627503]}]}]}, {"tin": {"type": "ein", "value": "391803570"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 867.12, "providers": [{"billed_charge": 2200.0, "npi": [1437265857]}]}]}, {"tin": {"type": "ein", "value": "396005532"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 867.12, "providers": [{"billed_charge": 926.17, "npi": [1487783361]}]}]}, {"tin": {"type": "ein", "value": "416005521"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 920.47, "providers": [{"billed_charge": 2695.0, "npi": [1346213899]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1192.86, "providers": [{"billed_charge": 3106.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "426004806"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 932.28, "providers": [{"billed_charge": 1000.0, "npi": [1851370134]}]}]}, {"tin": {"type": "ein", "value": "430375415"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 699.62, "providers": [{"billed_charge": 1000.0, "npi": [1710061775]}]}]}, {"tin": {"type": "ein", "value": "430747092"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 692.84, "providers": [{"billed_charge": 1020.5, "npi": [1801810429]}]}]}, {"tin": {"type": "ein", "value": "431496774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 692.84, "providers": [{"billed_charge": 2832.82, "npi": [1578613253]}, {"billed_charge": 3249.14, "npi": [1578613253]}]}]}, {"tin": {"type": "ein", "value": "436003231"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 692.84, "providers": [{"billed_charge": 950.0, "npi": [1952490682]}]}]}, {"tin": {"type": "ein", "value": "453639743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 767.02, "providers": [{"billed_charge": 900.0, "npi": [1477830164]}, {"billed_charge": 1921.5, "npi": [1477830164]}]}]}, {"tin": {"type": "ein", "value": "454583361"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 2500.0, "npi": [1023632890]}]}]}, {"tin": {"type": "ein", "value": "454597543"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 845.87, "providers": [{"billed_charge": 1859.63, "npi": [1982978375]}]}]}, {"tin": {"type": "ein", "value": "454662986"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 572.87, "providers": [{"billed_charge": 766.8, "npi": [1568711299, 1205183605, 1649959883]}, {"billed_charge": 832.1, "npi": [1568711299]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 766.8, "npi": [1568711299, 1649959883]}]}]}, {"tin": {"type": "ein", "value": "460506871"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 875.63, "providers": [{"billed_charge": 1325.0, "npi": [1821043910]}]}]}, {"tin": {"type": "ein", "value": "470829179"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 663.86, "providers": [{"billed_charge": 2163.0, "npi": [1871991125]}]}]}, {"tin": {"type": "ein", "value": "473265252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 933.41, "providers": [{"billed_charge": 2967.69, "npi": [1528446820]}]}]}, {"tin": {"type": "ein", "value": "510176168"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 913.56, "providers": [{"billed_charge": 2425.0, "npi": [1356377964]}]}]}, {"tin": {"type": "ein", "value": "526000769"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 840.0, "npi": [1679609366]}]}]}, {"tin": {"type": "ein", "value": "526000878"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 700.0, "npi": [1053554824]}]}]}, {"tin": {"type": "ein", "value": "526000889"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1821464678]}]}]}, {"tin": {"type": "ein", "value": "526000980"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 900.0, "providers": [{"billed_charge": 900.0, "npi": [1851635882]}]}]}, {"tin": {"type": "ein", "value": "526000998"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 650.0, "npi": [1285691527]}]}]}, {"tin": {"type": "ein", "value": "536001131"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1014.56, "providers": [{"billed_charge": 2000.0, "npi": [1992805022]}]}]}, {"tin": {"type": "ein", "value": "546001123"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1277.59, "providers": [{"billed_charge": 1500.0, "npi": [1255342648]}]}]}, {"tin": {"type": "ein", "value": "546001188"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1164648317]}]}]}, {"tin": {"type": "ein", "value": "546001636"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1639260094]}]}]}, {"tin": {"type": "ein", "value": "556000305"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 811.47, "providers": [{"billed_charge": 1550.0, "npi": [1801808456]}]}]}, {"tin": {"type": "ein", "value": "561989558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 851.49, "providers": [{"billed_charge": 1194.0, "npi": [1336226034]}]}, {"allowed_amount": 859.85, "providers": [{"billed_charge": 1194.0, "npi": [1336226034]}]}]}, {"tin": {"type": "ein", "value": "562332847"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 823.98, "providers": [{"billed_charge": 1094.0, "npi": [1356326615]}]}]}, {"tin": {"type": "ein", "value": "566000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 851.49, "providers": [{"billed_charge": 1002.0, "npi": [1073574786]}]}, {"allowed_amount": 859.85, "providers": [{"billed_charge": 1002.0, "npi": [1073574786]}]}]}, {"tin": {"type": "ein", "value": "566000285"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 859.85, "providers": [{"billed_charge": 925.0, "npi": [1386691152]}]}]}, {"tin": {"type": "ein", "value": "566000300"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 859.85, "providers": [{"billed_charge": 1500.0, "npi": [1932258506]}]}]}, {"tin": {"type": "ein", "value": "566000306"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 748.21, "providers": [{"billed_charge": 748.21, "npi": [1588626519]}]}]}, {"tin": {"type": "ein", "value": "566000307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 859.85, "providers": [{"billed_charge": 1025.3, "npi": [1891825782]}]}]}, {"tin": {"type": "ein", "value": "566000309"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 768.98, "providers": [{"billed_charge": 768.98, "npi": [1952349847]}]}]}, {"tin": {"type": "ein", "value": "566000337"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 797.0, "providers": [{"billed_charge": 797.0, "npi": [1225083413]}]}]}, {"tin": {"type": "ein", "value": "566000341"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 630.0, "providers": [{"billed_charge": 630.0, "npi": [1306843107]}]}]}, {"tin": {"type": "ein", "value": "566000347"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 851.49, "providers": [{"billed_charge": 1449.22, "npi": [1922098029]}]}, {"allowed_amount": 859.85, "providers": [{"billed_charge": 1449.22, "npi": [1922098029]}]}]}, {"tin": {"type": "ein", "value": "566000348"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 647.94, "providers": [{"billed_charge": 647.94, "npi": [1750463873]}]}]}, {"tin": {"type": "ein", "value": "566000349"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1790821817]}]}]}, {"tin": {"type": "ein", "value": "566000450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 768.98, "providers": [{"billed_charge": 768.98, "npi": [1043250350]}]}]}, {"tin": {"type": "ein", "value": "576000311"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 725.0, "providers": [{"billed_charge": 725.0, "npi": [1821073115]}]}]}, {"tin": {"type": "ein", "value": "576000351"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 783.21, "providers": [{"billed_charge": 783.21, "npi": [1205887874]}]}]}, {"tin": {"type": "ein", "value": "576000366"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 845.87, "providers": [{"billed_charge": 1015.48, "npi": [1255333548]}]}]}, {"tin": {"type": "ein", "value": "576001289"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 844.0, "providers": [{"billed_charge": 844.0, "npi": [1376546788]}]}]}, {"tin": {"type": "ein", "value": "581036407"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 830.9, "providers": [{"billed_charge": 2269.99, "npi": [1962452870]}, {"billed_charge": 2467.38, "npi": [1962452870]}]}, {"allowed_amount": 839.05, "providers": [{"billed_charge": 2269.99, "npi": [1962452870]}, {"billed_charge": 2467.38, "npi": [1962452870]}, {"billed_charge": 2664.77, "npi": [1962452870]}]}]}, {"tin": {"type": "ein", "value": "581282570"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 767.02, "providers": [{"billed_charge": 3336.78, "npi": [1396950770]}]}]}, {"tin": {"type": "ein", "value": "581313603"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 767.02, "providers": [{"billed_charge": 1900.04, "npi": [1295760304]}]}]}, {"tin": {"type": "ein", "value": "581608892"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 759.57, "providers": [{"billed_charge": 2527.0, "npi": [1538211081]}]}, {"allowed_amount": 767.02, "providers": [{"billed_charge": 2527.0, "npi": [1538211081]}]}]}, {"tin": {"type": "ein", "value": "581923254"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 830.9, "providers": [{"billed_charge": 2467.38, "npi": [1730156266]}]}]}, {"tin": {"type": "ein", "value": "582175978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 767.02, "providers": [{"billed_charge": 865.0, "npi": [1962478511]}]}]}, {"tin": {"type": "ein", "value": "582465552"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 845.87, "providers": [{"billed_charge": 1866.0, "npi": [1891782595]}]}]}, {"tin": {"type": "ein", "value": "582612884"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 795.26, "providers": [{"billed_charge": 1888.0, "npi": [1982674636]}]}, {"allowed_amount": 878.47, "providers": [{"billed_charge": 1888.0, "npi": [1982674636]}]}]}, {"tin": {"type": "ein", "value": "586000792"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 731.0, "providers": [{"billed_charge": 731.0, "npi": [1093782732]}]}]}, {"tin": {"type": "ein", "value": "586000809"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 759.57, "providers": [{"billed_charge": 800.0, "npi": [1225436033]}]}, {"allowed_amount": 767.02, "providers": [{"billed_charge": 800.0, "npi": [1225436033]}]}]}, {"tin": {"type": "ein", "value": "586000817"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1972608644]}]}]}, {"tin": {"type": "ein", "value": "586000835"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 830.9, "providers": [{"billed_charge": 975.0, "npi": [1316052566]}]}, {"allowed_amount": 839.05, "providers": [{"billed_charge": 975.0, "npi": [1316052566]}]}]}, {"tin": {"type": "ein", "value": "586000860"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 940.37, "providers": [{"billed_charge": 1000.0, "npi": [1225100589]}]}]}, {"tin": {"type": "ein", "value": "586004467"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 887.0, "providers": [{"billed_charge": 887.0, "npi": [1558141671]}]}]}, {"tin": {"type": "ein", "value": "586012659"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1942386289]}]}, {"allowed_amount": 839.05, "providers": [{"billed_charge": 900.0, "npi": [1942386289]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 800.0, "npi": [1255668331]}]}, {"allowed_amount": 408.46, "providers": [{"billed_charge": 800.0, "npi": [1255668331]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 837.85, "npi": [1255668331]}, {"billed_charge": 1655.35, "npi": [1255668331]}, {"billed_charge": 1927.85, "npi": [1255668331]}, {"billed_charge": 1982.35, "npi": [1255668331]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 837.85, "npi": [1255668331]}, {"billed_charge": 892.35, "npi": [1255668331]}, {"billed_charge": 946.85, "npi": [1255668331]}, {"billed_charge": 1927.85, "npi": [1255668331]}, {"billed_charge": 2036.85, "npi": [1255668331]}, {"billed_charge": 2745.35, "npi": [1255668331]}]}]}, {"tin": {"type": "ein", "value": "590908106"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 404.6, "providers": [{"billed_charge": 900.0, "npi": [1710028410]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 900.0, "npi": [1710028410]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 900.0, "npi": [1710028410]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 900.0, "npi": [1710028410]}]}]}, {"tin": {"type": "ein", "value": "590944587"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 617.0, "npi": [1033280904]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 617.0, "npi": [1033280904]}, {"billed_charge": 652.0, "npi": [1033280904]}]}, {"allowed_amount": 617.0, "providers": [{"billed_charge": 617.0, "npi": [1033280904]}]}, {"allowed_amount": 652.0, "providers": [{"billed_charge": 652.0, "npi": [1033280904]}]}]}, {"tin": {"type": "ein", "value": "590951822"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.95, "providers": [{"billed_charge": 750.0, "npi": [1487336020]}]}]}, {"tin": {"type": "ein", "value": "590977961"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 556.49, "providers": [{"billed_charge": 670.0, "npi": [1790848232]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 670.0, "npi": [1790848232]}]}, {"allowed_amount": 670.0, "providers": [{"billed_charge": 670.0, "npi": [1790848232]}]}]}, {"tin": {"type": "ein", "value": "591039552"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 650.0, "npi": [1962414946]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 650.0, "npi": [1962414946]}]}, {"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1962414946]}]}]}, {"tin": {"type": "ein", "value": "591101138"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 1041.0, "npi": [1821104415]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 1041.0, "npi": [1821104415]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1041.0, "npi": [1821104415]}]}]}, {"tin": {"type": "ein", "value": "591107347"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 751.26, "providers": [{"billed_charge": 1308.0, "npi": [1578535571]}]}]}, {"tin": {"type": "ein", "value": "591113462"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 694.77, "npi": [1245241603]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 694.77, "npi": [1245241603]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 694.77, "npi": [1245241603]}]}, {"allowed_amount": 694.77, "providers": [{"billed_charge": 694.77, "npi": [1245241603]}]}, {"allowed_amount": 736.9, "providers": [{"billed_charge": 736.9, "npi": [1245241603]}]}]}, {"tin": {"type": "ein", "value": "591155275"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1073.0, "npi": [1326044793]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1073.0, "npi": [1326044793]}, {"billed_charge": 1584.0, "npi": [1326044793]}]}]}, {"tin": {"type": "ein", "value": "591205666"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}, {"allowed_amount": 951.37, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}]}, {"tin": {"type": "ein", "value": "591227491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 1000.0, "npi": [1528733623]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 1000.0, "npi": [1528733623]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1000.0, "npi": [1528733623]}]}]}, {"tin": {"type": "ein", "value": "591415030"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 612.53, "providers": [{"billed_charge": 1000.0, "npi": [1033229497]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1000.0, "npi": [1033229497]}]}]}, {"tin": {"type": "ein", "value": "591682537"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 412.47, "providers": [{"billed_charge": 675.0, "npi": [1639178791]}]}, {"allowed_amount": 675.0, "providers": [{"billed_charge": 675.0, "npi": [1639178791]}]}]}, {"tin": {"type": "ein", "value": "591863042"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 600.0, "npi": [1164422747]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1164422747]}]}]}, {"tin": {"type": "ein", "value": "591892079"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 405.45, "providers": [{"billed_charge": 800.0, "npi": [1467402883]}]}, {"allowed_amount": 408.46, "providers": [{"billed_charge": 800.0, "npi": [1467402883]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 800.0, "npi": [1467402883]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 800.0, "npi": [1467402883]}]}]}, {"tin": {"type": "ein", "value": "592333374"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1386663730]}]}]}, {"tin": {"type": "ein", "value": "592787534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 721.56, "providers": [{"billed_charge": 909.0, "npi": [1427053420]}]}]}, {"tin": {"type": "ein", "value": "593051173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 830.25, "npi": [1992973499]}]}, {"allowed_amount": 830.25, "providers": [{"billed_charge": 830.25, "npi": [1992973499]}]}]}, {"tin": {"type": "ein", "value": "596000265"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 721.56, "providers": [{"billed_charge": 879.0, "npi": [1083728588]}]}]}, {"tin": {"type": "ein", "value": "596000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 556.49, "providers": [{"billed_charge": 750.0, "npi": [1679584007]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 750.0, "npi": [1679584007]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1679584007]}]}]}, {"tin": {"type": "ein", "value": "596000282"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 810.0, "npi": [1699702134]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 810.0, "npi": [1699702134]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 810.0, "npi": [1699702134]}, {"billed_charge": 840.0, "npi": [1699702134]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 810.0, "npi": [1699702134]}, {"billed_charge": 840.0, "npi": [1699702134]}]}]}, {"tin": {"type": "ein", "value": "596000293"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 408.46, "providers": [{"billed_charge": 625.0, "npi": [1316162266]}, {"billed_charge": 650.0, "npi": [1316162266]}, {"billed_charge": 680.0, "npi": [1316162266]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 625.0, "npi": [1316162266]}, {"billed_charge": 650.0, "npi": [1316162266]}, {"billed_charge": 680.0, "npi": [1316162266]}]}, {"allowed_amount": 625.0, "providers": [{"billed_charge": 625.0, "npi": [1316162266]}]}, {"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1316162266]}]}]}, {"tin": {"type": "ein", "value": "596000308"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 111.3, "providers": [{"billed_charge": 800.0, "npi": [1679505432]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 800.0, "npi": [1679505432]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 800.0, "npi": [1679505432]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 800.0, "npi": [1679505432]}]}]}, {"tin": {"type": "ein", "value": "596000319"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 118.95, "providers": [{"billed_charge": 556.49, "npi": [1649281924]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 950.0, "npi": [1649281924]}, {"billed_charge": 980.3, "npi": [1649281924]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 950.0, "npi": [1649281924]}, {"billed_charge": 980.3, "npi": [1649281924]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 950.0, "npi": [1649281924]}, {"billed_charge": 980.3, "npi": [1649281924]}, {"billed_charge": 1010.6, "npi": [1649281924]}]}, {"allowed_amount": 834.74, "providers": [{"billed_charge": 980.3, "npi": [1649281924]}]}]}, {"tin": {"type": "ein", "value": "596000335"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 800.0, "npi": [1780788463]}]}, {"allowed_amount": 408.46, "providers": [{"billed_charge": 825.0, "npi": [1780788463]}, {"billed_charge": 850.0, "npi": [1780788463]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 825.0, "npi": [1780788463]}, {"billed_charge": 850.0, "npi": [1780788463]}, {"billed_charge": 855.0, "npi": [1780788463]}, {"billed_charge": 880.0, "npi": [1780788463]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 825.0, "npi": [1780788463]}, {"billed_charge": 850.0, "npi": [1780788463]}, {"billed_charge": 855.0, "npi": [1780788463]}, {"billed_charge": 880.0, "npi": [1780788463]}]}]}, {"tin": {"type": "ein", "value": "596000338"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 1000.0, "npi": [1962409912]}, {"billed_charge": 1250.0, "npi": [1962409912]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 1000.0, "npi": [1962409912]}, {"billed_charge": 1250.0, "npi": [1962409912]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 1000.0, "npi": [1962409912]}, {"billed_charge": 1250.0, "npi": [1962409912]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1000.0, "npi": [1962409912]}, {"billed_charge": 1250.0, "npi": [1962409912]}]}, {"allowed_amount": 834.74, "providers": [{"billed_charge": 1000.0, "npi": [1962409912]}]}]}, {"tin": {"type": "ein", "value": "596000344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 635.0, "npi": [1356341531]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 635.0, "npi": [1356341531]}]}, {"allowed_amount": 555.32, "providers": [{"billed_charge": 635.0, "npi": [1356341531]}]}, {"allowed_amount": 635.0, "providers": [{"billed_charge": 635.0, "npi": [1356341531]}]}]}, {"tin": {"type": "ein", "value": "596000346"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 412.47, "providers": [{"billed_charge": 750.0, "npi": [1205224656]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1205224656]}]}]}, {"tin": {"type": "ein", "value": "596000348"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 884.0, "npi": [1891880605]}]}]}, {"tin": {"type": "ein", "value": "596000368"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1024.0, "npi": [1942306071]}]}]}, {"tin": {"type": "ein", "value": "596000372"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 408.46, "providers": [{"billed_charge": 800.0, "npi": [1700980489]}, {"billed_charge": 825.0, "npi": [1700980489]}, {"billed_charge": 880.0, "npi": [1700980489]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 800.0, "npi": [1700980489]}, {"billed_charge": 825.0, "npi": [1700980489]}, {"billed_charge": 850.0, "npi": [1700980489]}, {"billed_charge": 855.0, "npi": [1700980489]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 800.0, "npi": [1700980489]}, {"billed_charge": 825.0, "npi": [1700980489]}, {"billed_charge": 850.0, "npi": [1700980489]}, {"billed_charge": 855.0, "npi": [1700980489]}, {"billed_charge": 880.0, "npi": [1700980489]}]}]}, {"tin": {"type": "ein", "value": "596000375"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 41.32, "providers": [{"billed_charge": 830.0, "npi": [1821109612]}]}, {"allowed_amount": 408.46, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}, {"billed_charge": 830.0, "npi": [1821109612]}, {"billed_charge": 855.0, "npi": [1821109612]}, {"billed_charge": 860.0, "npi": [1821109612]}, {"billed_charge": 890.0, "npi": [1821109612]}, {"billed_charge": 915.0, "npi": [1821109612]}, {"billed_charge": 940.0, "npi": [1821109612]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}, {"billed_charge": 830.0, "npi": [1821109612]}, {"billed_charge": 855.0, "npi": [1821109612]}, {"billed_charge": 860.0, "npi": [1821109612]}, {"billed_charge": 890.0, "npi": [1821109612]}, {"billed_charge": 920.0, "npi": [1821109612]}, {"billed_charge": 945.0, "npi": [1821109612]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}, {"billed_charge": 830.0, "npi": [1821109612]}, {"billed_charge": 855.0, "npi": [1821109612]}, {"billed_charge": 860.0, "npi": [1821109612]}, {"billed_charge": 885.0, "npi": [1821109612]}, {"billed_charge": 890.0, "npi": [1821109612]}, {"billed_charge": 915.0, "npi": [1821109612]}]}]}, {"tin": {"type": "ein", "value": "596000391"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 612.53, "providers": [{"billed_charge": 1000.0, "npi": [1003958471]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1000.0, "npi": [1003958471]}]}]}, {"tin": {"type": "ein", "value": "596000396"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 978.0, "npi": [1508167040]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 978.0, "npi": [1508167040]}]}]}, {"tin": {"type": "ein", "value": "596000402"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.95, "providers": [{"billed_charge": 750.0, "npi": [1497801583]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1497801583]}]}]}, {"tin": {"type": "ein", "value": "596000410"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 800.0, "npi": [1538134358]}]}]}, {"tin": {"type": "ein", "value": "596000411"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 123.99, "providers": [{"billed_charge": 556.49, "npi": [1891790424]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 1327.66, "npi": [1891790424]}, {"billed_charge": 1394.05, "npi": [1891790424]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 1327.66, "npi": [1891790424]}, {"billed_charge": 1394.05, "npi": [1891790424]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1327.66, "npi": [1891790424]}, {"billed_charge": 1394.05, "npi": [1891790424]}]}]}, {"tin": {"type": "ein", "value": "596000417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 800.0, "npi": [1194736207]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 800.0, "npi": [1194736207]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 800.0, "npi": [1194736207]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 800.0, "npi": [1194736207]}]}]}, {"tin": {"type": "ein", "value": "596000421"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 721.56, "providers": [{"billed_charge": 800.0, "npi": [1730262619]}]}]}, {"tin": {"type": "ein", "value": "596000433"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 556.49, "providers": [{"billed_charge": 878.84, "npi": [1649270216]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 878.84, "npi": [1649270216]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 878.84, "npi": [1649270216]}]}]}, {"tin": {"type": "ein", "value": "596000439"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 721.56, "providers": [{"billed_charge": 800.0, "npi": [1134177389]}]}]}, {"tin": {"type": "ein", "value": "596000448"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 94.03, "providers": [{"billed_charge": 750.0, "npi": [1215071964]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 750.0, "npi": [1215071964]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 750.0, "npi": [1215071964]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1215071964]}]}]}, {"tin": {"type": "ein", "value": "596000454"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 721.56, "providers": [{"billed_charge": 925.0, "npi": [1447394952]}]}]}, {"tin": {"type": "ein", "value": "596000501"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 1068.98, "npi": [1780610287]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 1068.98, "npi": [1780610287]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1068.98, "npi": [1780610287]}]}]}, {"tin": {"type": "ein", "value": "596000512"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 1218.9, "npi": [1134460801]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 1218.9, "npi": [1134460801]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1218.9, "npi": [1134460801]}]}]}, {"tin": {"type": "ein", "value": "596000519"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1861437774]}]}]}, {"tin": {"type": "ein", "value": "596000523"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 963.37, "npi": [1194821595]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 963.37, "npi": [1194821595]}]}, {"allowed_amount": 801.74, "providers": [{"billed_charge": 963.37, "npi": [1194821595]}]}]}, {"tin": {"type": "ein", "value": "596000534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 750.0, "npi": [1437262565]}, {"billed_charge": 775.0, "npi": [1437262565]}, {"billed_charge": 780.0, "npi": [1437262565]}, {"billed_charge": 805.0, "npi": [1437262565]}, {"billed_charge": 807.0, "npi": [1437262565]}, {"billed_charge": 820.0, "npi": [1437262565]}, {"billed_charge": 850.0, "npi": [1437262565]}, {"billed_charge": 883.0, "npi": [1437262565]}, {"billed_charge": 1000.0, "npi": [1437262565]}, {"billed_charge": 1489.81, "npi": [1437262565]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 750.0, "npi": [1437262565]}, {"billed_charge": 780.0, "npi": [1437262565]}, {"billed_charge": 805.0, "npi": [1437262565]}, {"billed_charge": 807.0, "npi": [1437262565]}, {"billed_charge": 820.0, "npi": [1437262565]}, {"billed_charge": 850.0, "npi": [1437262565]}, {"billed_charge": 880.0, "npi": [1437262565]}, {"billed_charge": 908.0, "npi": [1437262565]}, {"billed_charge": 1000.0, "npi": [1437262565]}, {"billed_charge": 1035.0, "npi": [1437262565]}, {"billed_charge": 1489.81, "npi": [1437262565]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1437262565]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 780.0, "npi": [1437262565]}, {"billed_charge": 805.0, "npi": [1437262565]}, {"billed_charge": 807.0, "npi": [1437262565]}, {"billed_charge": 820.0, "npi": [1437262565]}, {"billed_charge": 850.0, "npi": [1437262565]}, {"billed_charge": 880.0, "npi": [1437262565]}, {"billed_charge": 883.0, "npi": [1437262565]}, {"billed_charge": 905.0, "npi": [1437262565]}, {"billed_charge": 907.0, "npi": [1437262565]}, {"billed_charge": 1000.0, "npi": [1437262565]}, {"billed_charge": 1035.0, "npi": [1437262565]}, {"billed_charge": 1489.81, "npi": [1437262565]}]}, {"allowed_amount": 834.74, "providers": [{"billed_charge": 850.0, "npi": [1437262565]}]}, {"allowed_amount": 850.0, "providers": [{"billed_charge": 850.0, "npi": [1437262565]}]}]}, {"tin": {"type": "ein", "value": "596000541"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 700.0, "npi": [1407962095]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 700.0, "npi": [1407962095]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 700.0, "npi": [1407962095]}]}, {"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1407962095]}]}]}, {"tin": {"type": "ein", "value": "596000548"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1195.0, "npi": [1568129971]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1195.0, "npi": [1568129971]}]}]}, {"tin": {"type": "ein", "value": "596000553"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 750.0, "npi": [1548242571]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 750.0, "npi": [1548242571]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 750.0, "npi": [1548242571]}]}]}, {"tin": {"type": "ein", "value": "596000558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 800.0, "npi": [1083674519]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 800.0, "npi": [1083674519]}]}]}, {"tin": {"type": "ein", "value": "596000573"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}]}, {"allowed_amount": 408.46, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}, {"billed_charge": 825.0, "npi": [1588768279]}, {"billed_charge": 850.0, "npi": [1588768279]}, {"billed_charge": 855.0, "npi": [1588768279]}, {"billed_charge": 860.0, "npi": [1588768279]}, {"billed_charge": 875.0, "npi": [1588768279]}, {"billed_charge": 880.0, "npi": [1588768279]}, {"billed_charge": 905.0, "npi": [1588768279]}, {"billed_charge": 910.0, "npi": [1588768279]}]}, {"allowed_amount": 412.47, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}, {"billed_charge": 825.0, "npi": [1588768279]}, {"billed_charge": 830.0, "npi": [1588768279]}, {"billed_charge": 850.0, "npi": [1588768279]}, {"billed_charge": 855.0, "npi": [1588768279]}, {"billed_charge": 875.0, "npi": [1588768279]}, {"billed_charge": 880.0, "npi": [1588768279]}, {"billed_charge": 905.0, "npi": [1588768279]}, {"billed_charge": 935.0, "npi": [1588768279]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}, {"billed_charge": 825.0, "npi": [1588768279]}, {"billed_charge": 830.0, "npi": [1588768279]}, {"billed_charge": 850.0, "npi": [1588768279]}, {"billed_charge": 855.0, "npi": [1588768279]}, {"billed_charge": 880.0, "npi": [1588768279]}, {"billed_charge": 905.0, "npi": [1588768279]}, {"billed_charge": 910.0, "npi": [1588768279]}]}, {"allowed_amount": 855.0, "providers": [{"billed_charge": 855.0, "npi": [1588768279]}]}]}, {"tin": {"type": "ein", "value": "596000598"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1140.0, "npi": [1518960426]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1140.0, "npi": [1518960426]}]}]}, {"tin": {"type": "ein", "value": "596000605"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1851400881]}]}]}, {"tin": {"type": "ein", "value": "596000628"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 893.31, "providers": [{"billed_charge": 1000.0, "npi": [1003851767]}]}]}, {"tin": {"type": "ein", "value": "596000639"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 600.0, "npi": [1639103005]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 600.0, "npi": [1639103005]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1639103005]}]}]}, {"tin": {"type": "ein", "value": "596000655"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 650.0, "npi": [1588676290]}]}, {"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1588676290]}]}]}, {"tin": {"type": "ein", "value": "596000661"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 800.0, "npi": [1275578437]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 800.0, "npi": [1275578437]}, {"billed_charge": 825.0, "npi": [1275578437]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 800.0, "npi": [1275578437]}, {"billed_charge": 825.0, "npi": [1275578437]}]}]}, {"tin": {"type": "ein", "value": "596000674"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.95, "providers": [{"billed_charge": 809.87, "npi": [1497856033]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 809.87, "npi": [1497856033]}]}]}, {"tin": {"type": "ein", "value": "596000681"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 728.64, "providers": [{"billed_charge": 1619.19, "npi": [1982640397]}]}]}, {"tin": {"type": "ein", "value": "596000695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 650.0, "npi": [1811476930]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 650.0, "npi": [1811476930]}]}, {"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1811476930]}]}]}, {"tin": {"type": "ein", "value": "596000702"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 556.49, "providers": [{"billed_charge": 875.0, "npi": [1477663839]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 875.0, "npi": [1477663839]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 875.0, "npi": [1477663839]}]}]}, {"tin": {"type": "ein", "value": "596000708"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 1036.0, "npi": [1215047675]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 1036.0, "npi": [1215047675]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1036.0, "npi": [1215047675]}]}]}, {"tin": {"type": "ein", "value": "596000717"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 562.33, "providers": [{"billed_charge": 562.33, "npi": [1295872331]}]}]}, {"tin": {"type": "ein", "value": "596000722"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 893.31, "providers": [{"billed_charge": 1021.54, "npi": [1700865870]}]}]}, {"tin": {"type": "ein", "value": "596000727"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 950.0, "npi": [1639271885]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 950.0, "npi": [1639271885]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 950.0, "npi": [1639271885]}]}]}, {"tin": {"type": "ein", "value": "596000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 700.0, "npi": [1700050705]}]}, {"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1700050705]}]}]}, {"tin": {"type": "ein", "value": "596000743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 556.49, "providers": [{"billed_charge": 896.11, "npi": [1255331187]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 896.11, "npi": [1255331187]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 896.11, "npi": [1255331187]}]}, {"allowed_amount": 834.74, "providers": [{"billed_charge": 896.11, "npi": [1255331187]}]}]}, {"tin": {"type": "ein", "value": "596000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 412.47, "providers": [{"billed_charge": 750.0, "npi": [1639180979]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1639180979]}]}]}, {"tin": {"type": "ein", "value": "596000765"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 1228.0, "npi": [1649292756]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 1228.0, "npi": [1649292756]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1228.0, "npi": [1649292756]}, {"billed_charge": 1540.0, "npi": [1649292756]}]}]}, {"tin": {"type": "ein", "value": "596000773"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 1024.0, "npi": [1033215348]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 1024.0, "npi": [1033215348]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1024.0, "npi": [1033215348]}]}]}, {"tin": {"type": "ein", "value": "596000780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 884.0, "npi": [1639264468]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 884.0, "npi": [1639264468]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 884.0, "npi": [1639264468]}]}]}, {"tin": {"type": "ein", "value": "596000785"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}, {"allowed_amount": 547.8, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}, {"allowed_amount": 556.49, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}, {"allowed_amount": 730.0, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}]}, {"tin": {"type": "ein", "value": "596000793"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1514.67, "npi": [1134122146]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1514.67, "npi": [1134122146]}]}]}, {"tin": {"type": "ein", "value": "596000800"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 967.42, "npi": [1679520571]}]}, {"allowed_amount": 534.49, "providers": [{"billed_charge": 967.42, "npi": [1679520571]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 967.42, "npi": [1679520571]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 967.42, "npi": [1679520571]}]}]}, {"tin": {"type": "ein", "value": "596000809"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 600.0, "npi": [1548296338]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 600.0, "npi": [1548296338]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1548296338]}]}]}, {"tin": {"type": "ein", "value": "596000816"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 575.0, "npi": [1659362986]}]}, {"allowed_amount": 575.0, "providers": [{"billed_charge": 575.0, "npi": [1659362986]}]}]}, {"tin": {"type": "ein", "value": "596000825"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 700.0, "npi": [1720071343]}]}]}, {"tin": {"type": "ein", "value": "596000848"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 844.0, "npi": [1619036050]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 844.0, "npi": [1619036050]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 844.0, "npi": [1619036050]}]}]}, {"tin": {"type": "ein", "value": "596000856"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 800.0, "npi": [1487750592]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 800.0, "npi": [1487750592]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 800.0, "npi": [1487750592]}]}]}, {"tin": {"type": "ein", "value": "596000865"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 550.0, "providers": [{"billed_charge": 550.0, "npi": [1942943469]}]}]}, {"tin": {"type": "ein", "value": "596000873"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 784.55, "npi": [1427087717]}]}]}, {"tin": {"type": "ein", "value": "596000885"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 534.49, "providers": [{"billed_charge": 802.0, "npi": [1487933248]}]}, {"allowed_amount": 539.73, "providers": [{"billed_charge": 802.0, "npi": [1487933248]}, {"billed_charge": 832.0, "npi": [1487933248]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 832.0, "npi": [1487933248]}]}]}, {"tin": {"type": "ein", "value": "596000897"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 525.0, "providers": [{"billed_charge": 525.0, "npi": [1609306620]}]}]}, {"tin": {"type": "ein", "value": "596013450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 556.49, "providers": [{"billed_charge": 696.0, "npi": [1649261744]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 696.0, "npi": [1649261744]}]}, {"allowed_amount": 696.0, "providers": [{"billed_charge": 696.0, "npi": [1649261744]}]}]}, {"tin": {"type": "ein", "value": "596015967"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 1000.0, "npi": [1558372656]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 1000.0, "npi": [1558372656]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1000.0, "npi": [1558372656]}]}]}, {"tin": {"type": "ein", "value": "596017151"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1679584973]}]}]}, {"tin": {"type": "ein", "value": "596017775"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 900.0, "npi": [1225040827]}, {"billed_charge": 950.0, "npi": [1225040827]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 900.0, "npi": [1225040827]}, {"billed_charge": 950.0, "npi": [1225040827]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 900.0, "npi": [1225040827]}, {"billed_charge": 950.0, "npi": [1225040827]}]}]}, {"tin": {"type": "ein", "value": "596017984"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.95, "providers": [{"billed_charge": 800.0, "npi": [1386777340]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 800.0, "npi": [1386777340]}]}]}, {"tin": {"type": "ein", "value": "596019762"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 800.0, "npi": [1356348312]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 800.0, "npi": [1356348312]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 800.0, "npi": [1356348312]}, {"billed_charge": 830.0, "npi": [1356348312]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 800.0, "npi": [1356348312]}, {"billed_charge": 830.0, "npi": [1356348312]}]}]}, {"tin": {"type": "ein", "value": "596044081"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.95, "providers": [{"billed_charge": 771.0, "npi": [1821098492]}]}]}, {"tin": {"type": "ein", "value": "596044104"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 213.37, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}]}, {"allowed_amount": 606.57, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}, {"billed_charge": 815.0, "npi": [1114937422]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}, {"billed_charge": 815.0, "npi": [1114937422]}]}]}, {"tin": {"type": "ein", "value": "596045863"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 556.49, "providers": [{"billed_charge": 750.0, "npi": [1669408233]}, {"billed_charge": 780.0, "npi": [1669408233]}]}, {"allowed_amount": 561.95, "providers": [{"billed_charge": 750.0, "npi": [1669408233]}, {"billed_charge": 780.0, "npi": [1669408233]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1669408233]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 780.0, "npi": [1669408233]}]}]}, {"tin": {"type": "ein", "value": "596046527"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 606.57, "providers": [{"billed_charge": 1134.05, "npi": [1003827130]}]}, {"allowed_amount": 612.53, "providers": [{"billed_charge": 1000.0, "npi": [1003827130]}, {"billed_charge": 1134.05, "npi": [1003827130]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1000.0, "npi": [1003827130]}, {"billed_charge": 1134.05, "npi": [1003827130]}]}]}, {"tin": {"type": "ein", "value": "596072227"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 822.0, "npi": [1619071396]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 822.0, "npi": [1619071396]}]}]}, {"tin": {"type": "ein", "value": "616000756"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 823.98, "providers": [{"billed_charge": 2000.0, "npi": [1104887975]}]}]}, {"tin": {"type": "ein", "value": "616001826"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 832.05, "providers": [{"billed_charge": 1493.0, "npi": [1629034350]}]}]}, {"tin": {"type": "ein", "value": "620694743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1134131915]}]}]}, {"tin": {"type": "ein", "value": "621623714"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1079.17, "providers": [{"billed_charge": 1558.09, "npi": [1366487944]}]}, {"allowed_amount": 1089.75, "providers": [{"billed_charge": 1558.09, "npi": [1366487944]}]}]}, {"tin": {"type": "ein", "value": "626000295"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1346246550]}]}]}, {"tin": {"type": "ein", "value": "626000361"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1089.75, "providers": [{"billed_charge": 1225.0, "npi": [1942381819]}, {"billed_charge": 1275.0, "npi": [1942381819]}]}]}, {"tin": {"type": "ein", "value": "626000541"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 685.0, "providers": [{"billed_charge": 685.0, "npi": [1750380978]}]}]}, {"tin": {"type": "ein", "value": "630779256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 823.22, "providers": [{"billed_charge": 1061.0, "npi": [1194737460]}]}]}, {"tin": {"type": "ein", "value": "631058881"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 794.04, "providers": [{"billed_charge": 794.04, "npi": [1538236211]}]}]}, {"tin": {"type": "ein", "value": "631189629"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 736.64, "providers": [{"billed_charge": 736.64, "npi": [1801996145]}]}]}, {"tin": {"type": "ein", "value": "650145123"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.95, "providers": [{"billed_charge": 1372.0, "npi": [1164162558]}]}, {"allowed_amount": 751.26, "providers": [{"billed_charge": 1372.0, "npi": [1164162558]}]}]}, {"tin": {"type": "ein", "value": "650291811"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 412.47, "providers": [{"billed_charge": 800.0, "npi": [1578655338]}]}, {"allowed_amount": 765.86, "providers": [{"billed_charge": 800.0, "npi": [1578655338]}]}]}, {"tin": {"type": "ein", "value": "650366077"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1548908551]}]}]}, {"tin": {"type": "ein", "value": "650830851"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 647.0, "providers": [{"billed_charge": 647.0, "npi": [1912905829]}]}]}, {"tin": {"type": "ein", "value": "650984873"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1780677021]}]}]}, {"tin": {"type": "ein", "value": "726000499"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 864.89, "providers": [{"billed_charge": 1600.0, "npi": [1053373670]}]}]}, {"tin": {"type": "ein", "value": "726001326"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 829.52, "providers": [{"billed_charge": 1750.0, "npi": [1396861415]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 690.33, "providers": [{"billed_charge": 1550.0, "npi": [1770626608]}]}]}, {"tin": {"type": "ein", "value": "731038915"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 647.92, "providers": [{"billed_charge": 1300.0, "npi": [1457378150]}]}, {"allowed_amount": 654.27, "providers": [{"billed_charge": 1300.0, "npi": [1457378150]}]}]}, {"tin": {"type": "ein", "value": "731139487"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 654.27, "providers": [{"billed_charge": 1700.0, "npi": [1366499121]}]}]}, {"tin": {"type": "ein", "value": "731601148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 652.5, "providers": [{"billed_charge": 1640.0, "npi": [1114006939]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 869.94, "providers": [{"billed_charge": 1695.0, "npi": [1083744940]}]}]}, {"tin": {"type": "ein", "value": "742276859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 861.5, "providers": [{"billed_charge": 1700.0, "npi": [1134279425]}]}]}, {"tin": {"type": "ein", "value": "746000341"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 869.94, "providers": [{"billed_charge": 1582.33, "npi": [1861410664]}]}]}, {"tin": {"type": "ein", "value": "746001164"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 897.72, "providers": [{"billed_charge": 2158.16, "npi": [1447375282]}]}]}, {"tin": {"type": "ein", "value": "746001969"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 869.94, "providers": [{"billed_charge": 2346.0, "npi": [1457322885]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 869.94, "providers": [{"billed_charge": 1500.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "752313255"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1007.29, "providers": [{"billed_charge": 1850.0, "npi": [1689650921]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 861.5, "providers": [{"billed_charge": 1295.0, "npi": [1194750802]}]}, {"allowed_amount": 869.94, "providers": [{"billed_charge": 1438.66, "npi": [1194750802]}]}, {"allowed_amount": 953.43, "providers": [{"billed_charge": 2804.66, "npi": [1578597886]}]}, {"allowed_amount": 1007.2, "providers": [{"billed_charge": 3065.0, "npi": [1184732091]}]}, {"allowed_amount": 1025.93, "providers": [{"billed_charge": 4478.67, "npi": [1194833939]}]}]}, {"tin": {"type": "ein", "value": "756000508"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 899.62, "providers": [{"billed_charge": 1506.37, "npi": [1861530990]}, {"billed_charge": 1870.25, "npi": [1861530990]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 893.32, "providers": [{"billed_charge": 1785.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000583"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 890.89, "providers": [{"billed_charge": 1045.0, "npi": [1871623470]}]}]}, {"tin": {"type": "ein", "value": "770324739"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1006.98, "providers": [{"billed_charge": 4974.69, "npi": [1386678605]}]}, {"allowed_amount": 1149.8, "providers": [{"billed_charge": 4123.15, "npi": [1659305902]}]}]}, {"tin": {"type": "ein", "value": "810331365"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1235178906]}]}]}, {"tin": {"type": "ein", "value": "814571957"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 830.9, "providers": [{"billed_charge": 1750.0, "npi": [1164966164]}, {"billed_charge": 1815.1, "npi": [1164966164]}]}, {"allowed_amount": 839.05, "providers": [{"billed_charge": 1750.0, "npi": [1164966164]}]}]}, {"tin": {"type": "ein", "value": "824030857"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 839.05, "providers": [{"billed_charge": 2256.0, "npi": [1730697335]}]}]}, {"tin": {"type": "ein", "value": "824503842"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1710.0, "npi": [1992208565]}]}]}, {"tin": {"type": "ein", "value": "832499630"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.95, "providers": [{"billed_charge": 1150.0, "npi": [1700350642]}]}]}, {"tin": {"type": "ein", "value": "842463457"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 2354.0, "npi": [1568008977]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 2354.0, "npi": [1568008977]}]}]}, {"tin": {"type": "ein", "value": "842568754"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 661.71, "providers": [{"billed_charge": 1475.0, "npi": [1588215628]}]}]}, {"tin": {"type": "ein", "value": "843941942"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 539.73, "providers": [{"billed_charge": 1603.47, "npi": [1336789304]}]}, {"allowed_amount": 721.56, "providers": [{"billed_charge": 1603.47, "npi": [1336789304]}]}]}, {"tin": {"type": "ein", "value": "846000721"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1155.58, "providers": [{"billed_charge": 1500.0, "npi": [1538149315]}]}]}, {"tin": {"type": "ein", "value": "860270029"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 599.28, "providers": [{"billed_charge": 2030.57, "npi": [1750349221]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 593.46, "providers": [{"billed_charge": 1202.74, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 593.46, "providers": [{"billed_charge": 1244.9, "npi": [1982781571]}, {"billed_charge": 1246.61, "npi": [1982781571]}, {"billed_charge": 1248.83, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866003634"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 593.46, "providers": [{"billed_charge": 1202.74, "npi": [1336692342]}]}]}, {"tin": {"type": "ein", "value": "880125707"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 894.01, "providers": [{"billed_charge": 1355.91, "npi": [1235232562]}]}, {"allowed_amount": 902.78, "providers": [{"billed_charge": 1355.91, "npi": [1235232562]}]}]}, {"tin": {"type": "ein", "value": "886000039"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1106.8, "providers": [{"billed_charge": 1571.0, "npi": [1588765127]}]}]}, {"tin": {"type": "ein", "value": "886000088"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1106.8, "providers": [{"billed_charge": 2000.0, "npi": [1699899229]}]}]}, {"tin": {"type": "ein", "value": "886000198"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 894.01, "providers": [{"billed_charge": 1355.91, "npi": [1336290964]}]}]}, {"tin": {"type": "ein", "value": "886000200"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 894.01, "providers": [{"billed_charge": 1324.59, "npi": [1962608943]}]}]}, {"tin": {"type": "ein", "value": "900334466"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1015.97, "providers": [{"billed_charge": 3743.0, "npi": [1497024731]}]}]}, {"tin": {"type": "ein", "value": "930567420"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 962.81, "providers": [{"billed_charge": 1819.06, "npi": [1447200167]}]}]}, {"tin": {"type": "ein", "value": "933288321"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 412.47, "providers": [{"billed_charge": 750.0, "npi": [1255101366]}]}]}, {"tin": {"type": "ein", "value": "933788510"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 815.22, "providers": [{"billed_charge": 1006.44, "npi": [1255193140]}]}, {"allowed_amount": 823.22, "providers": [{"billed_charge": 1006.44, "npi": [1255193140]}]}]}, {"tin": {"type": "ein", "value": "936002258"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 890.89, "providers": [{"billed_charge": 2131.0, "npi": [1619925997]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1149.8, "providers": [{"billed_charge": 2555.0, "npi": [1376600965]}]}]}, {"tin": {"type": "ein", "value": "952223085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 962.78, "providers": [{"billed_charge": 2472.32, "npi": [1518075449]}, {"billed_charge": 2883.09, "npi": [1518075449]}]}]}, {"tin": {"type": "ein", "value": "956000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1007.83, "providers": [{"billed_charge": 2625.0, "npi": [1083789564]}]}]}, {"tin": {"type": "ein", "value": "956000776"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1168.18, "providers": [{"billed_charge": 3168.0, "npi": [1043904485]}]}]}, {"tin": {"type": "ein", "value": "956002748"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 962.78, "providers": [{"billed_charge": 3176.63, "npi": [1700947488]}]}]}]}, {"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": "042482001"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 862.88, "providers": [{"billed_charge": 3000.0, "npi": [1568416279]}]}]}, {"tin": {"type": "ein", "value": "042621862"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 862.88, "providers": [{"billed_charge": 3066.75, "npi": [1952386153]}]}]}, {"tin": {"type": "ein", "value": "043171173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 685.78, "providers": [{"billed_charge": 1371.74, "npi": [1366492910]}]}]}, {"tin": {"type": "ein", "value": "056000329"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 787.89, "providers": [{"billed_charge": 1293.0, "npi": [1497974687]}]}]}, {"tin": {"type": "ein", "value": "060795431"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 800.65, "providers": [{"billed_charge": 1136.0, "npi": [1194842781]}]}]}, {"tin": {"type": "ein", "value": "061356148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 792.88, "providers": [{"billed_charge": 1333.0, "npi": [1043243538]}]}]}, {"tin": {"type": "ein", "value": "061557358"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 800.65, "providers": [{"billed_charge": 1043.0, "npi": [1063529741]}]}]}, {"tin": {"type": "ein", "value": "111562701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1935.09, "providers": [{"billed_charge": 2435.0, "npi": [1366459570]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.0, "providers": [{"billed_charge": 995.0, "npi": [1245370717]}]}, {"allowed_amount": 830.06, "providers": [{"billed_charge": 995.0, "npi": [1245370717]}]}]}, {"tin": {"type": "ein", "value": "112125662"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 893.93, "providers": [{"billed_charge": 2035.0, "npi": [1649356791]}]}, {"allowed_amount": 902.7, "providers": [{"billed_charge": 2035.0, "npi": [1649356791]}]}]}, {"tin": {"type": "ein", "value": "112420013"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 893.93, "providers": [{"billed_charge": 1600.0, "npi": [1033343389]}]}]}, {"tin": {"type": "ein", "value": "113208172"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 2500.0, "npi": [1114920774]}]}]}, {"tin": {"type": "ein", "value": "116076987"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 893.93, "providers": [{"billed_charge": 1555.0, "npi": [1942942461]}]}]}, {"tin": {"type": "ein", "value": "116080443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 902.7, "providers": [{"billed_charge": 1500.0, "npi": [1700481173]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 811.78, "providers": [{"billed_charge": 2693.0, "npi": [1568601342]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 890.07, "providers": [{"billed_charge": 1385.0, "npi": [1083715460]}]}, {"allowed_amount": 893.93, "providers": [{"billed_charge": 1385.0, "npi": [1083715460]}]}, {"allowed_amount": 902.7, "providers": [{"billed_charge": 1385.0, "npi": [1083715460]}]}]}, {"tin": {"type": "ein", "value": "146002237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 1300.0, "npi": [1124150958]}]}]}, {"tin": {"type": "ein", "value": "160924141"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1609960210]}]}]}, {"tin": {"type": "ein", "value": "161179476"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 1450.0, "npi": [1982670824]}]}]}, {"tin": {"type": "ein", "value": "161451102"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 769.32, "providers": [{"billed_charge": 1515.65, "npi": [1255424800]}]}]}, {"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 732.58, "providers": [{"billed_charge": 1400.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "200817213"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 698.54, "providers": [{"billed_charge": 1647.0, "npi": [1285630459]}]}]}, {"tin": {"type": "ein", "value": "202081121"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 893.93, "providers": [{"billed_charge": 1345.0, "npi": [1265542765]}]}, {"allowed_amount": 902.7, "providers": [{"billed_charge": 1345.0, "npi": [1265542765]}]}]}, {"tin": {"type": "ein", "value": "203434780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 1079.16, "npi": [1972657914]}, {"billed_charge": 1101.95, "npi": [1972657914]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 1079.16, "npi": [1972657914]}]}]}, {"tin": {"type": "ein", "value": "204560963"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 550.0, "npi": [1013104116]}, {"billed_charge": 650.0, "npi": [1013104116]}]}, {"allowed_amount": 468.63, "providers": [{"billed_charge": 650.0, "npi": [1013104116]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 650.0, "npi": [1013104116]}]}]}, {"tin": {"type": "ein", "value": "204938649"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 857.03, "providers": [{"billed_charge": 1862.0, "npi": [1497808711]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 725.47, "providers": [{"billed_charge": 2750.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "208895318"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 857.03, "providers": [{"billed_charge": 2750.0, "npi": [1902025398]}]}]}, {"tin": {"type": "ein", "value": "210733189"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1811013873]}]}]}, {"tin": {"type": "ein", "value": "216000660"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 995.0, "providers": [{"billed_charge": 995.0, "npi": [1770777674]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.8, "providers": [{"billed_charge": 1060.8, "npi": [1215998323]}]}, {"allowed_amount": 1146.48, "providers": [{"billed_charge": 1060.8, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "222282100"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1176.46, "providers": [{"billed_charge": 1500.0, "npi": [1891119632]}]}]}, {"tin": {"type": "ein", "value": "222560963"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.11, "providers": [{"billed_charge": 2915.0, "npi": [1306808753]}]}, {"allowed_amount": 769.32, "providers": [{"billed_charge": 2915.0, "npi": [1306808753]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1337.5, "providers": [{"billed_charge": 1339.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223200859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1760713911]}]}]}, {"tin": {"type": "ein", "value": "223420314"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 829.15, "providers": [{"billed_charge": 1339.0, "npi": [1811055569]}]}]}, {"tin": {"type": "ein", "value": "223641957"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1050.0, "providers": [{"billed_charge": 1050.0, "npi": [1467432526]}]}]}, {"tin": {"type": "ein", "value": "226043859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 821.09, "providers": [{"billed_charge": 1950.0, "npi": [1023097268]}]}]}, {"tin": {"type": "ein", "value": "236003047"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 762.21, "providers": [{"billed_charge": 950.0, "npi": [1255468435]}]}]}, {"tin": {"type": "ein", "value": "237089805"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 841.98, "providers": [{"billed_charge": 1625.0, "npi": [1285622647]}]}, {"allowed_amount": 850.24, "providers": [{"billed_charge": 1625.0, "npi": [1285622647]}]}]}, {"tin": {"type": "ein", "value": "237125570"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1730564436]}]}]}, {"tin": {"type": "ein", "value": "237240541"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 754.81, "providers": [{"billed_charge": 4307.0, "npi": [1639156623]}]}]}, {"tin": {"type": "ein", "value": "251272075"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 698.42, "providers": [{"billed_charge": 950.0, "npi": [1154303212]}]}]}, {"tin": {"type": "ein", "value": "256000879"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 698.42, "providers": [{"billed_charge": 1419.74, "npi": [1992773790]}]}]}, {"tin": {"type": "ein", "value": "260058225"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 821.09, "providers": [{"billed_charge": 1200.0, "npi": [1952588352]}]}]}, {"tin": {"type": "ein", "value": "262219376"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 343.97, "providers": [{"billed_charge": 1000.0, "npi": [1457175655]}, {"billed_charge": 1600.0, "npi": [1457175655]}]}, {"allowed_amount": 347.34, "providers": [{"billed_charge": 1000.0, "npi": [1457175655]}, {"billed_charge": 1600.0, "npi": [1457175655]}]}, {"allowed_amount": 468.63, "providers": [{"billed_charge": 1000.0, "npi": [1457175655]}]}, {"allowed_amount": 510.81, "providers": [{"billed_charge": 1000.0, "npi": [1457175655]}]}, {"allowed_amount": 525.83, "providers": [{"billed_charge": 1000.0, "npi": [1457175655]}]}, {"allowed_amount": 644.94, "providers": [{"billed_charge": 1000.0, "npi": [1457175655]}]}]}, {"tin": {"type": "ein", "value": "263403024"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 693.23, "providers": [{"billed_charge": 902.0, "npi": [1225288681]}]}]}, {"tin": {"type": "ein", "value": "271466450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 752.86, "providers": [{"billed_charge": 1288.63, "npi": [1881915155]}]}, {"allowed_amount": 760.23, "providers": [{"billed_charge": 1288.63, "npi": [1881915155]}]}]}, {"tin": {"type": "ein", "value": "271670174"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 719.3, "providers": [{"billed_charge": 896.89, "npi": [1902120397]}]}]}, {"tin": {"type": "ein", "value": "271720808"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 152.73, "providers": [{"billed_charge": 650.4, "npi": [1902118805]}]}, {"allowed_amount": 343.97, "providers": [{"billed_charge": 600.0, "npi": [1902118805]}]}, {"allowed_amount": 347.34, "providers": [{"billed_charge": 600.0, "npi": [1902118805]}]}, {"allowed_amount": 482.41, "providers": [{"billed_charge": 650.4, "npi": [1902118805]}]}, {"allowed_amount": 510.81, "providers": [{"billed_charge": 650.4, "npi": [1902118805]}]}, {"allowed_amount": 525.83, "providers": [{"billed_charge": 650.4, "npi": [1902118805]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1902118805]}]}, {"allowed_amount": 644.94, "providers": [{"billed_charge": 650.4, "npi": [1902118805]}]}]}, {"tin": {"type": "ein", "value": "273054181"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 528.47, "providers": [{"billed_charge": 1601.13, "npi": [1659685964]}]}]}, {"tin": {"type": "ein", "value": "300328092"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 698.42, "providers": [{"billed_charge": 1500.0, "npi": [1124039896]}]}]}, {"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 499.75, "providers": [{"billed_charge": 1090.65, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "316000175"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 512.0, "providers": [{"billed_charge": 512.0, "npi": [1265433130]}]}]}, {"tin": {"type": "ein", "value": "316007853"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 549.51, "providers": [{"billed_charge": 704.0, "npi": [1922097427]}]}]}, {"tin": {"type": "ein", "value": "316400223"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 554.89, "providers": [{"billed_charge": 769.86, "npi": [1811028269]}]}]}, {"tin": {"type": "ein", "value": "316401113"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 686.4, "npi": [1003047390]}]}]}, {"tin": {"type": "ein", "value": "341633071"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 554.89, "providers": [{"billed_charge": 900.0, "npi": [1649201492]}]}]}, {"tin": {"type": "ein", "value": "341818389"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 554.89, "providers": [{"billed_charge": 1786.0, "npi": [1104872142]}]}]}, {"tin": {"type": "ein", "value": "346001195"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 554.89, "providers": [{"billed_charge": 650.0, "npi": [1588706808]}]}]}, {"tin": {"type": "ein", "value": "346002695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 549.51, "providers": [{"billed_charge": 550.0, "npi": [1740344274]}]}]}, {"tin": {"type": "ein", "value": "351494500"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 713.89, "providers": [{"billed_charge": 1721.76, "npi": [1376576181]}]}]}, {"tin": {"type": "ein", "value": "351941122"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 720.88, "providers": [{"billed_charge": 3281.61, "npi": [1174528335]}]}]}, {"tin": {"type": "ein", "value": "352056396"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 713.89, "providers": [{"billed_charge": 1721.75, "npi": [1245569144]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 934.22, "providers": [{"billed_charge": 2210.36, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "366006103"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 564.72, "providers": [{"billed_charge": 3609.75, "npi": [1942397013]}]}]}, {"tin": {"type": "ein", "value": "372039688"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 482.41, "providers": [{"billed_charge": 500.0, "npi": [1346830676]}, {"billed_charge": 616.35, "npi": [1346830676]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1346830676]}]}]}, {"tin": {"type": "ein", "value": "383198397"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 588.76, "providers": [{"billed_charge": 695.0, "npi": [1306887260]}]}]}, {"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": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1004.52, "providers": [{"billed_charge": 2610.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "426004734"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 690.0, "providers": [{"billed_charge": 690.0, "npi": [1730861048]}]}]}, {"tin": {"type": "ein", "value": "426004806"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 777.45, "providers": [{"billed_charge": 900.0, "npi": [1851370134]}]}]}, {"tin": {"type": "ein", "value": "431496774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 583.44, "providers": [{"billed_charge": 2219.85, "npi": [1578613253]}]}]}, {"tin": {"type": "ein", "value": "436003231"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 583.44, "providers": [{"billed_charge": 850.0, "npi": [1952490682]}]}]}, {"tin": {"type": "ein", "value": "452393528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 645.92, "providers": [{"billed_charge": 2925.0, "npi": [1639462476]}]}]}, {"tin": {"type": "ein", "value": "454662986"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 650.4, "npi": [1649959883]}]}, {"allowed_amount": 482.41, "providers": [{"billed_charge": 650.4, "npi": [1649959883, 1568711299, 1205183605]}]}, {"allowed_amount": 644.94, "providers": [{"billed_charge": 650.4, "npi": [1649959883, 1568711299, 1205183605]}]}]}, {"tin": {"type": "ein", "value": "516029078"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 746.01, "providers": [{"billed_charge": 1100.0, "npi": [1871691899]}]}, {"allowed_amount": 753.33, "providers": [{"billed_charge": 1100.0, "npi": [1871691899]}]}]}, {"tin": {"type": "ein", "value": "521513553"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1386828283]}]}]}, {"tin": {"type": "ein", "value": "526000889"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1821464678]}]}]}, {"tin": {"type": "ein", "value": "526000980"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1851635882]}]}]}, {"tin": {"type": "ein", "value": "536001131"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 854.37, "providers": [{"billed_charge": 2000.0, "npi": [1992805022]}]}]}, {"tin": {"type": "ein", "value": "541533323"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 936.09, "providers": [{"billed_charge": 1507.0, "npi": [1134124431]}]}]}, {"tin": {"type": "ein", "value": "546001188"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1164648317]}]}]}, {"tin": {"type": "ein", "value": "546001208"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 619.47, "providers": [{"billed_charge": 619.47, "npi": [1174578702]}]}]}, {"tin": {"type": "ein", "value": "550578133"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 690.04, "providers": [{"billed_charge": 1370.92, "npi": [1275690737]}]}]}, {"tin": {"type": "ein", "value": "556000305"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 690.04, "providers": [{"billed_charge": 1305.0, "npi": [1801808456]}]}]}, {"tin": {"type": "ein", "value": "561989558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 717.04, "providers": [{"billed_charge": 1194.0, "npi": [1336226034]}]}, {"allowed_amount": 724.08, "providers": [{"billed_charge": 1194.0, "npi": [1336226034]}]}]}, {"tin": {"type": "ein", "value": "562588289"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 769.32, "providers": [{"billed_charge": 1200.0, "npi": [1306891882]}]}]}, {"tin": {"type": "ein", "value": "566000271"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 724.08, "providers": [{"billed_charge": 863.44, "npi": [1952406779]}]}]}, {"tin": {"type": "ein", "value": "566000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 717.04, "providers": [{"billed_charge": 843.8, "npi": [1073574786]}]}, {"allowed_amount": 724.08, "providers": [{"billed_charge": 843.8, "npi": [1073574786]}]}]}, {"tin": {"type": "ein", "value": "566000326"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 724.08, "providers": [{"billed_charge": 765.0, "npi": [1720027147]}]}]}, {"tin": {"type": "ein", "value": "566000341"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 505.0, "providers": [{"billed_charge": 505.0, "npi": [1306843107]}]}]}, {"tin": {"type": "ein", "value": "566000450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 647.58, "providers": [{"billed_charge": 647.58, "npi": [1043250350]}]}]}, {"tin": {"type": "ein", "value": "566001520"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 717.04, "providers": [{"billed_charge": 750.0, "npi": [1154363380]}]}]}, {"tin": {"type": "ein", "value": "576000339"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 719.3, "providers": [{"billed_charge": 775.0, "npi": [1427154780]}]}]}, {"tin": {"type": "ein", "value": "576000775"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 719.3, "providers": [{"billed_charge": 850.0, "npi": [1225021504]}]}]}, {"tin": {"type": "ein", "value": "576001084"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 550.0, "providers": [{"billed_charge": 550.0, "npi": [1275532855]}]}]}, {"tin": {"type": "ein", "value": "576001289"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 520.0, "providers": [{"billed_charge": 520.0, "npi": [1376546788]}]}]}, {"tin": {"type": "ein", "value": "581036407"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 699.7, "providers": [{"billed_charge": 1911.9, "npi": [1962452870]}, {"billed_charge": 2109.29, "npi": [1962452870]}]}, {"allowed_amount": 706.57, "providers": [{"billed_charge": 1911.9, "npi": [1962452870]}]}]}, {"tin": {"type": "ein", "value": "581282570"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 645.92, "providers": [{"billed_charge": 3336.78, "npi": [1396950770]}]}]}, {"tin": {"type": "ein", "value": "581608892"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 639.64, "providers": [{"billed_charge": 2210.0, "npi": [1538211081]}]}]}, {"tin": {"type": "ein", "value": "586000802"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 706.57, "providers": [{"billed_charge": 1100.0, "npi": [1073683603]}]}]}, {"tin": {"type": "ein", "value": "586000835"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 706.57, "providers": [{"billed_charge": 975.0, "npi": [1316052566]}]}]}, {"tin": {"type": "ein", "value": "586000842"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 706.57, "providers": [{"billed_charge": 900.0, "npi": [1952363301]}]}]}, {"tin": {"type": "ein", "value": "586000884"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 491.82, "providers": [{"billed_charge": 491.82, "npi": [1821274200]}]}]}, {"tin": {"type": "ein", "value": "586021364"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 490.0, "providers": [{"billed_charge": 490.0, "npi": [1831231042]}]}]}, {"tin": {"type": "ein", "value": "590908106"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 900.0, "npi": [1710028410]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 900.0, "npi": [1710028410]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 900.0, "npi": [1710028410]}]}]}, {"tin": {"type": "ein", "value": "590944587"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 606.0, "npi": [1033280904]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 606.0, "npi": [1033280904]}]}, {"allowed_amount": 606.0, "providers": [{"billed_charge": 606.0, "npi": [1033280904]}]}]}, {"tin": {"type": "ein", "value": "590977961"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 670.0, "npi": [1790848232]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 670.0, "npi": [1790848232]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 670.0, "npi": [1790848232]}]}]}, {"tin": {"type": "ein", "value": "591039552"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 600.0, "npi": [1962414946]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 600.0, "npi": [1962414946]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1962414946]}]}]}, {"tin": {"type": "ein", "value": "591101138"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 1041.0, "npi": [1821104415]}]}]}, {"tin": {"type": "ein", "value": "591107347"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 763.0, "npi": [1578535571]}]}, {"allowed_amount": 468.63, "providers": [{"billed_charge": 763.0, "npi": [1578535571]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 763.0, "npi": [1578535571]}]}]}, {"tin": {"type": "ein", "value": "591113462"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 102.17, "providers": [{"billed_charge": 615.81, "npi": [1245241603]}]}, {"allowed_amount": 510.81, "providers": [{"billed_charge": 615.81, "npi": [1245241603]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 615.81, "npi": [1245241603]}]}, {"allowed_amount": 615.81, "providers": [{"billed_charge": 615.81, "npi": [1245241603]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 653.15, "npi": [1245241603]}]}]}, {"tin": {"type": "ein", "value": "591155275"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 1052.0, "npi": [1326044793]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 1052.0, "npi": [1326044793]}, {"billed_charge": 1400.0, "npi": [1326044793]}]}]}, {"tin": {"type": "ein", "value": "591205666"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 951.37, "npi": [1922019249]}]}]}, {"tin": {"type": "ein", "value": "591227491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1000.0, "npi": [1528733623]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 1000.0, "npi": [1528733623]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 1000.0, "npi": [1528733623]}]}]}, {"tin": {"type": "ein", "value": "591415030"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 515.81, "providers": [{"billed_charge": 1000.0, "npi": [1033229497]}]}]}, {"tin": {"type": "ein", "value": "591682537"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 347.34, "providers": [{"billed_charge": 627.0, "npi": [1639178791]}]}]}, {"tin": {"type": "ein", "value": "591785265"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 675.0, "npi": [1073630182]}, {"billed_charge": 750.0, "npi": [1073630182]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 675.0, "npi": [1073630182]}, {"billed_charge": 750.0, "npi": [1073630182]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 675.0, "npi": [1073630182]}, {"billed_charge": 750.0, "npi": [1073630182]}]}]}, {"tin": {"type": "ein", "value": "591863042"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1164422747]}]}]}, {"tin": {"type": "ein", "value": "591892079"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 343.97, "providers": [{"billed_charge": 600.0, "npi": [1467402883]}]}, {"allowed_amount": 347.34, "providers": [{"billed_charge": 600.0, "npi": [1467402883]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1467402883]}]}]}, {"tin": {"type": "ein", "value": "592908075"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 742.95, "npi": [1235103029]}, {"billed_charge": 897.89, "npi": [1235103029]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 897.89, "npi": [1235103029]}]}]}, {"tin": {"type": "ein", "value": "596000265"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 524.0, "npi": [1083728588]}]}]}, {"tin": {"type": "ein", "value": "596000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 750.0, "npi": [1679584007]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 750.0, "npi": [1679584007]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 750.0, "npi": [1679584007]}]}, {"allowed_amount": 702.95, "providers": [{"billed_charge": 750.0, "npi": [1679584007]}]}]}, {"tin": {"type": "ein", "value": "596000282"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 473.22, "providers": [{"billed_charge": 810.0, "npi": [1699702134]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 810.0, "npi": [1699702134]}]}]}, {"tin": {"type": "ein", "value": "596000293"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 343.97, "providers": [{"billed_charge": 500.0, "npi": [1316162266]}]}, {"allowed_amount": 347.34, "providers": [{"billed_charge": 500.0, "npi": [1316162266]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1316162266]}]}]}, {"tin": {"type": "ein", "value": "596000308"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 700.0, "npi": [1679505432]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 700.0, "npi": [1679505432]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 700.0, "npi": [1679505432]}]}]}, {"tin": {"type": "ein", "value": "596000319"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 152.73, "providers": [{"billed_charge": 950.0, "npi": [1649281924]}]}, {"allowed_amount": 510.81, "providers": [{"billed_charge": 950.0, "npi": [1649281924]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 950.0, "npi": [1649281924]}, {"billed_charge": 980.3, "npi": [1649281924]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 950.0, "npi": [1649281924]}, {"billed_charge": 980.3, "npi": [1649281924]}]}]}, {"tin": {"type": "ein", "value": "596000335"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 347.34, "providers": [{"billed_charge": 800.0, "npi": [1780788463]}]}]}, {"tin": {"type": "ein", "value": "596000338"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 515.81, "providers": [{"billed_charge": 1000.0, "npi": [1962409912]}, {"billed_charge": 1250.0, "npi": [1962409912]}]}]}, {"tin": {"type": "ein", "value": "596000344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 550.0, "npi": [1356341531]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 550.0, "npi": [1356341531]}]}, {"allowed_amount": 467.64, "providers": [{"billed_charge": 550.0, "npi": [1356341531]}]}, {"allowed_amount": 550.0, "providers": [{"billed_charge": 550.0, "npi": [1356341531]}]}]}, {"tin": {"type": "ein", "value": "596000346"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1205224656]}]}]}, {"tin": {"type": "ein", "value": "596000348"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 856.0, "npi": [1891880605]}]}]}, {"tin": {"type": "ein", "value": "596000372"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 343.97, "providers": [{"billed_charge": 800.0, "npi": [1700980489]}]}, {"allowed_amount": 347.34, "providers": [{"billed_charge": 800.0, "npi": [1700980489]}]}, {"allowed_amount": 644.94, "providers": [{"billed_charge": 800.0, "npi": [1700980489]}, {"billed_charge": 830.0, "npi": [1700980489]}]}]}, {"tin": {"type": "ein", "value": "596000375"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 477.73, "npi": [1821109612]}]}, {"allowed_amount": 136.0, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}]}, {"allowed_amount": 343.97, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}, {"billed_charge": 825.0, "npi": [1821109612]}, {"billed_charge": 830.0, "npi": [1821109612]}]}, {"allowed_amount": 347.34, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}, {"billed_charge": 825.0, "npi": [1821109612]}, {"billed_charge": 830.0, "npi": [1821109612]}]}, {"allowed_amount": 644.94, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}, {"billed_charge": 825.0, "npi": [1821109612]}, {"billed_charge": 830.0, "npi": [1821109612]}]}, {"allowed_amount": 716.6, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}]}]}, {"tin": {"type": "ein", "value": "596000391"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.84, "providers": [{"billed_charge": 750.0, "npi": [1003958471]}]}, {"allowed_amount": 152.73, "providers": [{"billed_charge": 750.0, "npi": [1003958471]}]}, {"allowed_amount": 510.81, "providers": [{"billed_charge": 750.0, "npi": [1003958471]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 750.0, "npi": [1003958471]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 750.0, "npi": [1003958471]}]}]}, {"tin": {"type": "ein", "value": "596000396"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 761.0, "npi": [1508167040]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 761.0, "npi": [1508167040]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 761.0, "npi": [1508167040]}]}]}, {"tin": {"type": "ein", "value": "596000399"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 607.64, "providers": [{"billed_charge": 750.0, "npi": [1851502116]}]}]}, {"tin": {"type": "ein", "value": "596000402"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 473.22, "providers": [{"billed_charge": 750.0, "npi": [1497801583]}]}]}, {"tin": {"type": "ein", "value": "596000411"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1327.66, "npi": [1891790424]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 1327.66, "npi": [1891790424]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 1327.66, "npi": [1891790424]}, {"billed_charge": 1394.05, "npi": [1891790424]}]}]}, {"tin": {"type": "ein", "value": "596000417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 750.0, "npi": [1194736207]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 750.0, "npi": [1194736207]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 750.0, "npi": [1194736207]}]}]}, {"tin": {"type": "ein", "value": "596000425"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1134114945]}]}]}, {"tin": {"type": "ein", "value": "596000433"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 778.98, "npi": [1649270216]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 778.98, "npi": [1649270216]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 778.98, "npi": [1649270216]}]}]}, {"tin": {"type": "ein", "value": "596000448"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 337.69, "providers": [{"billed_charge": 700.0, "npi": [1215071964]}]}, {"allowed_amount": 468.63, "providers": [{"billed_charge": 700.0, "npi": [1215071964]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 700.0, "npi": [1215071964]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 700.0, "npi": [1215071964]}]}]}, {"tin": {"type": "ein", "value": "596000501"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 900.2, "npi": [1780610287]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 900.2, "npi": [1780610287]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 900.2, "npi": [1780610287]}]}]}, {"tin": {"type": "ein", "value": "596000512"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 914.0, "npi": [1134460801]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 914.0, "npi": [1134460801]}]}]}, {"tin": {"type": "ein", "value": "596000523"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 897.89, "npi": [1194821595]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 897.89, "npi": [1194821595]}]}]}, {"tin": {"type": "ein", "value": "596000534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 750.0, "npi": [1437262565]}, {"billed_charge": 850.0, "npi": [1437262565]}, {"billed_charge": 1000.0, "npi": [1437262565]}, {"billed_charge": 1489.81, "npi": [1437262565]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 750.0, "npi": [1437262565]}, {"billed_charge": 850.0, "npi": [1437262565]}, {"billed_charge": 1000.0, "npi": [1437262565]}, {"billed_charge": 1489.81, "npi": [1437262565]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 750.0, "npi": [1437262565]}, {"billed_charge": 800.0, "npi": [1437262565]}, {"billed_charge": 830.0, "npi": [1437262565]}, {"billed_charge": 850.0, "npi": [1437262565]}, {"billed_charge": 877.0, "npi": [1437262565]}, {"billed_charge": 1000.0, "npi": [1437262565]}, {"billed_charge": 1489.81, "npi": [1437262565]}]}]}, {"tin": {"type": "ein", "value": "596000548"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 1195.0, "npi": [1568129971]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 1195.0, "npi": [1568129971]}]}]}, {"tin": {"type": "ein", "value": "596000558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 800.0, "npi": [1083674519]}]}]}, {"tin": {"type": "ein", "value": "596000573"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 152.73, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}]}, {"allowed_amount": 343.97, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}, {"billed_charge": 825.0, "npi": [1588768279]}, {"billed_charge": 830.0, "npi": [1588768279]}, {"billed_charge": 855.0, "npi": [1588768279]}, {"billed_charge": 880.0, "npi": [1588768279]}]}, {"allowed_amount": 347.34, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}, {"billed_charge": 825.0, "npi": [1588768279]}, {"billed_charge": 830.0, "npi": [1588768279]}, {"billed_charge": 880.0, "npi": [1588768279]}]}, {"allowed_amount": 644.94, "providers": [{"billed_charge": 800.0, "npi": [1588768279]}, {"billed_charge": 825.0, "npi": [1588768279]}, {"billed_charge": 830.0, "npi": [1588768279]}, {"billed_charge": 850.0, "npi": [1588768279]}, {"billed_charge": 855.0, "npi": [1588768279]}, {"billed_charge": 880.0, "npi": [1588768279]}]}]}, {"tin": {"type": "ein", "value": "596000598"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 900.0, "npi": [1518960426]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 900.0, "npi": [1518960426]}]}]}, {"tin": {"type": "ein", "value": "596000639"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 500.0, "npi": [1639103005]}]}]}, {"tin": {"type": "ein", "value": "596000655"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 600.0, "npi": [1588676290]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1588676290]}]}]}, {"tin": {"type": "ein", "value": "596000674"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 632.65, "providers": [{"billed_charge": 681.98, "npi": [1497856033]}]}]}, {"tin": {"type": "ein", "value": "596000692"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 557.23, "providers": [{"billed_charge": 800.0, "npi": [1942406475]}]}]}, {"tin": {"type": "ein", "value": "596000695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 550.0, "npi": [1811476930]}]}]}, {"tin": {"type": "ein", "value": "596000702"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 650.0, "npi": [1477663839]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 650.0, "npi": [1477663839]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 650.0, "npi": [1477663839]}]}]}, {"tin": {"type": "ein", "value": "596000708"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 872.0, "npi": [1215047675]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 872.0, "npi": [1215047675]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 872.0, "npi": [1215047675]}]}]}, {"tin": {"type": "ein", "value": "596000727"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 875.0, "npi": [1639271885]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 875.0, "npi": [1639271885]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 875.0, "npi": [1639271885]}]}]}, {"tin": {"type": "ein", "value": "596000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 600.0, "npi": [1700050705]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 600.0, "npi": [1700050705]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1700050705]}]}]}, {"tin": {"type": "ein", "value": "596000743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 794.29, "npi": [1255331187]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 794.29, "npi": [1255331187]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 794.29, "npi": [1255331187]}]}]}, {"tin": {"type": "ein", "value": "596000765"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 948.0, "npi": [1649292756]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 948.0, "npi": [1649292756]}]}]}, {"tin": {"type": "ein", "value": "596000768"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1013129147]}]}, {"allowed_amount": 613.59, "providers": [{"billed_charge": 800.0, "npi": [1013129147]}]}]}, {"tin": {"type": "ein", "value": "596000773"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 611.0, "npi": [1033215348]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 611.0, "npi": [1033215348]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 611.0, "npi": [1033215348]}]}]}, {"tin": {"type": "ein", "value": "596000780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 856.0, "npi": [1639264468]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 856.0, "npi": [1639264468]}]}]}, {"tin": {"type": "ein", "value": "596000785"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 730.0, "npi": [1962412072]}]}]}, {"tin": {"type": "ein", "value": "596000793"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 1514.67, "npi": [1134122146]}]}]}, {"tin": {"type": "ein", "value": "596000800"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 933.59, "npi": [1679520571]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 933.59, "npi": [1679520571]}]}]}, {"tin": {"type": "ein", "value": "596000809"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 600.0, "npi": [1548296338]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 600.0, "npi": [1548296338]}]}]}, {"tin": {"type": "ein", "value": "596000825"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 600.0, "npi": [1720071343]}]}]}, {"tin": {"type": "ein", "value": "596000848"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 739.0, "npi": [1619036050]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 739.0, "npi": [1619036050]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 739.0, "npi": [1619036050]}]}]}, {"tin": {"type": "ein", "value": "596000856"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 607.64, "providers": [{"billed_charge": 750.0, "npi": [1487750592]}]}]}, {"tin": {"type": "ein", "value": "596000873"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 613.59, "providers": [{"billed_charge": 660.68, "npi": [1427087717]}]}]}, {"tin": {"type": "ein", "value": "596000885"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 607.64, "providers": [{"billed_charge": 676.0, "npi": [1487933248]}]}]}, {"tin": {"type": "ein", "value": "596000897"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 575.0, "npi": [1609306620]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1609306620]}]}]}, {"tin": {"type": "ein", "value": "596000899"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 454.51, "providers": [{"billed_charge": 633.0, "npi": [1851514160]}]}]}, {"tin": {"type": "ein", "value": "596013450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 468.63, "providers": [{"billed_charge": 609.0, "npi": [1649261744]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 609.0, "npi": [1649261744]}]}, {"allowed_amount": 609.0, "providers": [{"billed_charge": 609.0, "npi": [1649261744]}]}]}, {"tin": {"type": "ein", "value": "596015967"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1000.0, "npi": [1558372656]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 1000.0, "npi": [1558372656]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 1000.0, "npi": [1558372656]}]}]}, {"tin": {"type": "ein", "value": "596017151"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 632.65, "providers": [{"billed_charge": 750.0, "npi": [1679584973]}]}]}, {"tin": {"type": "ein", "value": "596017775"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 840.0, "npi": [1225040827]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 840.0, "npi": [1225040827]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 840.0, "npi": [1225040827]}]}]}, {"tin": {"type": "ein", "value": "596017984"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 473.22, "providers": [{"billed_charge": 700.0, "npi": [1386777340]}]}]}, {"tin": {"type": "ein", "value": "596019762"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 800.0, "npi": [1356348312]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 800.0, "npi": [1356348312]}, {"billed_charge": 830.0, "npi": [1356348312]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 800.0, "npi": [1356348312]}]}]}, {"tin": {"type": "ein", "value": "596019764"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 607.64, "providers": [{"billed_charge": 611.0, "npi": [1487916219]}]}]}, {"tin": {"type": "ein", "value": "596044081"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 473.22, "providers": [{"billed_charge": 702.0, "npi": [1821098492]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 702.0, "npi": [1821098492]}]}]}, {"tin": {"type": "ein", "value": "596044104"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 152.73, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}]}, {"allowed_amount": 510.81, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 800.0, "npi": [1114937422]}]}]}, {"tin": {"type": "ein", "value": "596045863"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 245.33, "providers": [{"billed_charge": 700.0, "npi": [1669408233]}]}, {"allowed_amount": 468.63, "providers": [{"billed_charge": 700.0, "npi": [1669408233]}]}, {"allowed_amount": 473.22, "providers": [{"billed_charge": 700.0, "npi": [1669408233]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 700.0, "npi": [1669408233]}]}]}, {"tin": {"type": "ein", "value": "596046527"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 187.45, "providers": [{"billed_charge": 937.26, "npi": [1003827130]}]}, {"allowed_amount": 510.81, "providers": [{"billed_charge": 1025.0, "npi": [1003827130]}, {"billed_charge": 1134.05, "npi": [1003827130]}]}, {"allowed_amount": 515.81, "providers": [{"billed_charge": 1134.05, "npi": [1003827130]}]}, {"allowed_amount": 572.41, "providers": [{"billed_charge": 1134.05, "npi": [1003827130]}]}, {"allowed_amount": 632.65, "providers": [{"billed_charge": 1134.05, "npi": [1003827130]}]}]}, {"tin": {"type": "ein", "value": "621623714"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 917.68, "providers": [{"billed_charge": 1312.07, "npi": [1366487944]}]}]}, {"tin": {"type": "ein", "value": "626000361"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 908.77, "providers": [{"billed_charge": 1175.0, "npi": [1942381819]}]}]}, {"tin": {"type": "ein", "value": "630725492"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 693.23, "providers": [{"billed_charge": 1483.2, "npi": [1386710515]}]}]}, {"tin": {"type": "ein", "value": "630818351"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 693.23, "providers": [{"billed_charge": 1400.0, "npi": [1437152212]}]}]}, {"tin": {"type": "ein", "value": "651193452"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 871.87, "providers": [{"billed_charge": 1600.0, "npi": [1699760892]}]}]}, {"tin": {"type": "ein", "value": "731601148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 549.47, "providers": [{"billed_charge": 1460.0, "npi": [1114006939]}]}]}, {"tin": {"type": "ein", "value": "746000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 470.3, "providers": [{"billed_charge": 1050.0, "npi": [1306909395]}]}]}, {"tin": {"type": "ein", "value": "746001164"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 748.65, "providers": [{"billed_charge": 2158.16, "npi": [1447375282]}]}]}, {"tin": {"type": "ein", "value": "746001490"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 732.58, "providers": [{"billed_charge": 1105.15, "npi": [1730186636]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 725.47, "providers": [{"billed_charge": 1248.58, "npi": [1790708709]}]}, {"allowed_amount": 871.87, "providers": [{"billed_charge": 3805.85, "npi": [1689608820]}]}]}, {"tin": {"type": "ein", "value": "756000508"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.22, "providers": [{"billed_charge": 1868.0, "npi": [1861530990]}, {"billed_charge": 1870.25, "npi": [1861530990]}, {"billed_charge": 1913.94, "npi": [1861530990]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 752.26, "providers": [{"billed_charge": 1685.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000583"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.22, "providers": [{"billed_charge": 1045.0, "npi": [1871623470]}]}]}, {"tin": {"type": "ein", "value": "800553448"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 862.88, "providers": [{"billed_charge": 2250.0, "npi": [1760707582]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.32, "providers": [{"billed_charge": 2288.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "813286384"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 850.24, "providers": [{"billed_charge": 1950.0, "npi": [1407390537]}]}]}, {"tin": {"type": "ein", "value": "814571957"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 699.7, "providers": [{"billed_charge": 1715.0, "npi": [1164966164]}]}, {"allowed_amount": 706.57, "providers": [{"billed_charge": 1715.0, "npi": [1164966164]}]}]}, {"tin": {"type": "ein", "value": "823766702"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 444.01, "providers": [{"billed_charge": 1821.0, "npi": [1124594619]}]}]}, {"tin": {"type": "ein", "value": "824030857"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 706.57, "providers": [{"billed_charge": 2065.0, "npi": [1730697335]}]}]}, {"tin": {"type": "ein", "value": "841657548"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 550.0, "providers": [{"billed_charge": 550.0, "npi": [1871898452]}]}]}, {"tin": {"type": "ein", "value": "842463457"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.1, "providers": [{"billed_charge": 1983.0, "npi": [1568008977]}]}, {"allowed_amount": 454.51, "providers": [{"billed_charge": 1983.0, "npi": [1568008977]}]}, {"allowed_amount": 607.64, "providers": [{"billed_charge": 1983.0, "npi": [1568008977]}]}]}, {"tin": {"type": "ein", "value": "843941942"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 607.64, "providers": [{"billed_charge": 1350.3, "npi": [1336789304]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 499.75, "providers": [{"billed_charge": 1383.45, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 499.75, "providers": [{"billed_charge": 1080.9, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "880125707"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 752.86, "providers": [{"billed_charge": 1288.63, "npi": [1235232562]}]}, {"allowed_amount": 760.23, "providers": [{"billed_charge": 1288.63, "npi": [1235232562]}]}]}, {"tin": {"type": "ein", "value": "886000039"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 932.05, "providers": [{"billed_charge": 1256.0, "npi": [1588765127]}]}]}, {"tin": {"type": "ein", "value": "886000200"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 752.86, "providers": [{"billed_charge": 1258.85, "npi": [1962608943]}]}]}, {"tin": {"type": "ein", "value": "886000720"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 760.23, "providers": [{"billed_charge": 1288.63, "npi": [1487776050]}]}]}, {"tin": {"type": "ein", "value": "931641861"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 1891.0, "npi": [1386337657]}]}, {"allowed_amount": 700.68, "providers": [{"billed_charge": 1891.0, "npi": [1386337657]}]}]}, {"tin": {"type": "ein", "value": "933788510"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 686.51, "providers": [{"billed_charge": 847.54, "npi": [1255193140]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 932.16, "providers": [{"billed_charge": 2718.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "954357052"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 857.03, "providers": [{"billed_charge": 2276.0, "npi": [1801854468]}]}]}, {"tin": {"type": "ein", "value": "956000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 848.7, "providers": [{"billed_charge": 1862.0, "npi": [1083789564]}]}]}, {"tin": {"type": "ein", "value": "956000776"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 855.55, "providers": [{"billed_charge": 2673.0, "npi": [1043904485]}]}]}, {"tin": {"type": "ein", "value": "990611768"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 917.68, "providers": [{"billed_charge": 2885.75, "npi": [1053172767]}]}]}, {"tin": {"type": "ein", "value": "990643623"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 617.57, "providers": [{"billed_charge": 2049.0, "npi": [1457112534]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21696.63, "providers": [{"billed_charge": 22500.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "431371367"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 11340.2, "providers": [{"billed_charge": 49081.0, "npi": [1730622838]}]}]}, {"tin": {"type": "ein", "value": "450439149"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 8956.55, "providers": [{"billed_charge": 50413.0, "npi": [1801040332]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8537.46, "providers": [{"billed_charge": 23907.0, "npi": [1235312281]}]}, {"allowed_amount": 9308.79, "providers": [{"billed_charge": 23907.0, "npi": [1235312281]}]}]}, {"tin": {"type": "ein", "value": "596000749"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 4948.29, "providers": [{"billed_charge": 12000.0, "npi": [1639180979]}]}]}, {"tin": {"type": "ein", "value": "650145123"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 6100.52, "providers": [{"billed_charge": 18965.0, "npi": [1073517504]}]}, {"allowed_amount": 6793.98, "providers": [{"billed_charge": 18965.0, "npi": [1073517504]}]}, {"allowed_amount": 9828.61, "providers": [{"billed_charge": 18965.0, "npi": [1073517504]}]}]}, {"tin": {"type": "ein", "value": "870533822"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 42499.55, "providers": [{"billed_charge": 53502.23, "npi": [1407855240]}]}]}]}, {"name": "Amino acids; multiple, qualitative, each specimen", "billing_code_type": "CPT", "billing_code": "82128", "billing_code_type_version": "2022", "description": "AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.87, "providers": [{"billed_charge": 13.87, "npi": [1518983642]}]}]}]}, {"name": "Anesthesia for access to central venous circulation", "billing_code_type": "CPT", "billing_code": "00532", "billing_code_type_version": "2022", "description": "ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1070.0, "npi": [1376818450]}]}]}, {"tin": {"type": "ein", "value": "205733575"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 151.6, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 792.0, "npi": [1255202131]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 234.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2750.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 111.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1164691655]}, {"billed_charge": 1320.0, "npi": [1134482250]}]}, {"allowed_amount": 112.91, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1679833198]}, {"billed_charge": 1320.0, "npi": [1134482250]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 150.09, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1790.0, "npi": [1710836440]}]}, {"allowed_amount": 152.14, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1840.0, "npi": [1124477070]}]}, {"allowed_amount": 274.66, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1656.0, "npi": [1194304329]}]}, {"allowed_amount": 488.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1472.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 108.57, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2025.0, "npi": [1679430854]}]}]}, {"tin": {"type": "ein", "value": "650126861"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 158.66, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2475.0, "npi": [1508722794]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 142.09, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3110.0, "npi": [1053596726]}, {"billed_charge": 3120.0, "npi": [1467494849]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 250.25, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1827.0, "npi": [1750803912]}]}, {"allowed_amount": 277.73, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1830.0, "npi": [1578545018]}]}, {"allowed_amount": 287.94, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1980.0, "npi": [1750803912]}]}, {"allowed_amount": 304.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2146.0, "npi": [1881125953]}]}, {"allowed_amount": 646.98, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2436.0, "npi": [1962031344]}]}, {"allowed_amount": 689.71, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2755.0, "npi": [1285977991]}]}, {"allowed_amount": 695.81, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2784.0, "npi": [1285977991]}]}, {"allowed_amount": 915.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4950.0, "npi": [1710958152]}]}]}, {"tin": {"type": "ein", "value": "853627385"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 177.25, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2154.0, "npi": [1316338130]}]}, {"allowed_amount": 185.69, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2513.0, "npi": [1275053902]}]}, {"allowed_amount": 185.83, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2154.0, "npi": [1780874750]}]}, {"allowed_amount": 200.13, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2513.0, "npi": [1780874750]}]}, {"allowed_amount": 202.58, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2513.0, "npi": [1316338130]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2513.0, "npi": [1316338130]}]}, {"allowed_amount": 236.34, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2872.0, "npi": [1780874750]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 126.61, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 596.0, "npi": [1578340410]}, {"billed_charge": 600.0, "npi": [1558868612]}]}, {"allowed_amount": 168.47, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 820.0, "npi": [1891482303]}, {"billed_charge": 825.0, "npi": [1740276112]}]}, {"allowed_amount": 604.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1558868612]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1659.0, "npi": [1720401524, 1740258565]}]}, {"allowed_amount": 139.19, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1356314033, 1528848637]}]}]}]}, {"name": "Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella", "billing_code_type": "CPT", "billing_code": "01392", "billing_code_type_version": "2022", "description": "ANES OPEN PROC UPPER ENDS TIBIA FIBULA&/PATELLA", "allowed_amounts": [{"tin": {"type": "ein", "value": "113186251"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1400.49, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1932557691]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 677.41, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2475.2, "npi": [1598096620]}, {"billed_charge": 2499.0, "npi": [1649563644]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 479.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8225.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 455.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1664.0, "npi": [1801034566]}, {"billed_charge": 1680.0, "npi": [1215391909]}]}, {"allowed_amount": 478.17, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1747.2, "npi": [1073803201]}, {"billed_charge": 1764.0, "npi": [1326400011]}]}, {"allowed_amount": 631.87, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2308.8, "npi": [1073803201]}, {"billed_charge": 2331.0, "npi": [1215391909]}]}, {"allowed_amount": 660.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2412.8, "npi": [1275194409]}, {"billed_charge": 2436.0, "npi": [1730508805]}]}, {"allowed_amount": 745.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2724.8, "npi": [1932683034]}, {"billed_charge": 2751.0, "npi": [1215391909]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 445.18, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3375.0, "npi": [1619623873]}]}]}, {"tin": {"type": "ein", "value": "590704934"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 315.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1400.0, "npi": [1649924689]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.55, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2250.0, "npi": [1679430854]}]}, {"allowed_amount": 540.17, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 4050.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 159.14, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 940.8, "npi": [1811006679]}, {"billed_charge": 1881.6, "npi": [1013975408]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 628.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5125.0, "npi": [1346811809]}]}]}, {"tin": {"type": "ein", "value": "742074766"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 520.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1275005795]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.6, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1920.0, "npi": [1548140726]}, {"billed_charge": 2880.0, "npi": [1053868620]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2240.0, "npi": [1629951249]}, {"billed_charge": 3360.0, "npi": [1801885009]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 635.09, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 7080.0, "npi": [1578545018]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 116.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1490.0, "npi": [1508205568]}]}, {"allowed_amount": 160.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1788.0, "npi": [1912157280]}, {"billed_charge": 1800.0, "npi": [1356873210]}]}, {"allowed_amount": 253.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1500.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 294.17, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1730660259]}]}, {"allowed_amount": 350.06, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2844.0, "npi": [1053619445]}]}, {"allowed_amount": 364.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3081.0, "npi": [1437787207]}]}, {"allowed_amount": 373.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3081.0, "npi": [1265054357]}]}, {"allowed_amount": 589.42, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1235523705]}]}, {"allowed_amount": 701.41, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2844.0, "npi": [1710979562]}]}, {"allowed_amount": 730.88, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3081.0, "npi": [1992796395]}]}, {"allowed_amount": 748.56, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3081.0, "npi": [1740227586]}]}]}]}, {"name": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older", "billing_code_type": "CPT", "billing_code": "00320", "billing_code_type_version": "2022", "description": "ANES PX ESOPH THYR LARX TRCH&LYMPH NCK NOS 1YR/>", "allowed_amounts": [{"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 722.95, "billing_code_modifier": ["QY,P4", "QX,P4"], "providers": [{"billed_charge": 2641.6, "npi": [1306590302]}, {"billed_charge": 2667.0, "npi": [1184128167]}]}, {"allowed_amount": 728.64, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2662.4, "npi": [1093367237]}, {"billed_charge": 2688.0, "npi": [1649739491]}]}, {"allowed_amount": 734.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2683.2, "npi": [1932683034]}, {"billed_charge": 2709.0, "npi": [1326400011]}]}, {"allowed_amount": 768.49, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 2808.0, "npi": [1124249032]}, {"billed_charge": 2835.0, "npi": [1497991251]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 136.27, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1164691655]}, {"billed_charge": 1650.0, "npi": [1134482250]}]}, {"allowed_amount": 158.26, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1154519262]}]}, {"allowed_amount": 175.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1871045278]}]}, {"allowed_amount": 317.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1485.0, "npi": [1528497674]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1620.0, "npi": [1316276959]}, {"billed_charge": 1980.0, "npi": [1497721815]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.7, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2371.5, "npi": [1215370812]}]}, {"allowed_amount": 150.79, "providers": [{"billed_charge": 2371.5, "npi": [1588897623]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 1127.12, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2366.1, "npi": [1336544410]}]}, {"allowed_amount": 1161.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2437.8, "npi": [1023433638]}]}, {"allowed_amount": 1218.2, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2557.3, "npi": [1629535638]}]}, {"allowed_amount": 1468.67, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3083.1, "npi": [1841838166]}]}, {"allowed_amount": 1480.05, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3107.0, "npi": [1063734424]}]}, {"allowed_amount": 1605.29, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3369.9, "npi": [1003564220]}]}, {"allowed_amount": 2242.85, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4708.3, "npi": [1972026011]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 342.62, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1380.0, "npi": [1972865046]}]}, {"allowed_amount": 1000.34, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1150.0, "npi": [1215226618]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 117.46, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1679224877]}, {"billed_charge": 2808.0, "npi": [1497948301]}]}, {"allowed_amount": 131.67, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1295379733]}, {"billed_charge": 3120.0, "npi": [1497948301]}]}, {"allowed_amount": 140.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3110.0, "npi": [1235859216]}, {"billed_charge": 3120.0, "npi": [1497948301]}]}, {"allowed_amount": 141.14, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1295379733]}, {"billed_charge": 3120.0, "npi": [1467494849]}]}, {"allowed_amount": 148.72, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3421.0, "npi": [1295379733]}, {"billed_charge": 3432.0, "npi": [1467494849]}]}, {"allowed_amount": 150.61, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3421.0, "npi": [1528489036]}, {"billed_charge": 3432.0, "npi": [1467494849]}]}, {"allowed_amount": 208.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2488.0, "npi": [1295379733]}]}, {"allowed_amount": 214.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2488.0, "npi": [1538465737]}]}, {"allowed_amount": 234.75, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1679224877]}]}, {"allowed_amount": 237.61, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1093787087]}]}, {"allowed_amount": 326.36, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3732.0, "npi": [1639801202]}]}, {"allowed_amount": 381.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2496.0, "npi": [1497948301]}]}, {"allowed_amount": 392.32, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2496.0, "npi": [1467494849]}]}, {"allowed_amount": 428.94, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2808.0, "npi": [1467494849]}]}, {"allowed_amount": 434.17, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2808.0, "npi": [1467494849]}]}, {"allowed_amount": 532.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3110.0, "npi": [1538465737]}]}, {"allowed_amount": 596.33, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3744.0, "npi": [1497948301]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 460.82, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6400.0, "npi": [1154854404]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 659.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1710.0, "npi": [1083821409]}]}, {"allowed_amount": 677.5, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1830.0, "npi": [1285977991]}]}, {"allowed_amount": 872.82, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 2850.0, "npi": [1518524644]}]}, {"allowed_amount": 1245.14, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6030.0, "npi": [1710958152]}]}, {"allowed_amount": 1422.14, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 6870.0, "npi": [1588642375]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 296.1, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1416.0, "npi": [1215494778]}, {"billed_charge": 1425.0, "npi": [1750366589]}]}, {"allowed_amount": 490.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1558868612]}]}, {"allowed_amount": 1287.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1750366589]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.96, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3081.0, "npi": [1184966947, 1669000972]}]}, {"allowed_amount": 206.35, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 3555.0, "npi": [1427043025, 1740227586]}]}, {"allowed_amount": 265.72, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 4503.0, "npi": [1144685363, 1700022316]}]}]}]}, {"name": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand", "billing_code_type": "CPT", "billing_code": "01810", "billing_code_type_version": "2022", "description": "ANES NERVE MUSCLE TDN FASCIA&BURSA FOREARM WRIST", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 78.62, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 630.0, "npi": [1144873936]}, {"billed_charge": 642.0, "npi": [1659303840]}]}, {"allowed_amount": 181.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1365.0, "npi": [1689062168]}]}, {"allowed_amount": 393.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1391.0, "npi": [1376818450]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3540.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 296.01, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1456.0, "npi": [1023216447]}, {"billed_charge": 1470.0, "npi": [1023216447]}]}, {"allowed_amount": 426.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1560.0, "npi": [1578219812]}, {"billed_charge": 1575.0, "npi": [1215391909]}]}, {"allowed_amount": 438.32, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1601.6, "npi": [1598958670]}, {"billed_charge": 1617.0, "npi": [1730508805]}]}, {"allowed_amount": 444.02, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1622.4, "npi": [1578189528]}, {"billed_charge": 1638.0, "npi": [1568874782]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 81.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1598294084]}]}, {"allowed_amount": 83.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1396243770]}]}, {"allowed_amount": 88.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1598294084]}]}, {"allowed_amount": 98.31, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1790927200]}]}, {"allowed_amount": 113.88, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1184683658]}, {"billed_charge": 1320.0, "npi": [1134482250]}]}, {"allowed_amount": 146.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1598294084]}]}, {"allowed_amount": 147.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1184993644]}]}, {"allowed_amount": 149.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1396243770]}]}, {"allowed_amount": 151.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1659140283]}]}, {"allowed_amount": 153.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1386105088]}]}, {"allowed_amount": 159.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164840807]}]}, {"allowed_amount": 160.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1184993644]}]}, {"allowed_amount": 165.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164404968]}]}, {"allowed_amount": 180.06, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1164404968]}]}, {"allowed_amount": 180.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1396243770]}]}, {"allowed_amount": 187.87, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1164404968]}]}, {"allowed_amount": 189.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 190.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1890.0, "npi": [1225410574]}, {"billed_charge": 2310.0, "npi": [1134482250]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164404968, 1760068183]}]}, {"allowed_amount": 202.17, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 204.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 204.47, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1164404968]}]}, {"allowed_amount": 247.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164840807]}]}, {"allowed_amount": 273.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1881359099]}]}, {"allowed_amount": 281.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1164404968]}]}, {"allowed_amount": 297.97, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1134482250]}]}, {"allowed_amount": 299.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1164840807]}]}, {"allowed_amount": 303.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1134482250]}]}, {"allowed_amount": 305.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1164840807]}]}, {"allowed_amount": 311.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164840807]}]}, {"allowed_amount": 324.58, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1134482250]}]}, {"allowed_amount": 354.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164840807]}]}, {"allowed_amount": 363.16, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1316276959]}]}, {"allowed_amount": 463.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164404968]}]}, {"allowed_amount": 553.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1487650396]}]}, {"allowed_amount": 601.27, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1980.0, "npi": [1063711802]}]}, {"allowed_amount": 726.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1164840807]}]}, {"allowed_amount": 769.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1164840807]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 198.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1288.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 725.34, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1962367748]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 299.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1679536494]}]}, {"allowed_amount": 819.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1968.0, "npi": [1174592273]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 143.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1275.0, "npi": [1346811809]}]}, {"allowed_amount": 160.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1425.0, "npi": [1417527441]}]}, {"allowed_amount": 185.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1650.0, "npi": [1346811809]}]}, {"allowed_amount": 191.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1700.0, "npi": [1346811809]}]}, {"allowed_amount": 196.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1346886272]}]}, {"allowed_amount": 247.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2025.0, "npi": [1033372941]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2325.0, "npi": [1659263655]}]}, {"allowed_amount": 306.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2500.0, "npi": [1033372941]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1675.0, "npi": [1508006305]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1925.0, "npi": [1033372941]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 104.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1280.0, "npi": [1639059918]}]}, {"allowed_amount": 225.83, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1920.0, "npi": [1730683533]}]}, {"allowed_amount": 446.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3200.0, "npi": [1306119961]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 170.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1174558035]}]}, {"allowed_amount": 170.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3943.32, "npi": [1841799210]}]}, {"allowed_amount": 272.54, "providers": [{"billed_charge": 3033.32, "npi": [1841799210]}]}, {"allowed_amount": 347.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3683.32, "npi": [1841799210]}]}, {"allowed_amount": 369.27, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3943.32, "npi": [1902827850]}]}, {"allowed_amount": 699.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1629455969]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 518.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2460.0, "npi": [1578545018]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 522.0, "npi": [1043794878]}]}, {"allowed_amount": 112.32, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 522.0, "npi": [1891482303]}, {"billed_charge": 525.0, "npi": [1558868612]}]}, {"allowed_amount": 210.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 525.0, "npi": [1366071946]}]}, {"allowed_amount": 457.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1669468112]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1200.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 116.4, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1043.0, "npi": [1912157280]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.64, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2133.0, "npi": [1689100398, 1427552942]}]}]}]}, {"name": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified", "billing_code_type": "CPT", "billing_code": "00300", "billing_code_type_version": "2022", "description": "ANES INTEG MUSC & NRV HEAD NECK&POSTERIOR TRUNK", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 134.78, "billing_code_modifier": ["QX,P3", "QK,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1962072066]}, {"billed_charge": 963.0, "npi": [1659303840]}]}, {"allowed_amount": 137.84, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1144873936]}, {"billed_charge": 963.0, "npi": [1861663155]}]}, {"allowed_amount": 155.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1177.0, "npi": [1861663155]}]}, {"allowed_amount": 279.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1070.0, "npi": [1861663155]}]}, {"allowed_amount": 302.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1070.0, "npi": [1366721789]}]}, {"allowed_amount": 328.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1177.0, "npi": [1598787236]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 569.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2080.0, "npi": [1104890730]}, {"billed_charge": 2100.0, "npi": [1649563644]}]}]}, {"tin": {"type": "ein", "value": "452654166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.37, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1709.5, "npi": [1053385823]}]}, {"allowed_amount": 685.73, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1709.5, "npi": [1467563015]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 300.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4392.0, "npi": [1326073867]}]}, {"allowed_amount": 530.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8695.0, "npi": [1326073867]}]}, {"allowed_amount": 836.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5850.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 472.48, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1726.4, "npi": [1043879950]}, {"billed_charge": 1743.0, "npi": [1760709406]}]}, {"allowed_amount": 620.48, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2267.2, "npi": [1932683034]}, {"billed_charge": 2289.0, "npi": [1730508805]}]}, {"allowed_amount": 666.02, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2433.6, "npi": [1366837908]}, {"billed_charge": 2457.0, "npi": [1942467402]}]}, {"allowed_amount": 808.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2953.6, "npi": [1598958670]}, {"billed_charge": 2982.0, "npi": [1215391909]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2475.0, "npi": [1184435604]}]}]}, {"tin": {"type": "ein", "value": "464715622"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 297.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8000.0, "npi": [1427029891]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 107.21, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1205583572]}, {"billed_charge": 1155.0, "npi": [1164404968]}]}, {"allowed_amount": 130.69, "billing_code_modifier": ["QK", "QX,P3", "QK,P3", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1205583572, 1366930430]}, {"billed_charge": 1485.0, "npi": [1164404968, 1417991431]}]}, {"allowed_amount": 146.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1871045278]}]}, {"allowed_amount": 147.71, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1485.0, "npi": [1144890245]}]}, {"allowed_amount": 157.24, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1485.0, "npi": [1578219713]}, {"billed_charge": 1815.0, "npi": [1790927200]}]}, {"allowed_amount": 178.12, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1755.0, "npi": [1366930430]}, {"billed_charge": 2145.0, "npi": [1841256245]}]}, {"allowed_amount": 206.35, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2475.0, "npi": [1134482250]}]}, {"allowed_amount": 320.44, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1815.0, "npi": [1164404968]}]}, {"allowed_amount": 365.3, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1890.0, "npi": [1225410574]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1154519262]}]}, {"allowed_amount": 739.62, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2310.0, "npi": [1134482250]}]}, {"allowed_amount": 798.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1285608935]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.27, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 575.0, "npi": [1558135830]}]}, {"allowed_amount": 474.82, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 575.0, "npi": [1447577556]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 635.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1306702063]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.26, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1679430854]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 202.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1649624289]}]}, {"allowed_amount": 204.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1770542896]}]}, {"allowed_amount": 245.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2241.0, "npi": [1649624289]}]}, {"allowed_amount": 606.59, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1992.0, "npi": [1275671067]}]}, {"allowed_amount": 617.23, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1992.0, "npi": [1215986823]}]}, {"allowed_amount": 662.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3198.0, "npi": [1770542896]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 836.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3425.0, "npi": [1417935230]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 592.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3250.0, "npi": [1245202084]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.1, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1306590302, 1760792303]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1578545018]}]}, {"allowed_amount": 312.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2340.0, "npi": [1760709406]}]}, {"allowed_amount": 326.74, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 2100.0, "npi": [1710958152]}]}, {"allowed_amount": 338.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2730.0, "npi": [1760709406]}]}, {"allowed_amount": 530.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5550.0, "npi": [1245262856]}]}, {"allowed_amount": 622.57, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 1890.0, "npi": [1245262856]}]}, {"allowed_amount": 720.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3060.0, "npi": [1427375583]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 144.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 745.0, "npi": [1891482303]}]}, {"allowed_amount": 150.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 820.0, "npi": [1043794878]}]}, {"allowed_amount": 314.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 750.0, "npi": [1750366589]}]}, {"allowed_amount": 326.54, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1750366589]}]}, {"allowed_amount": 598.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 167.41, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1639.0, "npi": [1568866317]}]}, {"allowed_amount": 363.16, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1255837829]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 500.17, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2370.0, "npi": [1912971664, 1811502610]}]}]}]}, {"name": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation", "billing_code_type": "CPT", "billing_code": "00537", "billing_code_type_version": "2022", "description": "ANESTHESIA CARDIAC EP PX W/RF ABLATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 474.79, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2400.0, "npi": [1033155445]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 831.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3036.8, "npi": [1407576341]}, {"billed_charge": 3066.0, "npi": [1588111538]}]}, {"allowed_amount": 990.5, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3619.2, "npi": [1134223787]}, {"billed_charge": 3654.0, "npi": [1174187207]}]}, {"allowed_amount": 1070.19, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3910.4, "npi": [1245846013]}, {"billed_charge": 3948.0, "npi": [1194706796]}]}, {"allowed_amount": 1087.27, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3972.8, "npi": [1104890730]}, {"billed_charge": 4011.0, "npi": [1194706796]}]}, {"allowed_amount": 1258.04, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 4596.8, "npi": [1598096620]}, {"billed_charge": 4641.0, "npi": [1174187207]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 219.53, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1184435604]}]}, {"allowed_amount": 516.65, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3825.0, "npi": [1780564971]}]}, {"allowed_amount": 524.91, "billing_code_modifier": ["QX,P4", "QX,P3"], "providers": [{"billed_charge": 3825.0, "npi": [1184435604]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 301.21, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3680.0, "npi": [1124477070]}]}, {"allowed_amount": 302.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3580.0, "npi": [1730038332]}]}, {"allowed_amount": 521.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3312.0, "npi": [1194304329]}]}, {"allowed_amount": 582.89, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3680.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1202.41, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3760.0, "npi": [1366584401]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2231.46, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3967.4, "npi": [1912429457]}]}, {"allowed_amount": 2254.23, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4015.2, "npi": [1619622297]}]}, {"allowed_amount": 2425.01, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4373.7, "npi": [1821636275]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 883.28, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 977.5, "npi": [1215226618, 1578784484]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 566.46, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3080.0, "npi": [1285213306]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1830.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1568400836]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 242.36, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4029.0, "npi": [1922488568, 1992246599]}]}, {"allowed_amount": 255.02, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 4266.0, "npi": [1932176468, 1710711759]}]}, {"allowed_amount": 274.48, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 4503.0, "npi": [1932176468, 1710711759]}]}, {"allowed_amount": 291.03, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 4740.0, "npi": [1043489438, 1033403407]}]}, {"allowed_amount": 292.98, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 4977.0, "npi": [1932176468, 1740258565, 1043489438, 1992246599]}]}]}]}, {"name": "Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed)", "billing_code_type": "CPT", "billing_code": "01968", "billing_code_type_version": "2022", "description": "ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.67, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1050.0, "npi": [1932507795]}, {"billed_charge": 1070.0, "npi": [1366721789]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 922.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1684.8, "npi": [1588001945]}]}, {"allowed_amount": 944.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1726.4, "npi": [1093367237]}]}, {"allowed_amount": 956.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1747.2, "npi": [1588001945]}]}, {"allowed_amount": 1161.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2310.0, "npi": [1033984109]}]}, {"allowed_amount": 1218.2, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2225.6, "npi": [1760136931]}]}, {"allowed_amount": 1240.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2267.2, "npi": [1821399494]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.09, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1432.0, "npi": [1124477070]}, {"billed_charge": 1472.0, "npi": [1124477070]}]}, {"allowed_amount": 271.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1611.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1945.0, "npi": [1033155445]}]}, {"allowed_amount": 214.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1945.0, "npi": [1467058925]}]}, {"allowed_amount": 220.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1945.0, "npi": [1467058925]}]}, {"allowed_amount": 266.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1945.0, "npi": [1467058925]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.52, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1896.0, "npi": [1235523705, 1538586268]}]}, {"allowed_amount": 130.43, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2370.0, "npi": [1922488568, 1528848637]}]}, {"allowed_amount": 212.87, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2133.0, "npi": [1588638415]}]}, {"allowed_amount": 283.83, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2607.0, "npi": [1982161170]}]}, {"allowed_amount": 409.72, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1896.0, "npi": [1912971664, 1770367831]}]}, {"allowed_amount": 431.0, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2133.0, "npi": [1427552942]}]}, {"allowed_amount": 438.98, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 7584.0, "npi": [1588638415]}]}, {"allowed_amount": 574.67, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2607.0, "npi": [1922488568]}]}]}]}, {"name": "Anesthesia for cesarean delivery only", "billing_code_type": "CPT", "billing_code": "01961", "billing_code_type_version": "2022", "description": "ANESTHESIA CESAREAN DELIVERY ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.68, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1689062168]}, {"billed_charge": 1284.0, "npi": [1598786089]}]}, {"allowed_amount": 188.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1470.0, "npi": [1982034070]}]}, {"allowed_amount": 209.32, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1470.0, "npi": [1689062168]}, {"billed_charge": 1498.0, "npi": [1376818450]}]}, {"allowed_amount": 217.48, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}, {"billed_charge": 1605.0, "npi": [1376818450]}]}, {"allowed_amount": 225.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}]}, {"allowed_amount": 245.05, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1712.0, "npi": [1598786089]}]}, {"allowed_amount": 390.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1391.0, "npi": [1598786089]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1498.0, "npi": [1376818450]}]}, {"allowed_amount": 461.51, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1760.0, "npi": [1306886502]}]}, {"allowed_amount": 775.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1391.0, "npi": [1629374194]}]}, {"allowed_amount": 823.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1498.0, "npi": [1598786089]}]}, {"allowed_amount": 933.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1712.0, "npi": [1598787236]}]}, {"allowed_amount": 1000.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1819.0, "npi": [1366721789]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 975.0, "npi": [1033155445]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 843.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1512.0, "npi": [1386137446]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 631.87, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2520.0, "npi": [1720014731, 1366837908]}]}, {"allowed_amount": 643.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2350.4, "npi": [1568826014, 1861452518]}, {"billed_charge": 2373.0, "npi": [1942502125, 1760709406]}]}, {"allowed_amount": 660.33, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2412.8, "npi": [1861452518]}, {"billed_charge": 2436.0, "npi": [1720014731]}]}, {"allowed_amount": 705.87, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2579.2, "npi": [1821399494]}, {"billed_charge": 2604.0, "npi": [1063711802]}]}, {"allowed_amount": 711.56, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1932096658]}, {"billed_charge": 2625.0, "npi": [1720014731]}]}, {"allowed_amount": 717.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2620.8, "npi": [1881232627]}, {"billed_charge": 2646.0, "npi": [1720014731]}]}, {"allowed_amount": 734.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2683.2, "npi": [1124249032, 1639612096]}, {"billed_charge": 2709.0, "npi": [1730508805, 1760709406]}]}, {"allowed_amount": 740.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2704.0, "npi": [1710250295]}, {"billed_charge": 2730.0, "npi": [1720014731]}]}, {"allowed_amount": 745.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2724.8, "npi": [1205481751]}, {"billed_charge": 2751.0, "npi": [1326400011]}]}, {"allowed_amount": 751.41, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 2745.6, "npi": [1538586268, 1578219812]}, {"billed_charge": 2772.0, "npi": [1063711802, 1730508805]}]}, {"allowed_amount": 757.1, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2766.4, "npi": [1588001945]}, {"billed_charge": 2793.0, "npi": [1902007065]}]}, {"allowed_amount": 762.8, "billing_code_modifier": ["QY,P3", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 2787.2, "npi": [1639612096, 1760136931]}, {"billed_charge": 2814.0, "npi": [1760709406, 1568874782]}]}, {"allowed_amount": 791.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2891.2, "npi": [1235847666]}, {"billed_charge": 2919.0, "npi": [1720014731]}]}, {"allowed_amount": 825.41, "billing_code_modifier": ["QK,P3", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 3016.0, "npi": [1235847666, 1881232627]}, {"billed_charge": 3045.0, "npi": [1942467402, 1942502125]}]}, {"allowed_amount": 842.49, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3078.4, "npi": [1861452518]}, {"billed_charge": 3108.0, "npi": [1942502125]}]}, {"allowed_amount": 927.88, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3390.4, "npi": [1861452518]}, {"billed_charge": 3423.0, "npi": [1720014731]}]}, {"allowed_amount": 996.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3640.0, "npi": [1881232627]}, {"billed_charge": 3675.0, "npi": [1649739491]}]}, {"allowed_amount": 1468.67, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2683.2, "npi": [1538586268]}]}, {"allowed_amount": 1480.05, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2704.0, "npi": [1538026711]}]}, {"allowed_amount": 1605.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2932.8, "npi": [1235847666]}]}, {"allowed_amount": 1673.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3057.6, "npi": [1588001945]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 660.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2412.8, "npi": [1912377789]}, {"billed_charge": 2436.0, "npi": [1720014731]}]}, {"allowed_amount": 768.49, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2808.0, "npi": [1225483258]}, {"billed_charge": 2835.0, "npi": [1720014731]}]}]}, {"tin": {"type": "ein", "value": "521076158"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 645.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1900.0, "npi": [1942340716]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 421.35, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1755.0, "npi": [1811965445]}]}, {"allowed_amount": 429.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1053037630]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.65, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2760.0, "npi": [1194304329]}]}, {"allowed_amount": 350.96, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2208.0, "npi": [1124477070]}]}, {"allowed_amount": 387.58, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2392.0, "npi": [1124477070]}]}, {"allowed_amount": 448.62, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2760.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 301.05, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3291.0, "npi": [1053981159]}]}, {"allowed_amount": 396.17, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3291.0, "npi": [1033155445]}]}, {"allowed_amount": 400.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3291.0, "npi": [1033155445]}]}, {"allowed_amount": 434.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3375.0, "npi": [1770977688]}]}, {"allowed_amount": 439.05, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3291.0, "npi": [1568436079]}]}, {"allowed_amount": 467.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3600.0, "npi": [1467058925]}]}, {"allowed_amount": 500.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3600.0, "npi": [1568436079]}]}, {"allowed_amount": 641.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3291.0, "npi": [1467058925]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.89, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3291.0, "npi": [1316525207]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3291.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592579824"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 217.5, "providers": [{"billed_charge": 1785.0, "npi": [1104093467]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1730.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3632.8, "npi": [1518660208]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 438.01, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4976.0, "npi": [1760137319]}]}, {"allowed_amount": 800.33, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4992.0, "npi": [1245317478]}]}, {"allowed_amount": 1339.12, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4056.0, "npi": [1225262819]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.44, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1540.0, "npi": [1629086699]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 185.83, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2310.0, "npi": [1962544601, 1518524644]}]}, {"allowed_amount": 338.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1830.0, "npi": [1720370620]}]}, {"allowed_amount": 418.63, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2550.0, "npi": [1710958152]}]}, {"allowed_amount": 701.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2010.0, "npi": [1750366589]}]}, {"allowed_amount": 720.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2160.0, "npi": [1962031344]}]}, {"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1962031344]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2310.0, "npi": [1083821409]}]}, {"allowed_amount": 750.74, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 1950.0, "npi": [1285977991]}, {"billed_charge": 2400.0, "npi": [1588642375]}]}, {"allowed_amount": 756.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2430.0, "npi": [1083821409]}]}, {"allowed_amount": 775.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1881125953]}]}, {"allowed_amount": 811.78, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1710958152]}, {"billed_charge": 2400.0, "npi": [1962031344]}]}, {"allowed_amount": 836.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2550.0, "npi": [1710958152, 1427375583]}, {"billed_charge": 2580.0, "npi": [1588642375]}]}, {"allowed_amount": 848.4, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2670.0, "npi": [1710958152]}]}, {"allowed_amount": 854.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1518524644]}]}, {"allowed_amount": 885.02, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2910.0, "npi": [1710958152]}]}, {"allowed_amount": 1525.9, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9330.0, "npi": [1083821409]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.36, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2844.0, "npi": [1740258565, 1770367831]}]}, {"allowed_amount": 182.02, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3081.0, "npi": [1982161170, 1427552942]}]}, {"allowed_amount": 184.94, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1922488568, 1982161170]}]}, {"allowed_amount": 188.5, "providers": [{"billed_charge": 3318.0, "npi": [1932176468]}]}, {"allowed_amount": 188.83, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1114426715, 1932176468, 1740258565, 1588638415]}]}, {"allowed_amount": 193.7, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3318.0, "npi": [1740258565, 1528848637]}]}, {"allowed_amount": 195.64, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3318.0, "npi": [1528848637, 1740258565]}]}, {"allowed_amount": 199.54, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1235523705, 1366415044]}]}, {"allowed_amount": 202.46, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1558068999]}]}, {"allowed_amount": 204.4, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1922488568, 1528848637]}]}, {"allowed_amount": 205.38, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3555.0, "npi": [1528848637, 1740258565]}]}, {"allowed_amount": 206.35, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3555.0, "npi": [1669000972, 1770367831]}]}, {"allowed_amount": 213.16, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3555.0, "npi": [1427552942, 1770367831]}]}, {"allowed_amount": 307.48, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2844.0, "npi": [1992246599]}]}, {"allowed_amount": 310.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2844.0, "npi": [1528682101]}]}, {"allowed_amount": 312.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2844.0, "npi": [1114426715, 1588638415]}]}, {"allowed_amount": 317.99, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3081.0, "npi": [1588638415]}]}, {"allowed_amount": 323.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3081.0, "npi": [1124891460]}]}, {"allowed_amount": 325.88, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3081.0, "npi": [1114426715, 1124891460]}]}, {"allowed_amount": 346.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3318.0, "npi": [1588638415]}]}, {"allowed_amount": 373.18, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3555.0, "npi": [1558964833]}]}, {"allowed_amount": 391.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3555.0, "npi": [1588638415]}]}, {"allowed_amount": 438.88, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4029.0, "npi": [1588638415]}]}, {"allowed_amount": 611.91, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2844.0, "npi": [1356314033, 1811502610]}]}, {"allowed_amount": 622.55, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2844.0, "npi": [1740258565]}]}, {"allowed_amount": 627.88, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2844.0, "npi": [1427552942]}]}, {"allowed_amount": 633.2, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2844.0, "npi": [1922488568, 1912971664]}]}, {"allowed_amount": 643.84, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3081.0, "npi": [1740258565]}]}, {"allowed_amount": 654.48, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3081.0, "npi": [1033403407]}]}, {"allowed_amount": 659.8, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 3081.0, "npi": [1669000972, 1740258565]}]}, {"allowed_amount": 702.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3318.0, "npi": [1356314033]}]}, {"allowed_amount": 750.26, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3555.0, "npi": [1356314033, 1811502610]}]}, {"allowed_amount": 755.58, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3555.0, "npi": [1033403407]}]}, {"allowed_amount": 792.83, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3555.0, "npi": [1740258565]}]}, {"allowed_amount": 856.68, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 4029.0, "npi": [1528848637, 1033403407]}]}, {"allowed_amount": 888.6, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4029.0, "npi": [1932176468]}]}]}]}, {"name": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified", "billing_code_type": "CPT", "billing_code": "00520", "billing_code_type_version": "2022", "description": "ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.32, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 840.0, "npi": [1144873936]}, {"billed_charge": 856.0, "npi": [1598786089]}]}, {"allowed_amount": 115.38, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 840.0, "npi": [1962072066]}, {"billed_charge": 856.0, "npi": [1164627592]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 876.65, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3203.2, "npi": [1225371974]}, {"billed_charge": 3234.0, "npi": [1154593127]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 82.6, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2137.5, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 481.25, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1426.0, "npi": [1780210013]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.72, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 742.0, "npi": [1013351345, 1871866251]}]}, {"allowed_amount": 142.09, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 848.0, "npi": [1073096947, 1194242404]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.4, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1538150768]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1760.0, "npi": [1407673502]}]}, {"allowed_amount": 228.72, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1407673502]}, {"billed_charge": 3600.0, "npi": [1427309632]}]}, {"allowed_amount": 281.81, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3040.0, "npi": [1841598893]}, {"billed_charge": 4560.0, "npi": [1710220348]}]}, {"allowed_amount": 332.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2640.0, "npi": [1467844217]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 480.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 480.0, "npi": [1710958152]}]}, {"allowed_amount": 579.84, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 690.0, "npi": [1962031344]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 152.82, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2607.0, "npi": [1922488568, 1770194490]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 104.1, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 840.0, "npi": [1962072066]}]}, {"allowed_amount": 118.44, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 840.0, "npi": [1205259165]}, {"billed_charge": 856.0, "npi": [1366721789]}]}, {"allowed_amount": 124.57, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 972.0, "npi": [1962072066]}, {"billed_charge": 990.0, "npi": [1306886502]}]}, {"allowed_amount": 225.83, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 856.0, "npi": [1376818450]}]}, {"allowed_amount": 402.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 749.0, "npi": [1376818450]}]}, {"allowed_amount": 524.91, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 963.0, "npi": [1598787236]}]}]}, {"tin": {"type": "ein", "value": "200743684"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 225.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2000.0, "npi": [1356484778]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 495.25, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1809.6, "npi": [1104890730]}, {"billed_charge": 1827.0, "npi": [1861797565]}]}, {"allowed_amount": 552.17, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2017.6, "npi": [1366243727]}, {"billed_charge": 2037.0, "npi": [1174187207]}]}, {"allowed_amount": 569.25, "billing_code_modifier": ["QK,P4", "QX,P4", "QX,P3", "QK,P3"], "providers": [{"billed_charge": 2080.0, "npi": [1467896233, 1215209135]}, {"billed_charge": 2100.0, "npi": [1588111538]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.43, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1068.6, "npi": [1114570553]}]}, {"allowed_amount": 247.94, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1205.6, "npi": [1609832690]}]}]}, {"tin": {"type": "ein", "value": "352641051"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 179.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6300.0, "npi": [1508408063]}]}, {"allowed_amount": 505.92, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6300.0, "npi": [1083991350]}]}]}, {"tin": {"type": "ein", "value": "421656000"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 124.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1508643420]}]}, {"allowed_amount": 132.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 138.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1891860169]}]}, {"allowed_amount": 159.98, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1891860169]}]}, {"allowed_amount": 168.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1891860169]}]}, {"allowed_amount": 172.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 181.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 185.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1508822800]}]}, {"allowed_amount": 187.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1891860169]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 185.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 975.0, "npi": [1699469056]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 479.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 17760.0, "npi": [1447376231]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7215.0, "npi": [1447376231]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8325.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 540.79, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1976.0, "npi": [1942011846]}, {"billed_charge": 1995.0, "npi": [1942502125]}]}, {"allowed_amount": 683.1, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2496.0, "npi": [1326141516]}, {"billed_charge": 2520.0, "npi": [1720014731]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 409.86, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1470.0, "npi": [1992120117, 1750333837]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 249.14, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1033674023]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 72.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 78.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 79.71, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 81.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1295088276]}]}, {"allowed_amount": 83.28, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 85.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1386105088]}]}, {"allowed_amount": 86.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237]}, {"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 88.57, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1881359099]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 90.52, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1881359099]}, {"billed_charge": 1155.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 91.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1396243770]}]}, {"allowed_amount": 91.49, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1881359099, 1295088276]}, {"billed_charge": 1155.0, "npi": [1487650396, 1174503213]}]}, {"allowed_amount": 92.47, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1316565427, 1295088276]}, {"billed_charge": 1155.0, "npi": [1881127025, 1487650396, 1174503213]}]}, {"allowed_amount": 93.44, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1295088276]}, {"billed_charge": 1155.0, "npi": [1174503213]}]}, {"allowed_amount": 95.17, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1386105088]}]}, {"allowed_amount": 95.39, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1376519496, 1033178850]}, {"billed_charge": 1155.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 95.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1366930430]}]}, {"allowed_amount": 96.36, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824, 1881359099, 1780179333]}, {"billed_charge": 1155.0, "npi": [1487650396, 1174503213, 1144322926]}]}, {"allowed_amount": 97.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1578219713]}]}, {"allowed_amount": 97.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1508446220]}, {"billed_charge": 1155.0, "npi": [1487650396, 1932172111]}]}, {"allowed_amount": 98.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1912982265, 1396243770, 1932704590]}]}, {"allowed_amount": 99.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1881359099, 1780179333]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 99.88, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1578219713]}]}, {"allowed_amount": 100.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1871927244, 1295051597, 1780179333]}, {"billed_charge": 1155.0, "npi": [1487650396, 1174503213, 1144322926]}]}, {"allowed_amount": 101.23, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1871927244, 1508446220, 1780179333]}, {"billed_charge": 1155.0, "npi": [1487650396, 1174503213]}]}, {"allowed_amount": 102.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1366930430]}, {"billed_charge": 1155.0, "npi": [1164840807]}]}, {"allowed_amount": 102.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1871927244, 1780179333]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 102.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1912982265, 1033413562, 1598294084]}]}, {"allowed_amount": 103.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}]}, {"allowed_amount": 103.18, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850, 1508446220]}, {"billed_charge": 1320.0, "npi": [1487650396, 1174503213]}]}, {"allowed_amount": 103.5, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1386105088]}]}, {"allowed_amount": 104.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1225410574]}]}, {"allowed_amount": 104.15, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1891466793]}, {"billed_charge": 1080.0, "npi": [1578703237]}, {"billed_charge": 1320.0, "npi": [1144322926]}]}, {"allowed_amount": 105.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1366930430]}]}, {"allowed_amount": 105.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1912982265, 1396243770, 1285057851, 1366930430]}]}, {"allowed_amount": 107.07, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1508446220, 1578703237]}, {"billed_charge": 1320.0, "npi": [1487650396, 1174503213]}]}, {"allowed_amount": 108.04, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1780179333]}, {"billed_charge": 1320.0, "npi": [1932172111]}]}, {"allowed_amount": 108.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1164691655]}]}, {"allowed_amount": 108.26, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1386105088]}]}, {"allowed_amount": 108.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1548531577, 1598294084, 1225410574]}]}, {"allowed_amount": 109.02, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1295088276]}, {"billed_charge": 1320.0, "npi": [1174503213]}]}, {"allowed_amount": 109.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1891466793, 1871045278, 1316276959]}, {"billed_charge": 1320.0, "npi": [1154519262, 1760792303]}]}, {"allowed_amount": 109.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1801863824]}]}, {"allowed_amount": 109.99, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1780179333]}, {"billed_charge": 1320.0, "npi": [1932172111]}]}, {"allowed_amount": 110.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1366930430]}]}, {"allowed_amount": 111.14, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1659140283, 1871045278]}]}, {"allowed_amount": 111.29, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316276959]}, {"billed_charge": 1320.0, "npi": [1497721815]}]}, {"allowed_amount": 111.94, "billing_code_modifier": ["QK", "QX,P3", "QK,P3", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850, 1871927244]}, {"billed_charge": 1320.0, "npi": [1386105088, 1487650396]}]}, {"allowed_amount": 112.32, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1285057851]}, {"billed_charge": 1320.0, "npi": [1790927200]}]}, {"allowed_amount": 112.91, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850, 1871927244]}, {"billed_charge": 1320.0, "npi": [1386105088, 1487650396]}]}, {"allowed_amount": 113.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1285057851, 1366930430, 1932704590]}, {"billed_charge": 1320.0, "npi": [1790927200]}]}, {"allowed_amount": 113.88, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1578703237]}, {"billed_charge": 1320.0, "npi": [1487650396]}]}, {"allowed_amount": 114.36, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1801863824]}, {"billed_charge": 1320.0, "npi": [1417991431]}]}, {"allowed_amount": 114.86, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1508446220]}]}, {"allowed_amount": 115.38, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1801863824]}, {"billed_charge": 1320.0, "npi": [1760792303]}]}, {"allowed_amount": 115.72, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1154519262]}]}, {"allowed_amount": 115.83, "billing_code_modifier": ["QK", "QX,P3", "QK,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1316565427]}, {"billed_charge": 1320.0, "npi": [1487650396, 1144322926]}]}, {"allowed_amount": 116.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1366930430, 1770827719]}]}, {"allowed_amount": 117.42, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1912982265, 1184993644, 1447077334, 1366930430]}, {"billed_charge": 1320.0, "npi": [1790927200, 1497721815]}]}, {"allowed_amount": 117.78, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1215.0, "npi": [1881359099, 1780179333]}, {"billed_charge": 1485.0, "npi": [1881127025, 1396858239]}]}, {"allowed_amount": 118.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1871045278]}]}, {"allowed_amount": 118.75, "billing_code_modifier": ["QK,P3", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1033178850]}, {"billed_charge": 1485.0, "npi": [1487650396, 1144322926]}]}, {"allowed_amount": 118.96, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1871927244]}]}, {"allowed_amount": 120.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1548531577]}, {"billed_charge": 1320.0, "npi": [1154519262]}]}, {"allowed_amount": 120.7, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1871927244]}, {"billed_charge": 1485.0, "npi": [1396858239]}]}, {"allowed_amount": 121.5, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1184993644, 1932704590]}, {"billed_charge": 1320.0, "npi": [1790927200, 1497721815]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316276959]}]}, {"allowed_amount": 123.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1346747599]}, {"billed_charge": 1485.0, "npi": [1417991431]}]}, {"allowed_amount": 125.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1366930430]}]}, {"allowed_amount": 125.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}]}, {"allowed_amount": 126.61, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1912982265, 1548531577, 1871045278]}]}, {"allowed_amount": 127.63, "billing_code_modifier": ["QK", "QX,P3", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1801863824, 1871045278]}, {"billed_charge": 1485.0, "npi": [1790927200]}]}, {"allowed_amount": 128.02, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1346886272]}]}, {"allowed_amount": 128.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1821443243]}]}, {"allowed_amount": 128.7, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850, 1578703237]}, {"billed_charge": 1320.0, "npi": [1487650396]}]}, {"allowed_amount": 129.67, "billing_code_modifier": ["QY", "QX,P3", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1891466793, 1285057851, 1366930430]}, {"billed_charge": 1485.0, "npi": [1790927200]}]}, {"allowed_amount": 130.69, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1093780512]}, {"billed_charge": 1485.0, "npi": [1760792303]}]}, {"allowed_amount": 130.83, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1548531577, 1871045278]}]}, {"allowed_amount": 131.72, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1871045278, 1316276959]}]}, {"allowed_amount": 132.38, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1871927244]}]}, {"allowed_amount": 139.88, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1659140283]}, {"billed_charge": 1650.0, "npi": [1164840807]}]}, {"allowed_amount": 140.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1154519262]}]}, {"allowed_amount": 140.9, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3000.0, "npi": [1154519262]}]}, {"allowed_amount": 143.97, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1871045278]}]}, {"allowed_amount": 147.03, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1447077334]}]}, {"allowed_amount": 149.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871927244]}]}, {"allowed_amount": 150.09, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1346707502]}, {"billed_charge": 1650.0, "npi": [1730492448]}]}, {"allowed_amount": 154.18, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1485.0, "npi": [1447077334]}]}, {"allowed_amount": 160.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1881359099]}]}, {"allowed_amount": 161.33, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1485.0, "npi": [1316276959]}]}, {"allowed_amount": 165.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850]}]}, {"allowed_amount": 168.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850]}]}, {"allowed_amount": 170.82, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1881359099]}]}, {"allowed_amount": 173.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1881359099]}]}, {"allowed_amount": 176.08, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1881359099]}]}, {"allowed_amount": 178.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824, 1871927244]}]}, {"allowed_amount": 181.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1871927244]}]}, {"allowed_amount": 183.96, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1881359099]}]}, {"allowed_amount": 186.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1578703237]}]}, {"allowed_amount": 189.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850]}]}, {"allowed_amount": 191.85, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850, 1316565427, 1871927244, 1578703237]}]}, {"allowed_amount": 194.48, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850]}]}, {"allowed_amount": 197.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1184013674]}]}, {"allowed_amount": 199.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1184013674]}]}, {"allowed_amount": 204.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1871927244, 1578703237]}]}, {"allowed_amount": 207.62, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1801863824, 1881359099, 1760664718]}]}, {"allowed_amount": 208.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1396858239]}]}, {"allowed_amount": 210.24, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1871927244]}]}, {"allowed_amount": 210.57, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}, {"billed_charge": 1155.0, "npi": [1790927200, 1154519262]}]}, {"allowed_amount": 211.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1386105088]}]}, {"allowed_amount": 212.87, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316565427]}]}, {"allowed_amount": 213.63, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1760792303]}]}, {"allowed_amount": 216.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1790927200]}]}, {"allowed_amount": 218.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164840807]}]}, {"allowed_amount": 222.78, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1790927200, 1730492448]}]}, {"allowed_amount": 223.38, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1184013674]}]}, {"allowed_amount": 225.83, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1891466793]}, {"billed_charge": 1320.0, "npi": [1790927200]}]}, {"allowed_amount": 226.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1497721815]}]}, {"allowed_amount": 227.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1487650396]}]}, {"allowed_amount": 228.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1578703237]}]}, {"allowed_amount": 228.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316276959]}, {"billed_charge": 1320.0, "npi": [1730492448, 1760792303, 1497721815]}]}, {"allowed_amount": 234.99, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1891466793]}, {"billed_charge": 1320.0, "npi": [1790927200, 1730492448, 1760792303]}]}, {"allowed_amount": 236.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164840807]}]}, {"allowed_amount": 237.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1386105088]}]}, {"allowed_amount": 238.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1417991431]}]}, {"allowed_amount": 239.15, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1578703237]}]}, {"allowed_amount": 241.09, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1497721815]}]}, {"allowed_amount": 244.14, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1760792303]}]}, {"allowed_amount": 247.04, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1578703237]}]}, {"allowed_amount": 247.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}]}, {"allowed_amount": 250.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1386105088]}]}, {"allowed_amount": 251.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1497721815]}]}, {"allowed_amount": 253.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}, {"billed_charge": 1485.0, "npi": [1760792303]}]}, {"allowed_amount": 255.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1497721815]}]}, {"allowed_amount": 258.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1396858239]}]}, {"allowed_amount": 259.35, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1164840807]}]}, {"allowed_amount": 259.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}, {"billed_charge": 1485.0, "npi": [1154519262]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}, {"billed_charge": 1485.0, "npi": [1497721815]}]}, {"allowed_amount": 268.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}]}, {"allowed_amount": 271.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1821443243]}]}, {"allowed_amount": 274.66, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1760792303]}]}, {"allowed_amount": 277.71, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1164840807]}]}, {"allowed_amount": 283.82, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1497721815]}]}, {"allowed_amount": 303.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 324.58, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 335.22, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 340.54, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 345.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396, 1639364623]}]}, {"allowed_amount": 356.51, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 361.83, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 367.15, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 372.47, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1487650396]}]}, {"allowed_amount": 388.43, "billing_code_modifier": ["QY", "QK", "QK,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1881127025, 1487650396]}]}, {"allowed_amount": 393.75, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1487650396]}]}, {"allowed_amount": 399.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1396858239]}]}, {"allowed_amount": 404.39, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1881127025]}]}, {"allowed_amount": 415.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 420.36, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 1320.0, "npi": [1487650396]}]}, {"allowed_amount": 431.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1487650396]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1760792303]}]}, {"allowed_amount": 452.28, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1487650396]}]}, {"allowed_amount": 457.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1730492448]}]}, {"allowed_amount": 494.07, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3000.0, "npi": [1578703237]}]}, {"allowed_amount": 500.17, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1396858239]}]}, {"allowed_amount": 506.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1760792303]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1154519262, 1497721815]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1760792303]}]}, {"allowed_amount": 616.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1760792303]}]}, {"allowed_amount": 872.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1396858239]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 119.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1432.0, "npi": [1730038332]}]}, {"allowed_amount": 146.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1790.0, "npi": [1710836440]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2024.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 210.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1609756857]}]}, {"allowed_amount": 222.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1053933622]}]}, {"allowed_amount": 228.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1053933622]}]}, {"allowed_amount": 270.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1861940694]}]}, {"allowed_amount": 350.41, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2700.0, "npi": [1932931862]}]}, {"allowed_amount": 657.01, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1326082140]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 139.88, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2025.0, "npi": [1316525207]}]}, {"allowed_amount": 175.62, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 2475.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 104.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1649624289]}]}, {"allowed_amount": 109.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1790108868]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1992.0, "npi": [1215986823]}]}, {"allowed_amount": 117.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2241.0, "npi": [1972824464, 1518942457]}]}, {"allowed_amount": 128.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1968.0, "npi": [1629657333]}]}, {"allowed_amount": 132.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1700988367]}]}, {"allowed_amount": 168.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1722.0, "npi": [1194137562]}]}, {"allowed_amount": 190.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1770542896]}]}, {"allowed_amount": 204.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1801285879]}]}, {"allowed_amount": 207.62, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1968.0, "npi": [1982034385]}, {"billed_charge": 1992.0, "npi": [1770542896]}]}, {"allowed_amount": 212.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1982034385]}]}, {"allowed_amount": 218.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1649624289]}]}, {"allowed_amount": 221.92, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1700988367]}]}, {"allowed_amount": 247.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2241.0, "npi": [1215986823]}]}, {"allowed_amount": 251.12, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2241.0, "npi": [1174592273]}]}, {"allowed_amount": 260.86, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2241.0, "npi": [1174592273]}]}, {"allowed_amount": 264.43, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1629657333]}]}, {"allowed_amount": 289.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2214.0, "npi": [1780263871]}]}, {"allowed_amount": 299.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2214.0, "npi": [1780263871]}]}, {"allowed_amount": 303.69, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2739.0, "npi": [1649624289]}]}, {"allowed_amount": 310.26, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2214.0, "npi": [1700988367]}]}, {"allowed_amount": 317.31, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2214.0, "npi": [1700988367]}]}, {"allowed_amount": 352.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1649624289]}]}, {"allowed_amount": 386.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1968.0, "npi": [1972824464]}]}, {"allowed_amount": 394.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1968.0, "npi": [1982034385]}]}, {"allowed_amount": 397.45, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1992.0, "npi": [1972824464]}]}, {"allowed_amount": 404.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1968.0, "npi": [1194137562]}]}, {"allowed_amount": 468.25, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1722.0, "npi": [1275671067]}]}, {"allowed_amount": 617.23, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1992.0, "npi": [1275671067]}]}, {"allowed_amount": 627.88, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1968.0, "npi": [1275671067]}, {"billed_charge": 1992.0, "npi": [1215986823]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 848.0, "npi": [1942181813]}]}, {"allowed_amount": 408.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 848.0, "npi": [1073603544]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 967.73, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1921.0, "npi": [1396176723]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 262.8, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 517.5, "npi": [1780224493]}]}, {"allowed_amount": 728.97, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 747.5, "npi": [1396994547]}]}, {"allowed_amount": 1223.83, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1265.0, "npi": [1699065904]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1117.41, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1150.0, "npi": [1780925255]}]}]}, {"tin": {"type": "ein", "value": "650491008"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 174.44, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1114886132, 1447077334]}]}, {"allowed_amount": 177.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1053280008, 1033928171, 1114886132]}]}, {"allowed_amount": 179.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544]}]}, {"allowed_amount": 180.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1053280008, 1144194754]}]}, {"allowed_amount": 182.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1144194754, 1114130564, 1053280008, 1023477544, 1285208660, 1447077334]}]}, {"allowed_amount": 185.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1144194754, 1023477544, 1053280008, 1114886132, 1285208660]}]}, {"allowed_amount": 188.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1285528802, 1144194754, 1023477544, 1053280008, 1114886132, 1033680020, 1285208660]}]}, {"allowed_amount": 189.92, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544]}]}, {"allowed_amount": 191.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1144194754, 1053280008, 1023477544, 1033928171, 1467058925, 1114886132, 1447077334, 1366906265]}]}, {"allowed_amount": 191.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1467058925]}]}, {"allowed_amount": 194.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1144194754, 1053280008, 1467058925, 1114886132, 1285208660, 1366906265]}]}, {"allowed_amount": 196.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1447573100, 1447077334]}]}, {"allowed_amount": 196.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1144194754, 1114886132]}]}, {"allowed_amount": 198.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1033928171, 1285208660]}]}, {"allowed_amount": 199.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1053280008]}, {"billed_charge": 760.0, "npi": [1023477544, 1144194754, 1447077334]}]}, {"allowed_amount": 200.13, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1033928171, 1447573100]}]}, {"allowed_amount": 202.17, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1467058925]}]}, {"allowed_amount": 202.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1053280008, 1366906265, 1114130564]}, {"billed_charge": 760.0, "npi": [1144194754]}]}, {"allowed_amount": 204.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1033928171, 1447573100]}]}, {"allowed_amount": 205.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1053280008, 1144194754, 1619427606]}, {"billed_charge": 760.0, "npi": [1144194754, 1285208660]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1285208660, 1467058925]}]}, {"allowed_amount": 208.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1114886132]}, {"billed_charge": 760.0, "npi": [1053280008]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1033928171]}]}, {"allowed_amount": 210.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1033928171, 1114130564, 1467058925]}]}, {"allowed_amount": 211.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1467058925]}, {"billed_charge": 760.0, "npi": [1144194754]}]}, {"allowed_amount": 212.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1467058925]}]}, {"allowed_amount": 213.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1285528802]}, {"billed_charge": 760.0, "npi": [1144194754]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1033928171]}]}, {"allowed_amount": 216.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1467058925]}]}, {"allowed_amount": 216.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1144194754]}, {"billed_charge": 760.0, "npi": [1144194754, 1447077334]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1467058925]}]}, {"allowed_amount": 224.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1023477544, 1467058925]}]}, {"allowed_amount": 226.67, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1023477544]}]}, {"allowed_amount": 232.8, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1033928171]}]}, {"allowed_amount": 236.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 855.0, "npi": [1023477544]}]}]}, {"tin": {"type": "ein", "value": "650823701"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 549.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1710.0, "npi": [1477663417]}]}, {"allowed_amount": 579.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1900.0, "npi": [1477663417]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 101.36, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1295379733]}, {"billed_charge": 2496.0, "npi": [1467494849]}]}, {"allowed_amount": 102.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1700066388]}, {"billed_charge": 2496.0, "npi": [1467494849]}]}, {"allowed_amount": 106.09, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1700066388]}, {"billed_charge": 2496.0, "npi": [1497948301]}]}, {"allowed_amount": 112.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1700066388]}, {"billed_charge": 2496.0, "npi": [1497948301]}]}, {"allowed_amount": 122.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2799.0, "npi": [1013570779]}, {"billed_charge": 2808.0, "npi": [1497948301]}]}, {"allowed_amount": 125.04, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2799.0, "npi": [1700066388]}, {"billed_charge": 2808.0, "npi": [1497948301]}]}, {"allowed_amount": 137.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3110.0, "npi": [1295379733]}, {"billed_charge": 3120.0, "npi": [1467494849]}]}, {"allowed_amount": 197.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2177.0, "npi": [1700066388]}]}, {"allowed_amount": 223.55, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2488.0, "npi": [1235859216]}]}, {"allowed_amount": 231.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2799.0, "npi": [1013570779, 1295379733]}]}, {"allowed_amount": 234.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2799.0, "npi": [1295379733]}]}, {"allowed_amount": 238.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2799.0, "npi": [1700066388]}]}, {"allowed_amount": 242.5, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2799.0, "npi": [1295379733]}]}, {"allowed_amount": 243.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2799.0, "npi": [1700066388]}]}, {"allowed_amount": 249.06, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2799.0, "npi": [1295379733, 1649568486]}]}, {"allowed_amount": 257.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2799.0, "npi": [1013570779]}]}, {"allowed_amount": 260.51, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1679224877]}]}, {"allowed_amount": 263.34, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1952346132]}]}, {"allowed_amount": 292.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3421.0, "npi": [1295379733]}]}, {"allowed_amount": 360.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2184.0, "npi": [1467494849]}]}, {"allowed_amount": 423.7, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2808.0, "npi": [1467494849]}]}, {"allowed_amount": 428.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2808.0, "npi": [1912950288]}]}, {"allowed_amount": 429.42, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2488.0, "npi": [1003081662]}]}, {"allowed_amount": 444.63, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2808.0, "npi": [1497948301]}]}, {"allowed_amount": 446.6, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2488.0, "npi": [1679224877]}]}, {"allowed_amount": 452.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2488.0, "npi": [1700066388, 1003081662]}]}, {"allowed_amount": 455.09, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2808.0, "npi": [1912950288, 1497948301]}]}, {"allowed_amount": 470.78, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2808.0, "npi": [1497948301]}]}, {"allowed_amount": 476.01, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1467494849]}]}, {"allowed_amount": 486.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2799.0, "npi": [1295379733]}]}, {"allowed_amount": 533.55, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3432.0, "npi": [1912950288]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1245765569]}]}, {"allowed_amount": 140.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1600.0, "npi": [1548129224]}]}, {"allowed_amount": 168.47, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 1760.0, "npi": [1689036527]}, {"billed_charge": 2640.0, "npi": [1174814743]}]}, {"allowed_amount": 170.52, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 1920.0, "npi": [1548129224]}, {"billed_charge": 2880.0, "npi": [1174814743]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2160.0, "npi": [1467844217]}]}]}, {"tin": {"type": "ein", "value": "843475603"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 193.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1720401102]}]}, {"allowed_amount": 223.55, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1972551059]}]}, {"allowed_amount": 250.07, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1972551059]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 579.84, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1560.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "874608604"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 188.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2586.67, "npi": [1285955633]}]}, {"allowed_amount": 227.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3120.0, "npi": [1114985850]}]}, {"allowed_amount": 625.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2346.67, "npi": [1346216884]}]}, {"allowed_amount": 641.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2586.67, "npi": [1285955633]}]}, {"allowed_amount": 678.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2560.0, "npi": [1861728727]}]}, {"allowed_amount": 688.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2586.67, "npi": [1861728727]}]}, {"allowed_amount": 720.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2720.0, "npi": [1861728727]}]}, {"allowed_amount": 932.69, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1861728727]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 127.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 596.0, "npi": [1043794878]}, {"billed_charge": 600.0, "npi": [1669468112]}]}, {"allowed_amount": 592.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "883151607"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 186.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570]}]}, {"allowed_amount": 198.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1104887736, 1730749342]}]}, {"allowed_amount": 204.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570, 1730749342]}]}, {"allowed_amount": 206.35, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1962418731, 1730749342]}]}, {"allowed_amount": 208.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570, 1407480452, 1730749342]}]}, {"allowed_amount": 212.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1104887736, 1407480452]}]}, {"allowed_amount": 216.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570, 1083300180, 1316394869]}]}, {"allowed_amount": 225.82, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1962418731]}]}, {"allowed_amount": 233.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1700800570]}]}, {"allowed_amount": 235.55, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1083300180]}]}, {"allowed_amount": 239.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1114548013]}]}, {"allowed_amount": 243.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570, 1407480452]}]}, {"allowed_amount": 246.8, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1114548013]}]}, {"allowed_amount": 249.18, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1200.0, "npi": [1316394869]}]}, {"allowed_amount": 250.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1407480452, 1962418731, 1114548013, 1700800570, 1205917085]}]}, {"allowed_amount": 253.85, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1730749342]}]}, {"allowed_amount": 257.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1316394869]}]}, {"allowed_amount": 264.43, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1316394869]}, {"billed_charge": 1200.0, "npi": [1700800570]}]}, {"allowed_amount": 264.75, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1200.0, "npi": [1407480452]}]}, {"allowed_amount": 271.48, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1316394869]}, {"billed_charge": 1200.0, "npi": [1962418731]}]}, {"allowed_amount": 274.48, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1200.0, "npi": [1700800570]}]}, {"allowed_amount": 278.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1962418731, 1083300180]}]}, {"allowed_amount": 282.06, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1316394869]}]}, {"allowed_amount": 285.58, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1114548013, 1316394869]}, {"billed_charge": 1200.0, "npi": [1730749342]}]}, {"allowed_amount": 320.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1350.0, "npi": [1730749342]}]}, {"allowed_amount": 900.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1350.0, "npi": [1679658652]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 92.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}]}, {"allowed_amount": 95.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}]}, {"allowed_amount": 97.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1144721184]}]}, {"allowed_amount": 98.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}]}, {"allowed_amount": 103.13, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 110.27, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1205079597]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 112.32, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1043.0, "npi": [1205079597]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 117.42, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1205079597]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 123.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1341.0, "npi": [1932770674, 1205079597]}, {"billed_charge": 1350.0, "npi": [1356873210]}]}, {"allowed_amount": 128.65, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1341.0, "npi": [1790249480]}, {"billed_charge": 1350.0, "npi": [1356873210]}]}, {"allowed_amount": 148.05, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1490.0, "npi": [1205079597]}, {"billed_charge": 1500.0, "npi": [1356873210]}]}, {"allowed_amount": 201.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 207.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 210.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 213.63, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1255837829]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1896.0, "npi": [1124891460]}]}, {"allowed_amount": 231.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1896.0, "npi": [1558964833]}]}, {"allowed_amount": 409.72, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1896.0, "npi": [1740258565]}]}]}]}, {"name": "Anesthesia for diagnostic arteriography/venography", "billing_code_type": "CPT", "billing_code": "01916", "billing_code_type_version": "2022", "description": "ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY", "allowed_amounts": [{"tin": {"type": "ein", "value": "223346073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.78, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1407299902]}]}, {"allowed_amount": 242.57, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1902617764]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 643.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2350.4, "npi": [1932683034]}, {"billed_charge": 2373.0, "npi": [1942502125]}]}, {"allowed_amount": 802.64, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2932.8, "npi": [1124249032]}, {"billed_charge": 2961.0, "npi": [1720014731]}]}, {"allowed_amount": 825.41, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3016.0, "npi": [1124031455]}, {"billed_charge": 3045.0, "npi": [1720014731]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 474.79, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5549.0, "npi": [1922979269]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.46, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2490.0, "npi": [1942284716, 1447902366]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.83, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2080.0, "npi": [1407673502]}]}, {"allowed_amount": 307.34, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 3360.0, "npi": [1912879867]}, {"billed_charge": 5040.0, "npi": [1265993240]}]}, {"allowed_amount": 381.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1013160126]}]}]}, {"tin": {"type": "ein", "value": "853627385"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 196.95, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1316338130]}]}, {"allowed_amount": 205.39, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1316338130]}]}, {"allowed_amount": 208.2, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1316338130]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1316338130, 1780874750]}]}, {"allowed_amount": 210.34, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1316338130]}]}, {"allowed_amount": 211.02, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1275053902, 1780874750]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1316338130]}]}, {"allowed_amount": 220.55, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3017.0, "npi": [1316338130]}]}, {"allowed_amount": 233.53, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3448.0, "npi": [1275053902]}]}]}]}, {"name": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures)", "billing_code_type": "CPT", "billing_code": "00670", "billing_code_type_version": "2022", "description": "ANESTHESIA EXTENSIVE SPINE&SPINAL CORD PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "362739571"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 244.52, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 5451.0, "npi": [1023180320, 1417129891]}]}]}, {"tin": {"type": "ein", "value": "430975680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 302.48, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1564.0, "npi": [1801110226]}]}, {"allowed_amount": 907.44, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2051.0, "npi": [1700814555]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1300.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9625.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 1269.43, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 4638.4, "npi": [1134144546]}, {"billed_charge": 4683.0, "npi": [1669828125]}]}, {"allowed_amount": 1337.74, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4888.0, "npi": [1184289258]}, {"billed_charge": 4935.0, "npi": [1104899889]}]}, {"allowed_amount": 2066.38, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 7550.4, "npi": [1184289258]}, {"billed_charge": 7623.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "464715622"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 642.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16800.0, "npi": [1427029891]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 327.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3240.0, "npi": [1366930430]}]}, {"allowed_amount": 711.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3960.0, "npi": [1164404968]}]}, {"allowed_amount": 906.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9000.0, "npi": [1164404968]}]}]}, {"tin": {"type": "ein", "value": "475065986"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1477.2, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5850.0, "npi": [1417818964]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 392.08, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4654.0, "npi": [1194280115]}]}, {"allowed_amount": 420.67, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5012.0, "npi": [1396582284]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2823.48, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5927.2, "npi": [1720734197]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2345.58, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 7110.0, "npi": [1093328460]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2514.69, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 16800.0, "npi": [1497737290]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1092.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 10075.0, "npi": [1164414967]}]}, {"allowed_amount": 3020.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9425.0, "npi": [1629455969]}]}]}, {"tin": {"type": "ein", "value": "832876777"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 601.82, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1714.0, "npi": [1013293927]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 1617.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6090.0, "npi": [1750366589]}]}, {"allowed_amount": 3338.67, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 18300.0, "npi": [1750803912]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 361.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1937.0, "npi": [1215494778]}]}, {"allowed_amount": 784.31, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1950.0, "npi": [1558868612]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 329.97, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 5451.0, "npi": [1811502610, 1932176468]}]}, {"allowed_amount": 343.59, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 5688.0, "npi": [1811502610, 1235418831]}]}, {"allowed_amount": 376.69, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 6162.0, "npi": [1932176468, 1558068999]}]}, {"allowed_amount": 406.86, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 6636.0, "npi": [1811502610, 1932176468]}]}, {"allowed_amount": 415.62, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 6873.0, "npi": [1710979562, 1073129318]}]}, {"allowed_amount": 515.88, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 8532.0, "npi": [1740258565, 1497342869]}]}]}]}, {"name": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00860", "billing_code_type_version": "2022", "description": "ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1365.0, "npi": [1689062168]}]}, {"allowed_amount": 173.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1365.0, "npi": [1770316366]}]}, {"allowed_amount": 185.83, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1365.0, "npi": [1962072066]}, {"billed_charge": 1391.0, "npi": [1306886502]}]}, {"allowed_amount": 246.07, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1785.0, "npi": [1962072066]}, {"billed_charge": 1819.0, "npi": [1164627592]}]}, {"allowed_amount": 274.66, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1890.0, "npi": [1144873936]}, {"billed_charge": 1926.0, "npi": [1659303840]}]}, {"allowed_amount": 372.32, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1391.0, "npi": [1598786089]}]}, {"allowed_amount": 375.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1391.0, "npi": [1659303840]}]}, {"allowed_amount": 708.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1284.0, "npi": [1306886502]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 734.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2683.2, "npi": [1962073403]}, {"billed_charge": 2709.0, "npi": [1194706796]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.52, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 862.5, "npi": [1417295460, 1790312692]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 296.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5555.0, "npi": [1447376231]}]}, {"allowed_amount": 336.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7575.0, "npi": [1215924196]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4040.0, "npi": [1447376231]}]}, {"allowed_amount": 671.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7575.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 631.87, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2308.8, "npi": [1225438138]}, {"billed_charge": 2331.0, "npi": [1326400011]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 175.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1620.0, "npi": [1225546518]}, {"billed_charge": 1980.0, "npi": [1306377593]}]}, {"allowed_amount": 202.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1225546518]}]}, {"allowed_amount": 328.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1184683658]}]}, {"allowed_amount": 409.72, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1114260874]}]}, {"allowed_amount": 665.12, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2145.0, "npi": [1114260874]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 216.46, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2760.0, "npi": [1194304329]}]}, {"allowed_amount": 241.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2864.0, "npi": [1912864703]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 314.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1880.0, "npi": [1346354925]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 643.4, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1980.3, "npi": [1104776640]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3540.74, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 7432.9, "npi": [1336544410]}]}]}, {"tin": {"type": "ein", "value": "651036209"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 31.15, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 40.0, "npi": [1063822385]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 714.12, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1578545018]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 233.82, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1118.0, "npi": [1578340410]}, {"billed_charge": 1125.0, "npi": [1750366589]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 194.67, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3318.0, "npi": [1740258565, 1689100398]}]}, {"allowed_amount": 222.9, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3792.0, "npi": [1184966947, 1427552942]}]}, {"allowed_amount": 350.41, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 5688.0, "npi": [1558964833, 1033403407]}]}, {"allowed_amount": 404.91, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 6636.0, "npi": [1356314033, 1558068999]}]}]}]}, {"name": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy", "billing_code_type": "CPT", "billing_code": "00862", "billing_code_type_version": "2022", "description": "ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 209.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1575.0, "npi": [1144873936]}]}, {"allowed_amount": 241.99, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1680.0, "npi": [1689062168]}, {"billed_charge": 1712.0, "npi": [1366721789]}]}, {"allowed_amount": 327.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2520.0, "npi": [1962072066]}]}, {"allowed_amount": 331.84, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2310.0, "npi": [1962072066]}, {"billed_charge": 2354.0, "npi": [1659303840]}]}, {"allowed_amount": 524.91, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1926.0, "npi": [1598787236]}]}, {"allowed_amount": 711.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2568.0, "npi": [1598786089]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 688.79, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2516.8, "npi": [1124031455]}, {"billed_charge": 2541.0, "npi": [1649739491]}]}, {"allowed_amount": 996.19, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 3640.0, "npi": [1932683034]}, {"billed_charge": 3675.0, "npi": [1942502125]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 406.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2925.0, "npi": [1053933622]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1787.45, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3752.3, "npi": [1972969442]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.39, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 5598.0, "npi": [1952346132]}, {"billed_charge": 5616.0, "npi": [1750677993]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 257.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2720.0, "npi": [1225836042]}, {"billed_charge": 4080.0, "npi": [1265993240]}]}, {"allowed_amount": 1336.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8800.0, "npi": [1619919404]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 371.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1694.0, "npi": [1952605032]}]}]}]}, {"name": "Anesthesia for hernia repairs in lower abdomen; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00830", "billing_code_type_version": "2022", "description": "ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 181.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1365.0, "npi": [1144873936]}]}, {"allowed_amount": 338.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1284.0, "npi": [1598787236]}]}, {"allowed_amount": 393.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1391.0, "npi": [1376818450]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 345.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1521.0, "npi": [1063466506]}]}, {"allowed_amount": 351.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1521.0, "npi": [1013384205]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 449.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1643.2, "npi": [1972907533]}, {"billed_charge": 1659.0, "npi": [1194706796]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 316.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5700.0, "npi": [1447376231]}]}, {"allowed_amount": 357.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6900.0, "npi": [1447376231]}]}, {"allowed_amount": 714.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6900.0, "npi": [1447376231]}]}, {"allowed_amount": 1300.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15600.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 836.8, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3057.6, "npi": [1366459612]}, {"billed_charge": 3087.0, "npi": [1326400011]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 113.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1346747599]}]}, {"allowed_amount": 123.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1598294084]}]}, {"allowed_amount": 128.02, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1598294084]}]}, {"allowed_amount": 131.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1396243770]}, {"billed_charge": 1485.0, "npi": [1164404968]}]}, {"allowed_amount": 139.88, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1225410574]}, {"billed_charge": 1650.0, "npi": [1730492448]}]}, {"allowed_amount": 150.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1801863824, 1225410574]}]}, {"allowed_amount": 173.58, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1980.0, "npi": [1164404968]}]}, {"allowed_amount": 247.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1164404968]}]}, {"allowed_amount": 268.56, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1485.0, "npi": [1164404968]}]}, {"allowed_amount": 277.71, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1164404968]}]}, {"allowed_amount": 326.54, "billing_code_modifier": ["QY", "QK", "QK,P3"], "providers": [{"billed_charge": 1815.0, "npi": [1164404968, 1790927200]}]}, {"allowed_amount": 555.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1417991431]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 695.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2208.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 182.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1237.5, "npi": [1710846555]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 363.15, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3575.0, "npi": [1093729279]}]}, {"allowed_amount": 1664.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1861728727]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 341.03, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3103.0, "npi": [1881125953]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2320.0, "npi": [1750803912]}]}, {"allowed_amount": 689.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3161.0, "npi": [1760709406]}]}, {"allowed_amount": 714.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3364.0, "npi": [1083821409]}]}, {"allowed_amount": 726.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3422.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 251.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1341.0, "npi": [1891482303]}]}, {"allowed_amount": 546.27, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1350.0, "npi": [1366071946]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 356.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1174558035]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 335.35, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2844.0, "npi": [1972781771]}]}, {"allowed_amount": 665.12, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1740258565, 1710711759]}]}, {"allowed_amount": 671.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2844.0, "npi": [1992796395]}]}]}]}, {"name": "Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias", "billing_code_type": "CPT", "billing_code": "00832", "billing_code_type_version": "2022", "description": "ANES LWR ABD VENTRAL & INCISIONAL HERNIA REPAIR", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 653.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1177.0, "npi": [1306886502]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 322.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2475.0, "npi": [1619623873]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 216.64, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2864.0, "npi": [1710836440]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 143.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2700.0, "npi": [1679430854]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 29.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 29.0, "npi": [1578545018]}]}, {"allowed_amount": 400.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3074.0, "npi": [1578545018]}]}, {"allowed_amount": 422.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3393.0, "npi": [1245262856]}]}, {"allowed_amount": 492.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4530.0, "npi": [1245262856]}]}, {"allowed_amount": 512.57, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4380.0, "npi": [1578545018]}]}, {"allowed_amount": 787.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3090.0, "npi": [1245262856]}]}, {"allowed_amount": 1019.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4640.0, "npi": [1750803912]}]}, {"allowed_amount": 1599.15, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 8352.0, "npi": [1710958152]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 188.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1891482303]}, {"billed_charge": 900.0, "npi": [1669468112]}]}, {"allowed_amount": 194.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1215494778]}]}, {"allowed_amount": 231.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1118.0, "npi": [1891482303]}, {"billed_charge": 1125.0, "npi": [1669468112]}]}, {"allowed_amount": 256.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1341.0, "npi": [1043794878]}]}, {"allowed_amount": 291.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1565.0, "npi": [1215494778]}]}, {"allowed_amount": 353.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1714.0, "npi": [1043794878]}, {"billed_charge": 1725.0, "npi": [1750366589]}]}, {"allowed_amount": 379.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1669468112]}]}, {"allowed_amount": 418.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1366071946]}]}, {"allowed_amount": 421.15, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1750366589]}]}, {"allowed_amount": 426.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1750366589]}]}, {"allowed_amount": 555.43, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1350.0, "npi": [1366071946]}]}, {"allowed_amount": 631.72, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1575.0, "npi": [1740276112]}]}, {"allowed_amount": 805.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1366071946]}]}, {"allowed_amount": 1019.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1740276112]}]}, {"allowed_amount": 1178.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2850.0, "npi": [1750366589]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 193.7, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3318.0, "npi": [1831583707, 1821724295]}]}]}]}, {"name": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence", "billing_code_type": "CPT", "billing_code": "00752", "billing_code_type_version": "2022", "description": "ANES HRNA RPR UPR ABD LMBR&VNT HERNIA&/DEHSN", "allowed_amounts": [{"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 749.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3855.0, "npi": [1548026297]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1582.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2919.0, "npi": [1639431679]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 136.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1598294084]}]}, {"allowed_amount": 137.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1144890245]}]}, {"allowed_amount": 141.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1164404968]}]}, {"allowed_amount": 213.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1890.0, "npi": [1164691655]}, {"billed_charge": 2310.0, "npi": [1730492448]}]}, {"allowed_amount": 296.03, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1164404968]}]}, {"allowed_amount": 299.08, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1650.0, "npi": [1164404968]}]}, {"allowed_amount": 303.86, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3300.0, "npi": [1518696491]}]}, {"allowed_amount": 314.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1164404968]}]}, {"allowed_amount": 328.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1871927244]}]}, {"allowed_amount": 332.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1164404968]}]}, {"allowed_amount": 363.16, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1620.0, "npi": [1316276959]}, {"billed_charge": 1980.0, "npi": [1790927200]}]}, {"allowed_amount": 665.12, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2145.0, "npi": [1487650396]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 122.53, "providers": [{"billed_charge": 3000.0, "npi": [1245262856]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3000.0, "npi": [1780834754]}]}, {"allowed_amount": 353.28, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 7230.0, "npi": [1255602256, 1760709406]}]}, {"allowed_amount": 714.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1578545018]}]}, {"allowed_amount": 720.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2610.0, "npi": [1245262856]}]}, {"allowed_amount": 1452.66, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8010.0, "npi": [1760709406]}]}]}]}, {"name": "Anesthesia for incomplete or missed abortion procedures", "billing_code_type": "CPT", "billing_code": "01965", "billing_code_type_version": "2022", "description": "ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 91.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 735.0, "npi": [1689062168]}]}, {"allowed_amount": 109.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 840.0, "npi": [1962072066]}]}, {"allowed_amount": 198.37, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 749.0, "npi": [1659303840]}]}, {"allowed_amount": 238.04, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 856.0, "npi": [1306886502]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 449.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1643.2, "npi": [1538026711]}, {"billed_charge": 1659.0, "npi": [1942467402]}]}, {"allowed_amount": 688.79, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2516.8, "npi": [1346492428]}, {"billed_charge": 2541.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 225.83, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1575.0, "npi": [1184435604]}]}, {"allowed_amount": 256.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1780564971]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1548531577]}]}, {"allowed_amount": 92.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1932704590]}]}, {"allowed_amount": 107.21, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1932704590]}]}, {"allowed_amount": 186.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1497721815]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2808.0, "npi": [1750677993]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 212.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1320.0, "npi": [1285977991]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1410.0, "npi": [1760709406]}]}, {"allowed_amount": 463.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1620.0, "npi": [1083821409]}]}, {"allowed_amount": 506.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1920.0, "npi": [1962031344]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.53, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 596.0, "npi": [1215494778]}, {"billed_charge": 600.0, "npi": [1366071946]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 90.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1659.0, "npi": [1013126358, 1366142598]}]}, {"allowed_amount": 99.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1659.0, "npi": [1922488568, 1558964833]}]}, {"allowed_amount": 173.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1659.0, "npi": [1982161170]}]}, {"allowed_amount": 351.18, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1659.0, "npi": [1033403407]}]}]}]}, {"name": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00170", "billing_code_type_version": "2022", "description": "ANESTHESIA INTRAORAL WITH BIOPSY NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 506.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1851.2, "npi": [1861932899]}, {"billed_charge": 1869.0, "npi": [1104899889]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 106.1, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1144890245]}, {"billed_charge": 1320.0, "npi": [1134482250]}]}, {"allowed_amount": 108.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1932704590]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}]}, {"allowed_amount": 136.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1396243770]}]}, {"allowed_amount": 142.08, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1164691655]}]}, {"allowed_amount": 153.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1164691655]}]}, {"allowed_amount": 158.98, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1164691655]}, {"billed_charge": 1650.0, "npi": [1134482250]}]}, {"allowed_amount": 160.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1485.0, "npi": [1871045278]}, {"billed_charge": 1815.0, "npi": [1497721815]}]}, {"allowed_amount": 161.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1447077334]}]}, {"allowed_amount": 170.82, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1164691655]}]}, {"allowed_amount": 204.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1528497674]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2400.0, "npi": [1871045278]}]}, {"allowed_amount": 234.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1942627138]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1528497674]}]}, {"allowed_amount": 289.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1497721815]}]}, {"allowed_amount": 296.03, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1497721815]}]}, {"allowed_amount": 308.23, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1790927200]}]}, {"allowed_amount": 332.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1760792303]}]}, {"allowed_amount": 345.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1144322926]}]}, {"allowed_amount": 350.96, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1980.0, "npi": [1497721815]}]}, {"allowed_amount": 524.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1497721815]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 427.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1288.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 499.33, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2196.0, "npi": [1306702063]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 116.8, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2490.0, "npi": [1275671067]}]}, {"allowed_amount": 146.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2490.0, "npi": [1982034385]}]}, {"allowed_amount": 186.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1790108868]}]}, {"allowed_amount": 302.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2952.0, "npi": [1770542896]}]}, {"allowed_amount": 373.18, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1770542896]}]}, {"allowed_amount": 542.74, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1992.0, "npi": [1174592273]}]}, {"allowed_amount": 1010.99, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2952.0, "npi": [1275671067]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 567.64, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1500.0, "npi": [1083821409]}]}]}, {"tin": {"type": "ein", "value": "873307157"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 111.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1320.0, "npi": [1639633639]}]}, {"allowed_amount": 241.09, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1891745154]}]}, {"allowed_amount": 338.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2730.0, "npi": [1891745154]}]}, {"allowed_amount": 494.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1380.0, "npi": [1891745154]}]}, {"allowed_amount": 524.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1620.0, "npi": [1891745154]}]}, {"allowed_amount": 543.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1740.0, "npi": [1891745154]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 282.06, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1192.0, "npi": [1033358544]}]}]}]}, {"name": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00840", "billing_code_type_version": "2022", "description": "ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 107.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 735.0, "npi": [1407279227]}]}, {"allowed_amount": 125.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1962072066]}]}, {"allowed_amount": 137.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1050.0, "npi": [1962072066]}]}, {"allowed_amount": 143.97, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1050.0, "npi": [1205259165]}, {"billed_charge": 1070.0, "npi": [1306886502]}]}, {"allowed_amount": 154.18, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1155.0, "npi": [1962072066]}, {"billed_charge": 1177.0, "npi": [1164627592]}]}, {"allowed_amount": 160.3, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1155.0, "npi": [1770316366]}, {"billed_charge": 1177.0, "npi": [1164627592]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1155.0, "npi": [1962072066]}, {"billed_charge": 1177.0, "npi": [1629374194]}]}, {"allowed_amount": 170.52, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1962072066]}, {"billed_charge": 1284.0, "npi": [1306886502]}]}, {"allowed_amount": 180.07, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1365.0, "npi": [1598393233]}]}, {"allowed_amount": 182.77, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1407279227, 1275627143]}, {"billed_charge": 1284.0, "npi": [1659303840, 1598787236]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1284.0, "npi": [1629374194]}]}, {"allowed_amount": 189.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1470.0, "npi": [1962072066]}]}, {"allowed_amount": 191.96, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1365.0, "npi": [1982034070]}, {"billed_charge": 1391.0, "npi": [1598786089]}]}, {"allowed_amount": 195.02, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1365.0, "npi": [1962072066]}, {"billed_charge": 1391.0, "npi": [1598787236]}]}, {"allowed_amount": 222.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1680.0, "npi": [1346346582]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}, {"billed_charge": 1605.0, "npi": [1306886502]}]}, {"allowed_amount": 225.65, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1605.0, "npi": [1659303840]}]}, {"allowed_amount": 256.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1995.0, "npi": [1962072066]}]}, {"allowed_amount": 270.58, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1890.0, "npi": [1346346582]}, {"billed_charge": 1926.0, "npi": [1861663155]}]}, {"allowed_amount": 299.08, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1070.0, "npi": [1861663155]}]}, {"allowed_amount": 359.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1284.0, "npi": [1659303840]}]}, {"allowed_amount": 373.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1391.0, "npi": [1306886502]}]}, {"allowed_amount": 390.63, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1391.0, "npi": [1164627592]}]}, {"allowed_amount": 408.42, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2835.0, "npi": [1346346582]}, {"billed_charge": 2889.0, "npi": [1659303840]}]}, {"allowed_amount": 411.99, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1498.0, "npi": [1629374194]}]}, {"allowed_amount": 420.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1540.0, "npi": [1164627592]}]}, {"allowed_amount": 434.97, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1605.0, "npi": [1659303840]}]}, {"allowed_amount": 458.45, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1962072066]}, {"billed_charge": 3210.0, "npi": [1598786089]}]}, {"allowed_amount": 482.19, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1712.0, "npi": [1598786089]}]}, {"allowed_amount": 552.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2033.0, "npi": [1659303840]}]}, {"allowed_amount": 634.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1177.0, "npi": [1376818450]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1177.0, "npi": [1861663155]}]}, {"allowed_amount": 720.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1284.0, "npi": [1376818450]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1391.0, "npi": [1629374194]}]}]}, {"tin": {"type": "ein", "value": "200420553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.23, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2996.0, "npi": [1346082898, 1326198151]}]}]}, {"tin": {"type": "ein", "value": "263818204"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 202.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1870.0, "npi": [1093543456]}]}, {"allowed_amount": 581.58, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1870.0, "npi": [1013479021]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 597.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2184.0, "npi": [1215209135]}, {"billed_charge": 2205.0, "npi": [1508890658]}]}, {"allowed_amount": 671.72, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2454.4, "npi": [1467896233]}, {"billed_charge": 2478.0, "npi": [1861797565]}]}, {"allowed_amount": 688.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2516.8, "npi": [1992118277]}, {"billed_charge": 2541.0, "npi": [1811428808]}]}, {"allowed_amount": 859.57, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3140.8, "npi": [1104890730]}, {"billed_charge": 3171.0, "npi": [1164490546]}]}, {"allowed_amount": 1269.43, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4638.4, "npi": [1073967535]}, {"billed_charge": 4683.0, "npi": [1194706796]}]}]}, {"tin": {"type": "ein", "value": "311422977"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 229.27, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1265.0, "npi": [1770695306]}]}, {"allowed_amount": 403.47, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1265.0, "npi": [1548269780]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1011.0, "npi": [1679992093]}]}]}, {"tin": {"type": "ein", "value": "371881564"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 314.48, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1023320900]}]}]}, {"tin": {"type": "ein", "value": "383176445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 403.66, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4800.0, "npi": [1508092164]}]}, {"allowed_amount": 598.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4650.0, "npi": [1659516169]}]}]}, {"tin": {"type": "ein", "value": "452430042"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 265.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1980.0, "npi": [1659726719]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 347.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4720.0, "npi": [1447376231]}]}, {"allowed_amount": 388.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5900.0, "npi": [1447376231]}]}, {"allowed_amount": 428.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7080.0, "npi": [1447376231]}]}, {"allowed_amount": 628.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3835.0, "npi": [1447376231]}]}, {"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5310.0, "npi": [1447376231]}]}, {"allowed_amount": 775.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5900.0, "npi": [1447376231]}]}, {"allowed_amount": 976.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8850.0, "npi": [1447376231]}]}, {"allowed_amount": 1037.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9735.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 654.64, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2392.0, "npi": [1639612096]}, {"billed_charge": 2415.0, "npi": [1063711802]}]}, {"allowed_amount": 671.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2454.4, "npi": [1124249032]}, {"billed_charge": 2478.0, "npi": [1942502125]}]}, {"allowed_amount": 762.8, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2787.2, "npi": [1881232627]}, {"billed_charge": 2814.0, "npi": [1326400011]}]}, {"allowed_amount": 819.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2995.2, "npi": [1578219812]}, {"billed_charge": 3024.0, "npi": [1942502125]}]}, {"allowed_amount": 825.41, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3016.0, "npi": [1124249032]}, {"billed_charge": 3045.0, "npi": [1063711802]}]}, {"allowed_amount": 1053.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3848.0, "npi": [1649283268]}, {"billed_charge": 3885.0, "npi": [1063711802]}]}]}, {"tin": {"type": "ein", "value": "461631538"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 692.89, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2024.0, "npi": [1891703336]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1399.61, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1634.8, "npi": [1164501102]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 529.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1934.4, "npi": [1164651709]}, {"billed_charge": 1953.0, "npi": [1346602950]}]}, {"allowed_amount": 597.71, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2310.0, "npi": [1821221300, 1861917429]}]}, {"allowed_amount": 609.1, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2225.6, "npi": [1952705683]}, {"billed_charge": 2247.0, "npi": [1053348425]}]}, {"allowed_amount": 643.25, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2350.4, "npi": [1629498621]}, {"billed_charge": 2373.0, "npi": [1720014731]}]}, {"allowed_amount": 751.41, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2745.6, "npi": [1306419882]}, {"billed_charge": 2772.0, "npi": [1720014731]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 210.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3150.0, "npi": [1184435604]}]}, {"allowed_amount": 231.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3375.0, "npi": [1184435604]}]}, {"allowed_amount": 269.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2025.0, "npi": [1184435604]}, {"billed_charge": 4050.0, "npi": [1184435604]}]}, {"allowed_amount": 323.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1780564971]}]}, {"allowed_amount": 334.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1780564971]}]}, {"allowed_amount": 337.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1780564971]}]}, {"allowed_amount": 353.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1780564971]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1780564971]}]}, {"allowed_amount": 447.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3375.0, "npi": [1780564971]}]}, {"allowed_amount": 490.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3600.0, "npi": [1619623873]}]}, {"allowed_amount": 521.86, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3825.0, "npi": [1184435604]}]}, {"allowed_amount": 543.22, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4050.0, "npi": [1184435604]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 150.09, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1225410574]}, {"billed_charge": 1650.0, "npi": [1790927200]}]}, {"allowed_amount": 231.44, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4200.0, "npi": [1730492448]}]}, {"allowed_amount": 424.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4200.0, "npi": [1922341437]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 902.06, "billing_code_modifier": ["P3"], "providers": [{"billed_charge": 2004.58, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1659028967]}]}, {"allowed_amount": 160.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1194280115]}]}, {"allowed_amount": 161.33, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1912864703]}]}, {"allowed_amount": 162.35, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1922979269]}]}, {"allowed_amount": 171.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2327.0, "npi": [1922979269]}]}, {"allowed_amount": 172.56, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2208.0, "npi": [1124477070]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2148.0, "npi": [1912864703]}]}, {"allowed_amount": 185.83, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2327.0, "npi": [1912864703]}]}, {"allowed_amount": 199.1, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2327.0, "npi": [1710836440]}, {"billed_charge": 2392.0, "npi": [1194304329]}]}, {"allowed_amount": 203.19, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2576.0, "npi": [1124477070]}]}, {"allowed_amount": 203.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2685.0, "npi": [1710836440]}]}, {"allowed_amount": 209.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2685.0, "npi": [1194280115]}]}, {"allowed_amount": 212.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2327.0, "npi": [1912864703]}]}, {"allowed_amount": 217.48, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2685.0, "npi": [1710836440]}]}, {"allowed_amount": 219.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2685.0, "npi": [1710836440]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2685.0, "npi": [1912864703]}]}, {"allowed_amount": 246.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3043.0, "npi": [1912864703]}]}, {"allowed_amount": 251.18, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3128.0, "npi": [1124477070]}]}, {"allowed_amount": 252.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3128.0, "npi": [1124477070]}]}, {"allowed_amount": 256.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3043.0, "npi": [1922979269]}]}, {"allowed_amount": 264.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3222.0, "npi": [1922979269]}]}, {"allowed_amount": 270.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2864.0, "npi": [1912864703]}]}, {"allowed_amount": 270.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3222.0, "npi": [1730038332]}]}, {"allowed_amount": 300.19, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3680.0, "npi": [1124477070]}]}, {"allowed_amount": 303.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3580.0, "npi": [1912864703]}]}, {"allowed_amount": 311.42, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 3759.0, "npi": [1710836440, 1730038332]}]}, {"allowed_amount": 344.09, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4117.0, "npi": [1922979269]}]}, {"allowed_amount": 354.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4296.0, "npi": [1730038332]}]}, {"allowed_amount": 436.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2760.0, "npi": [1124477070]}]}, {"allowed_amount": 451.67, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2760.0, "npi": [1194304329]}]}, {"allowed_amount": 457.77, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2760.0, "npi": [1124477070]}]}, {"allowed_amount": 554.43, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6808.0, "npi": [1194304329]}]}, {"allowed_amount": 787.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2392.0, "npi": [1194304329]}]}, {"allowed_amount": 811.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2576.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 138.52, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2475.0, "npi": [1710846555]}]}, {"allowed_amount": 270.59, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4275.0, "npi": [1770977688]}]}, {"allowed_amount": 385.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3150.0, "npi": [1275053902]}]}, {"allowed_amount": 405.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2475.0, "npi": [1619830890]}]}, {"allowed_amount": 414.55, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3150.0, "npi": [1053933622]}]}, {"allowed_amount": 444.24, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2925.0, "npi": [1053291526]}]}, {"allowed_amount": 488.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3825.0, "npi": [1861940694]}]}, {"allowed_amount": 498.36, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3825.0, "npi": [1861940694]}]}, {"allowed_amount": 604.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1073484291]}]}, {"allowed_amount": 625.47, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1073484291]}]}, {"allowed_amount": 677.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2475.0, "npi": [1376106617]}]}, {"allowed_amount": 688.55, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1609756857]}]}, {"allowed_amount": 793.67, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3375.0, "npi": [1073484291]}]}, {"allowed_amount": 819.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3600.0, "npi": [1073484291]}]}, {"allowed_amount": 1045.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4500.0, "npi": [1073484291]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 184.81, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2700.0, "npi": [1316525207]}]}, {"allowed_amount": 187.87, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2700.0, "npi": [1316525207]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3375.0, "npi": [1316525207]}]}, {"allowed_amount": 223.61, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3375.0, "npi": [1316525207]}]}, {"allowed_amount": 237.9, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3600.0, "npi": [1316525207]}]}, {"allowed_amount": 371.66, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1316525207]}]}, {"allowed_amount": 454.72, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3375.0, "npi": [1316525207]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2475.0, "npi": [1316525207]}]}, {"allowed_amount": 811.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2925.0, "npi": [1316525207]}]}, {"allowed_amount": 854.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592579824"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 58.9, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2310.0, "npi": [1902332893]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.72, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2739.0, "npi": [1518849702]}]}, {"allowed_amount": 155.84, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3444.0, "npi": [1437761798]}]}, {"allowed_amount": 300.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2739.0, "npi": [1679152367]}]}, {"allowed_amount": 540.53, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2739.0, "npi": [1023011749]}]}, {"allowed_amount": 549.25, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2739.0, "npi": [1356413066]}]}, {"allowed_amount": 694.21, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3444.0, "npi": [1932105871]}]}, {"allowed_amount": 723.65, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3237.0, "npi": [1518713734]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1166.0, "npi": [1720623499]}]}, {"allowed_amount": 161.98, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1166.0, "npi": [1003847427]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1378.0, "npi": [1275676538, 1780695247]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 1696.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3561.1, "npi": [1174379036]}]}, {"allowed_amount": 2413.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5066.8, "npi": [1376011684]}]}, {"allowed_amount": 3199.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6715.9, "npi": [1457631715]}]}]}, {"tin": {"type": "ein", "value": "620931432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 442.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2057.0, "npi": [1881157600]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 160.6, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 632.5, "npi": [1790804789, 1447972294]}]}, {"allowed_amount": 299.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1207.5, "npi": [1184129785, 1184467342]}]}, {"allowed_amount": 334.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1380.0, "npi": [1902869753]}]}, {"allowed_amount": 1181.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1380.0, "npi": [1053376756]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1266.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1380.0, "npi": [1023074473]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 400.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2242.68, "npi": [1336744747]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3993.0, "npi": [1760769160]}]}, {"allowed_amount": 436.6, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3993.0, "npi": [1730221490]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 175.24, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 4043.0, "npi": [1194227967]}, {"billed_charge": 4056.0, "npi": [1750677993]}]}, {"allowed_amount": 177.14, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4043.0, "npi": [1679224877]}, {"billed_charge": 4056.0, "npi": [1750677993]}]}, {"allowed_amount": 309.18, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3421.0, "npi": [1710545702]}]}, {"allowed_amount": 564.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3432.0, "npi": [1750677993]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.18, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2156.0, "npi": [1831146836]}, {"billed_charge": 2244.0, "npi": [1710220348]}]}, {"allowed_amount": 161.98, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2352.0, "npi": [1376257725]}, {"billed_charge": 2448.0, "npi": [1538587662]}]}, {"allowed_amount": 164.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1920.0, "npi": [1639059918]}]}, {"allowed_amount": 173.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2080.0, "npi": [1639059918]}]}, {"allowed_amount": 175.62, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1920.0, "npi": [1346879269]}, {"billed_charge": 2880.0, "npi": [1154854404]}]}, {"allowed_amount": 175.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2080.0, "npi": [1548531577]}]}, {"allowed_amount": 189.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2240.0, "npi": [1093686180]}]}, {"allowed_amount": 191.96, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1427309632]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2080.0, "npi": [1528949856]}, {"billed_charge": 3120.0, "npi": [1811987860]}]}, {"allowed_amount": 195.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5600.0, "npi": [1407394331]}]}, {"allowed_amount": 205.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2400.0, "npi": [1548140726]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2240.0, "npi": [1245765569]}, {"billed_charge": 3360.0, "npi": [1750524450]}]}, {"allowed_amount": 209.32, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5600.0, "npi": [1699125633]}]}, {"allowed_amount": 209.61, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1245765569]}]}, {"allowed_amount": 226.67, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3600.0, "npi": [1730683533]}]}, {"allowed_amount": 231.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2240.0, "npi": [1245765569]}]}, {"allowed_amount": 233.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2720.0, "npi": [1245765569]}]}, {"allowed_amount": 244.03, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 2560.0, "npi": [1548129224]}, {"billed_charge": 3840.0, "npi": [1013160126]}]}, {"allowed_amount": 251.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2400.0, "npi": [1346879269]}]}, {"allowed_amount": 292.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3360.0, "npi": [1629951249]}]}, {"allowed_amount": 338.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4800.0, "npi": [1467844217]}]}, {"allowed_amount": 357.06, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2880.0, "npi": [1710220348]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4800.0, "npi": [1174814743]}]}, {"allowed_amount": 375.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3120.0, "npi": [1619396397]}]}, {"allowed_amount": 381.48, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3120.0, "npi": [1104815307]}]}, {"allowed_amount": 411.99, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3360.0, "npi": [1104815307]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3600.0, "npi": [1427309632]}]}, {"allowed_amount": 454.72, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1982967535]}]}, {"allowed_amount": 506.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4080.0, "npi": [1104815307]}]}, {"allowed_amount": 527.96, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 7200.0, "npi": [1619396397]}]}, {"allowed_amount": 634.78, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5040.0, "npi": [1518492834]}]}, {"allowed_amount": 683.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4800.0, "npi": [1730683533]}]}, {"allowed_amount": 695.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4800.0, "npi": [1154854404]}]}, {"allowed_amount": 726.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4800.0, "npi": [1427309632]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3120.0, "npi": [1013160126]}, {"billed_charge": 5200.0, "npi": [1174814743]}]}, {"allowed_amount": 860.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6000.0, "npi": [1053868620]}]}, {"allowed_amount": 866.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6000.0, "npi": [1619919404]}]}, {"allowed_amount": 931.2, "billing_code_modifier": ["AA,P5"], "providers": [{"billed_charge": 12400.0, "npi": [1710220348]}]}, {"allowed_amount": 970.47, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6400.0, "npi": [1265993240]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1705.0, "npi": [1952746554]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 30.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 30.0, "npi": [1760709406]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["AD,P3", "AD"], "providers": [{"billed_charge": 3060.0, "npi": [1760709406]}, {"billed_charge": 3120.0, "npi": [1760709406]}]}, {"allowed_amount": 173.58, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2400.0, "npi": [1285337899, 1760792303]}]}, {"allowed_amount": 179.7, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2580.0, "npi": [1710958152, 1306590302]}]}, {"allowed_amount": 196.04, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3060.0, "npi": [1336462621]}]}, {"allowed_amount": 213.4, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1114217312]}]}, {"allowed_amount": 225.65, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3930.0, "npi": [1245262856, 1255602256]}]}, {"allowed_amount": 235.86, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3780.0, "npi": [1255602256, 1245262856]}]}, {"allowed_amount": 308.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1830.0, "npi": [1760709406]}]}, {"allowed_amount": 316.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1578545018]}]}, {"allowed_amount": 343.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2340.0, "npi": [1578545018]}]}, {"allowed_amount": 349.2, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 1980.0, "npi": [1760709406]}, {"billed_charge": 2430.0, "npi": [1578545018]}]}, {"allowed_amount": 351.24, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2460.0, "npi": [1750803912]}]}, {"allowed_amount": 369.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2730.0, "npi": [1881125953, 1578545018]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2850.0, "npi": [1578545018]}]}, {"allowed_amount": 379.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2880.0, "npi": [1245262856]}]}, {"allowed_amount": 418.63, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3000.0, "npi": [1760709406]}]}, {"allowed_amount": 430.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3630.0, "npi": [1962031344]}]}, {"allowed_amount": 441.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3780.0, "npi": [1760709406]}]}, {"allowed_amount": 443.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3810.0, "npi": [1881125953]}]}, {"allowed_amount": 449.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1578545018]}]}, {"allowed_amount": 486.02, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 3540.0, "npi": [1760709406]}]}, {"allowed_amount": 518.69, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4470.0, "npi": [1285977991]}]}, {"allowed_amount": 541.16, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 4800.0, "npi": [1578545018]}, {"billed_charge": 5250.0, "npi": [1669767422]}]}, {"allowed_amount": 600.38, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5670.0, "npi": [1760709406]}]}, {"allowed_amount": 610.59, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5820.0, "npi": [1285977991]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2190.0, "npi": [1518524644]}]}, {"allowed_amount": 695.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2430.0, "npi": [1518524644, 1588642375]}]}, {"allowed_amount": 714.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2580.0, "npi": [1578545018, 1750366589]}]}, {"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1083821409]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2760.0, "npi": [1538146642]}]}, {"allowed_amount": 750.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2820.0, "npi": [1578545018]}, {"billed_charge": 2850.0, "npi": [1881125953, 1760709406]}]}, {"allowed_amount": 756.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2880.0, "npi": [1578545018]}]}, {"allowed_amount": 762.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2910.0, "npi": [1083821409]}]}, {"allowed_amount": 775.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1710958152, 1881125953]}]}, {"allowed_amount": 811.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3270.0, "npi": [1720370620]}]}, {"allowed_amount": 830.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3420.0, "npi": [1083821409]}]}, {"allowed_amount": 854.51, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1245262856]}]}, {"allowed_amount": 860.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3630.0, "npi": [1578545018]}]}, {"allowed_amount": 866.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3690.0, "npi": [1518524644]}]}, {"allowed_amount": 885.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3810.0, "npi": [1881125953]}, {"billed_charge": 3840.0, "npi": [1245262856, 1285977991]}]}, {"allowed_amount": 891.13, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3870.0, "npi": [1710958152]}]}, {"allowed_amount": 897.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1962031344]}, {"billed_charge": 3930.0, "npi": [1245262856]}]}, {"allowed_amount": 909.44, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 3540.0, "npi": [1710958152]}, {"billed_charge": 3990.0, "npi": [1245262856, 1588642375]}]}, {"allowed_amount": 933.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4170.0, "npi": [1760709406]}]}, {"allowed_amount": 970.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4470.0, "npi": [1710958152]}]}, {"allowed_amount": 982.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4530.0, "npi": [1285977991]}]}, {"allowed_amount": 1000.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4680.0, "npi": [1245262856]}]}, {"allowed_amount": 1007.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4710.0, "npi": [1083821409]}]}, {"allowed_amount": 1019.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4800.0, "npi": [1578545018]}]}, {"allowed_amount": 1031.51, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 4470.0, "npi": [1245262856]}, {"billed_charge": 4920.0, "npi": [1083821409]}]}, {"allowed_amount": 1037.61, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4500.0, "npi": [1750803912]}]}, {"allowed_amount": 1055.92, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4650.0, "npi": [1578545018]}]}, {"allowed_amount": 1062.03, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5130.0, "npi": [1245262856]}]}, {"allowed_amount": 1080.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5250.0, "npi": [1245262856]}]}, {"allowed_amount": 1092.55, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5340.0, "npi": [1881125953]}]}, {"allowed_amount": 1104.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5430.0, "npi": [1710958152]}]}, {"allowed_amount": 1123.06, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5130.0, "npi": [1578545018]}]}, {"allowed_amount": 1141.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5700.0, "npi": [1881125953]}]}, {"allowed_amount": 1178.0, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 5550.0, "npi": [1710958152]}, {"billed_charge": 5970.0, "npi": [1710958152]}]}, {"allowed_amount": 1226.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6360.0, "npi": [1285977991]}]}, {"allowed_amount": 1263.45, "billing_code_modifier": ["AA,P4", "AA"], "providers": [{"billed_charge": 5700.0, "npi": [1760709406]}, {"billed_charge": 6600.0, "npi": [1285977991]}]}, {"allowed_amount": 1275.65, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6270.0, "npi": [1285977991]}]}, {"allowed_amount": 1281.76, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6300.0, "npi": [1245262856]}]}, {"allowed_amount": 1556.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8760.0, "npi": [1285977991]}]}]}, {"tin": {"type": "ein", "value": "853627385"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 310.4, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5030.0, "npi": [1316338130]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 164.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1215494778]}]}, {"allowed_amount": 188.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1891482303]}, {"billed_charge": 900.0, "npi": [1366071946]}]}, {"allowed_amount": 219.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1215494778]}, {"billed_charge": 1050.0, "npi": [1740276112]}]}, {"allowed_amount": 220.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1341.0, "npi": [1215494778]}]}, {"allowed_amount": 229.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1518537612]}]}, {"allowed_amount": 233.82, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1118.0, "npi": [1215494778]}, {"billed_charge": 1125.0, "npi": [1740276112]}]}, {"allowed_amount": 237.9, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1215494778]}, {"billed_charge": 1200.0, "npi": [1740276112]}]}, {"allowed_amount": 249.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1341.0, "npi": [1215494778]}]}, {"allowed_amount": 285.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1490.0, "npi": [1043794878]}]}, {"allowed_amount": 292.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1565.0, "npi": [1326742628]}]}, {"allowed_amount": 308.08, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1639.0, "npi": [1215494778]}]}, {"allowed_amount": 357.06, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 900.0, "npi": [1750366589]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1750366589]}]}, {"allowed_amount": 381.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1669468112]}]}, {"allowed_amount": 426.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1740276112]}]}, {"allowed_amount": 459.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1740276112]}]}, {"allowed_amount": 479.13, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1350.0, "npi": [1740276112]}]}, {"allowed_amount": 483.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1669468112]}]}, {"allowed_amount": 497.44, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1200.0, "npi": [1669468112]}]}, {"allowed_amount": 540.17, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1350.0, "npi": [1750366589]}]}, {"allowed_amount": 619.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1500.0, "npi": [1366071946]}]}, {"allowed_amount": 634.78, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1575.0, "npi": [1740276112]}]}, {"allowed_amount": 668.35, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1740276112]}]}, {"allowed_amount": 686.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1669468112]}]}, {"allowed_amount": 708.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1558868612]}]}, {"allowed_amount": 848.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1366071946]}]}, {"allowed_amount": 854.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1669468112]}]}, {"allowed_amount": 1007.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2370.0, "npi": [1811648488, 1700814548]}]}, {"allowed_amount": 153.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2607.0, "npi": [1497342869, 1235418831]}]}, {"allowed_amount": 154.76, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2607.0, "npi": [1720401524, 1932176468]}]}, {"allowed_amount": 181.04, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1538569108, 1932176468]}]}, {"allowed_amount": 192.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3318.0, "npi": [1932176468, 1497342869]}]}, {"allowed_amount": 204.4, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1922488568, 1881046423]}]}, {"allowed_amount": 229.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3792.0, "npi": [1356314033, 1689100398]}]}, {"allowed_amount": 239.44, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 4029.0, "npi": [1114426715, 1669000972]}]}, {"allowed_amount": 269.62, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4503.0, "npi": [1558068999, 1235418831]}]}, {"allowed_amount": 274.48, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4503.0, "npi": [1689100398, 1033403407]}]}, {"allowed_amount": 310.11, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2844.0, "npi": [1992246599]}]}, {"allowed_amount": 312.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2844.0, "npi": [1497342869]}]}, {"allowed_amount": 333.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3081.0, "npi": [1114426715]}]}, {"allowed_amount": 365.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3318.0, "npi": [1538569108]}]}, {"allowed_amount": 402.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3555.0, "npi": [1659360428]}]}, {"allowed_amount": 427.84, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3555.0, "npi": [1942735964]}]}, {"allowed_amount": 457.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4266.0, "npi": [1497342869]}]}, {"allowed_amount": 544.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4977.0, "npi": [1114426715]}]}, {"allowed_amount": 548.06, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2607.0, "npi": [1740258565, 1528848637]}]}, {"allowed_amount": 627.88, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2844.0, "npi": [1356314033]}]}, {"allowed_amount": 633.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2844.0, "npi": [1356314033]}]}, {"allowed_amount": 675.76, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3081.0, "npi": [1669000972]}]}, {"allowed_amount": 686.41, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1356314033, 1710711759]}]}, {"allowed_amount": 737.56, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3555.0, "npi": [1457917387]}]}, {"allowed_amount": 739.62, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3318.0, "npi": [1356314033]}]}, {"allowed_amount": 782.18, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3555.0, "npi": [1528848637, 1427356526]}]}, {"allowed_amount": 784.64, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3555.0, "npi": [1457917387]}]}, {"allowed_amount": 835.39, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3792.0, "npi": [1811502610, 1235418831]}]}, {"allowed_amount": 925.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4266.0, "npi": [1356314033]}]}, {"allowed_amount": 941.81, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4266.0, "npi": [1427552942, 1710711759]}]}, {"allowed_amount": 1026.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4740.0, "npi": [1740258565]}]}, {"allowed_amount": 1032.27, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4740.0, "npi": [1356314033, 1770367831]}]}, {"allowed_amount": 1101.44, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4977.0, "npi": [1932176468]}]}, {"allowed_amount": 1117.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2607.0, "npi": [1669000972]}]}, {"allowed_amount": 1277.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2844.0, "npi": [1356314033]}]}, {"allowed_amount": 1473.91, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 6636.0, "npi": [1922488568, 1811502610]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 125.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1962072066]}]}, {"allowed_amount": 157.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1260.0, "npi": [1215494778]}]}, {"allowed_amount": 161.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1260.0, "npi": [1144873936]}]}, {"allowed_amount": 166.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1260.0, "npi": [1962072066]}]}, {"allowed_amount": 171.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1365.0, "npi": [1962072066]}]}, {"allowed_amount": 177.66, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1275627143]}, {"billed_charge": 1284.0, "npi": [1366721789]}]}, {"allowed_amount": 178.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1365.0, "npi": [1689062168]}]}, {"allowed_amount": 179.7, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1205259165]}, {"billed_charge": 1284.0, "npi": [1366721789]}]}, {"allowed_amount": 187.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1470.0, "npi": [1962072066]}]}, {"allowed_amount": 192.98, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1365.0, "npi": [1346346582]}, {"billed_charge": 1391.0, "npi": [1861663155]}]}, {"allowed_amount": 195.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1470.0, "npi": [1962072066]}]}, {"allowed_amount": 197.06, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1365.0, "npi": [1275627143]}, {"billed_charge": 1391.0, "npi": [1861663155]}]}, {"allowed_amount": 201.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066, 1275627143]}]}, {"allowed_amount": 202.17, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1498.0, "npi": [1366721789]}]}, {"allowed_amount": 203.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}]}, {"allowed_amount": 209.32, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1470.0, "npi": [1144873936]}, {"billed_charge": 1498.0, "npi": [1164627592]}]}, {"allowed_amount": 212.38, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1470.0, "npi": [1962072066]}]}, {"allowed_amount": 216.46, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}, {"billed_charge": 1605.0, "npi": [1861663155]}]}, {"allowed_amount": 218.5, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}, {"billed_charge": 1605.0, "npi": [1598786089]}]}, {"allowed_amount": 220.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1680.0, "npi": [1962072066]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}, {"billed_charge": 1605.0, "npi": [1164627592]}]}, {"allowed_amount": 225.65, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1575.0, "npi": [1346346582]}, {"billed_charge": 1605.0, "npi": [1306886502]}]}, {"allowed_amount": 228.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1575.0, "npi": [1144873936]}, {"billed_charge": 1605.0, "npi": [1659303840]}]}, {"allowed_amount": 234.84, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1712.0, "npi": [1659303840]}]}, {"allowed_amount": 241.99, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1680.0, "npi": [1962072066]}, {"billed_charge": 1712.0, "npi": [1598786089]}]}, {"allowed_amount": 251.18, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1785.0, "npi": [1962072066]}, {"billed_charge": 1819.0, "npi": [1659303840]}]}, {"allowed_amount": 341.8, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1284.0, "npi": [1164627592]}]}, {"allowed_amount": 350.96, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1284.0, "npi": [1376818450]}]}, {"allowed_amount": 360.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1284.0, "npi": [1598786089]}]}, {"allowed_amount": 367.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1284.0, "npi": [1598786089]}]}, {"allowed_amount": 372.32, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1391.0, "npi": [1598786089]}]}, {"allowed_amount": 387.58, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1391.0, "npi": [1598786089]}]}, {"allowed_amount": 405.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1498.0, "npi": [1598786089]}]}, {"allowed_amount": 420.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1498.0, "npi": [1306886502]}]}, {"allowed_amount": 424.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1498.0, "npi": [1164627592]}]}, {"allowed_amount": 436.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1605.0, "npi": [1598786089, 1366721789]}]}, {"allowed_amount": 442.51, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1605.0, "npi": [1861663155]}]}, {"allowed_amount": 443.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1605.0, "npi": [1629374194]}]}, {"allowed_amount": 445.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1164627592]}]}, {"allowed_amount": 447.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1605.0, "npi": [1861663155]}]}, {"allowed_amount": 455.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1605.0, "npi": [1306886502]}]}, {"allowed_amount": 457.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1605.0, "npi": [1598787236]}]}, {"allowed_amount": 475.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1712.0, "npi": [1366721789]}]}, {"allowed_amount": 479.13, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1712.0, "npi": [1376818450]}]}, {"allowed_amount": 502.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1819.0, "npi": [1598786089]}]}, {"allowed_amount": 606.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2140.0, "npi": [1306886502]}]}, {"allowed_amount": 769.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1391.0, "npi": [1598787236]}]}, {"allowed_amount": 848.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1498.0, "npi": [1861663155]}]}, {"allowed_amount": 958.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1712.0, "npi": [1629374194]}]}, {"allowed_amount": 1110.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2033.0, "npi": [1598786089]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 791.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1457611030]}]}]}, {"tin": {"type": "ein", "value": "260353034"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 496.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2000.0, "npi": [1497999205]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 688.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2516.8, "npi": [1366243727]}, {"billed_charge": 2541.0, "npi": [1649563644]}]}, {"allowed_amount": 745.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2724.8, "npi": [1366243727]}, {"billed_charge": 2751.0, "npi": [1174187207]}]}, {"allowed_amount": 762.8, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2787.2, "npi": [1407576341]}, {"billed_charge": 2814.0, "npi": [1174187207]}]}, {"allowed_amount": 791.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2891.2, "npi": [1134223787]}, {"billed_charge": 2919.0, "npi": [1861797565]}]}, {"allowed_amount": 859.57, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3140.8, "npi": [1598096620]}, {"billed_charge": 3171.0, "npi": [1811428808]}]}, {"allowed_amount": 870.95, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3182.4, "npi": [1366243727]}, {"billed_charge": 3213.0, "npi": [1811428808]}]}]}, {"tin": {"type": "ein", "value": "394204954"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 193.24, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 5556.6, "npi": [1093259822]}, {"billed_charge": 5783.4, "npi": [1801872486]}]}]}, {"tin": {"type": "ein", "value": "430975680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 876.0, "npi": [1487027728]}]}, {"allowed_amount": 492.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1071.0, "npi": [1871534099]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 347.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5265.0, "npi": [1447376231]}]}, {"allowed_amount": 357.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5670.0, "npi": [1215924196]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6480.0, "npi": [1447376231]}]}, {"allowed_amount": 398.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7290.0, "npi": [1215924196]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2835.0, "npi": [1447376231]}]}, {"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6075.0, "npi": [1447376231]}]}, {"allowed_amount": 811.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7695.0, "npi": [1215924196, 1447376231]}]}, {"allowed_amount": 836.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8100.0, "npi": [1215924196]}]}, {"allowed_amount": 866.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8748.0, "npi": [1215924196]}]}, {"allowed_amount": 933.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10125.0, "npi": [1447376231]}]}, {"allowed_amount": 1263.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16605.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 335.9, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 864.0, "npi": [1659504645]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 751.41, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2745.6, "npi": [1205481751]}, {"billed_charge": 2772.0, "npi": [1649739491]}]}, {"allowed_amount": 865.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3161.6, "npi": [1578189528]}, {"billed_charge": 3192.0, "npi": [1760709406]}]}, {"allowed_amount": 888.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3244.8, "npi": [1033984109]}, {"billed_charge": 3276.0, "npi": [1356314033]}]}, {"allowed_amount": 950.65, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3473.6, "npi": [1043879950]}, {"billed_charge": 3507.0, "npi": [1730508805]}]}, {"allowed_amount": 1104.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4035.2, "npi": [1205481751]}, {"billed_charge": 4074.0, "npi": [1649739491]}]}, {"allowed_amount": 1178.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4305.6, "npi": [1225438138]}, {"billed_charge": 4347.0, "npi": [1942467402]}]}, {"allowed_amount": 2971.49, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 5428.8, "npi": [1184289258]}]}]}, {"tin": {"type": "ein", "value": "461617561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1637.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6400.0, "npi": [1104480748]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2144.0, "npi": [1760619092, 1114615390]}]}, {"allowed_amount": 375.58, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2613.0, "npi": [1790899201]}]}, {"allowed_amount": 397.85, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1876.0, "npi": [1477782282]}]}, {"allowed_amount": 520.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2452.2, "npi": [1477611077]}]}, {"allowed_amount": 1118.54, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 2613.0, "npi": [1730718644]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 859.57, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3140.8, "npi": [1306016431]}, {"billed_charge": 3171.0, "npi": [1669828125]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 203.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2925.0, "npi": [1184435604]}]}, {"allowed_amount": 453.35, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3375.0, "npi": [1780564971]}]}]}, {"tin": {"type": "ein", "value": "471511123"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1247.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3200.0, "npi": [1881745289]}]}, {"allowed_amount": 1363.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4640.0, "npi": [1386756062]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 177.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1396243770]}]}, {"allowed_amount": 204.21, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1890.0, "npi": [1346747599]}, {"billed_charge": 2310.0, "npi": [1164404968]}]}, {"allowed_amount": 314.48, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1164404968]}]}, {"allowed_amount": 365.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1760792303]}]}, {"allowed_amount": 418.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4200.0, "npi": [1164404968]}]}, {"allowed_amount": 683.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1164840807]}]}, {"allowed_amount": 726.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1164840807]}]}, {"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1164404968]}]}, {"allowed_amount": 811.78, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4200.0, "npi": [1164840807]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 246.58, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1316141419]}, {"billed_charge": 1350.0, "npi": [1215460076]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1145.13, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3699.0, "npi": [1851928972]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1053.15, "providers": [{"billed_charge": 2340.34, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 164.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1659028967]}]}, {"allowed_amount": 188.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2327.0, "npi": [1730038332]}]}, {"allowed_amount": 208.2, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2685.0, "npi": [1194280115]}]}, {"allowed_amount": 209.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2506.0, "npi": [1396582284]}]}, {"allowed_amount": 216.46, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2760.0, "npi": [1124477070]}]}, {"allowed_amount": 229.74, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2760.0, "npi": [1124477070]}]}, {"allowed_amount": 282.83, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3401.0, "npi": [1730038332]}]}, {"allowed_amount": 297.13, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3580.0, "npi": [1922979269]}]}, {"allowed_amount": 393.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2392.0, "npi": [1124477070]}]}, {"allowed_amount": 532.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6265.0, "npi": [1710836440]}]}, {"allowed_amount": 842.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2576.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 9.41, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 4050.0, "npi": [1609756857]}]}, {"allowed_amount": 168.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3150.0, "npi": [1710846555]}]}, {"allowed_amount": 193.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3600.0, "npi": [1710846555]}]}, {"allowed_amount": 196.62, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1462.5, "npi": [1730896499]}]}, {"allowed_amount": 339.02, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2925.0, "npi": [1073484291]}]}, {"allowed_amount": 461.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2925.0, "npi": [1619830890]}]}, {"allowed_amount": 500.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3825.0, "npi": [1932931862]}]}, {"allowed_amount": 502.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3825.0, "npi": [1861940694]}]}, {"allowed_amount": 559.54, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4050.0, "npi": [1265993240]}]}, {"allowed_amount": 677.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5175.0, "npi": [1932931862]}]}, {"allowed_amount": 694.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5625.0, "npi": [1346354925]}]}, {"allowed_amount": 723.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3150.0, "npi": [1295692606]}]}, {"allowed_amount": 1303.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1619830890]}]}, {"allowed_amount": 1603.11, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 6975.0, "npi": [1467058925]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 220.55, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3150.0, "npi": [1316525207]}]}, {"allowed_amount": 383.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2925.0, "npi": [1801285879]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2925.0, "npi": [1316525207]}]}, {"allowed_amount": 722.9, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5400.0, "npi": [1801285879]}]}, {"allowed_amount": 750.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1316525207]}]}, {"allowed_amount": 836.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 169.56, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2988.0, "npi": [1417336314, 1871165506]}]}, {"allowed_amount": 269.62, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 4731.0, "npi": [1184690166, 1417423310]}]}, {"allowed_amount": 302.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2988.0, "npi": [1538865118]}]}, {"allowed_amount": 611.91, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2988.0, "npi": [1033100904]}]}]}, {"tin": {"type": "ein", "value": "593012384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.6, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3825.0, "npi": [1396626420]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1924.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4039.1, "npi": [1790129732]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 206.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 862.5, "npi": [1699065904, 1447972294]}]}, {"allowed_amount": 216.52, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1092.5, "npi": [1447972294]}]}, {"allowed_amount": 286.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1437.5, "npi": [1174278261]}]}, {"allowed_amount": 369.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1495.0, "npi": [1124119441]}]}, {"allowed_amount": 525.61, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2070.0, "npi": [1902869753]}]}, {"allowed_amount": 547.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2185.0, "npi": [1548222573]}]}, {"allowed_amount": 968.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1092.5, "npi": [1548222573]}]}, {"allowed_amount": 1282.36, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1437.5, "npi": [1326001454]}]}, {"allowed_amount": 1468.59, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1610.0, "npi": [1184129785]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 284.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1981.44, "npi": [1972269462]}]}, {"allowed_amount": 1156.23, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1981.44, "npi": [1306834668]}]}]}, {"tin": {"type": "ein", "value": "752728889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 408.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1327.48, "npi": [1174379036]}]}, {"allowed_amount": 1054.9, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1327.48, "npi": [1689865867]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 272.16, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2292.0, "npi": [1811218365]}]}, {"allowed_amount": 772.13, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2292.0, "npi": [1447299144]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 215.97, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4976.0, "npi": [1538465737]}, {"billed_charge": 4992.0, "npi": [1750677993]}]}, {"allowed_amount": 1454.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4368.0, "npi": [1598252041]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1978.49, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3500.0, "npi": [1013955889]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2240.0, "npi": [1528949856]}]}, {"allowed_amount": 197.06, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1467844217]}]}, {"allowed_amount": 202.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2400.0, "npi": [1639059918]}]}, {"allowed_amount": 216.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2560.0, "npi": [1407673502]}]}, {"allowed_amount": 231.78, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2560.0, "npi": [1245765569]}, {"billed_charge": 3840.0, "npi": [1649890070]}]}, {"allowed_amount": 239.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2720.0, "npi": [1447077334]}]}, {"allowed_amount": 292.61, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3360.0, "npi": [1407673502]}]}, {"allowed_amount": 306.68, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3520.0, "npi": [1811729601]}]}, {"allowed_amount": 369.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1811987860]}]}, {"allowed_amount": 377.02, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4320.0, "npi": [1982137089]}]}, {"allowed_amount": 381.24, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4480.0, "npi": [1639059918]}]}, {"allowed_amount": 405.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5600.0, "npi": [1427309632]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3360.0, "npi": [1801885009]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3600.0, "npi": [1982967535]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3840.0, "npi": [1811987860]}]}, {"allowed_amount": 488.06, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6400.0, "npi": [1467844217]}]}, {"allowed_amount": 518.81, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4080.0, "npi": [1053868620]}]}, {"allowed_amount": 634.78, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5040.0, "npi": [1730683533]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5280.0, "npi": [1154854404]}]}, {"allowed_amount": 675.94, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 9200.0, "npi": [1982967535]}]}, {"allowed_amount": 718.82, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 9600.0, "npi": [1750524450]}]}, {"allowed_amount": 817.88, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6480.0, "npi": [1811987860]}]}, {"allowed_amount": 827.04, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 6720.0, "npi": [1265993240]}]}, {"allowed_amount": 860.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6000.0, "npi": [1427309632]}]}, {"allowed_amount": 1165.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8000.0, "npi": [1811346737]}]}, {"allowed_amount": 1220.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8000.0, "npi": [1730683533]}]}]}, {"tin": {"type": "ein", "value": "832876777"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.42, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1700540051]}]}]}, {"tin": {"type": "ein", "value": "843561289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1049.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1049.0, "npi": [1245259720]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 122.53, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1760709406]}]}, {"allowed_amount": 184.81, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2280.0, "npi": [1245262856, 1013293927]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1780834754]}]}, {"allowed_amount": 220.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3330.0, "npi": [1245262856, 1285337899]}]}, {"allowed_amount": 229.74, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1265830418, 1760709406]}]}, {"allowed_amount": 239.95, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3900.0, "npi": [1245262856, 1265830418]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1980.0, "npi": [1760709406]}]}, {"allowed_amount": 349.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1980.0, "npi": [1578545018]}]}, {"allowed_amount": 351.24, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2010.0, "npi": [1578545018]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1578545018]}]}, {"allowed_amount": 392.08, "billing_code_modifier": ["QY,P4", "QX,P4"], "providers": [{"billed_charge": 7470.0, "npi": [1245262856, 1598096620]}]}, {"allowed_amount": 402.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2760.0, "npi": [1578545018]}]}, {"allowed_amount": 410.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2880.0, "npi": [1578545018]}]}, {"allowed_amount": 434.97, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2790.0, "npi": [1578545018]}]}, {"allowed_amount": 439.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1760709406]}]}, {"allowed_amount": 447.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3420.0, "npi": [1427356526]}]}, {"allowed_amount": 454.37, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 9750.0, "npi": [1265830418, 1760709406]}]}, {"allowed_amount": 455.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3540.0, "npi": [1285977991]}]}, {"allowed_amount": 553.41, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4530.0, "npi": [1881125953]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1290.0, "npi": [1962031344]}]}, {"allowed_amount": 677.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1830.0, "npi": [1245262856]}]}, {"allowed_amount": 683.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1890.0, "npi": [1578545018]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2280.0, "npi": [1760709406]}, {"billed_charge": 2310.0, "npi": [1760709406]}]}, {"allowed_amount": 744.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2340.0, "npi": [1245262856]}]}, {"allowed_amount": 750.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1245262856]}]}, {"allowed_amount": 775.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2580.0, "npi": [1285977991]}]}, {"allowed_amount": 787.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2640.0, "npi": [1245262856]}]}, {"allowed_amount": 799.57, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2730.0, "npi": [1083821409]}]}, {"allowed_amount": 811.78, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1750803912]}]}, {"allowed_amount": 823.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2910.0, "npi": [1588642375]}]}, {"allowed_amount": 836.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1578545018]}, {"billed_charge": 3030.0, "npi": [1245262856]}]}, {"allowed_amount": 860.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3210.0, "npi": [1881125953]}]}, {"allowed_amount": 872.82, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3270.0, "npi": [1578545018]}]}, {"allowed_amount": 897.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3450.0, "npi": [1881125953, 1588642375]}]}, {"allowed_amount": 903.33, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3060.0, "npi": [1881125953]}]}, {"allowed_amount": 909.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3540.0, "npi": [1881125953]}]}, {"allowed_amount": 921.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3660.0, "npi": [1083821409]}]}, {"allowed_amount": 927.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3690.0, "npi": [1881125953]}]}, {"allowed_amount": 958.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3930.0, "npi": [1962031344]}]}, {"allowed_amount": 970.47, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3570.0, "npi": [1578545018]}]}, {"allowed_amount": 1019.3, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 3930.0, "npi": [1083821409]}, {"billed_charge": 4380.0, "npi": [1760709406]}]}, {"allowed_amount": 1031.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4470.0, "npi": [1083821409]}]}, {"allowed_amount": 1055.92, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4170.0, "npi": [1881125953]}]}, {"allowed_amount": 1070.06, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12570.0, "npi": [1245262856]}]}, {"allowed_amount": 1129.17, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4710.0, "npi": [1083821409]}]}, {"allowed_amount": 1348.9, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6330.0, "npi": [1760709406]}]}, {"allowed_amount": 2020.29, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 11310.0, "npi": [1881125953]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 170.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1215494778]}]}, {"allowed_amount": 184.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 969.0, "npi": [1215494778]}]}, {"allowed_amount": 198.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1215494778]}]}, {"allowed_amount": 211.36, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1891482303]}, {"billed_charge": 1050.0, "npi": [1740276112]}]}, {"allowed_amount": 213.83, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1118.0, "npi": [1215494778]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1578340410]}, {"billed_charge": 1050.0, "npi": [1558868612]}]}, {"allowed_amount": 216.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1118.0, "npi": [1326742628]}]}, {"allowed_amount": 219.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1891482303]}]}, {"allowed_amount": 224.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1118.0, "npi": [1891482303]}, {"billed_charge": 1125.0, "npi": [1366071946]}]}, {"allowed_amount": 226.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1215494778, 1891482303]}]}, {"allowed_amount": 282.83, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1341.0, "npi": [1043794878]}, {"billed_charge": 1350.0, "npi": [1558868612]}]}, {"allowed_amount": 369.27, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1750366589]}]}, {"allowed_amount": 388.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1669468112]}]}, {"allowed_amount": 399.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 975.0, "npi": [1750366589]}]}, {"allowed_amount": 404.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1669468112]}]}, {"allowed_amount": 406.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1558868612]}]}, {"allowed_amount": 412.5, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2012.0, "npi": [1215494778]}, {"billed_charge": 2025.0, "npi": [1740276112]}]}, {"allowed_amount": 430.3, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1050.0, "npi": [1750366589]}]}, {"allowed_amount": 463.87, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1125.0, "npi": [1750366589]}]}, {"allowed_amount": 469.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1669468112]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1125.0, "npi": [1740276112]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1200.0, "npi": [1366071946]}]}, {"allowed_amount": 477.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1366071946]}]}, {"allowed_amount": 491.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1740276112, 1669468112]}]}, {"allowed_amount": 878.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1750366589]}]}, {"allowed_amount": 885.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1558868612]}]}, {"allowed_amount": 909.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1558868612]}]}, {"allowed_amount": 921.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1366071946]}]}, {"allowed_amount": 933.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1669468112]}]}, {"allowed_amount": 946.06, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 190.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3318.0, "npi": [1922488568, 1356314033, 1528848637, 1770367831]}]}, {"allowed_amount": 199.54, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1356314033, 1558068999]}]}, {"allowed_amount": 207.32, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3555.0, "npi": [1124891460, 1033403407]}]}, {"allowed_amount": 220.95, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3792.0, "npi": [1124891460, 1033403407]}]}, {"allowed_amount": 239.44, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4029.0, "npi": [1912971664, 1124891460]}]}, {"allowed_amount": 344.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3318.0, "npi": [1184966947, 1992246599]}]}, {"allowed_amount": 365.3, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1558964833]}]}, {"allowed_amount": 479.49, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 4029.0, "npi": [1730660259]}]}, {"allowed_amount": 497.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4029.0, "npi": [1427043025]}]}, {"allowed_amount": 678.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3081.0, "npi": [1043489438]}]}, {"allowed_amount": 686.41, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1912971664, 1770367831, 1891362166, 1033403407]}]}, {"allowed_amount": 697.05, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3318.0, "npi": [1669000972, 1235418831]}]}, {"allowed_amount": 739.62, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1427552942]}]}, {"allowed_amount": 782.18, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3555.0, "npi": [1932176468, 1710711759]}]}, {"allowed_amount": 960.75, "billing_code_modifier": ["QY,P4"], "providers": [{"billed_charge": 4029.0, "npi": [1942694559]}]}, {"allowed_amount": 996.12, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4029.0, "npi": [1942694559]}]}, {"allowed_amount": 1351.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 6162.0, "npi": [1912971664, 1770367831]}]}]}]}, {"name": "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath", "billing_code_type": "CPT", "billing_code": "00873", "billing_code_type_version": "2022", "description": "ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 296.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5110.0, "npi": [1447376231]}]}, {"allowed_amount": 854.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9855.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 120.7, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}]}, {"allowed_amount": 120.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1548531577]}]}, {"allowed_amount": 121.67, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}, {"billed_charge": 1485.0, "npi": [1790927200]}]}, {"allowed_amount": 124.59, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}, {"billed_charge": 1485.0, "npi": [1144322926]}]}, {"allowed_amount": 125.56, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}, {"billed_charge": 1485.0, "npi": [1760792303]}]}, {"allowed_amount": 210.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1881359099]}]}, {"allowed_amount": 215.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1346707502]}]}, {"allowed_amount": 218.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}]}, {"allowed_amount": 223.38, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1881359099, 1164691655]}]}, {"allowed_amount": 226.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}]}, {"allowed_amount": 228.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1881359099, 1164691655]}]}, {"allowed_amount": 262.46, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1497721815]}]}, {"allowed_amount": 354.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1316276959]}]}, {"allowed_amount": 425.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1760792303]}]}, {"allowed_amount": 436.32, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1485.0, "npi": [1760792303]}]}, {"allowed_amount": 441.64, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1306377593, 1134482250]}]}, {"allowed_amount": 452.28, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1134482250, 1760792303]}]}, {"allowed_amount": 457.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1306377593]}]}, {"allowed_amount": 462.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1306377593, 1760792303]}]}, {"allowed_amount": 518.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1497721815]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 289.92, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2250.0, "npi": [1316525207]}]}, {"allowed_amount": 350.96, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2475.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 239.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2460.0, "npi": [1679536494]}]}, {"allowed_amount": 420.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1968.0, "npi": [1811962533]}]}, {"allowed_amount": 425.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2241.0, "npi": [1649624289]}]}, {"allowed_amount": 755.58, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2460.0, "npi": [1215986823]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 247.23, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2125.0, "npi": [1518931336]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1285977991]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.03, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 735.0, "npi": [1962072066]}]}, {"allowed_amount": 195.32, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 749.0, "npi": [1306886502]}]}, {"allowed_amount": 378.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 749.0, "npi": [1629374194]}]}, {"allowed_amount": 396.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 749.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "263959121"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 360.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1851318794]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 438.32, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1601.6, "npi": [1447124573]}, {"billed_charge": 1617.0, "npi": [1861797565]}]}]}, {"tin": {"type": "ein", "value": "421656000"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 103.15, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 105.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 107.36, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 109.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 111.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1508822800, 1891860169]}]}, {"allowed_amount": 115.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 126.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 600.0, "npi": [1891860169]}]}, {"allowed_amount": 132.62, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 136.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1508643420]}]}, {"allowed_amount": 138.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 143.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 145.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1508822800]}]}, {"allowed_amount": 151.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169, 1508643420]}]}, {"allowed_amount": 153.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 166.72, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 170.51, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 178.08, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 750.0, "npi": [1891860169]}]}, {"allowed_amount": 195.13, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 173.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2200.0, "npi": [1619102480]}]}, {"allowed_amount": 335.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1936.0, "npi": [1215924196]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2640.0, "npi": [1447376231]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4840.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 381.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1393.6, "npi": [1881232627]}, {"billed_charge": 1407.0, "npi": [1497991251]}]}, {"allowed_amount": 472.48, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1726.4, "npi": [1043879950]}, {"billed_charge": 1743.0, "npi": [1649739491]}]}]}, {"tin": {"type": "ein", "value": "462226549"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 161.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1794.0, "npi": [1083698492]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.08, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2250.0, "npi": [1457200768]}]}]}, {"tin": {"type": "ein", "value": "472307178"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 456.15, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1464.0, "npi": [1790956340]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 60.67, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1386105088]}]}, {"allowed_amount": 64.24, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1295088276]}, {"billed_charge": 825.0, "npi": [1174503213]}]}, {"allowed_amount": 73.0, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1801863824, 1881359099, 1295088276]}, {"billed_charge": 825.0, "npi": [1710950357, 1487650396, 1174503213, 1144322926]}]}, {"allowed_amount": 73.97, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1881359099]}, {"billed_charge": 990.0, "npi": [1881127025]}]}, {"allowed_amount": 74.95, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1780179333]}, {"billed_charge": 990.0, "npi": [1932172111]}]}, {"allowed_amount": 75.92, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1508446220, 1780179333]}, {"billed_charge": 990.0, "npi": [1881127025, 1174503213]}]}, {"allowed_amount": 76.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801034566]}, {"billed_charge": 990.0, "npi": [1710950357]}]}, {"allowed_amount": 77.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1912982265, 1033413562]}]}, {"allowed_amount": 77.87, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1780179333]}, {"billed_charge": 990.0, "npi": [1932172111]}]}, {"allowed_amount": 78.84, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1871927244]}, {"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 79.81, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316565427, 1508446220, 1780179333]}, {"billed_charge": 990.0, "npi": [1881127025, 1932172111]}]}, {"allowed_amount": 80.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824]}]}, {"allowed_amount": 80.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1871927244]}, {"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 81.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1508446220]}]}, {"allowed_amount": 81.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1912982265]}]}, {"allowed_amount": 82.09, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 82.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1508446220]}, {"billed_charge": 990.0, "npi": [1174503213]}]}, {"allowed_amount": 83.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1164691655]}]}, {"allowed_amount": 83.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1881359099]}]}, {"allowed_amount": 83.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1366930430]}, {"billed_charge": 990.0, "npi": [1164840807]}]}, {"allowed_amount": 85.65, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850]}, {"billed_charge": 990.0, "npi": [1144322926]}]}, {"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1871045278]}]}, {"allowed_amount": 87.6, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1376519496]}, {"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 87.81, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1912982265, 1285057851, 1366930430]}, {"billed_charge": 990.0, "npi": [1790927200, 1164840807, 1760792303]}]}, {"allowed_amount": 88.57, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}, {"billed_charge": 1155.0, "npi": [1144322926]}]}, {"allowed_amount": 90.87, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1285057851, 1447077334]}, {"billed_charge": 990.0, "npi": [1790927200, 1760792303]}]}, {"allowed_amount": 91.49, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1295051597]}, {"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 91.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871045278]}]}, {"allowed_amount": 92.92, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824]}, {"billed_charge": 1155.0, "npi": [1417991431]}]}, {"allowed_amount": 93.44, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 945.0, "npi": [1881359099]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 93.94, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}]}, {"allowed_amount": 94.41, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 945.0, "npi": [1316565427]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 94.96, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824]}, {"billed_charge": 1155.0, "npi": [1760792303]}]}, {"allowed_amount": 100.06, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1366930430, 1316276959]}]}, {"allowed_amount": 104.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1871045278]}]}, {"allowed_amount": 107.21, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1366930430]}, {"billed_charge": 1155.0, "npi": [1164840807]}]}, {"allowed_amount": 108.15, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}]}, {"allowed_amount": 126.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1881359099]}]}, {"allowed_amount": 134.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871927244, 1578703237]}]}, {"allowed_amount": 136.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1578703237]}]}, {"allowed_amount": 139.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871927244]}]}, {"allowed_amount": 140.16, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1578703237]}, {"billed_charge": 1650.0, "npi": [1487650396]}]}, {"allowed_amount": 141.91, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1871927244]}]}, {"allowed_amount": 144.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1881359099, 1871927244]}]}, {"allowed_amount": 149.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1578703237]}]}, {"allowed_amount": 165.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1316565427]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 167.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1730492448, 1760792303]}]}, {"allowed_amount": 170.82, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}]}, {"allowed_amount": 173.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1790927200]}]}, {"allowed_amount": 177.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1760792303]}]}, {"allowed_amount": 180.06, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1417991431]}]}, {"allowed_amount": 181.34, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1376519496]}]}, {"allowed_amount": 191.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1578703237]}]}, {"allowed_amount": 197.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850]}]}, {"allowed_amount": 255.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1487650396]}]}, {"allowed_amount": 271.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 276.69, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 282.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 287.33, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 990.0, "npi": [1265494058, 1487650396]}]}, {"allowed_amount": 292.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 303.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 317.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1760792303]}]}, {"allowed_amount": 335.22, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 345.86, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1639364623]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1417991431]}]}, {"allowed_amount": 399.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1487650396]}]}]}, {"tin": {"type": "ein", "value": "475625504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.12, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1317.0, "npi": [1215070248]}]}, {"allowed_amount": 278.93, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1500.0, "npi": [1679993653]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.04, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1253.0, "npi": [1912864703]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 190.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1184596413]}]}, {"allowed_amount": 235.55, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1366012775]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 104.62, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1235867615]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1494.0, "npi": [1174592273]}]}, {"allowed_amount": 192.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1679536494]}]}, {"allowed_amount": 236.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1821313180]}]}, {"allowed_amount": 289.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1649624289]}]}, {"allowed_amount": 320.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1722.0, "npi": [1790108868]}]}, {"allowed_amount": 371.4, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1811314156]}]}, {"allowed_amount": 585.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1476.0, "npi": [1174592273]}]}, {"allowed_amount": 795.1, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1992.0, "npi": [1518016286]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 660.33, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1310.8, "npi": [1295786564]}]}, {"allowed_amount": 762.8, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1514.2, "npi": [1639722739]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.49, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 402.5, "npi": [1841441136, 1578784484]}]}, {"allowed_amount": 152.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 345.0, "npi": [1952854309]}]}, {"allowed_amount": 260.86, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1035.0, "npi": [1700863834]}]}, {"allowed_amount": 308.62, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 345.0, "npi": [1811004120]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1234.47, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1380.0, "npi": [1578503785]}]}]}, {"tin": {"type": "ein", "value": "650491008"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 132.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1033928171]}]}, {"allowed_amount": 143.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1023477544, 1114886132]}, {"billed_charge": 570.0, "npi": [1023477544, 1033928171]}]}, {"allowed_amount": 144.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1033928171]}]}, {"allowed_amount": 146.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1053280008]}, {"billed_charge": 570.0, "npi": [1144194754]}]}, {"allowed_amount": 147.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1023477544]}]}, {"allowed_amount": 149.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1023477544]}]}, {"allowed_amount": 149.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1366906265, 1114886132]}]}, {"allowed_amount": 151.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1053280008, 1114886132]}, {"billed_charge": 570.0, "npi": [1285208660]}]}, {"allowed_amount": 153.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1033928171]}]}, {"allowed_amount": 155.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1033928171, 1285208660]}]}, {"allowed_amount": 157.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1447573100, 1467058925]}]}, {"allowed_amount": 157.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1467058925]}]}, {"allowed_amount": 159.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1285208660, 1467058925]}]}, {"allowed_amount": 160.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1285528802, 1467058925]}]}, {"allowed_amount": 161.33, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1467058925]}]}, {"allowed_amount": 163.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544]}]}, {"allowed_amount": 166.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1053280008, 1144194754]}, {"billed_charge": 570.0, "npi": [1023477544, 1033928171, 1447077334]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1467058925]}]}, {"allowed_amount": 168.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1144194754]}]}, {"allowed_amount": 169.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544]}]}, {"allowed_amount": 174.44, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1144194754]}]}, {"allowed_amount": 177.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1467058925]}]}, {"allowed_amount": 191.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1467058925]}]}, {"allowed_amount": 194.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1144194754]}]}, {"allowed_amount": 196.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 535.0, "npi": [1114886132]}]}, {"allowed_amount": 199.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1447573100]}]}]}, {"tin": {"type": "ein", "value": "650823701"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1330.0, "npi": [1477663417]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1866.0, "npi": [1295379733]}, {"billed_charge": 1872.0, "npi": [1497948301]}]}, {"allowed_amount": 114.62, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1538465737]}, {"billed_charge": 2808.0, "npi": [1497948301]}]}, {"allowed_amount": 157.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1866.0, "npi": [1538465737]}]}, {"allowed_amount": 160.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1866.0, "npi": [1295379733]}]}, {"allowed_amount": 163.18, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1866.0, "npi": [1700066388]}]}, {"allowed_amount": 180.36, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1013570779]}]}, {"allowed_amount": 203.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2488.0, "npi": [1679224877]}]}, {"allowed_amount": 287.7, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1872.0, "npi": [1467494849]}]}, {"allowed_amount": 292.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1872.0, "npi": [1912950288]}]}, {"allowed_amount": 298.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1872.0, "npi": [1912950288]}]}, {"allowed_amount": 329.55, "billing_code_modifier": ["QK", "QK,P3"], "providers": [{"billed_charge": 2184.0, "npi": [1467494849]}]}, {"allowed_amount": 371.4, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2496.0, "npi": [1467494849]}]}, {"allowed_amount": 452.32, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2488.0, "npi": [1952346132]}]}]}, {"tin": {"type": "ein", "value": "843475603"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 296.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1972551059]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 86.79, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 750.0, "npi": [1881125953, 1598096620]}]}, {"allowed_amount": 187.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 960.0, "npi": [1578545018]}]}, {"allowed_amount": 224.63, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1578545018]}]}, {"allowed_amount": 341.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 720.0, "npi": [1578545018]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 780.0, "npi": [1245262856]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 900.0, "npi": [1245262856]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1050.0, "npi": [1245262856, 1578545018]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 960.0, "npi": [1245262856]}]}, {"allowed_amount": 500.5, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "874608604"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 149.9, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2053.33, "npi": [1346216884, 1861728727]}]}, {"allowed_amount": 153.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2106.67, "npi": [1346216884]}]}, {"allowed_amount": 540.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2026.67, "npi": [1114985850]}]}, {"allowed_amount": 551.13, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2080.0, "npi": [1285955633]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.42, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 596.0, "npi": [1891482303]}, {"billed_charge": 600.0, "npi": [1558868612]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 900.0, "npi": [1558868612]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1350.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "881695985"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 123.4, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3000.0, "npi": [1831727460]}]}, {"allowed_amount": 355.06, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2850.0, "npi": [1255403812]}]}]}, {"tin": {"type": "ein", "value": "883151607"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 147.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1730749342]}]}, {"allowed_amount": 149.9, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1700800570]}]}, {"allowed_amount": 151.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1700800570, 1962418731]}]}, {"allowed_amount": 153.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1316394869]}]}, {"allowed_amount": 157.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1962418731]}]}, {"allowed_amount": 159.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1730749342]}]}, {"allowed_amount": 161.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1083300180, 1316394869]}]}, {"allowed_amount": 163.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570, 1962418731, 1316394869, 1730749342]}]}, {"allowed_amount": 165.47, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1083300180, 1114548013, 1316394869]}]}, {"allowed_amount": 169.36, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1083300180, 1316394869]}]}, {"allowed_amount": 171.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1962418731]}]}, {"allowed_amount": 173.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 177.15, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570]}]}, {"allowed_amount": 179.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570, 1730749342]}]}, {"allowed_amount": 179.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 181.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 182.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 183.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1316394869]}]}, {"allowed_amount": 184.94, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1407480452]}]}, {"allowed_amount": 186.86, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1104887736, 1083300180, 1316394869]}]}, {"allowed_amount": 190.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1114548013]}]}, {"allowed_amount": 192.72, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 900.0, "npi": [1083300180]}, {"billed_charge": 1050.0, "npi": [1083300180]}]}, {"allowed_amount": 193.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1316394869]}, {"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 194.67, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1730749342]}]}, {"allowed_amount": 197.44, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1407480452]}]}, {"allowed_amount": 200.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1083300180]}]}, {"allowed_amount": 200.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1114548013, 1316394869]}]}, {"allowed_amount": 204.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570, 1316394869]}]}, {"allowed_amount": 206.35, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 900.0, "npi": [1962418731]}]}, {"allowed_amount": 208.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1962418731, 1114548013, 1316394869, 1730749342]}]}, {"allowed_amount": 211.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1700800570, 1083300180]}]}, {"allowed_amount": 215.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1700800570, 1316394869]}]}, {"allowed_amount": 218.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 222.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1114548013]}]}, {"allowed_amount": 229.17, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 750.0, "npi": [1316394869]}]}, {"allowed_amount": 231.66, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1316394869]}]}, {"allowed_amount": 236.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570]}]}, {"allowed_amount": 239.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570, 1316394869]}]}, {"allowed_amount": 245.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1316394869]}]}, {"allowed_amount": 247.23, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1730749342]}]}, {"allowed_amount": 250.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1962418731, 1316394869]}]}, {"allowed_amount": 278.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1083300180]}]}, {"allowed_amount": 317.31, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1200.0, "npi": [1316394869]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 71.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1912157280]}]}, {"allowed_amount": 82.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}, {"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 83.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1912157280]}]}, {"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1659028967]}]}, {"allowed_amount": 86.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 105.17, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 155.64, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 180.06, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 186.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.07, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 874.0, "npi": [1639798804]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.64, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 735.0, "npi": [1962072066]}, {"billed_charge": 749.0, "npi": [1861663155]}]}, {"allowed_amount": 120.48, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1275627143]}, {"billed_charge": 963.0, "npi": [1598786089]}]}, {"allowed_amount": 138.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 642.0, "npi": [1861663155]}]}, {"allowed_amount": 151.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 642.0, "npi": [1598787236]}]}, {"allowed_amount": 181.75, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 749.0, "npi": [1598786089, 1376818450]}]}, {"allowed_amount": 286.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 535.0, "npi": [1659303840]}]}, {"allowed_amount": 305.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 535.0, "npi": [1376818450]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 642.0, "npi": [1366721789]}]}, {"allowed_amount": 354.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 642.0, "npi": [1306886502]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 856.0, "npi": [1629374194]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 267.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 977.6, "npi": [1972907533]}, {"billed_charge": 987.0, "npi": [1861797565]}]}]}, {"tin": {"type": "ein", "value": "421656000"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 107.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1508643420]}]}, {"allowed_amount": 134.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 60.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 375.0, "npi": [1215825898]}, {"billed_charge": 391.0, "npi": [1437611050]}]}, {"allowed_amount": 64.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 421.0, "npi": [1447601851]}]}, {"allowed_amount": 282.4, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 706.0, "npi": [1932147212]}]}, {"allowed_amount": 314.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 825.0, "npi": [1003548637]}]}, {"allowed_amount": 565.84, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 735.0, "npi": [1437611050]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 335.86, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1227.2, "npi": [1679230825]}, {"billed_charge": 1239.0, "npi": [1649739491]}]}, {"allowed_amount": 358.63, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1310.4, "npi": [1942011846]}, {"billed_charge": 1323.0, "npi": [1942502125]}]}, {"allowed_amount": 785.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1435.2, "npi": [1679230825]}]}]}, {"tin": {"type": "ein", "value": "472307178"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 145.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1708.0, "npi": [1093822405]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 52.56, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1033178850]}, {"billed_charge": 825.0, "npi": [1487650396]}]}, {"allowed_amount": 54.51, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1033178850, 1295088276]}, {"billed_charge": 825.0, "npi": [1386105088, 1487650396, 1174503213]}]}, {"allowed_amount": 56.45, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1033178850, 1578703237, 1871927244, 1316565427, 1881359099]}, {"billed_charge": 825.0, "npi": [1386105088, 1881127025, 1487650396]}]}, {"allowed_amount": 57.43, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1316565427, 1295088276, 1881359099]}, {"billed_charge": 825.0, "npi": [1881127025, 1710950357, 1144322926, 1396858239]}]}, {"allowed_amount": 58.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1033178850, 1578703237, 1508446220, 1871927244, 1316565427, 1295088276, 1881359099]}, {"billed_charge": 825.0, "npi": [1710950357, 1487650396, 1174503213]}]}, {"allowed_amount": 59.37, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1881359099, 1295088276, 1295051597]}, {"billed_charge": 990.0, "npi": [1386105088, 1487650396, 1710950357]}]}, {"allowed_amount": 59.48, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1386105088]}]}, {"allowed_amount": 60.35, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1780179333, 1376519496, 1508446220, 1295088276, 1881359099]}, {"billed_charge": 990.0, "npi": [1609998723, 1174503213, 1932172111, 1487650396, 1396858239]}]}, {"allowed_amount": 61.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1316276959]}]}, {"allowed_amount": 61.32, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1780179333, 1508446220, 1871927244, 1801863824, 1295088276]}, {"billed_charge": 990.0, "npi": [1609998723, 1174503213, 1144322926, 1932172111, 1881127025, 1710950357, 1487650396]}]}, {"allowed_amount": 62.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}]}, {"allowed_amount": 62.29, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1780179333, 1376519496, 1801863824, 1881359099]}, {"billed_charge": 990.0, "npi": [1174503213, 1144322926, 1932172111, 1881127025, 1487650396, 1396858239]}]}, {"allowed_amount": 63.05, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1386105088]}]}, {"allowed_amount": 63.27, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1780179333, 1801034566, 1578703237, 1376519496, 1871927244, 1801863824, 1811734320, 1316565427, 1881359099]}, {"billed_charge": 990.0, "npi": [1932172111, 1881127025, 1710950357, 1487650396, 1396858239]}]}, {"allowed_amount": 63.31, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}, {"billed_charge": 990.0, "npi": [1760792303]}]}, {"allowed_amount": 64.24, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1780179333, 1801034566, 1376519496, 1508446220, 1316565427, 1881359099]}, {"billed_charge": 990.0, "npi": [1174503213, 1144322926, 1932172111, 1881127025, 1710950357, 1487650396]}]}, {"allowed_amount": 64.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1275053902, 1316276959]}, {"billed_charge": 990.0, "npi": [1760792303]}]}, {"allowed_amount": 65.21, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1801034566, 1871927244, 1801863824, 1316565427]}, {"billed_charge": 990.0, "npi": [1386105088, 1487650396, 1710950357]}]}, {"allowed_amount": 65.35, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1800.0, "npi": [1730492448]}]}, {"allowed_amount": 65.43, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1386105088]}]}, {"allowed_amount": 66.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1801034566, 1871927244, 1295051597, 1881359099]}, {"billed_charge": 990.0, "npi": [1386105088, 1487650396, 1710950357, 1144322926]}]}, {"allowed_amount": 66.37, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1912982265, 1285057851, 1366930430, 1346747599]}, {"billed_charge": 990.0, "npi": [1790927200, 1164840807, 1417991431]}]}, {"allowed_amount": 67.16, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1881359099, 1871927244, 1578703237, 1780179333]}, {"billed_charge": 990.0, "npi": [1487650396, 1174503213, 1144322926, 1396858239]}]}, {"allowed_amount": 67.39, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1447077334, 1871045278, 1316276959]}, {"billed_charge": 990.0, "npi": [1164840807]}]}, {"allowed_amount": 67.81, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1386105088]}]}, {"allowed_amount": 68.13, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1376519496, 1295088276, 1578703237, 1780179333]}, {"billed_charge": 990.0, "npi": [1487650396, 1710950357, 1144322926, 1932172111]}]}, {"allowed_amount": 68.41, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1366930430, 1871045278]}, {"billed_charge": 990.0, "npi": [1760792303]}]}, {"allowed_amount": 69.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1871927244, 1760664718, 1801863824, 1881359099]}, {"billed_charge": 990.0, "npi": [1487650396, 1144322926]}]}, {"allowed_amount": 69.22, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1508446220]}, {"billed_charge": 990.0, "npi": [1174503213]}]}, {"allowed_amount": 69.43, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1275053902, 1912982265, 1548531577, 1285057851, 1023766748, 1366930430, 1316276959]}, {"billed_charge": 990.0, "npi": [1790927200, 1730492448, 1760792303]}]}, {"allowed_amount": 70.08, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1508446220, 1780179333]}, {"billed_charge": 990.0, "npi": [1144322926, 1932172111]}]}, {"allowed_amount": 70.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850]}]}, {"allowed_amount": 70.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1578219713]}]}, {"allowed_amount": 70.45, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1912982265]}, {"billed_charge": 990.0, "npi": [1730492448]}]}, {"allowed_amount": 71.05, "billing_code_modifier": ["QK,P3", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1881359099, 1316565427, 1578703237]}, {"billed_charge": 990.0, "npi": [1487650396, 1144322926]}]}, {"allowed_amount": 71.47, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1770957672, 1184993644, 1588847628, 1932704590, 1801863824, 1447077334, 1548531577]}, {"billed_charge": 990.0, "npi": [1790927200, 1417991431, 1760792303]}]}, {"allowed_amount": 71.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1225410574, 1164691655]}]}, {"allowed_amount": 72.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1033178850, 1316565427, 1578703237]}, {"billed_charge": 990.0, "npi": [1487650396, 1144322926, 1396858239]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871927244]}]}, {"allowed_amount": 72.49, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1164691655, 1841598893, 1932704590, 1316276959]}, {"billed_charge": 990.0, "npi": [1497721815, 1760792303, 1417991431]}]}, {"allowed_amount": 73.0, "billing_code_modifier": ["QK,P3", "QX,P3", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1295088276]}, {"billed_charge": 990.0, "npi": [1174503213]}]}, {"allowed_amount": 73.52, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1770957672, 1184993644, 1346747599, 1801863824, 1447077334, 1316276959]}, {"billed_charge": 990.0, "npi": [1790927200, 1417991431, 1760792303]}]}, {"allowed_amount": 73.54, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850]}, {"billed_charge": 990.0, "npi": [1396858239]}]}, {"allowed_amount": 73.97, "billing_code_modifier": ["QY", "QK", "QK,P3", "QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1578703237, 1780179333]}, {"billed_charge": 1155.0, "npi": [1609998723, 1487650396, 1174503213]}]}, {"allowed_amount": 74.54, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1447077334, 1871045278]}, {"billed_charge": 990.0, "npi": [1760792303, 1417991431]}]}, {"allowed_amount": 74.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1659140283, 1598294084]}]}, {"allowed_amount": 74.62, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871927244]}]}, {"allowed_amount": 74.95, "billing_code_modifier": ["QY", "QK", "QK,P3", "QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1881359099, 1295088276, 1508446220]}, {"billed_charge": 1155.0, "npi": [1386105088, 1174503213, 1144322926]}]}, {"allowed_amount": 75.56, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1770957672, 1841598893, 1366930430]}, {"billed_charge": 990.0, "npi": [1760792303, 1164840807]}]}, {"allowed_amount": 75.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1578703237]}, {"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 75.92, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1508446220, 1578703237]}, {"billed_charge": 1155.0, "npi": [1881127025]}]}, {"allowed_amount": 75.97, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824]}]}, {"allowed_amount": 76.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1366930430]}]}, {"allowed_amount": 76.58, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1447077334, 1871045278]}, {"billed_charge": 990.0, "npi": [1760792303, 1164840807]}]}, {"allowed_amount": 76.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1578703237]}, {"billed_charge": 990.0, "npi": [1396858239]}]}, {"allowed_amount": 76.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316565427]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 77.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1598294084, 1164691655, 1770827719, 1346747599, 1285057851, 1366930430]}]}, {"allowed_amount": 77.6, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1912982265, 1184993644]}, {"billed_charge": 1155.0, "npi": [1730492448, 1790927200]}]}, {"allowed_amount": 77.87, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1871927244]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 78.62, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1912982265]}, {"billed_charge": 1155.0, "npi": [1730492448]}]}, {"allowed_amount": 78.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1598294084]}]}, {"allowed_amount": 79.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1154519262]}]}, {"allowed_amount": 79.64, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1770957672, 1801863824, 1366930430, 1871045278, 1316276959]}, {"billed_charge": 1155.0, "npi": [1164840807, 1760792303, 1417991431]}, {"billed_charge": 2100.0, "npi": [1730492448]}]}, {"allowed_amount": 79.81, "billing_code_modifier": ["QX,P3", "QK,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316565427, 1508446220, 1780179333]}, {"billed_charge": 1155.0, "npi": [1174503213]}]}, {"allowed_amount": 80.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1578703237]}, {"billed_charge": 990.0, "npi": [1386105088]}]}, {"allowed_amount": 80.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1578219713, 1871045278, 1225410574]}]}, {"allowed_amount": 80.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1770957672]}]}, {"allowed_amount": 80.79, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 81.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1205410487]}, {"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 81.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1659140283, 1598294084, 1225410574]}]}, {"allowed_amount": 81.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1932704590]}]}, {"allowed_amount": 81.76, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 82.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1548531577, 1316276959]}]}, {"allowed_amount": 82.73, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1033178850, 1780179333, 1578703237]}, {"billed_charge": 1155.0, "npi": [1396858239]}]}, {"allowed_amount": 83.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1598294084, 1164691655, 1275053902, 1225410574, 1316338130, 1871045278]}]}, {"allowed_amount": 83.28, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1871927244]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 84.36, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1174503213]}]}, {"allowed_amount": 84.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1366930430, 1346747599]}]}, {"allowed_amount": 84.68, "billing_code_modifier": ["QK,P3", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 84.75, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824]}, {"billed_charge": 1155.0, "npi": [1760792303]}]}, {"allowed_amount": 85.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}]}, {"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1598294084, 1770827719, 1164691655, 1396243770, 1912982265, 1033413562, 1871045278]}]}, {"allowed_amount": 86.52, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033178850]}, {"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 86.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1780179333]}]}, {"allowed_amount": 86.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1093780512]}, {"billed_charge": 1155.0, "npi": [1760792303]}]}, {"allowed_amount": 86.84, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1386105088]}]}, {"allowed_amount": 87.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824]}]}, {"allowed_amount": 87.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1871045278]}]}, {"allowed_amount": 88.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1578219713, 1225410574, 1346747599, 1801863824, 1912982265, 1366930430]}]}, {"allowed_amount": 88.83, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1871045278]}]}, {"allowed_amount": 90.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824, 1912982265]}]}, {"allowed_amount": 90.87, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1548531577]}]}, {"allowed_amount": 91.44, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1578219713, 1285057851]}]}, {"allowed_amount": 91.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1295088276]}]}, {"allowed_amount": 92.92, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316276959]}, {"billed_charge": 1320.0, "npi": [1760792303]}]}, {"allowed_amount": 94.25, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1396243770, 1285057851, 1871045278, 1225410574]}]}, {"allowed_amount": 95.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1912982265, 1366930430]}]}, {"allowed_amount": 97.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824, 1396243770]}]}, {"allowed_amount": 98.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1912982265]}]}, {"allowed_amount": 100.06, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1154519262]}]}, {"allowed_amount": 102.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1225410574, 1164691655]}]}, {"allowed_amount": 105.12, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1578703237]}, {"billed_charge": 1485.0, "npi": [1487650396]}]}, {"allowed_amount": 106.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1346707502]}, {"billed_charge": 1320.0, "npi": [1730492448]}]}, {"allowed_amount": 108.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1659140283]}]}, {"allowed_amount": 111.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1598294084]}]}, {"allowed_amount": 111.18, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1871045278]}]}, {"allowed_amount": 113.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1871927244]}]}, {"allowed_amount": 113.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1912982265]}]}, {"allowed_amount": 116.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1770957672]}, {"billed_charge": 1485.0, "npi": [1760792303]}]}, {"allowed_amount": 120.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1881127025]}]}, {"allowed_amount": 120.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1881359099]}]}, {"allowed_amount": 122.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1225410574]}]}, {"allowed_amount": 128.48, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396858239]}]}, {"allowed_amount": 128.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1033178850, 1881359099, 1871927244, 1760664718]}]}, {"allowed_amount": 130.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 131.4, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1881359099, 1871927244]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1730492448]}]}, {"allowed_amount": 134.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1376519496, 1871927244, 1295051597, 1881359099]}]}, {"allowed_amount": 134.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 135.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1386105088]}]}, {"allowed_amount": 136.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1285608935]}]}, {"allowed_amount": 136.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1881359099, 1871927244, 1578703237]}]}, {"allowed_amount": 136.82, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1730492448]}]}, {"allowed_amount": 139.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1184013674, 1871927244, 1881359099]}]}, {"allowed_amount": 140.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1881127025]}]}, {"allowed_amount": 141.91, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1871927244, 1578703237]}]}, {"allowed_amount": 144.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1376519496, 1184013674, 1871927244, 1881359099]}]}, {"allowed_amount": 147.03, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164840807]}]}, {"allowed_amount": 147.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1184013674, 1871927244, 1760664718, 1801863824, 1881359099]}]}, {"allowed_amount": 147.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1155.0, "npi": [1669723664]}]}, {"allowed_amount": 149.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1376519496, 1871927244, 1760664718, 1801863824]}]}, {"allowed_amount": 151.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 151.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 152.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237]}]}, {"allowed_amount": 152.59, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1790927200]}]}, {"allowed_amount": 154.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1598294084]}]}, {"allowed_amount": 155.05, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1033178850, 1871927244]}]}, {"allowed_amount": 155.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 155.64, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}, {"billed_charge": 990.0, "npi": [1790927200, 1154519262, 1760792303]}]}, {"allowed_amount": 155.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 157.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824]}]}, {"allowed_amount": 159.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 160.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1376519496, 1033178850, 1760664718]}]}, {"allowed_amount": 162.94, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1871927244]}]}, {"allowed_amount": 164.8, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}, {"billed_charge": 990.0, "npi": [1790927200, 1417991431]}]}, {"allowed_amount": 165.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1376519496, 1033178850, 1871927244, 1578703237]}]}, {"allowed_amount": 166.55, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 167.85, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1821443243, 1316276959]}, {"billed_charge": 990.0, "npi": [1730492448, 1760792303, 1417991431]}]}, {"allowed_amount": 168.19, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1376519496, 1316565427, 1871927244, 1578703237]}]}, {"allowed_amount": 168.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 169.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 170.82, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824, 1578703237]}]}, {"allowed_amount": 170.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 170.9, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1497721815]}]}, {"allowed_amount": 173.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1881127025]}]}, {"allowed_amount": 173.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1790927200, 1760792303]}]}, {"allowed_amount": 176.08, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}]}, {"allowed_amount": 177.0, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}, {"billed_charge": 990.0, "npi": [1730492448, 1417991431, 1154519262, 1760792303]}]}, {"allowed_amount": 178.71, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316565427, 1871927244]}]}, {"allowed_amount": 180.06, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1821443243, 1316276959]}, {"billed_charge": 990.0, "npi": [1790927200, 1730492448, 1417991431, 1760792303, 1497721815]}]}, {"allowed_amount": 181.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1578703237]}]}, {"allowed_amount": 183.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}, {"billed_charge": 990.0, "npi": [1497721815, 1417991431]}]}, {"allowed_amount": 183.96, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1881359099, 1578703237]}]}, {"allowed_amount": 184.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1285608935]}]}, {"allowed_amount": 186.16, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}, {"billed_charge": 1155.0, "npi": [1730492448, 1760792303, 1417991431, 1497721815]}]}, {"allowed_amount": 189.21, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}, {"billed_charge": 1155.0, "npi": [1790927200]}]}, {"allowed_amount": 191.85, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1871927244]}]}, {"allowed_amount": 192.26, "billing_code_modifier": ["QY", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}, {"billed_charge": 1155.0, "npi": [1730492448, 1417991431, 1790927200, 1497721815]}]}, {"allowed_amount": 194.48, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1578703237]}]}, {"allowed_amount": 195.32, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1790927200]}]}, {"allowed_amount": 197.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1033178850]}]}, {"allowed_amount": 198.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}]}, {"allowed_amount": 199.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316565427]}]}, {"allowed_amount": 201.42, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1821443243]}]}, {"allowed_amount": 204.47, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1770957672]}, {"billed_charge": 1155.0, "npi": [1790927200, 1497721815, 1164840807]}]}, {"allowed_amount": 205.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2400.0, "npi": [1952360299]}]}, {"allowed_amount": 207.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1790927200]}]}, {"allowed_amount": 207.62, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1871927244]}]}, {"allowed_amount": 210.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1730492448]}]}, {"allowed_amount": 212.87, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1215.0, "npi": [1578703237]}]}, {"allowed_amount": 216.68, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316276959]}, {"billed_charge": 1320.0, "npi": [1497721815]}]}, {"allowed_amount": 222.78, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1417991431]}]}, {"allowed_amount": 228.8, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1487650396]}]}, {"allowed_amount": 241.09, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1730492448]}]}, {"allowed_amount": 244.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1871927244]}]}, {"allowed_amount": 244.77, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1487650396]}]}, {"allowed_amount": 256.35, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}]}, {"allowed_amount": 260.73, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 825.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1790927200]}]}, {"allowed_amount": 266.05, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 271.37, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 276.69, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1881127025, 1396858239, 1487650396, 1639364623]}]}, {"allowed_amount": 282.01, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 287.33, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 292.65, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 990.0, "npi": [1881127025, 1639364623, 1487650396, 1396858239]}]}, {"allowed_amount": 293.95, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2970.0, "npi": [1780179333]}, {"billed_charge": 3630.0, "npi": [1932172111]}]}, {"allowed_amount": 297.97, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1881127025, 1487650396, 1396858239]}]}, {"allowed_amount": 303.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1881127025, 1487650396, 1396858239]}]}, {"allowed_amount": 308.62, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396, 1396858239]}]}, {"allowed_amount": 313.94, "billing_code_modifier": ["QK", "QK,P3"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 317.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1760792303]}]}, {"allowed_amount": 319.26, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 320.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1871927244]}]}, {"allowed_amount": 323.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 324.58, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 329.9, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 335.22, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 335.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 340.54, "billing_code_modifier": ["QY", "QK", "QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1396858239, 1487650396, 1639364623]}]}, {"allowed_amount": 345.86, "billing_code_modifier": ["QK", "QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396, 1639364623]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 354.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1760792303, 1417991431]}]}, {"allowed_amount": 356.51, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 360.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1730492448]}]}, {"allowed_amount": 361.83, "billing_code_modifier": ["QK", "QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396, 1639364623]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1730492448]}]}, {"allowed_amount": 367.15, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 372.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1730492448, 1760792303, 1497721815]}]}, {"allowed_amount": 372.47, "billing_code_modifier": ["QY", "QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1881127025, 1487650396]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1730492448, 1417991431, 1497721815]}]}, {"allowed_amount": 390.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1417991431]}]}, {"allowed_amount": 393.75, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1487650396]}]}, {"allowed_amount": 396.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1154519262]}]}, {"allowed_amount": 399.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1396858239]}]}, {"allowed_amount": 404.39, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1396858239]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 420.36, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1487650396]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 431.0, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1485.0, "npi": [1881127025]}]}, {"allowed_amount": 494.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1487650396]}]}, {"allowed_amount": 521.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1265494058]}]}, {"allowed_amount": 553.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1881127025, 1396858239]}]}, {"allowed_amount": 564.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396858239]}]}, {"allowed_amount": 585.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1881127025]}]}, {"allowed_amount": 595.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396858239]}]}, {"allowed_amount": 606.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396858239]}]}, {"allowed_amount": 627.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396858239]}]}, {"allowed_amount": 638.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396858239]}]}, {"allowed_amount": 649.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1265494058, 1396858239]}]}, {"allowed_amount": 670.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1396858239]}]}, {"allowed_amount": 723.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1396858239]}]}, {"allowed_amount": 776.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1396858239]}]}, {"allowed_amount": 819.43, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1396858239]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 83.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1253.0, "npi": [1730038332]}]}, {"allowed_amount": 93.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1432.0, "npi": [1922979269]}, {"billed_charge": 1472.0, "npi": [1124477070]}]}, {"allowed_amount": 100.06, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1432.0, "npi": [1912864703]}]}, {"allowed_amount": 114.58, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1432.0, "npi": [1730038332]}]}, {"allowed_amount": 183.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1104.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.35, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1575.0, "npi": [1710846555]}]}, {"allowed_amount": 194.67, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1366012775]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 88.83, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1575.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 59.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1494.0, "npi": [1407280829]}]}, {"allowed_amount": 62.29, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1494.0, "npi": [1982034385, 1275671067, 1790108868]}]}, {"allowed_amount": 63.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1494.0, "npi": [1982034385]}]}, {"allowed_amount": 64.24, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1494.0, "npi": [1871966234, 1790108868, 1215986823]}]}, {"allowed_amount": 65.21, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1494.0, "npi": [1982034385, 1215986823]}]}, {"allowed_amount": 67.16, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1494.0, "npi": [1770542896, 1215986823]}]}, {"allowed_amount": 68.13, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1494.0, "npi": [1871966234, 1215986823]}]}, {"allowed_amount": 71.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1494.0, "npi": [1790108868]}]}, {"allowed_amount": 73.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1494.0, "npi": [1790108868, 1407280829]}]}, {"allowed_amount": 74.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1743.0, "npi": [1982034385, 1811962533]}]}, {"allowed_amount": 81.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1743.0, "npi": [1790108868]}]}, {"allowed_amount": 86.63, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1743.0, "npi": [1811962533]}]}, {"allowed_amount": 88.57, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1194137562, 1215986823]}]}, {"allowed_amount": 104.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1476.0, "npi": [1629657333]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AD,P3", "AD"], "providers": [{"billed_charge": 1494.0, "npi": [1275671067, 1215986823]}, {"billed_charge": 1743.0, "npi": [1275671067, 1215986823]}]}, {"allowed_amount": 120.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1871966234, 1700988367]}]}, {"allowed_amount": 124.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1780049635]}]}, {"allowed_amount": 126.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1649624289, 1588053045]}]}, {"allowed_amount": 128.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1245.0, "npi": [1649624289]}]}, {"allowed_amount": 130.43, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1518942457]}]}, {"allowed_amount": 132.21, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1700988367]}]}, {"allowed_amount": 132.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1982034385, 1871966234, 1801285879]}]}, {"allowed_amount": 134.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1407280829]}]}, {"allowed_amount": 139.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1476.0, "npi": [1194137562]}]}, {"allowed_amount": 140.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1801386669]}]}, {"allowed_amount": 144.06, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1790108868]}]}, {"allowed_amount": 146.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1649624289]}]}, {"allowed_amount": 147.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1821313180, 1780263871]}]}, {"allowed_amount": 149.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1476.0, "npi": [1194137562]}]}, {"allowed_amount": 151.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1743.0, "npi": [1174592273]}]}, {"allowed_amount": 155.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1494.0, "npi": [1770542896]}]}, {"allowed_amount": 157.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1700988367]}]}, {"allowed_amount": 159.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1743.0, "npi": [1174592273]}]}, {"allowed_amount": 161.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1770542896]}]}, {"allowed_amount": 165.57, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1194137562]}]}, {"allowed_amount": 171.31, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1743.0, "npi": [1700988367]}]}, {"allowed_amount": 184.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1992.0, "npi": [1174592273]}]}, {"allowed_amount": 186.88, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1518942457]}]}, {"allowed_amount": 211.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1700988367]}]}, {"allowed_amount": 212.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2241.0, "npi": [1821313180]}]}, {"allowed_amount": 222.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1722.0, "npi": [1700988367]}]}, {"allowed_amount": 278.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1649624289]}]}, {"allowed_amount": 282.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1476.0, "npi": [1275671067]}]}, {"allowed_amount": 289.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1649624289, 1790108868]}]}, {"allowed_amount": 294.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1194137562]}]}, {"allowed_amount": 299.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1194137562, 1871966234, 1649624289]}, {"billed_charge": 1494.0, "npi": [1871966234]}]}, {"allowed_amount": 303.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1476.0, "npi": [1275671067]}]}, {"allowed_amount": 304.85, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1801285879]}]}, {"allowed_amount": 310.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1194137562]}, {"billed_charge": 1494.0, "npi": [1801285879]}]}, {"allowed_amount": 312.66, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1476.0, "npi": [1972824464]}]}, {"allowed_amount": 315.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1790108868]}]}, {"allowed_amount": 331.13, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1801285879]}]}, {"allowed_amount": 335.22, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1275671067]}]}, {"allowed_amount": 362.67, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1982034385]}]}, {"allowed_amount": 397.45, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1972824464]}]}, {"allowed_amount": 415.04, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1245.0, "npi": [1215986823]}]}, {"allowed_amount": 521.46, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1494.0, "npi": [1275671067]}]}, {"allowed_amount": 670.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1722.0, "npi": [1174592273]}]}]}, {"tin": {"type": "ein", "value": "593245868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 834.0, "npi": [1780349829]}]}, {"allowed_amount": 110.51, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1272.0, "npi": [1245930031]}]}, {"allowed_amount": 321.22, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 840.0, "npi": [1083634083]}]}, {"allowed_amount": 430.21, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1280.0, "npi": [1013238344]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 324.47, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1299.6, "npi": [1497361364, 1376520494]}]}, {"allowed_amount": 762.8, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1514.2, "npi": [1124656830]}]}]}, {"tin": {"type": "ein", "value": "650491008"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 120.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1447573100, 1023477544, 1285208660]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1023477544, 1033928171, 1285208660]}]}, {"allowed_amount": 124.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1447573100, 1285208660]}]}, {"allowed_amount": 126.61, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544, 1033928171, 1285208660]}]}, {"allowed_amount": 128.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544, 1447573100, 1467058925, 1285208660, 1447077334]}]}, {"allowed_amount": 130.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1033928171, 1114130564, 1447077334, 1285208660]}]}, {"allowed_amount": 134.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1467058925]}]}, {"allowed_amount": 136.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1033928171]}]}, {"allowed_amount": 137.86, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 475.0, "npi": [1023477544]}]}, {"allowed_amount": 138.86, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1285208660]}]}, {"allowed_amount": 140.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1114886132]}]}, {"allowed_amount": 140.9, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544]}]}, {"allowed_amount": 142.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1114130564, 1285208660]}]}, {"allowed_amount": 143.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1023477544, 1114886132]}, {"billed_charge": 570.0, "npi": [1023477544, 1144194754, 1285208660, 1447077334]}]}, {"allowed_amount": 146.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1053280008, 1144194754, 1114886132, 1023477544]}, {"billed_charge": 570.0, "npi": [1023477544, 1144194754, 1114886132, 1447077334]}]}, {"allowed_amount": 149.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1023477544, 1053280008, 1144194754, 1114886132]}, {"billed_charge": 570.0, "npi": [1023477544, 1144194754, 1285208660]}]}, {"allowed_amount": 151.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1023477544, 1114886132, 1467058925, 1619427606]}, {"billed_charge": 570.0, "npi": [1023477544]}]}, {"allowed_amount": 154.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1285528802, 1144194754, 1023477544, 1053280008, 1619427606]}, {"billed_charge": 570.0, "npi": [1144194754, 1114886132]}]}, {"allowed_amount": 157.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1285528802]}, {"billed_charge": 570.0, "npi": [1447077334]}]}, {"allowed_amount": 160.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1023477544, 1285528802, 1114886132]}, {"billed_charge": 570.0, "npi": [1144194754, 1114886132]}]}, {"allowed_amount": 163.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1023477544, 1285528802]}, {"billed_charge": 570.0, "npi": [1144194754]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1467058925]}]}, {"allowed_amount": 171.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1447077334]}]}, {"allowed_amount": 177.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1144194754]}]}, {"allowed_amount": 177.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1033928171]}]}, {"allowed_amount": 194.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 505.0, "npi": [1023477544]}]}, {"allowed_amount": 205.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1144194754]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 760.0, "npi": [1033928171]}]}]}, {"tin": {"type": "ein", "value": "650823701"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 292.97, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 950.0, "npi": [1477663417]}]}, {"allowed_amount": 390.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1330.0, "npi": [1477663417]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1520.0, "npi": [1477663417]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1520.0, "npi": [1477663417]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1520.0, "npi": [1477663417]}]}, {"allowed_amount": 482.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1520.0, "npi": [1477663417]}]}, {"allowed_amount": 518.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1710.0, "npi": [1477663417]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 71.04, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1866.0, "npi": [1295379733]}, {"billed_charge": 1872.0, "npi": [1497948301]}]}, {"allowed_amount": 71.99, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1700066388]}, {"billed_charge": 2184.0, "npi": [1912950288]}]}, {"allowed_amount": 72.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1700066388]}, {"billed_charge": 2184.0, "npi": [1467494849]}]}, {"allowed_amount": 77.67, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1437823614]}, {"billed_charge": 2184.0, "npi": [1497948301]}]}, {"allowed_amount": 78.62, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1700066388]}, {"billed_charge": 2184.0, "npi": [1497948301]}]}, {"allowed_amount": 80.52, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2177.0, "npi": [1013570779]}, {"billed_charge": 2184.0, "npi": [1497948301]}]}, {"allowed_amount": 81.46, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1538465737]}, {"billed_charge": 2184.0, "npi": [1497948301]}]}, {"allowed_amount": 162.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2177.0, "npi": [1700066388]}]}, {"allowed_amount": 180.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2177.0, "npi": [1700066388]}]}, {"allowed_amount": 191.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2177.0, "npi": [1295379733]}]}, {"allowed_amount": 203.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2488.0, "npi": [1679224877]}]}, {"allowed_amount": 208.98, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1013570779, 1295379733]}]}, {"allowed_amount": 220.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2488.0, "npi": [1295379733]}]}, {"allowed_amount": 240.6, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1700066388]}]}, {"allowed_amount": 243.34, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1700066388]}]}, {"allowed_amount": 246.2, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1538465737]}]}, {"allowed_amount": 329.55, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2184.0, "npi": [1912950288]}]}, {"allowed_amount": 350.47, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2184.0, "npi": [1497948301]}]}, {"allowed_amount": 371.4, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2496.0, "npi": [1467494849]}]}, {"allowed_amount": 381.86, "billing_code_modifier": ["QK", "QK,P3"], "providers": [{"billed_charge": 2496.0, "npi": [1912950288, 1467494849]}]}, {"allowed_amount": 402.78, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2496.0, "npi": [1467494849]}]}, {"allowed_amount": 444.63, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2808.0, "npi": [1467494849]}]}, {"allowed_amount": 449.86, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2808.0, "npi": [1467494849]}]}, {"allowed_amount": 463.77, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1700066388]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 126.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2400.0, "npi": [1982786018]}]}]}, {"tin": {"type": "ein", "value": "843475603"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 121.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1679963854]}]}, {"allowed_amount": 143.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1073672119]}]}]}, {"tin": {"type": "ein", "value": "850996164"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 113.67, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1912159013]}]}, {"allowed_amount": 168.61, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1265728075]}]}, {"allowed_amount": 234.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1912159013]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.87, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1320.0, "npi": [1528497674, 1760709406]}]}, {"allowed_amount": 173.58, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 750.0, "npi": [1578545018]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 960.0, "npi": [1245262856]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1470.0, "npi": [1760709406]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1245262856]}]}]}, {"tin": {"type": "ein", "value": "874608604"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 109.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1493.33, "npi": [1245474568]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1600.0, "npi": [1245474568]}]}, {"allowed_amount": 124.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1706.67, "npi": [1114985850]}]}, {"allowed_amount": 132.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1813.33, "npi": [1245474568]}]}, {"allowed_amount": 179.1, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2053.33, "npi": [1285955633]}]}, {"allowed_amount": 519.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1573.33, "npi": [1285955633]}]}, {"allowed_amount": 534.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1680.0, "npi": [1114985850]}]}, {"allowed_amount": 540.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1626.67, "npi": [1346216884]}, {"billed_charge": 1653.33, "npi": [1346216884]}]}, {"allowed_amount": 582.93, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1786.67, "npi": [1114985850]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 84.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 375.0, "npi": [1215494778]}]}, {"allowed_amount": 86.79, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 438.0, "npi": [1558868612, 1891482303]}]}, {"allowed_amount": 88.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 375.0, "npi": [1215494778]}]}, {"allowed_amount": 94.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 438.0, "npi": [1215494778, 1518537612]}]}, {"allowed_amount": 102.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 438.0, "npi": [1215494778]}]}, {"allowed_amount": 192.26, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 375.0, "npi": [1558868612]}]}, {"allowed_amount": 204.47, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 438.0, "npi": [1669468112, 1750366589]}]}, {"allowed_amount": 222.78, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 438.0, "npi": [1750366589]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 875.0, "npi": [1669468112, 1750366589]}]}]}, {"tin": {"type": "ein", "value": "881695985"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 93.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2650.0, "npi": [1063486231]}]}]}, {"tin": {"type": "ein", "value": "881701685"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 154.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1400.0, "npi": [1053512921]}]}]}, {"tin": {"type": "ein", "value": "883151607"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 105.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1730749342]}]}, {"allowed_amount": 118.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1700800570]}]}, {"allowed_amount": 120.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1316394869]}]}, {"allowed_amount": 122.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1962418731, 1083300180]}]}, {"allowed_amount": 124.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1083300180, 1730749342]}]}, {"allowed_amount": 126.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1083300180, 1316394869]}]}, {"allowed_amount": 128.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1700800570]}]}, {"allowed_amount": 130.43, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1700800570, 1730749342]}]}, {"allowed_amount": 132.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570, 1962418731]}]}, {"allowed_amount": 134.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570, 1962418731]}]}, {"allowed_amount": 136.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570]}]}, {"allowed_amount": 138.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1407480452]}]}, {"allowed_amount": 140.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1700800570, 1407480452]}]}, {"allowed_amount": 142.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 147.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1730749342]}]}, {"allowed_amount": 151.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1962418731]}]}, {"allowed_amount": 171.31, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 900.0, "npi": [1700800570]}]}, {"allowed_amount": 176.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1962418731]}]}, {"allowed_amount": 179.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1205917085]}]}, {"allowed_amount": 183.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1730749342]}]}, {"allowed_amount": 186.86, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1083300180, 1316394869]}]}, {"allowed_amount": 190.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1114548013, 1083300180, 1316394869]}]}, {"allowed_amount": 193.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1407480452, 1316394869]}, {"billed_charge": 900.0, "npi": [1700800570]}]}, {"allowed_amount": 197.44, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570, 1962418731]}]}, {"allowed_amount": 200.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1114548013]}]}, {"allowed_amount": 204.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1407480452, 1083300180, 1316394869]}]}, {"allowed_amount": 208.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1962418731]}]}, {"allowed_amount": 215.07, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 750.0, "npi": [1962418731]}, {"billed_charge": 900.0, "npi": [1104887736]}]}, {"allowed_amount": 222.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1407480452]}]}, {"allowed_amount": 225.64, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 750.0, "npi": [1730749342]}]}, {"allowed_amount": 232.7, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 239.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1962418731]}]}, {"allowed_amount": 257.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1730749342]}]}, {"allowed_amount": 593.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1679658652]}]}]}, {"tin": {"type": "ein", "value": "900957091"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 117.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 912.0, "npi": [1417240300]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 61.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 745.0, "npi": [1932770674]}, {"billed_charge": 750.0, "npi": [1356873210]}]}, {"allowed_amount": 65.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 68.41, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1790249480]}, {"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 70.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 745.0, "npi": [1912157280]}]}, {"allowed_amount": 70.45, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}, {"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 71.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}]}, {"allowed_amount": 72.49, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1790249480, 1932770674]}, {"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 73.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}]}, {"allowed_amount": 75.56, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1205079597]}, {"billed_charge": 900.0, "npi": [1780655399]}]}, {"allowed_amount": 75.97, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1912157280, 1932770674]}]}, {"allowed_amount": 81.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}]}, {"allowed_amount": 84.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}]}, {"allowed_amount": 84.75, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1790249480]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}]}, {"allowed_amount": 87.81, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1790249480]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 94.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1205079597]}]}, {"allowed_amount": 99.04, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 99.88, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1932770674]}]}, {"allowed_amount": 100.97, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 104.15, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1790249480]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 109.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1568002400]}]}, {"allowed_amount": 152.59, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 750.0, "npi": [1255837829]}]}, {"allowed_amount": 155.64, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 158.69, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 164.8, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 167.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 177.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 183.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 186.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 187.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1192.0, "npi": [1932770674]}]}, {"allowed_amount": 204.47, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 216.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 238.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1356873210]}]}]}]}, {"name": "Anesthesia for non-invasive imaging or radiation therapy", "billing_code_type": "CPT", "billing_code": "01922", "billing_code_type_version": "2022", "description": "ANES NON-INVASIVE IMAGING/RADIATION THERAPY", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 125.59, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1962072066]}, {"billed_charge": 963.0, "npi": [1659303840]}]}, {"allowed_amount": 146.01, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1962072066]}, {"billed_charge": 1070.0, "npi": [1659303840]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 963.0, "npi": [1659303840]}]}, {"allowed_amount": 592.05, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1070.0, "npi": [1164627592]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 894.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2055.0, "npi": [1912630153, 1518374487]}]}]}, {"tin": {"type": "ein", "value": "223451107"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1389.9, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 3025.0, "npi": [1386205078]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 518.02, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1892.8, "npi": [1548532898]}, {"billed_charge": 1911.0, "npi": [1194706796]}]}, {"allowed_amount": 609.1, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 2225.6, "npi": [1598096620]}, {"billed_charge": 2247.0, "npi": [1508890658]}]}, {"allowed_amount": 1195.43, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2184.0, "npi": [1972907533]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 486.48, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 712.0, "npi": [1053574939]}]}]}, {"tin": {"type": "ein", "value": "452430042"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.78, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1980.0, "npi": [1538798699]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1447376231]}]}, {"allowed_amount": 549.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1447376231]}]}, {"allowed_amount": 592.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1447376231]}]}, {"allowed_amount": 683.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3780.0, "npi": [1326073867]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 540.79, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1976.0, "npi": [1578219812]}, {"billed_charge": 1995.0, "npi": [1649739491]}]}, {"allowed_amount": 626.18, "billing_code_modifier": ["QY,P4", "QX,P4"], "providers": [{"billed_charge": 2288.0, "npi": [1225438138]}, {"billed_charge": 2310.0, "npi": [1104899889]}]}, {"allowed_amount": 717.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2620.8, "npi": [1881232627]}, {"billed_charge": 2646.0, "npi": [1720014731]}]}, {"allowed_amount": 740.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2704.0, "npi": [1881232627]}, {"billed_charge": 2730.0, "npi": [1720014731]}]}, {"allowed_amount": 779.87, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 2849.6, "npi": [1033984109]}, {"billed_charge": 2877.0, "npi": [1720014731]}]}, {"allowed_amount": 796.95, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2940.0, "npi": [1104899889]}]}, {"allowed_amount": 848.18, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3099.2, "npi": [1942011846]}, {"billed_charge": 3129.0, "npi": [1568874782]}]}, {"allowed_amount": 1252.35, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2288.0, "npi": [1861452518]}]}, {"allowed_amount": 1878.53, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3465.0, "npi": [1649739491]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 190.68, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1326.6, "npi": [1093805962]}]}, {"allowed_amount": 567.88, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1326.6, "npi": [1477611077]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.78, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1730492448]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.55, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 525.0, "npi": [1619333028]}]}, {"allowed_amount": 439.65, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 525.0, "npi": [1083110324]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 124.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1656.0, "npi": [1124477070]}]}, {"allowed_amount": 151.12, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1790.0, "npi": [1922979269]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2760.0, "npi": [1124477070]}]}, {"allowed_amount": 317.39, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2024.0, "npi": [1124477070]}]}, {"allowed_amount": 320.44, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2024.0, "npi": [1194304329]}]}, {"allowed_amount": 335.7, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2024.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.83, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1692.0, "npi": [1710846555]}]}, {"allowed_amount": 330.82, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2068.0, "npi": [1346354925]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.19, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.29, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1948.1, "npi": [1396429742]}]}, {"allowed_amount": 632.94, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1948.1, "npi": [1063458701]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 150.61, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2739.0, "npi": [1235532730, 1952385239]}]}, {"allowed_amount": 154.4, "billing_code_modifier": ["QK,P4", "QY,P3", "QX,P4", "QX,P3"], "providers": [{"billed_charge": 2739.0, "npi": [1609559848, 1609605393, 1447210018, 1225472863]}]}, {"allowed_amount": 159.63, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 2739.0, "npi": [1689668550, 1336622430]}]}, {"allowed_amount": 323.15, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2988.0, "npi": [1578613733]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 329.22, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 954.0, "npi": [1982709291]}]}, {"allowed_amount": 601.56, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 1060.0, "npi": [1245670926]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1195.43, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2509.5, "npi": [1184886699]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1077.57, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1437684867]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 270.52, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1342.0, "npi": [1669098273]}]}, {"allowed_amount": 281.02, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1342.0, "npi": [1962498626]}]}, {"allowed_amount": 333.55, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1586.0, "npi": [1851751200]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.56, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 805.0, "npi": [1033656087]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.56, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 805.0, "npi": [1730142597]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.56, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1528489036]}, {"billed_charge": 3120.0, "npi": [1245317478]}]}, {"allowed_amount": 177.87, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1609438316]}]}, {"allowed_amount": 297.73, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3421.0, "npi": [1760137319]}]}, {"allowed_amount": 523.09, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1528233202]}]}, {"allowed_amount": 544.02, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3432.0, "npi": [1750677993]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.83, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1600.0, "npi": [1548129224, 1588536437, 1548140726]}]}, {"allowed_amount": 134.78, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1356222905]}]}, {"allowed_amount": 140.68, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1600.0, "npi": [1982137089]}]}, {"allowed_amount": 144.99, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1600.0, "npi": [1689036527]}, {"billed_charge": 2400.0, "npi": [1174814743]}]}, {"allowed_amount": 156.22, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 1760.0, "npi": [1689036527]}, {"billed_charge": 2156.0, "npi": [1194280115]}, {"billed_charge": 2244.0, "npi": [1265993240]}, {"billed_charge": 2640.0, "npi": [1174814743]}]}, {"allowed_amount": 162.35, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 1760.0, "npi": [1194280115]}, {"billed_charge": 2640.0, "npi": [1053868620]}]}, {"allowed_amount": 283.82, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1053868620, 1619396397]}]}, {"allowed_amount": 305.18, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1801885009]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 141.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1020.0, "npi": [1518524644]}]}, {"allowed_amount": 142.95, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 600.0, "npi": [1184370330, 1518524644]}]}, {"allowed_amount": 172.56, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 1020.0, "npi": [1184370330]}]}, {"allowed_amount": 510.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 510.0, "npi": [1710958152]}]}, {"allowed_amount": 540.0, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 540.0, "npi": [1083821409]}]}, {"allowed_amount": 579.84, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 690.0, "npi": [1427375583]}]}, {"allowed_amount": 689.71, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1050.0, "npi": [1538146642]}]}, {"allowed_amount": 762.95, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2040.0, "npi": [1245262856]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 228.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2133.0, "npi": [1982161170]}]}, {"allowed_amount": 462.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2133.0, "npi": [1932176468]}]}]}]}, {"name": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01630", "billing_code_type_version": "2022", "description": "ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV&SHO NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 750.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6710.0, "npi": [1447376231]}]}, {"allowed_amount": 1080.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11590.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 745.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2724.8, "npi": [1760136931]}, {"billed_charge": 2751.0, "npi": [1568874782]}]}, {"allowed_amount": 802.64, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2932.8, "npi": [1598958670]}, {"billed_charge": 2961.0, "npi": [1215391909]}]}, {"allowed_amount": 1018.96, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3723.2, "npi": [1679230825]}, {"billed_charge": 3759.0, "npi": [1326400011]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 467.05, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3825.0, "npi": [1619623873]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 145.03, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1619937992]}, {"billed_charge": 1650.0, "npi": [1134482250]}]}, {"allowed_amount": 153.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1485.0, "npi": [1164691655]}, {"billed_charge": 1815.0, "npi": [1790927200]}]}, {"allowed_amount": 192.98, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1755.0, "npi": [1023766748]}, {"billed_charge": 2145.0, "npi": [1164404968]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1890.0, "npi": [1598294084]}, {"billed_charge": 2310.0, "npi": [1164404968]}]}, {"allowed_amount": 219.98, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2160.0, "npi": [1578219713]}, {"billed_charge": 2640.0, "npi": [1790927200]}]}, {"allowed_amount": 281.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1447519277]}]}, {"allowed_amount": 291.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1225546518]}]}, {"allowed_amount": 307.34, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3465.0, "npi": [1033372941]}]}, {"allowed_amount": 315.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1447519277]}]}, {"allowed_amount": 341.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1184993644]}]}, {"allowed_amount": 391.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2025.0, "npi": [1881359099]}]}, {"allowed_amount": 412.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4200.0, "npi": [1164404968]}]}, {"allowed_amount": 480.93, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2565.0, "npi": [1144890245]}]}, {"allowed_amount": 569.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1134482250]}]}, {"allowed_amount": 638.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1980.0, "npi": [1134482250]}]}, {"allowed_amount": 792.83, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2475.0, "npi": [1790927200]}]}, {"allowed_amount": 973.74, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3135.0, "npi": [1790927200]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 326.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3938.0, "npi": [1659028967]}]}, {"allowed_amount": 347.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2208.0, "npi": [1124477070]}]}, {"allowed_amount": 437.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5191.0, "npi": [1912864703]}]}, {"allowed_amount": 625.62, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3864.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 183.77, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3237.0, "npi": [1336231596, 1356435796]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 312.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2775.0, "npi": [1346811809, 1578518338]}]}, {"allowed_amount": 334.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2975.0, "npi": [1346811809]}]}, {"allowed_amount": 351.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3125.0, "npi": [1679042600]}]}, {"allowed_amount": 357.32, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1811460090]}]}, {"allowed_amount": 365.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1588132617]}]}, {"allowed_amount": 367.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3000.0, "npi": [1851309025]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3075.0, "npi": [1417527441]}]}, {"allowed_amount": 391.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3475.0, "npi": [1417527441]}]}, {"allowed_amount": 399.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3550.0, "npi": [1558953513]}]}, {"allowed_amount": 414.55, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3375.0, "npi": [1558953513]}]}, {"allowed_amount": 416.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3675.0, "npi": [1033674023]}]}, {"allowed_amount": 419.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3725.0, "npi": [1558953513]}]}, {"allowed_amount": 422.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3450.0, "npi": [1508006305]}]}, {"allowed_amount": 441.09, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3600.0, "npi": [1851309025]}]}, {"allowed_amount": 449.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3675.0, "npi": [1033372941]}]}, {"allowed_amount": 450.17, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4000.0, "npi": [1588132617]}]}, {"allowed_amount": 471.73, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3850.0, "npi": [1578518338]}]}, {"allowed_amount": 483.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3950.0, "npi": [1417527441]}]}, {"allowed_amount": 509.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4525.0, "npi": [1417527441]}]}, {"allowed_amount": 570.09, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5025.0, "npi": [1033674023]}]}, {"allowed_amount": 577.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4725.0, "npi": [1558953513]}]}, {"allowed_amount": 793.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3250.0, "npi": [1417935230]}]}, {"allowed_amount": 933.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3825.0, "npi": [1508006305]}]}, {"allowed_amount": 1019.3, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3925.0, "npi": [1033372941]}]}]}, {"tin": {"type": "ein", "value": "742074766"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 250.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1131.0, "npi": [1144544156]}]}, {"allowed_amount": 745.7, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1144.0, "npi": [1346279684]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 408.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4550.0, "npi": [1114906674]}]}, {"allowed_amount": 502.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5590.0, "npi": [1174558035]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1710958152]}]}, {"allowed_amount": 793.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1588642375]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 215.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1118.0, "npi": [1518537612]}]}, {"allowed_amount": 466.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1125.0, "npi": [1366071946]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 247.23, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4029.0, "npi": [1235418831, 1710711759]}]}]}]}, {"name": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01400", "billing_code_type_version": "2022", "description": "ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 119.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1144873936]}]}, {"allowed_amount": 123.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1962072066]}, {"billed_charge": 963.0, "npi": [1659303840]}]}, {"allowed_amount": 126.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1699345793]}]}, {"allowed_amount": 171.54, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1932507795]}, {"billed_charge": 1284.0, "npi": [1659303840]}]}, {"allowed_amount": 259.4, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 963.0, "npi": [1366721789]}]}, {"allowed_amount": 274.66, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 963.0, "npi": [1659303840]}]}, {"allowed_amount": 339.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2625.0, "npi": [1962072066]}]}, {"allowed_amount": 735.49, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2675.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 495.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1809.6, "npi": [1548532898]}, {"billed_charge": 1827.0, "npi": [1861797565]}]}, {"allowed_amount": 614.79, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2246.4, "npi": [1134223787]}, {"billed_charge": 2268.0, "npi": [1174187207]}]}, {"allowed_amount": 779.87, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 2849.6, "npi": [1245846013]}, {"billed_charge": 2877.0, "npi": [1508890658]}]}]}, {"tin": {"type": "ein", "value": "392900678"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1824.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4000.0, "npi": [1316969140]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 285.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4080.0, "npi": [1215924196]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6375.0, "npi": [1215924196]}]}, {"allowed_amount": 512.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3366.0, "npi": [1215924196]}]}, {"allowed_amount": 549.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3825.0, "npi": [1215924196]}]}, {"allowed_amount": 604.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4488.0, "npi": [1215924196]}]}, {"allowed_amount": 671.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5355.0, "npi": [1326073867]}]}, {"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6120.0, "npi": [1326073867]}]}, {"allowed_amount": 836.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7395.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 392.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1435.2, "npi": [1073803201]}, {"billed_charge": 1449.0, "npi": [1215391909]}]}, {"allowed_amount": 688.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2516.8, "npi": [1598958670]}, {"billed_charge": 2541.0, "npi": [1215391909]}]}, {"allowed_amount": 711.56, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2600.0, "npi": [1801034566]}, {"billed_charge": 2625.0, "npi": [1215391909]}]}, {"allowed_amount": 757.1, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2766.4, "npi": [1639592876]}, {"billed_charge": 2793.0, "npi": [1902007065]}]}, {"allowed_amount": 979.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3577.6, "npi": [1578189528]}, {"billed_charge": 3612.0, "npi": [1215391909]}]}, {"allowed_amount": 1007.57, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3681.6, "npi": [1760136931]}, {"billed_charge": 3717.0, "npi": [1346390887]}]}, {"allowed_amount": 1138.5, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2080.0, "npi": [1942011846]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 122.64, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1578219713]}, {"billed_charge": 1485.0, "npi": [1306377593]}]}, {"allowed_amount": 133.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1881359099, 1184993644]}, {"billed_charge": 1650.0, "npi": [1790927200]}]}, {"allowed_amount": 142.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1952360075]}]}, {"allowed_amount": 179.7, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1598294084]}]}, {"allowed_amount": 182.99, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1755.0, "npi": [1225410574]}, {"billed_charge": 2145.0, "npi": [1134482250]}]}, {"allowed_amount": 196.62, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1890.0, "npi": [1225546518]}, {"billed_charge": 2310.0, "npi": [1063711802]}]}, {"allowed_amount": 205.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2025.0, "npi": [1396243770]}]}, {"allowed_amount": 212.19, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2025.0, "npi": [1679833198]}, {"billed_charge": 2475.0, "npi": [1790927200]}]}, {"allowed_amount": 245.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164404968]}]}, {"allowed_amount": 256.96, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2430.0, "npi": [1164691655]}, {"billed_charge": 2970.0, "npi": [1790927200]}]}, {"allowed_amount": 265.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1881359099]}]}, {"allowed_amount": 299.6, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1184683658]}]}, {"allowed_amount": 311.28, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1815.0, "npi": [1164404968]}]}, {"allowed_amount": 326.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1760792303]}]}, {"allowed_amount": 338.75, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1980.0, "npi": [1164404968]}]}, {"allowed_amount": 423.12, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2295.0, "npi": [1144890245]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2475.0, "npi": [1164404968]}]}, {"allowed_amount": 494.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1790927200]}]}, {"allowed_amount": 532.1, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1144322926]}]}, {"allowed_amount": 537.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1790927200]}]}, {"allowed_amount": 543.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1760792303]}]}, {"allowed_amount": 726.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1639364623]}]}, {"allowed_amount": 856.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2805.0, "npi": [1790927200]}]}, {"allowed_amount": 1226.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6300.0, "npi": [1164404968]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 169.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2148.0, "npi": [1659028967]}]}, {"allowed_amount": 172.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2148.0, "npi": [1194280115]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 331.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1053291526]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 397.45, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1968.0, "npi": [1356506604, 1225611759]}]}, {"allowed_amount": 621.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5478.0, "npi": [1194137562]}]}, {"allowed_amount": 670.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6474.0, "npi": [1790108868]}]}, {"allowed_amount": 2607.28, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 6474.0, "npi": [1275671067]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 222.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1975.0, "npi": [1346811809]}]}, {"allowed_amount": 239.15, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2125.0, "npi": [1558953513]}]}, {"allowed_amount": 243.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1975.0, "npi": [1033372941]}]}, {"allowed_amount": 244.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2175.0, "npi": [1558953513, 1659263655]}]}, {"allowed_amount": 250.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2225.0, "npi": [1588132617]}]}, {"allowed_amount": 255.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2075.0, "npi": [1417527441]}]}, {"allowed_amount": 256.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2275.0, "npi": [1851309025]}]}, {"allowed_amount": 265.47, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2175.0, "npi": [1659263655]}]}, {"allowed_amount": 267.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2175.0, "npi": [1578518338]}]}, {"allowed_amount": 275.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1417935230]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2325.0, "npi": [1316049406]}]}, {"allowed_amount": 303.86, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1578518338]}]}, {"allowed_amount": 320.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2625.0, "npi": [1033372941, 1316049406]}]}, {"allowed_amount": 323.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2875.0, "npi": [1578518338]}]}, {"allowed_amount": 328.78, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2425.0, "npi": [1578518338]}]}, {"allowed_amount": 374.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3325.0, "npi": [1588132617]}]}, {"allowed_amount": 377.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3075.0, "npi": [1346886272]}]}, {"allowed_amount": 379.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3375.0, "npi": [1558953513]}]}, {"allowed_amount": 407.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3625.0, "npi": [1417527441]}]}, {"allowed_amount": 420.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3425.0, "npi": [1508006305]}]}, {"allowed_amount": 422.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3450.0, "npi": [1578518338]}]}, {"allowed_amount": 428.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3500.0, "npi": [1417935230]}]}, {"allowed_amount": 441.73, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3925.0, "npi": [1811460090]}]}, {"allowed_amount": 455.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3725.0, "npi": [1588132617]}]}, {"allowed_amount": 465.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3800.0, "npi": [1588132617]}]}, {"allowed_amount": 467.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3825.0, "npi": [1417527441]}]}, {"allowed_amount": 473.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3875.0, "npi": [1316049406]}]}, {"allowed_amount": 483.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3950.0, "npi": [1508006305]}]}, {"allowed_amount": 500.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4075.0, "npi": [1508006305]}]}, {"allowed_amount": 543.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2225.0, "npi": [1942254826, 1417935230]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2325.0, "npi": [1417935230]}]}, {"allowed_amount": 708.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2900.0, "npi": [1508006305]}]}]}, {"tin": {"type": "ein", "value": "742074766"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 192.29, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1736.0, "npi": [1275005795]}, {"billed_charge": 1764.0, "npi": [1265479489]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 241.39, "providers": [{"billed_charge": 2686.65, "npi": [1093729279]}]}, {"allowed_amount": 278.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2556.65, "npi": [1790218329]}]}, {"allowed_amount": 296.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2730.0, "npi": [1790218329]}]}, {"allowed_amount": 301.05, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3575.0, "npi": [1164414967]}]}, {"allowed_amount": 334.94, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1164414967]}]}, {"allowed_amount": 1006.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3076.65, "npi": [1629455969]}]}, {"allowed_amount": 1346.03, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4138.32, "npi": [1629455969]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 161.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1788.0, "npi": [1144721184]}]}, {"allowed_amount": 170.52, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1788.0, "npi": [1619427606]}, {"billed_charge": 1800.0, "npi": [1356873210]}]}, {"allowed_amount": 350.96, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1800.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 128.48, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2133.0, "npi": [1356730824, 1235523705]}]}, {"allowed_amount": 234.58, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4029.0, "npi": [1235418831, 1710711759]}]}, {"allowed_amount": 350.06, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2844.0, "npi": [1356730824]}]}, {"allowed_amount": 701.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2844.0, "npi": [1700022316]}]}]}]}, {"name": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty", "billing_code_type": "CPT", "billing_code": "01402", "billing_code_type_version": "2022", "description": "ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY", "allowed_amounts": [{"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 996.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3640.0, "npi": [1407576341]}, {"billed_charge": 3675.0, "npi": [1861797565]}]}, {"allowed_amount": 1024.65, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3744.0, "npi": [1447124573]}, {"billed_charge": 3780.0, "npi": [1194706796]}]}, {"allowed_amount": 1075.88, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3931.2, "npi": [1104890730]}, {"billed_charge": 3969.0, "npi": [1508890658]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 582.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13140.0, "npi": [1326073867]}]}, {"allowed_amount": 663.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16060.0, "npi": [1215924196]}]}, {"allowed_amount": 982.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9928.0, "npi": [1619102480]}]}, {"allowed_amount": 1037.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10950.0, "npi": [1447376231]}]}, {"allowed_amount": 1159.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13140.0, "npi": [1326073867]}]}, {"allowed_amount": 1202.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13870.0, "npi": [1326073867]}]}, {"allowed_amount": 1281.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15330.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 893.72, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3265.6, "npi": [1043879950]}, {"billed_charge": 3297.0, "npi": [1215391909]}]}, {"allowed_amount": 956.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3494.4, "npi": [1578219812]}, {"billed_charge": 3528.0, "npi": [1215391909]}]}, {"allowed_amount": 967.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3536.0, "npi": [1598958670]}, {"billed_charge": 3570.0, "npi": [1649739491]}]}, {"allowed_amount": 990.5, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3619.2, "npi": [1043879950]}, {"billed_charge": 3654.0, "npi": [1215391909]}]}, {"allowed_amount": 1110.04, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 4056.0, "npi": [1043879950]}, {"billed_charge": 4095.0, "npi": [1215391909]}]}, {"allowed_amount": 1149.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4201.6, "npi": [1942011846]}, {"billed_charge": 4242.0, "npi": [1649739491]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 223.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1687.5, "npi": [1184435604]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 222.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2864.0, "npi": [1659028967]}]}, {"allowed_amount": 253.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3043.0, "npi": [1659028967]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2506.0, "npi": [1891443503]}]}, {"allowed_amount": 643.93, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3938.0, "npi": [1891443503]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 447.36, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3975.0, "npi": [1558953513]}]}, {"allowed_amount": 553.07, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4625.0, "npi": [1033674023]}]}, {"allowed_amount": 582.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5175.0, "npi": [1588132617]}]}, {"allowed_amount": 596.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4875.0, "npi": [1588132617]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 602.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5700.0, "npi": [1750803912]}]}, {"allowed_amount": 1385.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6815.0, "npi": [1750803912]}]}, {"allowed_amount": 1532.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 7453.0, "npi": [1285977991]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 957.78, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 4266.0, "npi": [1811502610, 1669000972]}]}]}]}, {"name": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01830", "billing_code_type_version": "2022", "description": "ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 88.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 735.0, "npi": [1962072066]}]}, {"allowed_amount": 338.75, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1284.0, "npi": [1629374194]}]}]}, {"tin": {"type": "ein", "value": "221948732"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 509.44, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 892.0, "npi": [1790758357]}]}]}, {"tin": {"type": "ein", "value": "334197344"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 366.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 28000.0, "npi": [1407856149]}]}]}, {"tin": {"type": "ein", "value": "335005387"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 208.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6000.0, "npi": [1922031236]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 254.79, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 802.0, "npi": [1639847056]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2820.0, "npi": [1326073867]}]}, {"allowed_amount": 235.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7050.0, "npi": [1780031906]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 398.48, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1456.0, "npi": [1538026711]}, {"billed_charge": 1470.0, "npi": [1184128167]}]}, {"allowed_amount": 762.8, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2787.2, "npi": [1598958670]}, {"billed_charge": 2814.0, "npi": [1215391909]}]}, {"allowed_amount": 774.18, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2828.8, "npi": [1205481751]}, {"billed_charge": 2856.0, "npi": [1649739491]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 326.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2475.0, "npi": [1619623873]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 97.07, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1396243770]}]}, {"allowed_amount": 105.17, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1164691655]}, {"billed_charge": 1155.0, "npi": [1417991431]}]}, {"allowed_amount": 110.27, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1396243770]}, {"billed_charge": 1320.0, "npi": [1164404968]}]}, {"allowed_amount": 158.66, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1485.0, "npi": [1578703237]}, {"billed_charge": 1815.0, "npi": [1386105088]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1485.0, "npi": [1225410574]}, {"billed_charge": 1815.0, "npi": [1033372941]}]}, {"allowed_amount": 178.66, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1755.0, "npi": [1417003583]}]}, {"allowed_amount": 192.26, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1164404968]}]}, {"allowed_amount": 204.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 243.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164840807]}]}, {"allowed_amount": 249.66, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1225546518]}]}, {"allowed_amount": 269.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1164404968]}]}, {"allowed_amount": 284.17, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3300.0, "npi": [1659140283]}]}, {"allowed_amount": 336.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1417991431]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1154519262]}]}, {"allowed_amount": 502.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5100.0, "npi": [1164840807]}]}, {"allowed_amount": 505.49, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1134482250]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1164840807]}]}, {"allowed_amount": 539.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5400.0, "npi": [1144322926]}]}, {"allowed_amount": 592.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1164840807]}]}, {"allowed_amount": 640.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1164840807]}]}, {"allowed_amount": 671.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1154519262]}]}]}, {"tin": {"type": "ein", "value": "590704934"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1056.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1540.0, "npi": [1508014846]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.18, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1659028967]}]}, {"allowed_amount": 223.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2685.0, "npi": [1730038332]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 375.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3690.0, "npi": [1679536494]}]}, {"allowed_amount": 1521.8, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 3690.0, "npi": [1174592273]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 161.33, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1325.0, "npi": [1033674023]}]}, {"allowed_amount": 163.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1450.0, "npi": [1417527441]}]}, {"allowed_amount": 188.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1675.0, "npi": [1417527441]}]}, {"allowed_amount": 198.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1625.0, "npi": [1114035078]}]}, {"allowed_amount": 253.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2075.0, "npi": [1033674023]}]}, {"allowed_amount": 289.8, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2575.0, "npi": [1417527441]}]}, {"allowed_amount": 360.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1475.0, "npi": [1033372941]}]}, {"allowed_amount": 360.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3175.0, "npi": [1033674023]}]}, {"allowed_amount": 422.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3450.0, "npi": [1851309025]}]}, {"allowed_amount": 473.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3875.0, "npi": [1417935230]}]}, {"allowed_amount": 524.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2150.0, "npi": [1033372941]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1440.0, "npi": [1811729601]}]}, {"allowed_amount": 150.09, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4000.0, "npi": [1427309632]}]}, {"allowed_amount": 262.46, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2160.0, "npi": [1104815307]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 331.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3791.65, "npi": [1174558035]}]}, {"allowed_amount": 337.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3900.0, "npi": [1841799210, 1093729279]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4225.0, "npi": [1316049406]}]}, {"allowed_amount": 3147.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9663.32, "npi": [1629455969]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 316.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1540.0, "npi": [1295202315]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 219.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1891482303]}, {"billed_charge": 1050.0, "npi": [1558868612]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1050.0, "npi": [1669468112]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1750366589]}]}, {"allowed_amount": 653.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1558868612]}]}]}]}, {"name": "Anesthesia for open procedures involving hip joint; total hip arthroplasty", "billing_code_type": "CPT", "billing_code": "01214", "billing_code_type_version": "2022", "description": "ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY", "allowed_amounts": [{"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 979.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3577.6, "npi": [1104890730]}, {"billed_charge": 3612.0, "npi": [1588111538]}]}, {"allowed_amount": 990.5, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3619.2, "npi": [1447124573]}, {"billed_charge": 3654.0, "npi": [1649563644]}]}, {"allowed_amount": 1053.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3848.0, "npi": [1851914832]}, {"billed_charge": 3885.0, "npi": [1588111538]}]}, {"allowed_amount": 1087.27, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3972.8, "npi": [1659813855]}, {"billed_charge": 4011.0, "npi": [1649563644]}]}, {"allowed_amount": 1166.96, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4264.0, "npi": [1447124573]}, {"billed_charge": 4305.0, "npi": [1588111538]}]}, {"allowed_amount": 1485.74, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 5428.8, "npi": [1215209135]}, {"billed_charge": 5481.0, "npi": [1588111538]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 551.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9000.0, "npi": [1326073867]}]}, {"allowed_amount": 1159.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9900.0, "npi": [1447376231]}]}, {"allowed_amount": 1281.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11700.0, "npi": [1326073867]}]}, {"allowed_amount": 1336.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12480.0, "npi": [1326073867]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 922.19, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3369.6, "npi": [1598958670]}, {"billed_charge": 3402.0, "npi": [1215391909]}]}, {"allowed_amount": 979.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3577.6, "npi": [1598958670]}, {"billed_charge": 3612.0, "npi": [1215391909]}]}, {"allowed_amount": 1030.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3764.8, "npi": [1598958670]}, {"billed_charge": 3801.0, "npi": [1215391909]}]}, {"allowed_amount": 1053.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3848.0, "npi": [1598958670]}, {"billed_charge": 3885.0, "npi": [1215391909]}]}, {"allowed_amount": 1132.81, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4139.2, "npi": [1275194409]}, {"billed_charge": 4179.0, "npi": [1649739491]}]}, {"allowed_amount": 1309.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4830.0, "npi": [1801034566, 1346390887]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 263.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3401.0, "npi": [1659028967]}]}, {"allowed_amount": 347.16, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4117.0, "npi": [1710836440]}]}, {"allowed_amount": 451.67, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2685.0, "npi": [1891443503]}]}, {"allowed_amount": 509.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3043.0, "npi": [1891443503]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 259.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 5909.0, "npi": [1003081662]}, {"billed_charge": 5928.0, "npi": [1912950288]}]}, {"allowed_amount": 260.49, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 5909.0, "npi": [1609438316]}, {"billed_charge": 5928.0, "npi": [1750677993]}]}, {"allowed_amount": 472.36, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5287.0, "npi": [1710545702]}]}, {"allowed_amount": 863.1, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5304.0, "npi": [1245317478]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 661.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7366.65, "npi": [1346216884]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 618.76, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 5040.0, "npi": [1578545018]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 694.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3450.0, "npi": [1366071946]}]}, {"allowed_amount": 1324.48, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3300.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 261.83, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 4266.0, "npi": [1922488568, 1558068999]}]}, {"allowed_amount": 314.39, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 5214.0, "npi": [1528848637, 1427552942]}]}, {"allowed_amount": 509.84, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4740.0, "npi": [1558964833]}]}, {"allowed_amount": 1032.27, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4740.0, "npi": [1427552942]}]}]}]}, {"name": "Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01230", "billing_code_type_version": "2022", "description": "ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1470.0, "npi": [1275627143]}]}, {"allowed_amount": 405.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1498.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 671.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2454.4, "npi": [1801034566]}, {"billed_charge": 2478.0, "npi": [1649739491]}]}, {"allowed_amount": 722.95, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2641.6, "npi": [1043879950]}, {"billed_charge": 2667.0, "npi": [1730508805]}]}, {"allowed_amount": 819.72, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2995.2, "npi": [1366971228]}, {"billed_charge": 3024.0, "npi": [1649739491]}]}, {"allowed_amount": 888.03, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3244.8, "npi": [1780049635]}, {"billed_charge": 3276.0, "npi": [1184128167]}]}, {"allowed_amount": 1007.57, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3681.6, "npi": [1801034566]}, {"billed_charge": 3717.0, "npi": [1649739491]}]}, {"allowed_amount": 1058.81, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 3868.8, "npi": [1326141516]}, {"billed_charge": 3906.0, "npi": [1942502125]}]}, {"allowed_amount": 1064.5, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 3889.6, "npi": [1124249032]}, {"billed_charge": 3927.0, "npi": [1649739491]}]}, {"allowed_amount": 1343.43, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 4908.8, "npi": [1235847666]}, {"billed_charge": 4956.0, "npi": [1942467402]}]}, {"allowed_amount": 1457.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 5324.8, "npi": [1639592876]}, {"billed_charge": 5376.0, "npi": [1326400011]}]}, {"allowed_amount": 2664.09, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4867.2, "npi": [1184289258]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 324.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3938.0, "npi": [1659028967]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 439.95, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3375.0, "npi": [1366012775]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 688.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1008.0, "npi": [1790574002]}, {"billed_charge": 2016.0, "npi": [1528265659]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.1, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 840.0, "npi": [1346346582]}]}, {"allowed_amount": 122.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1689062168]}]}, {"allowed_amount": 225.83, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 856.0, "npi": [1598786089]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 963.0, "npi": [1659303840]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.69, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1487.5, "npi": [1609222561, 1578503132]}]}, {"allowed_amount": 325.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1750.0, "npi": [1427174176]}]}, {"allowed_amount": 344.48, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1837.5, "npi": [1790527299, 1881691772]}]}, {"allowed_amount": 410.66, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1144536186]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.26, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 280.0, "npi": [1154206498]}]}, {"allowed_amount": 204.63, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 440.0, "npi": [1669070801]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 500.94, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 1890.0, "npi": [1861797565, 1043489438]}]}, {"allowed_amount": 529.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1934.4, "npi": [1548532898]}, {"billed_charge": 1953.0, "npi": [1174187207]}]}, {"allowed_amount": 569.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2080.0, "npi": [1497304729]}, {"billed_charge": 2100.0, "npi": [1861797565]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 296.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5100.0, "npi": [1447376231]}]}, {"allowed_amount": 500.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10200.0, "npi": [1215924196]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4386.0, "npi": [1447376231]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5355.0, "npi": [1215924196]}]}, {"allowed_amount": 653.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5865.0, "npi": [1326073867]}]}, {"allowed_amount": 750.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7140.0, "npi": [1215924196]}]}, {"allowed_amount": 933.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9435.0, "npi": [1215924196]}]}, {"allowed_amount": 1770.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 19890.0, "npi": [1326073867]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 392.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1435.2, "npi": [1578189528]}, {"billed_charge": 1449.0, "npi": [1215391909]}]}, {"allowed_amount": 540.79, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1976.0, "npi": [1124031455]}, {"billed_charge": 1995.0, "npi": [1326400011]}]}, {"allowed_amount": 597.71, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 2184.0, "npi": [1225438138]}, {"billed_charge": 2205.0, "npi": [1720014731]}]}, {"allowed_amount": 751.41, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2745.6, "npi": [1073803201]}, {"billed_charge": 2772.0, "npi": [1326400011]}]}, {"allowed_amount": 916.49, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3348.8, "npi": [1205481751]}, {"billed_charge": 3381.0, "npi": [1326400011]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 472.48, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 1726.4, "npi": [1386223170]}, {"billed_charge": 1743.0, "npi": [1679888663]}]}, {"allowed_amount": 478.17, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1747.2, "npi": [1558331694]}, {"billed_charge": 1764.0, "npi": [1639431679]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 441.09, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3150.0, "npi": [1780564971]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 108.32, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1770827719]}]}, {"allowed_amount": 109.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1598294084]}]}, {"allowed_amount": 139.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1285057851]}]}, {"allowed_amount": 164.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1578219713]}]}, {"allowed_amount": 166.44, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1620.0, "npi": [1184993644]}, {"billed_charge": 1980.0, "npi": [1306377593]}]}, {"allowed_amount": 173.58, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1620.0, "npi": [1396243770]}, {"billed_charge": 1980.0, "npi": [1164404968]}]}, {"allowed_amount": 178.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1023766748]}]}, {"allowed_amount": 254.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1982034385]}]}, {"allowed_amount": 357.06, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1980.0, "npi": [1417991431]}]}, {"allowed_amount": 516.14, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1063711802]}]}, {"allowed_amount": 762.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1164404968]}]}, {"allowed_amount": 925.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5400.0, "npi": [1134482250]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.09, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 630.0, "npi": [1265887640]}]}, {"allowed_amount": 299.76, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 990.0, "npi": [1871657221]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 129.67, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1611.0, "npi": [1194280115]}]}, {"allowed_amount": 144.99, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1840.0, "npi": [1194304329]}]}, {"allowed_amount": 154.18, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1659028967]}]}, {"allowed_amount": 210.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2506.0, "npi": [1194280115]}]}, {"allowed_amount": 500.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3043.0, "npi": [1891443503]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 147.49, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2025.0, "npi": [1710846555]}]}, {"allowed_amount": 242.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3150.0, "npi": [1710846555]}]}, {"allowed_amount": 310.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1350.0, "npi": [1609756857]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.63, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1575.0, "npi": [1316525207]}]}, {"allowed_amount": 359.41, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2700.0, "npi": [1801285879]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 186.59, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1790108868]}]}, {"allowed_amount": 202.98, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1902943319]}]}, {"allowed_amount": 304.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2988.0, "npi": [1194137562]}]}, {"allowed_amount": 365.66, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1295001279]}]}, {"allowed_amount": 391.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3486.0, "npi": [1194137562]}]}, {"allowed_amount": 755.58, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1215986823]}]}, {"allowed_amount": 872.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2241.0, "npi": [1174592273]}]}, {"allowed_amount": 1234.47, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2988.0, "npi": [1275671067]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1753.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3680.6, "npi": [1972969442]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 194.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1811460090]}]}, {"allowed_amount": 306.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2725.0, "npi": [1558953513]}]}, {"allowed_amount": 360.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3200.0, "npi": [1558953513]}]}, {"allowed_amount": 363.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2975.0, "npi": [1417935230]}]}, {"allowed_amount": 392.08, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2950.0, "npi": [1851309025]}]}, {"allowed_amount": 400.25, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3025.0, "npi": [1851309025]}]}, {"allowed_amount": 500.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4075.0, "npi": [1417935230]}]}, {"allowed_amount": 504.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4125.0, "npi": [1558953513]}]}, {"allowed_amount": 653.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5325.0, "npi": [1417935230]}]}, {"allowed_amount": 712.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5825.0, "npi": [1417935230]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 412.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1725.0, "npi": [1124119441]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 260.51, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1952346132]}]}, {"allowed_amount": 271.97, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 3110.0, "npi": [1437823614]}]}, {"allowed_amount": 305.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3432.0, "npi": [1598252041]}]}, {"allowed_amount": 466.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5287.0, "npi": [1700066388]}]}, {"allowed_amount": 476.01, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1467494849]}]}, {"allowed_amount": 496.94, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 3120.0, "npi": [1750677993]}]}, {"allowed_amount": 852.64, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5304.0, "npi": [1467494849]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.61, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1699125633]}]}, {"allowed_amount": 164.59, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1920.0, "npi": [1659263655]}]}, {"allowed_amount": 167.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1920.0, "npi": [1235839267]}]}, {"allowed_amount": 171.54, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 2880.0, "npi": [1104815307]}]}, {"allowed_amount": 357.06, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2880.0, "npi": [1598073371]}]}, {"allowed_amount": 363.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2880.0, "npi": [1619396397]}]}, {"allowed_amount": 482.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3200.0, "npi": [1427309632]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 284.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3163.32, "npi": [1093729279]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 132.74, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1881125953, 1598096620]}]}, {"allowed_amount": 172.56, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3720.0, "npi": [1609388784, 1760709406]}]}, {"allowed_amount": 279.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2760.0, "npi": [1881125953]}]}, {"allowed_amount": 281.81, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2340.0, "npi": [1760709406]}]}, {"allowed_amount": 415.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1710.0, "npi": [1962031344]}]}, {"allowed_amount": 530.95, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6000.0, "npi": [1881125953]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1750803912]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2820.0, "npi": [1578545018]}]}, {"allowed_amount": 573.74, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2430.0, "npi": [1962031344]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1881125953]}]}, {"allowed_amount": 823.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4710.0, "npi": [1578545018]}]}, {"allowed_amount": 921.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5430.0, "npi": [1710958152]}]}, {"allowed_amount": 994.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5970.0, "npi": [1588642375]}]}, {"allowed_amount": 1165.79, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6810.0, "npi": [1285977991]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 318.57, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 118.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1639.0, "npi": [1508205568]}]}, {"allowed_amount": 201.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2235.0, "npi": [1508205568]}]}, {"allowed_amount": 215.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2682.0, "npi": [1508205568]}]}, {"allowed_amount": 256.35, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1650.0, "npi": [1356873210]}]}, {"allowed_amount": 335.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 436.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2250.0, "npi": [1356873210]}]}, {"allowed_amount": 466.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2700.0, "npi": [1255837829]}]}, {"allowed_amount": 582.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 179.1, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3081.0, "npi": [1134660681, 1740227586]}]}, {"allowed_amount": 180.07, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1235523705, 1730660259]}]}, {"allowed_amount": 189.8, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 3081.0, "npi": [1114426715, 1033403407]}]}, {"allowed_amount": 194.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1659.0, "npi": [1144685363]}]}, {"allowed_amount": 273.58, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1841066321]}]}, {"allowed_amount": 389.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1659.0, "npi": [1710979562]}]}, {"allowed_amount": 548.16, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1548654965]}]}]}]}, {"name": "Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral", "billing_code_type": "CPT", "billing_code": "01938", "billing_code_type_version": "2022", "description": "ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC", "allowed_amounts": [{"tin": {"type": "ein", "value": "464715622"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 140.16, "providers": [{"billed_charge": 4000.0, "npi": [1427029891, 1447573100]}]}, {"allowed_amount": 142.11, "providers": [{"billed_charge": 4000.0, "npi": [1427029891]}]}, {"allowed_amount": 144.06, "providers": [{"billed_charge": 4000.0, "npi": [1427029891, 1447573100]}]}, {"allowed_amount": 146.0, "providers": [{"billed_charge": 4000.0, "npi": [1427029891]}]}, {"allowed_amount": 147.77, "providers": [{"billed_charge": 4800.0, "npi": [1275509887]}]}, {"allowed_amount": 147.95, "providers": [{"billed_charge": 4800.0, "npi": [1427029891]}]}, {"allowed_amount": 149.9, "providers": [{"billed_charge": 4800.0, "npi": [1427029891]}]}, {"allowed_amount": 151.56, "providers": [{"billed_charge": 4800.0, "npi": [1174560478]}]}, {"allowed_amount": 161.58, "providers": [{"billed_charge": 4800.0, "npi": [1003866948]}]}, {"allowed_amount": 187.56, "providers": [{"billed_charge": 5600.0, "npi": [1174560478]}]}, {"allowed_amount": 204.49, "providers": [{"billed_charge": 4800.0, "npi": [1447573100]}]}, {"allowed_amount": 208.02, "providers": [{"billed_charge": 4800.0, "npi": [1447573100]}]}, {"allowed_amount": 280.55, "providers": [{"billed_charge": 4000.0, "npi": [1114925146]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 292.65, "providers": [{"billed_charge": 990.0, "npi": [1790927200]}]}, {"allowed_amount": 331.13, "providers": [{"billed_charge": 2100.0, "npi": [1871927244]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 144.06, "providers": [{"billed_charge": 1245.0, "npi": [1881918126]}]}, {"allowed_amount": 175.2, "providers": [{"billed_charge": 1494.0, "npi": [1750686465]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 149.07, "providers": [{"billed_charge": 1581.65, "npi": [1841799210]}]}, {"allowed_amount": 157.24, "providers": [{"billed_charge": 1668.32, "npi": [1730705278]}]}, {"allowed_amount": 163.37, "providers": [{"billed_charge": 1733.32, "npi": [1790218329, 1316049406]}]}, {"allowed_amount": 169.49, "providers": [{"billed_charge": 1798.32, "npi": [1316049406]}]}, {"allowed_amount": 181.75, "providers": [{"billed_charge": 1928.32, "npi": [1164414967]}]}]}]}, {"name": "Anesthesia for procedures in lumbar region; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00630", "billing_code_type_version": "2022", "description": "ANESTHESIA PROCEDURES IN LUMBAR REGION NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "223157867"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2457.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4325.0, "npi": [1700157286]}]}]}, {"tin": {"type": "ein", "value": "464715622"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 325.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 9600.0, "npi": [1447573100]}]}, {"allowed_amount": 434.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12000.0, "npi": [1447573100]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 288.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2835.0, "npi": [1366930430]}]}, {"allowed_amount": 510.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5100.0, "npi": [1760068183]}]}, {"allowed_amount": 551.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5400.0, "npi": [1164691655]}]}, {"allowed_amount": 625.62, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3465.0, "npi": [1164404968]}]}, {"allowed_amount": 988.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5100.0, "npi": [1154519262]}]}, {"allowed_amount": 1068.13, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5400.0, "npi": [1154519262]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3150.0, "npi": [1366012775]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.97, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3600.0, "npi": [1679430854]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.92, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4560.0, "npi": [1801885009]}]}, {"allowed_amount": 308.08, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3520.0, "npi": [1659263655]}]}, {"allowed_amount": 668.35, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5280.0, "npi": [1104815307]}]}, {"allowed_amount": 712.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9600.0, "npi": [1104815307]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2044.71, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 11040.0, "npi": [1427375583]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 158.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1639.0, "npi": [1184174351]}, {"billed_charge": 1650.0, "npi": [1255837829]}]}, {"allowed_amount": 178.68, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1788.0, "npi": [1144721184]}, {"billed_charge": 1800.0, "npi": [1255837829]}]}, {"allowed_amount": 547.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1255837829]}]}]}]}, {"name": "Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00120", "billing_code_type_version": "2022", "description": "ANESTHESIA EXTERNAL MIDDLE & INNER EAR W/BX NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 170.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1932704590]}]}, {"allowed_amount": 179.1, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1755.0, "npi": [1225546518]}, {"billed_charge": 2145.0, "npi": [1134482250]}]}, {"allowed_amount": 206.35, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2025.0, "npi": [1225546518]}, {"billed_charge": 2475.0, "npi": [1790927200]}]}, {"allowed_amount": 218.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2025.0, "npi": [1144890245]}, {"billed_charge": 2475.0, "npi": [1134482250]}]}, {"allowed_amount": 220.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2160.0, "npi": [1023766748]}]}, {"allowed_amount": 244.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2160.0, "npi": [1396243770]}]}, {"allowed_amount": 265.88, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2565.0, "npi": [1659140283]}]}, {"allowed_amount": 266.49, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2430.0, "npi": [1396243770]}]}, {"allowed_amount": 282.83, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2565.0, "npi": [1316276959]}]}, {"allowed_amount": 333.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1225546518]}]}, {"allowed_amount": 339.02, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1164691655]}]}, {"allowed_amount": 412.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4500.0, "npi": [1306377593]}]}, {"allowed_amount": 426.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4200.0, "npi": [1164840807]}]}, {"allowed_amount": 466.93, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2160.0, "npi": [1316276959]}]}, {"allowed_amount": 479.13, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2640.0, "npi": [1760792303]}]}, {"allowed_amount": 514.61, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5100.0, "npi": [1871045278]}]}, {"allowed_amount": 576.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3135.0, "npi": [1760792303]}]}, {"allowed_amount": 675.76, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2145.0, "npi": [1790927200]}]}, {"allowed_amount": 686.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2145.0, "npi": [1134482250]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 352.16, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3444.0, "npi": [1770542896]}]}, {"allowed_amount": 1213.18, "billing_code_modifier": ["P3"], "providers": [{"billed_charge": 3444.0, "npi": [1275671067]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 287.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1050.0, "npi": [1174558035]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.24, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2370.0, "npi": [1558964833, 1235418831]}]}]}]}, {"name": "Anesthesia for procedures on eye; lens surgery", "billing_code_type": "CPT", "billing_code": "00142", "billing_code_type_version": "2022", "description": "ANESTHESIA PX ON EYE LENS SURGERY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201098451"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 147.77, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 624.0, "npi": [1093813529]}]}, {"allowed_amount": 159.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 672.0, "npi": [1548898000]}]}]}, {"tin": {"type": "ein", "value": "263099473"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 159.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 360.0, "npi": [1285285429]}]}, {"allowed_amount": 188.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 480.0, "npi": [1750852307]}]}]}, {"tin": {"type": "ein", "value": "335005387"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 168.61, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6000.0, "npi": [1114571338]}]}]}, {"tin": {"type": "ein", "value": "471880700"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 121.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1003214677]}]}, {"allowed_amount": 123.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1518269745]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 66.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1538136544]}, {"billed_charge": 825.0, "npi": [1871568576]}]}, {"allowed_amount": 71.05, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 675.0, "npi": [1538136544]}, {"billed_charge": 825.0, "npi": [1871568576]}]}, {"allowed_amount": 73.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1023766748]}]}, {"allowed_amount": 75.92, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1538136544]}, {"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 77.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1023766748]}]}, {"allowed_amount": 79.81, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316565427]}, {"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 81.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1548531577]}]}, {"allowed_amount": 81.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1891466793]}]}, {"allowed_amount": 82.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1538136544]}, {"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 83.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}]}, {"allowed_amount": 84.68, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1538136544, 1982034385, 1316565427]}, {"billed_charge": 990.0, "npi": [1386105088, 1104894922, 1841256245]}]}, {"allowed_amount": 84.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871045278]}]}, {"allowed_amount": 85.65, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1316565427]}, {"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 85.77, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1346886272]}, {"billed_charge": 990.0, "npi": [1497721815]}]}, {"allowed_amount": 86.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1295051597]}, {"billed_charge": 990.0, "npi": [1134482250]}]}, {"allowed_amount": 88.83, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1316276959]}]}, {"allowed_amount": 89.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316565427]}, {"billed_charge": 1155.0, "npi": [1841256245]}]}, {"allowed_amount": 92.47, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1285057851, 1316565427]}, {"billed_charge": 1155.0, "npi": [1871568576]}]}, {"allowed_amount": 93.44, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1538136544, 1285057851, 1144890245]}, {"billed_charge": 1155.0, "npi": [1871568576]}]}, {"allowed_amount": 95.66, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1598294084]}]}, {"allowed_amount": 96.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1285057851]}, {"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 100.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1538136544]}, {"billed_charge": 1155.0, "npi": [1104894922]}]}, {"allowed_amount": 101.23, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1538136544]}, {"billed_charge": 1155.0, "npi": [1902827850]}]}, {"allowed_amount": 102.2, "billing_code_modifier": ["QK", "QK,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1144890245]}, {"billed_charge": 1155.0, "npi": [1871568576]}]}, {"allowed_amount": 104.15, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1982034385]}, {"billed_charge": 1320.0, "npi": [1104894922]}]}, {"allowed_amount": 110.96, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1316565427]}, {"billed_charge": 1320.0, "npi": [1841256245]}]}, {"allowed_amount": 118.75, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1215.0, "npi": [1538136544]}, {"billed_charge": 1485.0, "npi": [1871568576]}]}, {"allowed_amount": 128.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1497068431]}]}, {"allowed_amount": 135.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1386105088]}]}, {"allowed_amount": 136.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1538136544]}]}, {"allowed_amount": 139.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1538136544]}]}, {"allowed_amount": 141.91, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1144890245]}]}, {"allowed_amount": 144.06, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1500.0, "npi": [1225546518]}]}, {"allowed_amount": 144.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1497068431]}]}, {"allowed_amount": 146.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1144322926]}]}, {"allowed_amount": 147.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1124149547]}]}, {"allowed_amount": 149.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1932704590]}]}, {"allowed_amount": 149.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1285057851]}]}, {"allowed_amount": 149.9, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1144322926]}]}, {"allowed_amount": 152.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1578219713, 1316565427]}]}, {"allowed_amount": 153.79, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 1800.0, "npi": [1144600909, 1225410574]}]}, {"allowed_amount": 154.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1205583572]}]}, {"allowed_amount": 155.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1316565427, 1497068431]}]}, {"allowed_amount": 157.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1144322926]}]}, {"allowed_amount": 159.63, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 1800.0, "npi": [1801863824, 1144600909]}]}, {"allowed_amount": 160.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1538136544, 1316565427]}]}, {"allowed_amount": 160.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1205583572, 1932704590]}]}, {"allowed_amount": 161.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1144600909]}]}, {"allowed_amount": 163.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1154519262]}]}, {"allowed_amount": 165.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1144890245]}]}, {"allowed_amount": 167.42, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1801863824]}]}, {"allowed_amount": 168.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1316565427]}]}, {"allowed_amount": 169.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1144600909]}]}, {"allowed_amount": 169.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1396243770]}]}, {"allowed_amount": 171.31, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 1800.0, "npi": [1801863824, 1871568576]}]}, {"allowed_amount": 171.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1033372941, 1154519262]}]}, {"allowed_amount": 173.26, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1144600909]}]}, {"allowed_amount": 173.45, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1982034385]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 1800.0, "npi": [1871568576, 1952718108, 1801863824]}]}, {"allowed_amount": 177.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1497721815]}]}, {"allowed_amount": 179.1, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2100.0, "npi": [1144600909]}]}, {"allowed_amount": 181.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1144600909]}]}, {"allowed_amount": 181.75, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396243770, 1154519262]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 184.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1124149547]}]}, {"allowed_amount": 185.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1144890245]}]}, {"allowed_amount": 185.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1396243770]}]}, {"allowed_amount": 188.83, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1124149547]}]}, {"allowed_amount": 190.78, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2100.0, "npi": [1144600909, 1760792303]}]}, {"allowed_amount": 191.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1396243770]}]}, {"allowed_amount": 192.72, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1124149547, 1396858239]}]}, {"allowed_amount": 194.67, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1124149547, 1144600909]}]}, {"allowed_amount": 197.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316565427]}]}, {"allowed_amount": 198.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1396243770]}]}, {"allowed_amount": 200.13, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 200.51, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1124149547, 1285608935]}]}, {"allowed_amount": 202.17, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1164404968, 1033372941]}]}, {"allowed_amount": 202.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316565427]}]}, {"allowed_amount": 207.52, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1730492448]}]}, {"allowed_amount": 212.38, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1598294084]}]}, {"allowed_amount": 213.29, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 217.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1396243770]}]}, {"allowed_amount": 218.03, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1124149547]}]}, {"allowed_amount": 221.92, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1144322926]}]}, {"allowed_amount": 239.44, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1124149547]}]}, {"allowed_amount": 260.73, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1871568576]}]}, {"allowed_amount": 276.69, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 278.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1801863824]}]}, {"allowed_amount": 282.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1871568576, 1851654123]}]}, {"allowed_amount": 287.33, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 292.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 303.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1841256245]}]}, {"allowed_amount": 305.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1164840807, 1497721815]}]}, {"allowed_amount": 308.62, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1871568576, 1841256245]}]}, {"allowed_amount": 311.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164840807]}]}, {"allowed_amount": 313.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1871568576]}]}, {"allowed_amount": 315.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1912310434]}]}, {"allowed_amount": 323.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 324.58, "billing_code_modifier": ["QY", "QK", "QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1871568576, 1851654123]}]}, {"allowed_amount": 329.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 335.22, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1871568576, 1841256245]}]}, {"allowed_amount": 340.54, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1063711802]}]}, {"allowed_amount": 341.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1154519262, 1760068183]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1154519262, 1497721815]}]}, {"allowed_amount": 351.18, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1871568576]}]}, {"allowed_amount": 360.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1033372941, 1154519262, 1164840807]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1154519262]}]}, {"allowed_amount": 378.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807, 1760068183]}]}, {"allowed_amount": 396.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 399.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1841256245]}]}, {"allowed_amount": 402.84, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1154519262]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1730492448]}]}, {"allowed_amount": 409.72, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1841256245]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1497721815]}]}, {"allowed_amount": 494.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1760068183]}]}, {"allowed_amount": 521.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1144600909, 1760068183]}]}, {"allowed_amount": 553.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1144600909]}]}, {"allowed_amount": 564.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1144600909, 1285608935]}]}, {"allowed_amount": 574.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1396858239]}]}, {"allowed_amount": 585.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1760068183]}]}, {"allowed_amount": 595.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1760068183]}]}, {"allowed_amount": 606.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1104894922, 1144600909, 1760068183, 1285608935]}]}, {"allowed_amount": 627.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1871568576]}]}, {"allowed_amount": 638.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1285608935]}]}, {"allowed_amount": 649.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1144600909]}]}, {"allowed_amount": 670.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1144600909, 1285608935]}]}, {"allowed_amount": 691.73, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1144600909]}]}, {"allowed_amount": 702.37, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1285608935]}]}, {"allowed_amount": 713.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1285608935]}]}, {"allowed_amount": 723.65, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1144600909]}]}, {"allowed_amount": 734.3, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2100.0, "npi": [1124149547, 1285608935, 1760068183, 1760792303]}]}, {"allowed_amount": 798.15, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1144600909]}]}, {"allowed_amount": 808.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1285608935]}]}]}, {"tin": {"type": "ein", "value": "522402184"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 188.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 441.0, "npi": [1467488239]}]}, {"allowed_amount": 196.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 459.0, "npi": [1164986287]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 357.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1609756857]}]}, {"allowed_amount": 394.21, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1609756857]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 92.92, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1350.0, "npi": [1598776635]}]}, {"allowed_amount": 98.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1350.0, "npi": [1598776635]}]}, {"allowed_amount": 111.29, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1575.0, "npi": [1598776635]}]}, {"allowed_amount": 232.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1598776635]}]}, {"allowed_amount": 378.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1350.0, "npi": [1598776635]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 181.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1336719434]}]}, {"allowed_amount": 204.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1043473978]}]}, {"allowed_amount": 208.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1043473978]}]}, {"allowed_amount": 264.43, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1134653942]}]}, {"allowed_amount": 285.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2214.0, "npi": [1336719434]}]}, {"allowed_amount": 289.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2214.0, "npi": [1700988367]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 318.78, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1327.2, "npi": [1831341395]}, {"billed_charge": 1338.4, "npi": [1700970373]}]}, {"allowed_amount": 347.24, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1445.7, "npi": [1508350489]}, {"billed_charge": 1457.9, "npi": [1790928034]}]}]}, {"tin": {"type": "ein", "value": "650692915"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 153.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 275.0, "npi": [1659363729]}, {"billed_charge": 400.0, "npi": [1659363729]}]}, {"allowed_amount": 173.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 330.0, "npi": [1659363729]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 480.0, "npi": [1659363729]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 560.0, "npi": [1659363729]}]}, {"allowed_amount": 275.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 275.0, "npi": [1659363729]}]}]}, {"tin": {"type": "ein", "value": "872249267"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 197.03, "billing_code_modifier": ["AA,P3", "QZ,P3"], "providers": [{"billed_charge": 1169.0, "npi": [1922294339]}, {"billed_charge": 1328.0, "npi": [1649619602]}]}]}, {"tin": {"type": "ein", "value": "900133346"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 134.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 575.0, "npi": [1093077729]}]}, {"allowed_amount": 136.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 583.25, "npi": [1093077729]}]}, {"allowed_amount": 138.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 591.63, "npi": [1093077729]}]}, {"allowed_amount": 140.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 600.0, "npi": [1093077729]}]}, {"allowed_amount": 142.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 608.25, "npi": [1093077729]}]}, {"allowed_amount": 144.06, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 616.63, "npi": [1093077729]}]}, {"allowed_amount": 146.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 625.0, "npi": [1093077729]}]}, {"allowed_amount": 151.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 650.0, "npi": [1093077729]}]}, {"allowed_amount": 157.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 675.0, "npi": [1093077729]}]}, {"allowed_amount": 165.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 583.25, "npi": [1093077729]}]}, {"allowed_amount": 169.23, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 600.0, "npi": [1093077729]}]}, {"allowed_amount": 172.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 608.25, "npi": [1093077729]}, {"billed_charge": 616.63, "npi": [1093077729]}]}, {"allowed_amount": 176.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 625.0, "npi": [1093077729]}]}, {"allowed_amount": 179.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 633.25, "npi": [1093077729]}]}, {"allowed_amount": 186.86, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 658.25, "npi": [1093077729]}]}, {"allowed_amount": 190.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 675.0, "npi": [1093077729]}]}, {"allowed_amount": 208.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 741.63, "npi": [1093077729]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 74.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}]}, {"allowed_amount": 80.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674, 1568866317]}]}, {"allowed_amount": 80.66, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1659028967]}, {"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 82.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1790249480]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 85.77, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}, {"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674, 1184174351]}]}, {"allowed_amount": 87.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}]}, {"allowed_amount": 88.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674, 1922755198]}]}, {"allowed_amount": 88.83, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1184174351]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 90.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674, 1922755198]}]}, {"allowed_amount": 91.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1922755198]}]}, {"allowed_amount": 91.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 92.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}]}, {"allowed_amount": 95.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}]}, {"allowed_amount": 97.0, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1912157280, 1205079597]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 98.47, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}]}, {"allowed_amount": 99.04, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 100.06, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 894.0, "npi": [1790249480]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 101.08, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1912157280, 1922755198, 1184174351]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 101.29, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}]}, {"allowed_amount": 102.11, "billing_code_modifier": ["QK", "QX,P3", "QK,P3", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}, {"billed_charge": 900.0, "npi": [1255837829]}, {"billed_charge": 1043.0, "npi": [1568866317, 1659028967]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 105.17, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 105.51, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1184174351]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 106.19, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 894.0, "npi": [1912157280]}, {"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 107.21, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1184174351]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 108.23, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 110.27, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1184174351]}, {"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 111.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1932770674]}]}, {"allowed_amount": 111.29, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1568866317]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 112.32, "billing_code_modifier": ["QK,P3", "QX,P3", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}, {"billed_charge": 1050.0, "npi": [1255837829]}, {"billed_charge": 1192.0, "npi": [1184174351]}]}, {"allowed_amount": 113.34, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 114.36, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 115.38, "billing_code_modifier": ["QK,P3", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1184174351]}, {"billed_charge": 1050.0, "npi": [1255837829]}, {"billed_charge": 1192.0, "npi": [1184174351]}, {"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 117.42, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1568866317]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 120.48, "billing_code_modifier": ["QK", "QX,P3", "QK,P3", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}, {"billed_charge": 1050.0, "npi": [1255837829]}, {"billed_charge": 1192.0, "npi": [1659028967]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 122.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1192.0, "npi": [1932770674]}]}, {"allowed_amount": 124.57, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1192.0, "npi": [1144721184]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 124.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 129.67, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1192.0, "npi": [1790249480]}, {"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 161.75, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 169.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}]}, {"allowed_amount": 173.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 175.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1043.0, "npi": [1912157280]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 894.0, "npi": [1568866317]}]}, {"allowed_amount": 186.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 189.21, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 192.26, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210, 1255837829]}]}, {"allowed_amount": 195.32, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210, 1255837829]}]}, {"allowed_amount": 198.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 201.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1192.0, "npi": [1508205568]}]}, {"allowed_amount": 207.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 213.63, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 219.73, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 241.09, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 283.85, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1500.0, "npi": [1255837829]}]}, {"allowed_amount": 312.44, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1255837829]}]}, {"allowed_amount": 390.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 900.0, "npi": [1255837829]}]}, {"allowed_amount": 488.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1200.0, "npi": [1255837829]}]}]}]}, {"name": "Anesthesia for procedures on eye; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00140", "billing_code_type_version": "2022", "description": "ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED", "allowed_amounts": [{"tin": {"type": "ein", "value": "263099473"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 216.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 540.0, "npi": [1285285429]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 91.49, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1578219713]}, {"billed_charge": 1155.0, "npi": [1841256245]}]}, {"allowed_amount": 108.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1578219713]}]}, {"allowed_amount": 109.99, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1497068431]}, {"billed_charge": 1320.0, "npi": [1386105088]}]}, {"allowed_amount": 111.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1982034385]}, {"billed_charge": 1320.0, "npi": [1871568576]}]}, {"allowed_amount": 119.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1578219713]}]}, {"allowed_amount": 120.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1578219713]}]}, {"allowed_amount": 126.54, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1215.0, "npi": [1538136544]}, {"billed_charge": 1485.0, "npi": [1104894922]}]}, {"allowed_amount": 128.02, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1164691655]}]}, {"allowed_amount": 128.7, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1538136544]}, {"billed_charge": 1320.0, "npi": [1104894922]}]}, {"allowed_amount": 131.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1215.0, "npi": [1982034385]}, {"billed_charge": 1485.0, "npi": [1386105088]}]}, {"allowed_amount": 135.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1578219713]}]}, {"allowed_amount": 166.43, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1485.0, "npi": [1578219713]}, {"billed_charge": 1815.0, "npi": [1760792303]}]}, {"allowed_amount": 189.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1538136544, 1982034385]}]}, {"allowed_amount": 197.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316565427]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1659140283]}]}, {"allowed_amount": 210.24, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1144600909]}]}, {"allowed_amount": 212.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164404968]}]}, {"allowed_amount": 216.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1144322926]}]}, {"allowed_amount": 223.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2400.0, "npi": [1952718108]}]}, {"allowed_amount": 226.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1154519262]}]}, {"allowed_amount": 234.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2400.0, "npi": [1396243770, 1932704590]}]}, {"allowed_amount": 234.99, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1320.0, "npi": [1417991431]}]}, {"allowed_amount": 241.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1932704590]}]}, {"allowed_amount": 243.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1316565427]}]}, {"allowed_amount": 253.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1730492448]}]}, {"allowed_amount": 256.96, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1871568576]}]}, {"allowed_amount": 277.71, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1730492448]}]}, {"allowed_amount": 302.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1285057851]}]}, {"allowed_amount": 313.64, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3000.0, "npi": [1801863824]}]}, {"allowed_amount": 349.43, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3300.0, "npi": [1932704590]}]}, {"allowed_amount": 383.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1871568576, 1841256245]}]}, {"allowed_amount": 399.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1841256245]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 415.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1033372941]}]}, {"allowed_amount": 425.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1316565427]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1154519262]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1497721815, 1154519262, 1164840807]}]}, {"allowed_amount": 451.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164840807]}]}, {"allowed_amount": 459.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4500.0, "npi": [1497721815]}]}, {"allowed_amount": 463.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1497721815]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164840807]}]}, {"allowed_amount": 488.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164840807]}]}, {"allowed_amount": 494.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1154519262]}]}, {"allowed_amount": 500.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1164840807]}]}, {"allowed_amount": 506.6, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2700.0, "npi": [1164840807]}]}, {"allowed_amount": 611.91, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1980.0, "npi": [1841256245]}]}, {"allowed_amount": 776.86, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1144322926]}]}, {"allowed_amount": 1000.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1396858239]}]}, {"allowed_amount": 1021.63, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3000.0, "npi": [1124149547]}]}, {"allowed_amount": 1085.48, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3300.0, "npi": [1144600909]}]}]}, {"tin": {"type": "ein", "value": "650692915"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 183.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 330.0, "npi": [1659363729]}, {"billed_charge": 480.0, "npi": [1659363729]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 480.0, "npi": [1659363729]}]}, {"allowed_amount": 330.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 330.0, "npi": [1659363729]}]}, {"allowed_amount": 385.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 385.0, "npi": [1659363729]}]}, {"allowed_amount": 440.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 440.0, "npi": [1659363729]}]}]}, {"tin": {"type": "ein", "value": "900133346"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 200.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 708.25, "npi": [1093077729]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 95.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}]}, {"allowed_amount": 101.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1790249480, 1568866317]}]}, {"allowed_amount": 103.13, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1932770674]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 105.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1184174351]}]}, {"allowed_amount": 112.32, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1912157280, 1932770674]}, {"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 112.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1184174351]}]}, {"allowed_amount": 115.38, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1192.0, "npi": [1568866317]}, {"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 116.76, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1192.0, "npi": [1659028967]}]}, {"allowed_amount": 122.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1341.0, "npi": [1144721184]}]}, {"allowed_amount": 128.65, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1192.0, "npi": [1932770674]}, {"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1341.0, "npi": [1790249480]}, {"billed_charge": 1350.0, "npi": [1255837829]}]}, {"allowed_amount": 150.09, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1341.0, "npi": [1184174351]}, {"billed_charge": 1350.0, "npi": [1255837829]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1043.0, "npi": [1508205568]}]}, {"allowed_amount": 207.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 219.73, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1356873210, 1255837829]}]}, {"allowed_amount": 224.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1192.0, "npi": [1568866317]}]}, {"allowed_amount": 228.89, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 244.14, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1356873210]}]}, {"allowed_amount": 253.3, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1200.0, "npi": [1255837829]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1350.0, "npi": [1356873210]}]}]}]}, {"name": "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation", "billing_code_type": "CPT", "billing_code": "00562", "billing_code_type_version": "2022", "description": "ANES PX HRT PRCRD SAC&GRT VSL W/PMP OXT AGE 1YR+", "allowed_amounts": [{"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2134.69, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 7800.0, "npi": [1134223787]}, {"billed_charge": 7875.0, "npi": [1508890658]}]}, {"allowed_amount": 2191.61, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 8008.0, "npi": [1972907533]}, {"billed_charge": 8085.0, "npi": [1174187207]}]}, {"allowed_amount": 2254.23, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 8236.8, "npi": [1134223787]}, {"billed_charge": 8316.0, "npi": [1194706796]}]}, {"allowed_amount": 2265.62, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 8278.4, "npi": [1700353984]}, {"billed_charge": 8358.0, "npi": [1588111538]}]}, {"allowed_amount": 2277.0, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 8320.0, "npi": [1912218520, 1659813855]}, {"billed_charge": 8400.0, "npi": [1194706796, 1174187207]}]}, {"allowed_amount": 2322.54, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 8486.4, "npi": [1659813855]}, {"billed_charge": 8568.0, "npi": [1174187207]}]}, {"allowed_amount": 2328.23, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 8507.2, "npi": [1912218520]}, {"billed_charge": 8589.0, "npi": [1861797565]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1662.48, "billing_code_modifier": ["AA,P5"], "providers": [{"billed_charge": 10488.0, "npi": [1922341437]}]}, {"allowed_amount": 4822.41, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 8464.0, "npi": [1922341437]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 565.52, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 9711.0, "npi": [1700642832, 1538312483]}]}, {"allowed_amount": 4467.21, "billing_code_modifier": ["AA,P5"], "providers": [{"billed_charge": 10707.0, "npi": [1114212859]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1672.39, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 22000.0, "npi": [1154854404]}]}, {"allowed_amount": 2534.25, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 33200.0, "npi": [1982967535]}]}]}]}, {"name": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified", "billing_code_type": "CPT", "billing_code": "00920", "billing_code_type_version": "2022", "description": "ANESTHESIA PX MALE GENITALIA NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 194.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1447376231]}]}, {"allowed_amount": 204.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2805.0, "npi": [1215924196, 1447376231]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3060.0, "npi": [1447376231]}]}, {"allowed_amount": 323.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1785.0, "npi": [1215924196]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2805.0, "npi": [1215924196, 1447376231]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3570.0, "npi": [1215924196]}]}, {"allowed_amount": 549.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4590.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 415.55, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1518.4, "npi": [1639612096]}, {"billed_charge": 1533.0, "npi": [1184128167]}]}, {"allowed_amount": 432.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1580.8, "npi": [1366459612]}, {"billed_charge": 1596.0, "npi": [1649739491]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 81.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1518696491]}]}, {"allowed_amount": 124.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1316276959]}]}, {"allowed_amount": 163.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1497721815]}]}, {"allowed_amount": 204.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1568040483]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1154519262]}]}, {"allowed_amount": 326.54, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1485.0, "npi": [1891466793]}]}, {"allowed_amount": 360.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164404968]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 199.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1346354925]}]}, {"allowed_amount": 216.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1346354925]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1617.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6075.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 82.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1494.0, "npi": [1790108868, 1215986823]}]}, {"allowed_amount": 111.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1992.0, "npi": [1174592273, 1982034385]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2988.0, "npi": [1215986823]}]}, {"allowed_amount": 170.34, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2988.0, "npi": [1982034385]}]}, {"allowed_amount": 218.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1770542896, 1679536494]}]}, {"allowed_amount": 276.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2490.0, "npi": [1215986823]}]}, {"allowed_amount": 404.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1968.0, "npi": [1194137562]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 694.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1457.9, "npi": [1134425937]}]}, {"allowed_amount": 1445.9, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3035.3, "npi": [1376051458]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 223.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2491.65, "npi": [1720001225]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 113.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1980.0, "npi": [1114217312]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1980.0, "npi": [1760709406]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1830.0, "npi": [1245262856]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1285977991]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 105.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1932770674]}]}, {"allowed_amount": 228.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1255837829]}]}]}]}, {"name": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01470", "billing_code_type_version": "2022", "description": "ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE&FOOT NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2891.0, "npi": [1326073867]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5015.0, "npi": [1619102480, 1326073867]}]}, {"allowed_amount": 543.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5192.0, "npi": [1326073867]}]}, {"allowed_amount": 958.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11210.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 421.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1539.2, "npi": [1053738625]}, {"billed_charge": 1554.0, "npi": [1942502125]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1619623873]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 119.46, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1285057851]}, {"billed_charge": 1320.0, "npi": [1164404968]}]}, {"allowed_amount": 236.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1164404968]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.68, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1359.0, "npi": [1790135903]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1432.0, "npi": [1912864703]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1051.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4500.0, "npi": [1306702063]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 173.45, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1982034385]}]}, {"allowed_amount": 702.37, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1215986823]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 185.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1525.0, "npi": [1033674023]}]}, {"allowed_amount": 530.95, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4075.0, "npi": [1033372941]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2175.0, "npi": [1942254826]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 285.89, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1083821409]}]}, {"allowed_amount": 312.44, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2790.0, "npi": [1578545018]}]}, {"allowed_amount": 1247.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16980.0, "npi": [1285977991]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 106.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1192.0, "npi": [1184174351]}]}, {"allowed_amount": 231.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1200.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 124.59, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2133.0, "npi": [1356314033, 1982161170]}]}, {"allowed_amount": 146.98, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2607.0, "npi": [1689100398, 1235418831]}]}, {"allowed_amount": 153.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2607.0, "npi": [1235418831, 1558068999]}]}]}]}, {"name": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00160", "billing_code_type_version": "2022", "description": "ANESTHESIA PX ON NOSE & ACCESSORY SINUSES NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 332.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5368.0, "npi": [1326073867]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 139.88, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1164691655]}, {"billed_charge": 1650.0, "npi": [1730492448]}]}, {"allowed_amount": 142.08, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1912310434]}]}, {"allowed_amount": 153.16, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1164691655]}, {"billed_charge": 1650.0, "npi": [1790927200]}]}, {"allowed_amount": 164.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1932704590]}]}, {"allowed_amount": 175.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1755.0, "npi": [1366930430]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1890.0, "npi": [1548531577]}]}, {"allowed_amount": 210.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1890.0, "npi": [1871045278]}]}, {"allowed_amount": 218.03, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2475.0, "npi": [1134482250]}]}, {"allowed_amount": 219.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2025.0, "npi": [1871045278]}, {"billed_charge": 2475.0, "npi": [1497721815]}]}, {"allowed_amount": 263.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2430.0, "npi": [1023766748]}]}, {"allowed_amount": 267.67, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2565.0, "npi": [1578219713]}, {"billed_charge": 3135.0, "npi": [1760792303]}]}, {"allowed_amount": 296.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1497721815, 1164840807]}]}, {"allowed_amount": 308.23, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1815.0, "npi": [1730492448]}]}, {"allowed_amount": 310.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1578219713]}]}, {"allowed_amount": 315.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2835.0, "npi": [1023766748]}]}, {"allowed_amount": 354.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1620.0, "npi": [1891466793]}]}, {"allowed_amount": 418.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1890.0, "npi": [1891466793]}]}, {"allowed_amount": 428.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4200.0, "npi": [1316276959]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2475.0, "npi": [1790927200]}]}, {"allowed_amount": 443.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4500.0, "npi": [1417991431]}]}, {"allowed_amount": 465.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4800.0, "npi": [1417991431]}]}, {"allowed_amount": 496.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5100.0, "npi": [1417991431]}]}, {"allowed_amount": 498.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5100.0, "npi": [1164840807]}]}, {"allowed_amount": 627.88, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1980.0, "npi": [1063711802]}]}, {"allowed_amount": 677.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3600.0, "npi": [1497721815]}]}, {"allowed_amount": 988.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5100.0, "npi": [1497721815]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 385.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2392.0, "npi": [1194304329]}]}, {"allowed_amount": 408.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2576.0, "npi": [1194304329]}]}, {"allowed_amount": 579.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1840.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 310.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2250.0, "npi": [1346354925]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 215.97, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3984.0, "npi": [1487882171, 1649628868]}]}, {"allowed_amount": 227.76, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3984.0, "npi": [1770542896, 1275671067]}]}, {"allowed_amount": 412.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2988.0, "npi": [1700988367]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 665.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7530.0, "npi": [1285977991]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 74.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 630.0, "npi": [1962072066]}]}, {"allowed_amount": 130.83, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1050.0, "npi": [1346346582]}]}, {"allowed_amount": 161.75, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 642.0, "npi": [1306886502]}]}, {"allowed_amount": 163.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 642.0, "npi": [1659303840]}]}, {"allowed_amount": 164.59, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1260.0, "npi": [1962072066]}]}, {"allowed_amount": 201.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 749.0, "npi": [1376818450]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 749.0, "npi": [1366721789]}]}, {"allowed_amount": 247.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 963.0, "npi": [1861663155]}]}, {"allowed_amount": 283.82, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1070.0, "npi": [1861663155]}]}, {"allowed_amount": 357.06, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1284.0, "npi": [1306886502]}]}, {"allowed_amount": 451.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 856.0, "npi": [1376818450]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.67, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 360.0, "npi": [1104845403]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 347.24, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1268.8, "npi": [1134223787]}, {"billed_charge": 1281.0, "npi": [1811428808]}]}, {"allowed_amount": 370.01, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1352.0, "npi": [1851914832]}, {"billed_charge": 1365.0, "npi": [1164490546]}]}, {"allowed_amount": 535.1, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1955.2, "npi": [1598096620]}, {"billed_charge": 1974.0, "npi": [1649563644]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.85, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 944.7, "npi": [1487358370]}, {"billed_charge": 987.0, "npi": [1922021724]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 109.99, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 552.0, "npi": [1548026297]}, {"billed_charge": 574.0, "npi": [1437611050]}]}]}, {"tin": {"type": "ein", "value": "452430042"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1980.0, "npi": [1780972190]}]}, {"allowed_amount": 62.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2160.0, "npi": [1538798699]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 204.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2805.0, "npi": [1215924196]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3060.0, "npi": [1215924196]}]}, {"allowed_amount": 255.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4080.0, "npi": [1942421458]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1447376231]}]}, {"allowed_amount": 439.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8670.0, "npi": [1215924196]}]}, {"allowed_amount": 488.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3825.0, "npi": [1215924196]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4335.0, "npi": [1215924196]}]}, {"allowed_amount": 579.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4947.0, "npi": [1619102480]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5355.0, "npi": [1215924196]}]}, {"allowed_amount": 653.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5916.0, "npi": [1619102480]}]}, {"allowed_amount": 689.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6375.0, "npi": [1215924196]}]}, {"allowed_amount": 933.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9435.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 335.86, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1227.2, "npi": [1225438138]}, {"billed_charge": 1239.0, "npi": [1730508805]}]}, {"allowed_amount": 495.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1809.6, "npi": [1225438138]}, {"billed_charge": 1827.0, "npi": [1942502125]}]}, {"allowed_amount": 506.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1851.2, "npi": [1124249032]}, {"billed_charge": 1869.0, "npi": [1104899889]}]}, {"allowed_amount": 597.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2184.0, "npi": [1598958670]}, {"billed_charge": 2205.0, "npi": [1215391909]}]}, {"allowed_amount": 785.57, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2870.4, "npi": [1184289258]}, {"billed_charge": 2898.0, "npi": [1326400011]}]}, {"allowed_amount": 944.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1726.4, "npi": [1861452518]}]}, {"allowed_amount": 984.8, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3598.4, "npi": [1124031455]}, {"billed_charge": 3633.0, "npi": [1497991251]}]}, {"allowed_amount": 1013.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1851.2, "npi": [1578219812]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.62, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 911.2, "npi": [1073052346, 1730718644]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 234.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1033674023]}]}, {"allowed_amount": 261.66, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2025.0, "npi": [1780564971]}]}]}, {"tin": {"type": "ein", "value": "464715622"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 309.18, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4800.0, "npi": [1619916152]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1366930430]}]}, {"allowed_amount": 109.99, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1320.0, "npi": [1790927200]}]}, {"allowed_amount": 144.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1417003583]}]}, {"allowed_amount": 164.8, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1417991431]}]}, {"allowed_amount": 216.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1164404968]}]}, {"allowed_amount": 257.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2295.0, "npi": [1871045278]}, {"billed_charge": 2805.0, "npi": [1164840807]}]}, {"allowed_amount": 318.29, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2970.0, "npi": [1205410487]}, {"billed_charge": 3630.0, "npi": [1487650396]}]}, {"allowed_amount": 951.35, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5700.0, "npi": [1871927244]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 257.34, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 810.0, "npi": [1689251399]}]}]}, {"tin": {"type": "ein", "value": "590704934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.98, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 980.0, "npi": [1225279151]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 107.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1253.0, "npi": [1730038332]}]}, {"allowed_amount": 122.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1611.0, "npi": [1710836440]}]}, {"allowed_amount": 127.63, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1656.0, "npi": [1194304329]}]}, {"allowed_amount": 135.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1611.0, "npi": [1922979269]}]}, {"allowed_amount": 136.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1790.0, "npi": [1659028967]}]}, {"allowed_amount": 137.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1790.0, "npi": [1922979269]}]}, {"allowed_amount": 299.08, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1840.0, "npi": [1194304329]}]}, {"allowed_amount": 411.99, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2576.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 206.35, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1575.0, "npi": [1609756857]}]}, {"allowed_amount": 335.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1295692606]}]}, {"allowed_amount": 343.25, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2700.0, "npi": [1053933622]}]}, {"allowed_amount": 383.91, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2925.0, "npi": [1053933622]}]}, {"allowed_amount": 399.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1073484291]}]}, {"allowed_amount": 452.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2025.0, "npi": [1295692606]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 177.66, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1350.0, "npi": [1598776635]}]}, {"allowed_amount": 243.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1316525207]}]}, {"allowed_amount": 257.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1558969782]}]}, {"allowed_amount": 494.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1598776635]}]}, {"allowed_amount": 592.05, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2250.0, "npi": [1598776635]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 83.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1494.0, "npi": [1649624289]}]}, {"allowed_amount": 108.93, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1083698344, 1134006208]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1494.0, "npi": [1275671067]}]}, {"allowed_amount": 124.59, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2241.0, "npi": [1770542896, 1215986823]}]}, {"allowed_amount": 134.09, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2490.0, "npi": [1194837724]}]}, {"allowed_amount": 157.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1679536494]}]}, {"allowed_amount": 160.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1722.0, "npi": [1801285879]}]}, {"allowed_amount": 190.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1649624289]}]}, {"allowed_amount": 191.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1871966234]}]}, {"allowed_amount": 212.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1194137562]}]}, {"allowed_amount": 247.23, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2241.0, "npi": [1194137562]}]}, {"allowed_amount": 254.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2490.0, "npi": [1982034385]}]}, {"allowed_amount": 341.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1194137562]}]}, {"allowed_amount": 394.21, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1184340812]}]}, {"allowed_amount": 476.01, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 2490.0, "npi": [1952385239]}]}, {"allowed_amount": 649.16, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1722.0, "npi": [1215986823]}]}, {"allowed_amount": 776.86, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1992.0, "npi": [1215986823]}]}, {"allowed_amount": 1032.27, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2490.0, "npi": [1215986823]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.41, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 742.0, "npi": [1770473050]}]}, {"allowed_amount": 131.56, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 742.0, "npi": [1245670926]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 1115.73, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2390.0, "npi": [1518666890]}]}, {"allowed_amount": 2151.77, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4517.1, "npi": [1265222657]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 177.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1346811809]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1467927368]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1700.0, "npi": [1578518338]}]}]}, {"tin": {"type": "ein", "value": "593657595"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 55.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1356697577]}]}, {"allowed_amount": 308.62, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1760413249]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 90.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1372.0, "npi": [1427531565]}, {"billed_charge": 1428.0, "npi": [1780813865]}]}, {"allowed_amount": 94.73, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1372.0, "npi": [1013982032]}, {"billed_charge": 1428.0, "npi": [1811253610]}]}, {"allowed_amount": 269.56, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1013160126]}]}, {"allowed_amount": 271.6, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1497737290]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2800.0, "npi": [1497737290]}]}]}, {"tin": {"type": "ein", "value": "834217508"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.14, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1008.0, "npi": [1881222099, 1225071020]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 164.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 924.0, "npi": [1285213306]}]}, {"allowed_amount": 236.18, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1078.0, "npi": [1134112006]}]}, {"allowed_amount": 278.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1540.0, "npi": [1285213306]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 174.6, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3780.0, "npi": [1245262856, 1285337899]}]}, {"allowed_amount": 251.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2340.0, "npi": [1578545018]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2850.0, "npi": [1760709406]}]}, {"allowed_amount": 287.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2880.0, "npi": [1578545018]}]}, {"allowed_amount": 324.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3420.0, "npi": [1881125953]}]}, {"allowed_amount": 335.7, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3600.0, "npi": [1710958152]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1470.0, "npi": [1750803912]}]}, {"allowed_amount": 396.73, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1590.0, "npi": [1083821409]}]}, {"allowed_amount": 421.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1770.0, "npi": [1962031344]}]}, {"allowed_amount": 482.19, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 1740.0, "npi": [1588642375]}, {"billed_charge": 2220.0, "npi": [1538146642]}]}, {"allowed_amount": 524.82, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6360.0, "npi": [1578545018]}]}, {"allowed_amount": 559.54, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 6420.0, "npi": [1427375583]}]}, {"allowed_amount": 677.5, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 3660.0, "npi": [1750803912]}]}, {"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4050.0, "npi": [1245262856]}]}, {"allowed_amount": 756.85, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3780.0, "npi": [1962031344]}]}, {"allowed_amount": 1068.13, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 6090.0, "npi": [1962031344]}]}]}, {"tin": {"type": "ein", "value": "853627385"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 129.42, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1435.0, "npi": [1316338130]}]}, {"allowed_amount": 138.86, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1435.0, "npi": [1316338130]}]}, {"allowed_amount": 140.9, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1435.0, "npi": [1780874750]}]}, {"allowed_amount": 142.95, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1435.0, "npi": [1780223818]}]}, {"allowed_amount": 143.49, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1435.0, "npi": [1316338130]}]}, {"allowed_amount": 171.54, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1780874750]}]}, {"allowed_amount": 173.58, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1722.0, "npi": [1316338130]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.42, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 596.0, "npi": [1215494778]}, {"billed_charge": 600.0, "npi": [1740276112]}]}, {"allowed_amount": 122.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 671.0, "npi": [1518537612]}]}, {"allowed_amount": 140.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 745.0, "npi": [1043794878]}]}, {"allowed_amount": 148.05, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 745.0, "npi": [1326742628]}, {"billed_charge": 750.0, "npi": [1740276112]}]}, {"allowed_amount": 153.16, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 745.0, "npi": [1891482303]}, {"billed_charge": 750.0, "npi": [1558868612]}]}, {"allowed_amount": 163.37, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 820.0, "npi": [1891482303]}, {"billed_charge": 825.0, "npi": [1750366589]}]}, {"allowed_amount": 174.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1215494778]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1050.0, "npi": [1558868612]}]}, {"allowed_amount": 232.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1200.0, "npi": [1740276112]}]}, {"allowed_amount": 240.97, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1200.0, "npi": [1558868612]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 675.0, "npi": [1558868612]}]}, {"allowed_amount": 305.18, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 750.0, "npi": [1740276112]}]}, {"allowed_amount": 306.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1083821409]}]}, {"allowed_amount": 308.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1558868612]}]}, {"allowed_amount": 334.9, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1558868612]}]}, {"allowed_amount": 378.42, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 900.0, "npi": [1669468112]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1200.0, "npi": [1740276112]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1350.0, "npi": [1669468112]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1740276112]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 143.97, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1490.0, "npi": [1184174351]}, {"billed_charge": 1500.0, "npi": [1255837829]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 78.84, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1422.0, "npi": [1932176468, 1689100398]}]}, {"allowed_amount": 90.52, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1659.0, "npi": [1427552942, 1881046423]}]}, {"allowed_amount": 93.44, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1659.0, "npi": [1932176468, 1710711759]}]}, {"allowed_amount": 102.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1659.0, "npi": [1184966947, 1932176468]}]}, {"allowed_amount": 105.12, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1896.0, "npi": [1124891460, 1932176468]}]}, {"allowed_amount": 112.91, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1896.0, "npi": [1184966947, 1932176468]}]}, {"allowed_amount": 123.62, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2133.0, "npi": [1932176468, 1043489438]}]}, {"allowed_amount": 127.51, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2133.0, "npi": [1922488568, 1124891460]}]}, {"allowed_amount": 150.87, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2607.0, "npi": [1043489438, 1235418831]}]}, {"allowed_amount": 218.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2133.0, "npi": [1124891460]}]}, {"allowed_amount": 223.38, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2133.0, "npi": [1043489438]}]}, {"allowed_amount": 441.64, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2133.0, "npi": [1912971664]}]}, {"allowed_amount": 452.28, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2133.0, "npi": [1740258565]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 334.08, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2000.0, "npi": [1548624521]}]}]}]}, {"name": "Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)", "billing_code_type": "CPT", "billing_code": "00103", "billing_code_type_version": "2022", "description": "ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID", "allowed_amounts": [{"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 112.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1891466793]}]}, {"allowed_amount": 158.97, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1620.0, "npi": [1366930430]}]}, {"allowed_amount": 181.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1366930430]}]}, {"allowed_amount": 194.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1144322926]}]}, {"allowed_amount": 200.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1144322926]}]}, {"allowed_amount": 214.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1285608935]}]}, {"allowed_amount": 220.55, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2025.0, "npi": [1932704590]}]}, {"allowed_amount": 223.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1144322926]}]}, {"allowed_amount": 367.15, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1851654123]}]}, {"allowed_amount": 412.7, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4500.0, "npi": [1144322926]}]}, {"allowed_amount": 509.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3000.0, "npi": [1225546518]}]}, {"allowed_amount": 1032.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1285608935]}]}, {"allowed_amount": 1202.54, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1285608935]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 268.64, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2490.0, "npi": [1336719434]}]}]}, {"tin": {"type": "ein", "value": "650692915"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 224.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 385.0, "npi": [1659363729]}]}, {"allowed_amount": 245.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 440.0, "npi": [1659363729]}]}, {"allowed_amount": 385.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 385.0, "npi": [1659363729]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 820.0, "npi": [1215494778]}]}, {"allowed_amount": 320.44, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 825.0, "npi": [1740276112]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 156.22, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1639.0, "npi": [1932770674]}, {"billed_charge": 1650.0, "npi": [1356873210]}]}, {"allowed_amount": 224.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1200.0, "npi": [1255837829]}]}]}]}, {"name": "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic", "billing_code_type": "CPT", "billing_code": "01926", "billing_code_type_version": "2022", "description": "ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 747.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13010.94, "npi": [1619102480]}]}, {"allowed_amount": 1019.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 50700.0, "npi": [1215924196]}]}, {"allowed_amount": 1770.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15073.65, "npi": [1326073867]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1246.66, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 4555.2, "npi": [1124031455]}, {"billed_charge": 4599.0, "npi": [1568874782]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 496.23, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4050.0, "npi": [1780564971]}]}, {"allowed_amount": 524.82, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4275.0, "npi": [1033674023]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 786.47, "billing_code_modifier": ["AA,P5"], "providers": [{"billed_charge": 5336.0, "npi": [1023434834]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2250.0, "npi": [1710846555]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 305.29, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4950.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 298.15, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 8800.0, "npi": [1427309632]}]}, {"allowed_amount": 320.75, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3680.0, "npi": [1407673502]}]}, {"allowed_amount": 487.04, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 13600.0, "npi": [1427309632]}]}, {"allowed_amount": 695.81, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5520.0, "npi": [1619396397]}]}, {"allowed_amount": 810.71, "billing_code_modifier": ["AA,P5"], "providers": [{"billed_charge": 11600.0, "npi": [1811987860]}]}]}, {"tin": {"type": "ein", "value": "834708723"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 716.24, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5000.0, "npi": [1265894497]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1068.13, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 2940.0, "npi": [1750803912]}]}, {"allowed_amount": 1190.2, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 3810.0, "npi": [1427375583]}]}, {"allowed_amount": 1196.31, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 3870.0, "npi": [1710958152]}]}, {"allowed_amount": 1214.62, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 3990.0, "npi": [1285977991]}]}, {"allowed_amount": 1336.69, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 4470.0, "npi": [1710958152]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 200.51, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3792.0, "npi": [1114426715, 1427356526]}]}, {"allowed_amount": 541.27, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4503.0, "npi": [1811648488]}]}, {"allowed_amount": 1084.53, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4503.0, "npi": [1235523705]}]}]}]}, {"name": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified", "billing_code_type": "CPT", "billing_code": "00910", "billing_code_type_version": "2022", "description": "ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 77.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 630.0, "npi": [1962072066]}]}, {"allowed_amount": 80.66, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 630.0, "npi": [1689062168]}, {"billed_charge": 642.0, "npi": [1376818450]}]}, {"allowed_amount": 82.71, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 630.0, "npi": [1275627143]}, {"billed_charge": 642.0, "npi": [1598787236]}]}, {"allowed_amount": 87.81, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 630.0, "npi": [1962072066]}, {"billed_charge": 642.0, "npi": [1659303840]}]}, {"allowed_amount": 108.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 840.0, "npi": [1144873936]}]}, {"allowed_amount": 149.12, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1144873936]}]}, {"allowed_amount": 167.85, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 642.0, "npi": [1861663155]}]}, {"allowed_amount": 234.99, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 856.0, "npi": [1376818450]}]}, {"allowed_amount": 238.93, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 856.0, "npi": [1306886502]}]}, {"allowed_amount": 323.49, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1177.0, "npi": [1366721789]}]}, {"allowed_amount": 329.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 642.0, "npi": [1376818450]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 856.0, "npi": [1164627592]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.55, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1000.0, "npi": [1992746606]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 358.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1310.4, "npi": [1407576341]}, {"billed_charge": 1323.0, "npi": [1649563644]}]}, {"allowed_amount": 495.25, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 1809.6, "npi": [1962073403]}, {"billed_charge": 1827.0, "npi": [1811428808]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 508.0, "npi": [1851961148]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 194.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3350.0, "npi": [1215924196]}]}, {"allowed_amount": 224.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4355.0, "npi": [1215924196]}]}, {"allowed_amount": 323.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2345.0, "npi": [1447376231]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2680.0, "npi": [1215924196]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3685.0, "npi": [1447376231]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4020.0, "npi": [1447376231]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4690.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 990.5, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1809.6, "npi": [1235847666]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 116.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1871045278]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1548531577]}, {"billed_charge": 1320.0, "npi": [1760792303]}]}, {"allowed_amount": 155.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1932630829]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 253.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1760792303]}]}, {"allowed_amount": 292.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1306377593]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1208.0, "npi": [1750795860]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 88.83, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1074.0, "npi": [1730038332]}]}, {"allowed_amount": 113.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1432.0, "npi": [1922979269]}]}, {"allowed_amount": 210.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1288.0, "npi": [1194304329]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1104.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1125.0, "npi": [1366584641]}]}, {"allowed_amount": 190.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1125.0, "npi": [1053291526]}]}, {"allowed_amount": 194.67, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1575.0, "npi": [1861940694]}]}, {"allowed_amount": 216.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1366584641]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.27, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1575.0, "npi": [1679430854]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 116.8, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2490.0, "npi": [1275671067]}]}, {"allowed_amount": 132.38, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2490.0, "npi": [1194137562]}]}, {"allowed_amount": 198.56, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1743.0, "npi": [1043888456]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 580.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1218.9, "npi": [1982657359]}]}, {"allowed_amount": 648.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1362.3, "npi": [1427659119]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 293.49, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5287.0, "npi": [1609438316]}]}, {"allowed_amount": 863.1, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5304.0, "npi": [1528233202]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 960.0, "npi": [1730687211]}]}, {"allowed_amount": 83.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 960.0, "npi": [1811729601]}, {"billed_charge": 1440.0, "npi": [1265993240]}]}, {"allowed_amount": 88.83, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 960.0, "npi": [1033917679]}, {"billed_charge": 1440.0, "npi": [1801885009]}]}, {"allowed_amount": 136.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1600.0, "npi": [1689036527]}]}, {"allowed_amount": 177.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1440.0, "npi": [1265993240]}]}, {"allowed_amount": 202.17, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1497737290]}]}, {"allowed_amount": 273.64, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1598073371]}]}, {"allowed_amount": 296.03, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2400.0, "npi": [1598073371]}]}, {"allowed_amount": 329.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1013160126]}]}, {"allowed_amount": 360.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1013160126]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 212.38, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1760709406]}]}, {"allowed_amount": 230.76, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 4980.0, "npi": [1245262856, 1265830418]}]}, {"allowed_amount": 259.35, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2460.0, "npi": [1881125953]}]}, {"allowed_amount": 294.06, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2970.0, "npi": [1881125953]}]}, {"allowed_amount": 323.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1020.0, "npi": [1750803912]}, {"billed_charge": 1050.0, "npi": [1578545018]}]}, {"allowed_amount": 372.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1410.0, "npi": [1245262856]}]}, {"allowed_amount": 390.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1530.0, "npi": [1285977991]}]}, {"allowed_amount": 402.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1620.0, "npi": [1427375583]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1710958152, 1538146642, 1750803912, 1962031344]}]}, {"allowed_amount": 415.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1710.0, "npi": [1538146642]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1830.0, "npi": [1750803912]}]}, {"allowed_amount": 457.77, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1590.0, "npi": [1750803912]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2160.0, "npi": [1285977991]}]}, {"allowed_amount": 537.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2610.0, "npi": [1750803912]}]}, {"allowed_amount": 616.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2760.0, "npi": [1750803912]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.21, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 522.0, "npi": [1891482303]}, {"billed_charge": 525.0, "npi": [1366071946]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 596.0, "npi": [1891482303]}, {"billed_charge": 600.0, "npi": [1366071946]}]}, {"allowed_amount": 123.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 596.0, "npi": [1891482303]}, {"billed_charge": 600.0, "npi": [1558868612]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 347.98, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1659.0, "npi": [1609411586]}]}]}]}, {"name": "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate", "billing_code_type": "CPT", "billing_code": "00914", "billing_code_type_version": "2022", "description": "ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 203.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1575.0, "npi": [1962072066]}]}, {"allowed_amount": 294.06, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1962072066]}, {"billed_charge": 2140.0, "npi": [1306886502]}]}, {"allowed_amount": 442.51, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1605.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 388.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8395.0, "npi": [1447376231]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4745.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 141.14, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1881359099]}, {"billed_charge": 1650.0, "npi": [1144322926]}]}, {"allowed_amount": 154.18, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1485.0, "npi": [1225410574]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 164.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1922979269]}]}, {"allowed_amount": 192.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2327.0, "npi": [1396582284]}]}, {"allowed_amount": 314.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2024.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 330.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2475.0, "npi": [1366584641]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1138.5, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2390.0, "npi": [1720898612]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1600.0, "npi": [1063989093]}]}, {"allowed_amount": 302.13, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2400.0, "npi": [1598073371]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 260.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2903.32, "npi": [1114906674]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.82, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 671.0, "npi": [1578340410]}, {"billed_charge": 675.0, "npi": [1366071946]}]}, {"allowed_amount": 155.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 745.0, "npi": [1578340410]}, {"billed_charge": 750.0, "npi": [1366071946]}]}, {"allowed_amount": 173.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1518537612]}]}, {"allowed_amount": 300.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1490.0, "npi": [1578340410]}, {"billed_charge": 1500.0, "npi": [1740276112]}]}, {"allowed_amount": 375.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1740276112]}]}, {"allowed_amount": 671.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1366071946]}]}]}]}, {"name": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus", "billing_code_type": "CPT", "billing_code": "00918", "billing_code_type_version": "2022", "description": "ANES TRURL PX FRAGMNTJ MNPJ&/RMVL URTRL CALCULUS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 94.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 735.0, "npi": [1689062168]}]}, {"allowed_amount": 120.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1275627143]}]}, {"allowed_amount": 128.02, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1050.0, "npi": [1962072066]}]}, {"allowed_amount": 160.3, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1155.0, "npi": [1144873936]}, {"billed_charge": 1177.0, "npi": [1598786089]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1155.0, "npi": [1962072066]}]}, {"allowed_amount": 176.64, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1284.0, "npi": [1376818450]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1260.0, "npi": [1346346582]}, {"billed_charge": 1284.0, "npi": [1164627592]}]}, {"allowed_amount": 212.38, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1470.0, "npi": [1770316366]}, {"billed_charge": 1498.0, "npi": [1659303840]}]}, {"allowed_amount": 262.46, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 963.0, "npi": [1861663155]}]}, {"allowed_amount": 277.71, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1070.0, "npi": [1376818450]}]}, {"allowed_amount": 281.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1070.0, "npi": [1598787236]}]}, {"allowed_amount": 311.28, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1177.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.76, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1500.0, "npi": [1902197809]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 500.94, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1830.4, "npi": [1598096620]}, {"billed_charge": 1848.0, "npi": [1861797565]}]}, {"allowed_amount": 529.4, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1934.4, "npi": [1215209135]}, {"billed_charge": 1953.0, "npi": [1649563644]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 245.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2835.0, "npi": [1447376231]}]}, {"allowed_amount": 255.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1447376231]}]}, {"allowed_amount": 555.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3843.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 529.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1934.4, "npi": [1821399494]}, {"billed_charge": 1953.0, "npi": [1942502125]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.09, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1340.0, "npi": [1083032064, 1902850670]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 426.94, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1560.0, "npi": [1083011688]}, {"billed_charge": 1575.0, "npi": [1336376987]}]}, {"allowed_amount": 432.63, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1580.8, "npi": [1629498621]}, {"billed_charge": 1596.0, "npi": [1053348425]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 990.0, "npi": [1700273018]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 132.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1609842020]}]}, {"allowed_amount": 145.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1350.0, "npi": [1164691655]}, {"billed_charge": 1650.0, "npi": [1760792303]}]}, {"allowed_amount": 148.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1350.0, "npi": [1225410574]}]}, {"allowed_amount": 236.52, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1215.0, "npi": [1164691655]}]}, {"allowed_amount": 375.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2025.0, "npi": [1457972135]}]}, {"allowed_amount": 478.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1485.0, "npi": [1134482250]}]}, {"allowed_amount": 634.78, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3300.0, "npi": [1164404968]}]}, {"allowed_amount": 738.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1033372941]}]}, {"allowed_amount": 760.9, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2475.0, "npi": [1790927200]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 158.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1969.0, "npi": [1922979269]}]}, {"allowed_amount": 283.82, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1840.0, "npi": [1124477070]}]}, {"allowed_amount": 405.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2576.0, "npi": [1194304329]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1840.0, "npi": [1124477070]}]}, {"allowed_amount": 592.05, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1840.0, "npi": [1124477070]}]}, {"allowed_amount": 634.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2024.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 251.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1609756857]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2025.0, "npi": [1346354925]}]}, {"allowed_amount": 292.01, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2250.0, "npi": [1184596413]}]}, {"allowed_amount": 319.26, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 2475.0, "npi": [1184596413]}]}, {"allowed_amount": 327.05, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2475.0, "npi": [1932931862]}]}, {"allowed_amount": 338.99, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2475.0, "npi": [1346354925]}]}, {"allowed_amount": 488.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1073484291]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 314.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2250.0, "npi": [1801285879]}]}, {"allowed_amount": 616.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2250.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 805.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1968.0, "npi": [1447210018]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.56, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 848.0, "npi": [1235362849, 1275240822]}]}]}, {"tin": {"type": "ein", "value": "650126861"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 96.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1800.0, "npi": [1508722794]}]}]}, {"tin": {"type": "ein", "value": "680238424"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 371.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1870.0, "npi": [1770538928]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 138.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2488.0, "npi": [1609438316]}]}, {"allowed_amount": 260.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3110.0, "npi": [1558997338]}]}, {"allowed_amount": 272.81, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1598252041]}]}, {"allowed_amount": 408.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2496.0, "npi": [1245317478]}]}, {"allowed_amount": 476.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3120.0, "npi": [1528233202]}]}, {"allowed_amount": 868.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2808.0, "npi": [1467494849]}]}, {"allowed_amount": 910.18, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2808.0, "npi": [1598252041]}]}, {"allowed_amount": 1035.72, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1467494849]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1600.0, "npi": [1023847647]}]}, {"allowed_amount": 180.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1920.0, "npi": [1548129224]}, {"billed_charge": 2880.0, "npi": [1619396397]}]}, {"allowed_amount": 289.92, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2400.0, "npi": [1598073371]}]}, {"allowed_amount": 396.17, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1639330798]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 295.54, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1694.0, "npi": [1700537172]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 125.59, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1440.0, "npi": [1518208032, 1760709406]}]}, {"allowed_amount": 283.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1920.0, "npi": [1578545018]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1230.0, "npi": [1285977991]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1260.0, "npi": [1578545018]}]}, {"allowed_amount": 573.74, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1530.0, "npi": [1285977991]}]}, {"allowed_amount": 634.78, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1980.0, "npi": [1750803912]}]}, {"allowed_amount": 689.71, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1285977991]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 894.0, "npi": [1891482303]}, {"billed_charge": 900.0, "npi": [1366071946]}]}, {"allowed_amount": 196.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1518537612]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1558868612]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2370.0, "npi": [1922488568, 1528848637]}]}, {"allowed_amount": 446.96, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2133.0, "npi": [1356314033, 1558068999]}]}, {"allowed_amount": 585.31, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2607.0, "npi": [1811502610, 1235418831]}]}]}]}, {"name": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)", "billing_code_type": "CPT", "billing_code": "00732", "billing_code_type_version": "2022", "description": "ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 111.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 840.0, "npi": [1699345793]}]}, {"allowed_amount": 144.99, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1050.0, "npi": [1770316366]}, {"billed_charge": 1070.0, "npi": [1164627592]}]}, {"allowed_amount": 147.03, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1050.0, "npi": [1346346582]}, {"billed_charge": 1070.0, "npi": [1164627592]}]}, {"allowed_amount": 153.16, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1050.0, "npi": [1144873936]}, {"billed_charge": 1070.0, "npi": [1659303840]}]}, {"allowed_amount": 158.97, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1260.0, "npi": [1962072066]}]}, {"allowed_amount": 308.23, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1177.0, "npi": [1659303840]}]}, {"allowed_amount": 330.82, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1177.0, "npi": [1861663155]}]}, {"allowed_amount": 344.85, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1284.0, "npi": [1659303840]}]}, {"allowed_amount": 585.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1070.0, "npi": [1629374194]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1177.0, "npi": [1164627592]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.37, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6000.0, "npi": [1427318948]}]}, {"allowed_amount": 635.29, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 6000.0, "npi": [1700735099]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 586.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2142.4, "npi": [1245846013]}, {"billed_charge": 2163.0, "npi": [1588111538]}]}]}, {"tin": {"type": "ein", "value": "273974046"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1624.13, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4200.0, "npi": [1255697413]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.76, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2700.0, "npi": [1154519262]}]}, {"allowed_amount": 165.41, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3300.0, "npi": [1154519262]}]}, {"allowed_amount": 190.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1427552942]}]}, {"allowed_amount": 332.65, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3300.0, "npi": [1760792303]}]}, {"allowed_amount": 387.58, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1760792303]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.18, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2250.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.52, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 690.0, "npi": [1699284885]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.52, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 690.0, "npi": [1023074473]}]}]}, {"tin": {"type": "ein", "value": "752728889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 292.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 948.2, "npi": [1932945953]}]}, {"allowed_amount": 754.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 948.2, "npi": [1710547575]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.61, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1740.0, "npi": [1669012936]}]}, {"allowed_amount": 586.17, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1740.0, "npi": [1447299144]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 266.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3110.0, "npi": [1417384645]}]}, {"allowed_amount": 486.48, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3120.0, "npi": [1467494849]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1440.0, "npi": [1730687211]}]}, {"allowed_amount": 137.86, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1600.0, "npi": [1528949856]}]}, {"allowed_amount": 146.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1760.0, "npi": [1629951249]}]}, {"allowed_amount": 154.58, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4400.0, "npi": [1033674023]}]}, {"allowed_amount": 165.41, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1760.0, "npi": [1528949856]}]}, {"allowed_amount": 178.66, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2080.0, "npi": [1528949856]}]}, {"allowed_amount": 190.94, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2080.0, "npi": [1639059918]}]}, {"allowed_amount": 299.08, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1730683533]}]}, {"allowed_amount": 317.39, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2640.0, "npi": [1699125633]}]}, {"allowed_amount": 689.71, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4800.0, "npi": [1013160126]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 311.47, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1694.0, "npi": [1346332038]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 324.69, "billing_code_modifier": ["P3,AA"], "providers": [{"billed_charge": 1620.0, "npi": [1427375583]}]}, {"allowed_amount": 355.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2520.0, "npi": [1578545018]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 969.0, "npi": [1578340410]}]}, {"allowed_amount": 405.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 975.0, "npi": [1669468112]}]}, {"allowed_amount": 689.71, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.67, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1811648488, 1942694559]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.92, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 756.0, "npi": [1144873936]}, {"billed_charge": 770.0, "npi": [1366721789]}]}, {"allowed_amount": 93.94, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 735.0, "npi": [1962072066]}, {"billed_charge": 749.0, "npi": [1861663155]}]}, {"allowed_amount": 108.23, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 840.0, "npi": [1275627143]}, {"billed_charge": 856.0, "npi": [1366721789]}]}, {"allowed_amount": 185.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 749.0, "npi": [1376818450]}]}, {"allowed_amount": 230.76, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 856.0, "npi": [1629374194]}]}, {"allowed_amount": 238.93, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 856.0, "npi": [1366721789]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 749.0, "npi": [1629374194]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 749.0, "npi": [1376818450]}]}, {"allowed_amount": 463.87, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 856.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 133.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 280.0, "npi": [1740001148]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 375.71, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1372.8, "npi": [1073967535]}, {"billed_charge": 1386.0, "npi": [1174187207]}]}, {"allowed_amount": 392.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1435.2, "npi": [1548532898]}, {"billed_charge": 1449.0, "npi": [1508890658]}]}, {"allowed_amount": 421.25, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1539.2, "npi": [1962073403]}, {"billed_charge": 1554.0, "npi": [1508890658]}]}, {"allowed_amount": 876.65, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1601.6, "npi": [1073967535]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.43, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 460.0, "npi": [1396700050]}]}, {"allowed_amount": 156.21, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 460.0, "npi": [1326618422]}]}]}, {"tin": {"type": "ein", "value": "364871240"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 166.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1040.0, "npi": [1487195491]}]}]}, {"tin": {"type": "ein", "value": "421656000"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 117.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 132.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 143.14, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 149.67, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1508643420]}]}, {"allowed_amount": 153.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1508822800, 1891860169]}]}, {"allowed_amount": 161.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1508643420]}]}, {"allowed_amount": 168.61, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 174.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}, {"allowed_amount": 181.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1891860169]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.47, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 464.0, "npi": [1215825898]}, {"billed_charge": 482.0, "npi": [1437611050]}]}, {"allowed_amount": 205.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 515.0, "npi": [1821313180]}]}, {"allowed_amount": 360.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 945.0, "npi": [1205864634]}]}, {"allowed_amount": 412.59, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 536.0, "npi": [1437611050]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 204.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3850.0, "npi": [1215924196]}]}, {"allowed_amount": 275.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9240.0, "npi": [1215924196]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3080.0, "npi": [1326073867]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4620.0, "npi": [1215924196, 1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 392.78, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1435.2, "npi": [1578219812]}, {"billed_charge": 1449.0, "npi": [1942502125]}]}, {"allowed_amount": 438.32, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1601.6, "npi": [1366837908]}, {"billed_charge": 1617.0, "npi": [1720014731]}]}, {"allowed_amount": 506.63, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1851.2, "npi": [1124031455]}, {"billed_charge": 1869.0, "npi": [1104899889]}]}, {"allowed_amount": 529.4, "billing_code_modifier": ["QY,P4", "QX,P4"], "providers": [{"billed_charge": 1934.4, "npi": [1053738625]}, {"billed_charge": 1953.0, "npi": [1184128167]}]}, {"allowed_amount": 535.1, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1955.2, "npi": [1649283268]}, {"billed_charge": 1974.0, "npi": [1063711802]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 113.46, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1031.8, "npi": [1013280858]}]}, {"allowed_amount": 196.08, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1849.2, "npi": [1154217412, 1659878262]}]}, {"allowed_amount": 441.68, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1031.8, "npi": [1780797779]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.17, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1476.8, "npi": [1164651709]}, {"billed_charge": 1491.0, "npi": [1679888663]}]}, {"allowed_amount": 426.94, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1560.0, "npi": [1144665605]}, {"billed_charge": 1575.0, "npi": [1821221300]}]}, {"allowed_amount": 466.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1705.6, "npi": [1982039616]}, {"billed_charge": 1722.0, "npi": [1720014731]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 128.65, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1184435604]}]}, {"allowed_amount": 275.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1033674023]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 69.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1386105088]}]}, {"allowed_amount": 70.19, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1386105088]}]}, {"allowed_amount": 78.84, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1881359099]}, {"billed_charge": 990.0, "npi": [1487650396, 1144322926]}]}, {"allowed_amount": 80.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1598294084]}]}, {"allowed_amount": 80.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1881359099, 1295088276, 1871927244]}, {"billed_charge": 990.0, "npi": [1386105088, 1487650396, 1174503213, 1396858239]}]}, {"allowed_amount": 81.76, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1780179333]}, {"billed_charge": 990.0, "npi": [1487650396, 1174503213]}]}, {"allowed_amount": 82.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1295088276, 1871927244, 1578703237]}, {"billed_charge": 990.0, "npi": [1386105088, 1144322926, 1710950357, 1487650396, 1396858239]}]}, {"allowed_amount": 83.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1598294084]}]}, {"allowed_amount": 83.71, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1811734320, 1871927244, 1780179333]}, {"billed_charge": 990.0, "npi": [1487650396, 1174503213, 1932172111]}]}, {"allowed_amount": 84.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1598294084, 1366930430]}]}, {"allowed_amount": 84.68, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1871927244]}, {"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 85.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1780179333]}]}, {"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1164691655]}]}, {"allowed_amount": 86.63, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1811734320, 1871927244, 1780179333]}, {"billed_charge": 990.0, "npi": [1487650396, 1174503213, 1932172111]}]}, {"allowed_amount": 86.79, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1366930430]}]}, {"allowed_amount": 87.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1225410574]}]}, {"allowed_amount": 87.6, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1801863824, 1033178850, 1780179333]}, {"billed_charge": 990.0, "npi": [1386105088, 1881127025, 1174503213, 1144322926]}]}, {"allowed_amount": 88.57, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1871927244, 1578703237]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 88.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824, 1225410574]}]}, {"allowed_amount": 89.55, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824, 1316565427, 1508446220, 1295051597]}, {"billed_charge": 1155.0, "npi": [1487650396, 1174503213]}]}, {"allowed_amount": 89.85, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1164691655]}, {"billed_charge": 990.0, "npi": [1730492448]}]}, {"allowed_amount": 90.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1659140283]}]}, {"allowed_amount": 90.52, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1376519496, 1669723664, 1780179333]}, {"billed_charge": 1155.0, "npi": [1881127025, 1487650396, 1174503213, 1932172111]}]}, {"allowed_amount": 91.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1548531577, 1184993644, 1225410574]}, {"billed_charge": 990.0, "npi": [1790927200]}]}, {"allowed_amount": 92.47, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1376519496]}, {"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 92.92, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1932704590, 1548531577, 1023766748, 1366930430, 1316276959]}, {"billed_charge": 1155.0, "npi": [1760792303]}]}, {"allowed_amount": 93.44, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1508446220]}, {"billed_charge": 1155.0, "npi": [1174503213]}]}, {"allowed_amount": 95.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1275053902]}]}, {"allowed_amount": 96.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1376519496]}]}, {"allowed_amount": 96.36, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1508446220]}, {"billed_charge": 1155.0, "npi": [1174503213]}]}, {"allowed_amount": 97.0, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1598294084, 1841598893, 1447077334, 1316276959]}, {"billed_charge": 1155.0, "npi": [1760792303, 1497721815]}]}, {"allowed_amount": 97.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1598294084]}]}, {"allowed_amount": 97.34, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 945.0, "npi": [1881359099, 1295088276]}, {"billed_charge": 1155.0, "npi": [1487650396, 1174503213]}]}, {"allowed_amount": 98.02, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1891466793, 1023766748, 1316276959]}, {"billed_charge": 1155.0, "npi": [1760792303]}]}, {"allowed_amount": 98.7, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1164691655]}]}, {"allowed_amount": 99.28, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 945.0, "npi": [1801863824]}, {"billed_charge": 1155.0, "npi": [1144322926]}]}, {"allowed_amount": 100.06, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1932704590, 1316276959]}]}, {"allowed_amount": 100.26, "billing_code_modifier": ["QK", "QX,P3", "QK,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1669723664, 1316565427, 1780179333]}, {"billed_charge": 1155.0, "npi": [1881127025, 1487650396, 1932172111]}]}, {"allowed_amount": 101.23, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 945.0, "npi": [1801034566]}, {"billed_charge": 1155.0, "npi": [1710950357]}]}, {"allowed_amount": 102.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1295051597]}, {"billed_charge": 1155.0, "npi": [1386105088]}]}, {"allowed_amount": 104.15, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1912982265, 1316276959]}, {"billed_charge": 1155.0, "npi": [1790927200]}]}, {"allowed_amount": 106.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1316276959]}, {"billed_charge": 1155.0, "npi": [1760792303]}]}, {"allowed_amount": 107.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1023766748]}]}, {"allowed_amount": 108.23, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1023766748]}]}, {"allowed_amount": 110.27, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1275053902]}]}, {"allowed_amount": 114.64, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1080.0, "npi": [1376519496]}, {"billed_charge": 1320.0, "npi": [1386105088]}]}, {"allowed_amount": 116.4, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1770957672]}]}, {"allowed_amount": 135.05, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1659140283]}]}, {"allowed_amount": 144.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1871927244]}]}, {"allowed_amount": 152.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1376519496, 1184013674, 1871927244, 1033178850]}]}, {"allowed_amount": 155.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1376519496, 1881359099]}]}, {"allowed_amount": 157.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1033178850, 1578703237, 1376519496, 1871927244, 1801863824]}]}, {"allowed_amount": 160.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1871927244, 1578703237]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3300.0, "npi": [1730492448]}]}, {"allowed_amount": 170.82, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1871927244]}]}, {"allowed_amount": 173.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1801863824]}]}, {"allowed_amount": 173.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1497721815]}]}, {"allowed_amount": 180.06, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 990.0, "npi": [1497721815]}]}, {"allowed_amount": 183.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1821443243]}]}, {"allowed_amount": 187.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 189.21, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1790927200]}]}, {"allowed_amount": 189.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 192.26, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1790927200, 1417991431]}]}, {"allowed_amount": 192.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1386105088]}]}, {"allowed_amount": 195.32, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1497721815]}]}, {"allowed_amount": 196.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815]}]}, {"allowed_amount": 201.42, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1528497674]}]}, {"allowed_amount": 204.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1770957672, 1528497674]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1497721815, 1164840807]}]}, {"allowed_amount": 207.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1386105088]}]}, {"allowed_amount": 213.63, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 945.0, "npi": [1821443243]}]}, {"allowed_amount": 216.68, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1770957672, 1821443243]}, {"billed_charge": 1320.0, "npi": [1164840807]}]}, {"allowed_amount": 219.73, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1316276959]}, {"billed_charge": 1320.0, "npi": [1760792303]}]}, {"allowed_amount": 254.24, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5100.0, "npi": [1932630829]}]}, {"allowed_amount": 292.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 308.62, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 990.0, "npi": [1881127025, 1487650396, 1396858239]}]}, {"allowed_amount": 313.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 319.26, "billing_code_modifier": ["QY", "QK"], "providers": [{"billed_charge": 990.0, "npi": [1487650396]}]}, {"allowed_amount": 324.58, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1881127025, 1639364623]}]}, {"allowed_amount": 345.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1881127025]}]}, {"allowed_amount": 351.18, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1155.0, "npi": [1487650396]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1760792303]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1154519262]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4500.0, "npi": [1760792303]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1497721815]}]}, {"allowed_amount": 454.72, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 4500.0, "npi": [1730492448]}]}, {"allowed_amount": 463.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1760792303]}]}, {"allowed_amount": 649.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1396858239]}]}, {"allowed_amount": 659.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1396858239]}]}, {"allowed_amount": 691.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1396858239]}]}, {"allowed_amount": 755.58, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1396858239]}]}]}, {"tin": {"type": "ein", "value": "581163763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.46, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1290.0, "npi": [1669878971]}]}, {"allowed_amount": 149.34, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1290.0, "npi": [1437127875]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.12, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 630.0, "npi": [1982139549]}]}]}, {"tin": {"type": "ein", "value": "582338025"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 145.01, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 883.26, "npi": [1861761777]}]}, {"allowed_amount": 232.53, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1934.28, "npi": [1235110891]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 689.71, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2208.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 220.55, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1575.0, "npi": [1366584641]}]}, {"allowed_amount": 229.71, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1366012775]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1215566492]}]}, {"allowed_amount": 520.35, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2250.0, "npi": [1326082140]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 127.63, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 900.0, "npi": [1316525207]}, {"billed_charge": 1800.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.4, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1379.5, "npi": [1609856574]}]}, {"allowed_amount": 69.59, "providers": [{"billed_charge": 1379.5, "npi": [1396781993]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 97.34, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1743.0, "npi": [1801285879, 1215986823]}]}, {"allowed_amount": 98.31, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1743.0, "npi": [1972824464, 1104159748]}]}, {"allowed_amount": 104.2, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1083698344, 1477385201]}]}, {"allowed_amount": 125.25, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2241.0, "npi": [1154108496]}]}, {"allowed_amount": 168.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1743.0, "npi": [1770542896]}]}, {"allowed_amount": 169.36, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1790108868]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1407280829]}]}, {"allowed_amount": 177.15, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1518942457, 1982034385]}]}, {"allowed_amount": 181.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1407280829]}]}, {"allowed_amount": 184.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1743.0, "npi": [1215986823]}]}, {"allowed_amount": 186.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1743.0, "npi": [1174592273]}]}, {"allowed_amount": 194.67, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 1743.0, "npi": [1174592273, 1194137562]}]}, {"allowed_amount": 211.8, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1053708925]}]}, {"allowed_amount": 216.08, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1700988367]}]}, {"allowed_amount": 222.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1722.0, "npi": [1629657333]}, {"billed_charge": 1743.0, "npi": [1629657333]}]}, {"allowed_amount": 271.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1968.0, "npi": [1750686465]}]}, {"allowed_amount": 310.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1476.0, "npi": [1811962533]}, {"billed_charge": 1494.0, "npi": [1679536494]}]}, {"allowed_amount": 320.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1722.0, "npi": [1801285879]}]}, {"allowed_amount": 325.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1722.0, "npi": [1982034385]}]}, {"allowed_amount": 381.55, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1992.0, "npi": [1538796990]}]}, {"allowed_amount": 383.69, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1968.0, "npi": [1811962533]}]}, {"allowed_amount": 468.25, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1743.0, "npi": [1275671067]}]}, {"allowed_amount": 670.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1743.0, "npi": [1174592273]}]}, {"allowed_amount": 680.02, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2241.0, "npi": [1265427561]}]}, {"allowed_amount": 868.33, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 2214.0, "npi": [1841491065]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.67, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 636.0, "npi": [1801424528, 1457857823]}]}]}, {"tin": {"type": "ein", "value": "593245868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.9, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1113.0, "npi": [1982294740]}]}, {"allowed_amount": 395.79, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1120.0, "npi": [1083634083]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 785.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1573.2, "npi": [1003612243]}]}, {"allowed_amount": 1536.98, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3078.0, "npi": [1013525492]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.72, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 517.5, "npi": [1083162622, 1356705255]}]}, {"allowed_amount": 172.28, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 690.0, "npi": [1184467342]}]}, {"allowed_amount": 202.36, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 460.0, "npi": [1144462078]}]}, {"allowed_amount": 212.87, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 517.5, "npi": [1952854309]}]}, {"allowed_amount": 223.38, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 517.5, "npi": [1528607660]}]}, {"allowed_amount": 241.78, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 575.0, "npi": [1528607660]}]}, {"allowed_amount": 431.0, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 517.5, "npi": [1811004120]}]}, {"allowed_amount": 452.28, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 517.5, "npi": [1700863834]}]}, {"allowed_amount": 489.53, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 575.0, "npi": [1770568008]}]}, {"allowed_amount": 633.2, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 690.0, "npi": [1184129785, 1578784484]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.28, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 690.0, "npi": [1780925255]}]}, {"allowed_amount": 409.72, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 460.0, "npi": [1780925255]}]}]}, {"tin": {"type": "ein", "value": "650491008"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 157.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1144194754, 1285208660]}, {"billed_charge": 575.0, "npi": [1023477544]}]}, {"allowed_amount": 160.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1144194754, 1023477544, 1033928171, 1114886132, 1285208660]}, {"billed_charge": 575.0, "npi": [1053280008, 1023477544, 1114886132, 1619427606, 1366906265]}]}, {"allowed_amount": 163.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544, 1144194754, 1033928171]}, {"billed_charge": 575.0, "npi": [1053280008, 1114886132, 1467058925]}]}, {"allowed_amount": 166.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1053280008, 1144194754, 1447077334]}, {"billed_charge": 575.0, "npi": [1144194754, 1285528802, 1114130564, 1053280008, 1467058925, 1114886132]}]}, {"allowed_amount": 168.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 575.0, "npi": [1023477544, 1114130564]}]}, {"allowed_amount": 171.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544, 1447573100, 1467058925]}]}, {"allowed_amount": 171.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 575.0, "npi": [1366906265, 1467058925]}, {"billed_charge": 665.0, "npi": [1144194754]}]}, {"allowed_amount": 173.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1023477544, 1033928171]}]}, {"allowed_amount": 174.44, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 575.0, "npi": [1053280008]}]}, {"allowed_amount": 175.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1033928171, 1467058925]}]}, {"allowed_amount": 177.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1144194754]}]}, {"allowed_amount": 177.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1447573100, 1023477544, 1033928171, 1285208660]}]}, {"allowed_amount": 179.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1033928171, 1467058925]}]}, {"allowed_amount": 181.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1033928171, 1285208660]}]}, {"allowed_amount": 183.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 570.0, "npi": [1285208660]}]}, {"allowed_amount": 185.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544]}]}, {"allowed_amount": 187.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1023477544, 1285208660]}]}, {"allowed_amount": 200.13, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 665.0, "npi": [1285208660]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 260.48, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 784.0, "npi": [1730174814]}]}]}, {"tin": {"type": "ein", "value": "650823701"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1520.0, "npi": [1477663417]}]}]}, {"tin": {"type": "ein", "value": "753077388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 262.6, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1620.0, "npi": [1003853052]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 635.43, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2133.0, "npi": [1205406691]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 81.46, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1866.0, "npi": [1013570779]}, {"billed_charge": 1872.0, "npi": [1497948301]}]}, {"allowed_amount": 85.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1866.0, "npi": [1013570779]}, {"billed_charge": 1872.0, "npi": [1497948301]}]}, {"allowed_amount": 87.15, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1538465737]}, {"billed_charge": 2184.0, "npi": [1497948301]}]}, {"allowed_amount": 89.04, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2177.0, "npi": [1194227967]}, {"billed_charge": 2184.0, "npi": [1497948301]}]}, {"allowed_amount": 106.09, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1700066388]}, {"billed_charge": 2496.0, "npi": [1497948301]}]}, {"allowed_amount": 111.78, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1013570779]}, {"billed_charge": 2496.0, "npi": [1497948301]}]}, {"allowed_amount": 113.67, "billing_code_modifier": ["QK,P3", "QK", "QX,P3", "QX"], "providers": [{"billed_charge": 2488.0, "npi": [1700066388, 1003081662]}, {"billed_charge": 2496.0, "npi": [1467494849]}]}, {"allowed_amount": 124.09, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1528489036]}, {"billed_charge": 2808.0, "npi": [1245317478]}]}, {"allowed_amount": 129.77, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3110.0, "npi": [1952346132]}, {"billed_charge": 3120.0, "npi": [1912950288]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 91.89, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 960.0, "npi": [1992502025]}, {"billed_charge": 1176.0, "npi": [1225836042]}, {"billed_charge": 1224.0, "npi": [1619396397]}, {"billed_charge": 1440.0, "npi": [1598073371]}]}, {"allowed_amount": 99.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2800.0, "npi": [1619919404]}]}, {"allowed_amount": 106.64, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1120.0, "npi": [1356222905]}, {"billed_charge": 1680.0, "npi": [1598073371]}]}, {"allowed_amount": 113.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1440.0, "npi": [1497576508]}]}, {"allowed_amount": 121.5, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 3200.0, "npi": [1598073371]}]}, {"allowed_amount": 124.57, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1912879867]}, {"billed_charge": 2160.0, "npi": [1598073371]}]}, {"allowed_amount": 126.61, "billing_code_modifier": ["QK,P3", "QY", "QX,P3", "QX"], "providers": [{"billed_charge": 1440.0, "npi": [1528949856, 1023857596]}, {"billed_charge": 2160.0, "npi": [1467844217]}]}, {"allowed_amount": 129.42, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1600.0, "npi": [1689036527]}]}, {"allowed_amount": 129.67, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1619919404]}]}, {"allowed_amount": 136.82, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3600.0, "npi": [1982967535]}]}, {"allowed_amount": 157.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2400.0, "npi": [1831595123]}]}, {"allowed_amount": 167.45, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1760.0, "npi": [1346879269]}]}, {"allowed_amount": 191.32, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2240.0, "npi": [1548129224]}]}, {"allowed_amount": 202.58, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6000.0, "npi": [1225836042]}]}, {"allowed_amount": 209.61, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2400.0, "npi": [1194280115]}]}, {"allowed_amount": 220.86, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2560.0, "npi": [1811729601]}]}, {"allowed_amount": 238.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1982786018]}]}, {"allowed_amount": 247.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2160.0, "npi": [1265993240]}]}, {"allowed_amount": 280.77, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2400.0, "npi": [1730683533]}]}, {"allowed_amount": 415.05, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3360.0, "npi": [1982967535]}]}, {"allowed_amount": 479.13, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 3840.0, "npi": [1013160126]}]}]}, {"tin": {"type": "ein", "value": "850996164"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 161.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1265728075]}]}, {"allowed_amount": 219.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1912159013]}]}, {"allowed_amount": 223.42, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1457466963]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.96, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 540.0, "npi": [1245262856, 1013293927]}]}, {"allowed_amount": 101.08, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 720.0, "npi": [1881125953, 1780834754]}]}, {"allowed_amount": 129.67, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1560.0, "npi": [1881125953, 1780834754]}]}, {"allowed_amount": 147.03, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1620.0, "npi": [1881125953, 1598096620]}]}, {"allowed_amount": 196.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 630.0, "npi": [1578545018]}]}, {"allowed_amount": 232.8, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 720.0, "npi": [1285977991]}]}, {"allowed_amount": 234.84, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 750.0, "npi": [1578545018]}]}, {"allowed_amount": 236.88, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 780.0, "npi": [1578545018]}]}, {"allowed_amount": 238.93, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1260.0, "npi": [1710958152]}]}, {"allowed_amount": 244.14, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 450.0, "npi": [1245262856]}]}, {"allowed_amount": 253.3, "billing_code_modifier": ["QY,P4"], "providers": [{"billed_charge": 600.0, "npi": [1760709406]}]}, {"allowed_amount": 274.66, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 660.0, "npi": [1245262856]}]}, {"allowed_amount": 281.81, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1285977991]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 540.0, "npi": [1245262856]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 600.0, "npi": [1881125953]}]}, {"allowed_amount": 457.77, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 690.0, "npi": [1245262856]}]}, {"allowed_amount": 494.39, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 960.0, "npi": [1750803912]}]}, {"allowed_amount": 518.81, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 690.0, "npi": [1710958152]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 750.0, "npi": [1083821409]}]}, {"allowed_amount": 567.64, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1050.0, "npi": [1760709406]}]}, {"allowed_amount": 604.26, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1770.0, "npi": [1962031344]}]}, {"allowed_amount": 616.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1830.0, "npi": [1285977991]}]}, {"allowed_amount": 775.16, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3000.0, "npi": [1083821409]}]}]}, {"tin": {"type": "ein", "value": "874608604"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 163.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2240.0, "npi": [1245474568]}]}, {"allowed_amount": 167.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2293.33, "npi": [1346216884]}]}, {"allowed_amount": 173.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2373.33, "npi": [1861728727]}]}, {"allowed_amount": 625.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2373.33, "npi": [1861728727]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 522.0, "npi": [1891482303]}]}, {"allowed_amount": 213.63, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 525.0, "npi": [1366071946]}]}]}, {"tin": {"type": "ein", "value": "881065215"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 153.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1000.0, "npi": [1790435048]}]}, {"allowed_amount": 173.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1000.0, "npi": [1790435048]}]}, {"allowed_amount": 192.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1250.0, "npi": [1790435048]}]}]}, {"tin": {"type": "ein", "value": "883151607"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 169.36, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570]}]}, {"allowed_amount": 171.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869, 1730749342]}]}, {"allowed_amount": 173.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1700800570]}]}, {"allowed_amount": 177.15, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1104887736, 1316394869]}]}, {"allowed_amount": 181.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1962418731, 1730749342]}]}, {"allowed_amount": 188.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1316394869]}]}, {"allowed_amount": 190.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1083300180, 1730749342]}]}, {"allowed_amount": 204.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1700800570, 1114548013]}]}, {"allowed_amount": 211.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1083300180]}]}, {"allowed_amount": 212.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570, 1083300180]}]}, {"allowed_amount": 215.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1083300180, 1316394869]}]}, {"allowed_amount": 222.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 900.0, "npi": [1114548013, 1205917085, 1316394869]}]}, {"allowed_amount": 243.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1316394869]}]}, {"allowed_amount": 264.43, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1200.0, "npi": [1205917085]}]}, {"allowed_amount": 289.11, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1050.0, "npi": [1700800570]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 80.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 894.0, "npi": [1932770674]}]}, {"allowed_amount": 85.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1912157280]}]}, {"allowed_amount": 91.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1043.0, "npi": [1659028967]}]}, {"allowed_amount": 95.98, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317]}, {"billed_charge": 1050.0, "npi": [1255837829]}]}, {"allowed_amount": 97.0, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1205079597]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 102.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1205079597]}, {"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 107.21, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1043.0, "npi": [1568866317, 1205079597]}, {"billed_charge": 1050.0, "npi": [1356873210, 1255837829]}]}, {"allowed_amount": 173.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 900.0, "npi": [1356873210]}]}, {"allowed_amount": 186.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}, {"allowed_amount": 198.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.43, "billing_code_modifier": ["QK,P4", "QX,P4"], "providers": [{"billed_charge": 2133.0, "npi": [1710979562, 1265054357]}]}, {"allowed_amount": 232.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1896.0, "npi": [1841066321]}]}, {"allowed_amount": 319.26, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1422.0, "npi": [1528848637, 1740258565]}]}, {"allowed_amount": 465.64, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1896.0, "npi": [1831583707]}]}]}]}, {"name": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography", "billing_code_type": "CPT", "billing_code": "00952", "billing_code_type_version": "2022", "description": "ANES VAG PX HYSTEROSCOPY&/HYSTEROSALPINGOGRAPHY", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 856.0, "npi": [1366721789]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 466.79, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1705.6, "npi": [1114548013]}, {"billed_charge": 1722.0, "npi": [1164490546]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 980.0, "npi": [1053598060]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 549.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5475.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 455.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1664.0, "npi": [1538026711]}, {"billed_charge": 1680.0, "npi": [1720014731]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 127.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1800.0, "npi": [1184435604]}]}, {"allowed_amount": 148.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2250.0, "npi": [1184435604]}]}, {"allowed_amount": 182.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2700.0, "npi": [1184435604]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1619623873]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 94.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1871045278]}]}, {"allowed_amount": 95.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1023766748]}]}, {"allowed_amount": 103.13, "billing_code_modifier": ["QX,P3", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1033413562, 1932704590]}]}, {"allowed_amount": 107.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1447077334]}]}, {"allowed_amount": 109.25, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1578219713]}, {"billed_charge": 1320.0, "npi": [1790927200]}]}, {"allowed_amount": 111.29, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1447077334]}, {"billed_charge": 1320.0, "npi": [1497721815]}]}, {"allowed_amount": 112.32, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1080.0, "npi": [1164691655]}, {"billed_charge": 1320.0, "npi": [1730492448]}]}, {"allowed_amount": 112.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1396243770]}]}, {"allowed_amount": 120.48, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1821443243]}]}, {"allowed_amount": 159.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1485.0, "npi": [1316276959]}, {"billed_charge": 1815.0, "npi": [1497721815]}]}, {"allowed_amount": 170.9, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 810.0, "npi": [1528497674]}, {"billed_charge": 990.0, "npi": [1497721815]}]}, {"allowed_amount": 196.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 210.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1164840807]}]}, {"allowed_amount": 228.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2400.0, "npi": [1154519262]}]}, {"allowed_amount": 228.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2400.0, "npi": [1760792303]}]}, {"allowed_amount": 524.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1164840807]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 106.19, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1288.0, "npi": [1194304329]}]}, {"allowed_amount": 106.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1432.0, "npi": [1194280115]}]}, {"allowed_amount": 116.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1611.0, "npi": [1194280115]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1432.0, "npi": [1710836440]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1288.0, "npi": [1124477070]}]}, {"allowed_amount": 224.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1472.0, "npi": [1124477070]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1472.0, "npi": [1194304329]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1656.0, "npi": [1124477070]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 143.08, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2250.0, "npi": [1770977688]}]}, {"allowed_amount": 265.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2250.0, "npi": [1073484291]}]}, {"allowed_amount": 415.23, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1073484291]}]}, {"allowed_amount": 425.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1861940694]}]}, {"allowed_amount": 488.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2025.0, "npi": [1073484291]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 210.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1575.0, "npi": [1598776635]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 97.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1743.0, "npi": [1801285879]}]}, {"allowed_amount": 100.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1743.0, "npi": [1649624289]}]}, {"allowed_amount": 107.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1649624289]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1743.0, "npi": [1215986823]}, {"billed_charge": 1992.0, "npi": [1215986823]}]}, {"allowed_amount": 173.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1722.0, "npi": [1649624289]}]}, {"allowed_amount": 189.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1968.0, "npi": [1649624289]}]}, {"allowed_amount": 196.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1649624289]}]}, {"allowed_amount": 197.1, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1968.0, "npi": [1801285879]}]}, {"allowed_amount": 204.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1801285879]}]}, {"allowed_amount": 225.82, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 1992.0, "npi": [1215986823, 1801285879]}]}, {"allowed_amount": 231.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2241.0, "npi": [1770542896]}]}, {"allowed_amount": 233.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1649624289]}]}, {"allowed_amount": 320.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1722.0, "npi": [1649624289]}]}, {"allowed_amount": 336.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1679536494]}]}, {"allowed_amount": 360.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1722.0, "npi": [1851748263]}]}, {"allowed_amount": 383.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1968.0, "npi": [1275671067]}]}, {"allowed_amount": 383.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1968.0, "npi": [1982034385]}, {"billed_charge": 1992.0, "npi": [1194137562]}]}, {"allowed_amount": 394.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1968.0, "npi": [1679536494]}, {"billed_charge": 1992.0, "npi": [1790108868]}]}, {"allowed_amount": 409.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1770542896]}]}, {"allowed_amount": 595.95, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1722.0, "npi": [1275671067]}]}, {"allowed_amount": 691.73, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 1968.0, "npi": [1215986823]}]}, {"allowed_amount": 830.07, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2241.0, "npi": [1215986823]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 199.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1775.0, "npi": [1558953513, 1407714397]}]}, {"allowed_amount": 211.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1875.0, "npi": [1558953513]}]}, {"allowed_amount": 213.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1900.0, "npi": [1407714397]}]}, {"allowed_amount": 216.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1925.0, "npi": [1346811809, 1407714397, 1558953513]}]}, {"allowed_amount": 222.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1975.0, "npi": [1346811809]}]}, {"allowed_amount": 250.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2225.0, "npi": [1346811809]}]}, {"allowed_amount": 255.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2075.0, "npi": [1447764733]}]}, {"allowed_amount": 259.35, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2125.0, "npi": [1447764733]}]}, {"allowed_amount": 269.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2200.0, "npi": [1851309025]}]}, {"allowed_amount": 273.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2225.0, "npi": [1558953513]}]}, {"allowed_amount": 543.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2225.0, "npi": [1508006305]}]}]}, {"tin": {"type": "ein", "value": "813112614"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.45, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 4043.0, "npi": [1083005532]}, {"billed_charge": 4056.0, "npi": [1912950288]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 110.27, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1440.0, "npi": [1245262856, 1528497674]}]}, {"allowed_amount": 112.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1500.0, "npi": [1265830418]}]}, {"allowed_amount": 115.38, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1590.0, "npi": [1245262856, 1528497674]}]}, {"allowed_amount": 116.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1620.0, "npi": [1881125953, 1265830418]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1500.0, "npi": [1245262856]}]}, {"allowed_amount": 143.97, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 1980.0, "npi": [1245262856, 1255602256]}]}, {"allowed_amount": 206.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1230.0, "npi": [1760709406]}]}, {"allowed_amount": 208.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1260.0, "npi": [1578545018]}]}, {"allowed_amount": 212.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1320.0, "npi": [1578545018]}]}, {"allowed_amount": 218.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1410.0, "npi": [1578545018]}]}, {"allowed_amount": 222.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1470.0, "npi": [1760709406]}]}, {"allowed_amount": 226.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1530.0, "npi": [1578545018]}]}, {"allowed_amount": 257.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1980.0, "npi": [1578545018]}]}, {"allowed_amount": 261.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2040.0, "npi": [1578545018]}]}, {"allowed_amount": 294.06, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2070.0, "npi": [1285977991]}]}, {"allowed_amount": 390.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1080.0, "npi": [1245262856]}]}, {"allowed_amount": 396.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1140.0, "npi": [1245262856]}]}, {"allowed_amount": 402.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1170.0, "npi": [1245262856]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1200.0, "npi": [1245262856, 1578545018]}, {"billed_charge": 1230.0, "npi": [1245262856]}]}, {"allowed_amount": 418.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4350.0, "npi": [1427356526]}]}, {"allowed_amount": 421.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1320.0, "npi": [1578545018]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1350.0, "npi": [1578545018]}]}, {"allowed_amount": 433.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1380.0, "npi": [1578545018]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1578545018]}]}, {"allowed_amount": 451.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1530.0, "npi": [1245262856, 1578545018]}]}, {"allowed_amount": 463.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1620.0, "npi": [1881125953, 1578545018]}]}, {"allowed_amount": 469.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1285977991]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1710.0, "npi": [1245262856, 1881125953, 1285977991]}]}, {"allowed_amount": 482.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1290.0, "npi": [1578545018]}]}, {"allowed_amount": 488.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1578545018]}]}, {"allowed_amount": 494.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1830.0, "npi": [1710958152]}, {"billed_charge": 1860.0, "npi": [1710958152, 1083821409]}]}, {"allowed_amount": 500.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1890.0, "npi": [1720370620]}]}, {"allowed_amount": 506.6, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 1470.0, "npi": [1750803912]}, {"billed_charge": 1500.0, "npi": [1760709406]}, {"billed_charge": 1920.0, "npi": [1760709406]}]}, {"allowed_amount": 512.7, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1530.0, "npi": [1760709406]}]}, {"allowed_amount": 518.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2010.0, "npi": [1881125953]}, {"billed_charge": 2040.0, "npi": [1710958152]}]}, {"allowed_amount": 531.01, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 1650.0, "npi": [1245262856]}, {"billed_charge": 2130.0, "npi": [1881125953]}]}, {"allowed_amount": 537.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2160.0, "npi": [1881125953]}]}, {"allowed_amount": 549.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1083821409, 1538146642]}]}, {"allowed_amount": 555.43, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 1830.0, "npi": [1245262856]}, {"billed_charge": 2280.0, "npi": [1750803912, 1881125953]}]}, {"allowed_amount": 561.53, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1890.0, "npi": [1245262856]}]}, {"allowed_amount": 585.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2520.0, "npi": [1083821409]}]}, {"allowed_amount": 592.05, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2130.0, "npi": [1720370620]}, {"billed_charge": 2580.0, "npi": [1285977991]}]}, {"allowed_amount": 604.26, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2220.0, "npi": [1710958152]}]}, {"allowed_amount": 653.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1083821409]}]}, {"allowed_amount": 701.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3360.0, "npi": [1710958152]}]}, {"allowed_amount": 970.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5340.0, "npi": [1710958152]}]}, {"allowed_amount": 1171.89, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6390.0, "npi": [1962031344]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 134.32, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1922488568, 1770367831]}]}, {"allowed_amount": 139.19, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2370.0, "npi": [1912971664, 1710711759]}]}, {"allowed_amount": 201.48, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1558964833, 1356314033]}]}, {"allowed_amount": 207.62, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1896.0, "npi": [1689100398]}]}, {"allowed_amount": 420.36, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1896.0, "npi": [1356314033]}]}, {"allowed_amount": 489.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2370.0, "npi": [1356314033, 1558068999]}]}, {"allowed_amount": 509.84, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1124765755]}]}]}]}, {"name": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified", "billing_code_type": "CPT", "billing_code": "00940", "billing_code_type_version": "2022", "description": "ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2700.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1184435604]}]}, {"allowed_amount": 94.96, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1184435604]}]}, {"allowed_amount": 119.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1504.0, "npi": [1184435604]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1128.0, "npi": [1619623873]}]}, {"allowed_amount": 204.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1316.0, "npi": [1619623873]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 70.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1033413562]}]}, {"allowed_amount": 75.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1033413562]}]}, {"allowed_amount": 76.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 675.0, "npi": [1033413562]}]}, {"allowed_amount": 87.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1023766748]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 93.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1288.0, "npi": [1124477070]}]}, {"allowed_amount": 95.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1253.0, "npi": [1710836440]}]}, {"allowed_amount": 107.21, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1288.0, "npi": [1194304329]}]}, {"allowed_amount": 118.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1432.0, "npi": [1730038332]}]}, {"allowed_amount": 265.51, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1656.0, "npi": [1124477070]}]}, {"allowed_amount": 311.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1104.0, "npi": [1194304329]}]}, {"allowed_amount": 396.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1288.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.49, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1128.0, "npi": [1770977688]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1692.0, "npi": [1265993240]}]}, {"allowed_amount": 356.25, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1467058925]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 74.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1494.0, "npi": [1649624289]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1494.0, "npi": [1215986823]}]}, {"allowed_amount": 141.91, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1476.0, "npi": [1649624289]}]}, {"allowed_amount": 149.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1476.0, "npi": [1982034385]}]}, {"allowed_amount": 181.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1649624289]}]}, {"allowed_amount": 257.55, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1230.0, "npi": [1649624289]}, {"billed_charge": 1245.0, "npi": [1801285879]}]}, {"allowed_amount": 303.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1476.0, "npi": [1275671067]}]}, {"allowed_amount": 352.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1770542896]}]}, {"allowed_amount": 542.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1476.0, "npi": [1174592273]}]}, {"allowed_amount": 574.67, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1476.0, "npi": [1215986823]}]}, {"allowed_amount": 798.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1968.0, "npi": [1174592273]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 671.72, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1410.1, "npi": [1447571922]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.11, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1650.0, "npi": [1881125953, 1316276959]}]}, {"allowed_amount": 103.13, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1680.0, "npi": [1518208032, 1760709406]}]}, {"allowed_amount": 122.53, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2250.0, "npi": [1245262856, 1285337899]}]}, {"allowed_amount": 125.59, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2340.0, "npi": [1245262856, 1780834754]}]}, {"allowed_amount": 177.66, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1260.0, "npi": [1578545018]}]}, {"allowed_amount": 189.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1440.0, "npi": [1760709406]}]}, {"allowed_amount": 194.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1760709406]}]}, {"allowed_amount": 214.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1578545018]}]}, {"allowed_amount": 261.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2490.0, "npi": [1285977991]}]}, {"allowed_amount": 267.52, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2130.0, "npi": [1760709406]}]}, {"allowed_amount": 323.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1050.0, "npi": [1083821409]}]}, {"allowed_amount": 347.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1230.0, "npi": [1245262856]}]}, {"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1350.0, "npi": [1588642375]}]}, {"allowed_amount": 384.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1470.0, "npi": [1881125953]}]}, {"allowed_amount": 396.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1560.0, "npi": [1578545018]}, {"billed_charge": 1590.0, "npi": [1710958152]}]}, {"allowed_amount": 402.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1620.0, "npi": [1245262856]}]}, {"allowed_amount": 408.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1245262856, 1578545018]}]}, {"allowed_amount": 427.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1710958152]}]}, {"allowed_amount": 439.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1890.0, "npi": [1245262856]}]}, {"allowed_amount": 445.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1920.0, "npi": [1710958152]}]}, {"allowed_amount": 488.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1760709406]}]}, {"allowed_amount": 518.81, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2460.0, "npi": [1083821409]}]}, {"allowed_amount": 555.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2730.0, "npi": [1588642375]}]}, {"allowed_amount": 653.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3450.0, "npi": [1710958152]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 708.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1669468112]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.51, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1659.0, "npi": [1063711802, 1891362166]}]}]}]}, {"name": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy", "billing_code_type": "CPT", "billing_code": "00944", "billing_code_type_version": "2022", "description": "ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 227.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1785.0, "npi": [1962072066]}]}, {"allowed_amount": 494.39, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1819.0, "npi": [1306886502]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 870.95, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3182.4, "npi": [1700353984]}, {"billed_charge": 3213.0, "npi": [1174187207]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 732.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6300.0, "npi": [1447376231]}]}, {"allowed_amount": 750.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6650.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 420.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1376106617]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5590.04, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 11734.9, "npi": [1114453990]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 475.81, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3840.0, "npi": [1760709406]}]}, {"allowed_amount": 537.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5190.0, "npi": [1760709406]}]}, {"allowed_amount": 836.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3480.0, "npi": [1578545018]}]}, {"allowed_amount": 878.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3780.0, "npi": [1578545018]}]}, {"allowed_amount": 885.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3840.0, "npi": [1760709406]}]}, {"allowed_amount": 1178.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5550.0, "npi": [1588642375]}]}, {"allowed_amount": 1306.17, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6480.0, "npi": [1285977991]}]}, {"allowed_amount": 1470.97, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 7680.0, "npi": [1578545018]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 206.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1118.0, "npi": [1043794878]}]}, {"allowed_amount": 263.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1416.0, "npi": [1518537612]}, {"billed_charge": 1565.0, "npi": [1043794878]}]}, {"allowed_amount": 448.62, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1125.0, "npi": [1750366589]}]}, {"allowed_amount": 569.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2850.0, "npi": [1366071946]}]}, {"allowed_amount": 570.69, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1425.0, "npi": [1740276112]}, {"billed_charge": 1575.0, "npi": [1669468112]}]}]}]}, {"name": "Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis)", "billing_code_type": "CPT", "billing_code": "01844", "billing_code_type_version": "2022", "description": "ANESTHESIA VASCULAR SHUNT/SHUNT REVISION", "allowed_amounts": [{"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 500.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10230.0, "npi": [1215924196]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 368.58, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1780564971]}]}]}, {"tin": {"type": "ein", "value": "651151426"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 334.81, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 3815.0, "npi": [1194790162]}, {"billed_charge": 4165.0, "npi": [1194790162]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 939.96, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3780.0, "npi": [1588642375]}]}]}, {"tin": {"type": "ein", "value": "853627385"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6036.0, "npi": [1316338130]}]}, {"allowed_amount": 230.71, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4024.0, "npi": [1316338130]}]}, {"allowed_amount": 239.15, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1780223818, 1780874750]}]}, {"allowed_amount": 245.05, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4024.0, "npi": [1780874750]}]}, {"allowed_amount": 250.41, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130, 1780874750]}]}, {"allowed_amount": 253.22, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130, 1780874750]}]}, {"allowed_amount": 256.03, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130]}]}, {"allowed_amount": 257.3, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4024.0, "npi": [1780874750]}]}, {"allowed_amount": 261.39, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130]}]}, {"allowed_amount": 261.66, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130]}]}, {"allowed_amount": 263.43, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130, 1780874750]}]}, {"allowed_amount": 267.29, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5030.0, "npi": [1316338130]}]}, {"allowed_amount": 271.6, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130]}]}, {"allowed_amount": 272.92, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5030.0, "npi": [1316338130]}]}, {"allowed_amount": 277.73, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1780874750]}]}, {"allowed_amount": 285.89, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4527.0, "npi": [1316338130]}]}, {"allowed_amount": 292.02, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5030.0, "npi": [1780223818, 1780874750]}]}, {"allowed_amount": 314.48, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5030.0, "npi": [1316338130, 1780874750]}]}, {"allowed_amount": 317.93, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5533.0, "npi": [1780223818]}]}, {"allowed_amount": 326.74, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5533.0, "npi": [1316338130]}]}, {"allowed_amount": 343.07, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5533.0, "npi": [1316338130]}]}, {"allowed_amount": 368.58, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 6539.0, "npi": [1780874750]}]}, {"allowed_amount": 402.34, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 7042.0, "npi": [1780874750]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 557.15, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5214.0, "npi": [1992246599]}]}, {"allowed_amount": 1128.05, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5214.0, "npi": [1356314033]}]}]}]}, {"name": "Anesthesia for; anorectal procedure", "billing_code_type": "CPT", "billing_code": "00902", "billing_code_type_version": "2022", "description": "ANESTHESIA ANORECTAL PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 135.8, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 945.0, "npi": [1962072066]}, {"billed_charge": 963.0, "npi": [1376818450]}]}, {"allowed_amount": 155.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1155.0, "npi": [1144873936]}, {"billed_charge": 1177.0, "npi": [1659303840]}]}, {"allowed_amount": 714.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1284.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 381.4, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1393.6, "npi": [1972907533]}, {"billed_charge": 1407.0, "npi": [1508890658]}]}, {"allowed_amount": 472.48, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1726.4, "npi": [1962073403]}, {"billed_charge": 1743.0, "npi": [1508890658]}]}, {"allowed_amount": 563.56, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2059.2, "npi": [1700353984]}, {"billed_charge": 2079.0, "npi": [1649563644]}]}, {"allowed_amount": 660.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2412.8, "npi": [1598096620]}, {"billed_charge": 2436.0, "npi": [1508890658]}]}, {"allowed_amount": 910.8, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1664.0, "npi": [1104890730]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 610.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4725.0, "npi": [1447376231]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 586.33, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2142.4, "npi": [1235847666]}, {"billed_charge": 2163.0, "npi": [1326400011]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 620.48, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 2267.2, "npi": [1225483258]}, {"billed_charge": 2289.0, "npi": [1346602950]}]}, {"allowed_amount": 956.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1890.0, "npi": [1346602950]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 367.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2700.0, "npi": [1780564971]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 105.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1447077334]}]}, {"allowed_amount": 111.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1518696491]}]}, {"allowed_amount": 117.42, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1396243770]}]}, {"allowed_amount": 127.63, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 1215.0, "npi": [1396243770]}, {"billed_charge": 1485.0, "npi": [1497721815]}]}, {"allowed_amount": 165.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 945.0, "npi": [1881359099]}]}, {"allowed_amount": 244.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1080.0, "npi": [1891466793]}]}, {"allowed_amount": 296.1, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1730492448]}]}, {"allowed_amount": 335.22, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1155.0, "npi": [1134482250]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 126.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1611.0, "npi": [1730038332]}]}, {"allowed_amount": 133.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1611.0, "npi": [1730038332]}]}, {"allowed_amount": 148.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1790.0, "npi": [1659028967]}]}, {"allowed_amount": 159.28, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1969.0, "npi": [1710836440]}, {"billed_charge": 2024.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 348.46, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1609756857]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 116.51, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 2241.0, "npi": [1053724401, 1740064906]}]}, {"allowed_amount": 116.8, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2490.0, "npi": [1215986823]}]}, {"allowed_amount": 136.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2490.0, "npi": [1982034385]}]}, {"allowed_amount": 186.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1992.0, "npi": [1790108868]}]}, {"allowed_amount": 200.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1743.0, "npi": [1174592273]}]}, {"allowed_amount": 206.35, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1992.0, "npi": [1174592273]}]}, {"allowed_amount": 210.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1968.0, "npi": [1871966234]}]}, {"allowed_amount": 494.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2490.0, "npi": [1215986823]}]}, {"allowed_amount": 542.74, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1992.0, "npi": [1275671067]}]}, {"allowed_amount": 638.52, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1968.0, "npi": [1275671067]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1010.99, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1150.0, "npi": [1851654123]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.39, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4400.0, "npi": [1699125633]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 326.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2550.0, "npi": [1578545018]}]}, {"allowed_amount": 369.62, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2730.0, "npi": [1750803912]}]}, {"allowed_amount": 506.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1470.0, "npi": [1588642375]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2250.0, "npi": [1881125953]}]}, {"allowed_amount": 640.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2460.0, "npi": [1285977991]}]}, {"allowed_amount": 823.99, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3390.0, "npi": [1083821409]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 135.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 745.0, "npi": [1578340410]}]}, {"allowed_amount": 137.84, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 671.0, "npi": [1043794878]}, {"billed_charge": 675.0, "npi": [1669468112]}]}, {"allowed_amount": 292.97, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 750.0, "npi": [1750366589]}]}, {"allowed_amount": 338.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1650.0, "npi": [1750366589]}]}]}, {"tin": {"type": "ein", "value": "883151607"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 214.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1050.0, "npi": [1730749342]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.16, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2370.0, "npi": [1235523705, 1265054357]}]}, {"allowed_amount": 273.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2607.0, "npi": [1689912990]}]}, {"allowed_amount": 553.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2607.0, "npi": [1033403407]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.12, "providers": [{"billed_charge": 25.12, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 588.22, "providers": [{"billed_charge": 120.75, "npi": [1295702728]}]}, {"allowed_amount": 948.92, "providers": [{"billed_charge": 120.75, "npi": [1295702728]}]}, {"allowed_amount": 1535.57, "providers": [{"billed_charge": 120.75, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.17, "providers": [{"billed_charge": 207.06, "npi": [1912964768]}]}, {"allowed_amount": 93.18, "providers": [{"billed_charge": 207.06, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2819.67, "providers": [{"billed_charge": 363.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.24, "providers": [{"billed_charge": 91.04, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1437126612]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.25, "providers": [{"billed_charge": 193.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.25, "providers": [{"billed_charge": 193.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.8, "providers": [{"billed_charge": 11.8, "npi": [1083931489, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.68, "providers": [{"billed_charge": 238.82, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.44, "providers": [{"billed_charge": 167.0, "npi": [1427806025]}]}, {"allowed_amount": 831.68, "providers": [{"billed_charge": 167.0, "npi": [1780429076]}]}]}]}, {"name": "Antibody; Treponema pallidum", "billing_code_type": "CPT", "billing_code": "86780", "billing_code_type_version": "2022", "description": "ANTIBODY TREPONEMA PALLIDUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.07, "providers": [{"billed_charge": 49.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.43, "providers": [{"billed_charge": 115.51, "npi": [1831910355]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.79, "providers": [{"billed_charge": 93.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 84.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204193243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.62, "providers": [{"billed_charge": 80.0, "npi": [1104192590]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.07, "providers": [{"billed_charge": 142.6, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "362170133"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.54, "providers": [{"billed_charge": 32.49, "npi": [1962425611]}]}]}, {"tin": {"type": "ein", "value": "460928982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.07, "providers": [{"billed_charge": 21.0, "npi": [1356692297]}]}]}, {"tin": {"type": "ein", "value": "474332775"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.27, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 92.68, "npi": [1134277494]}]}]}, {"tin": {"type": "ein", "value": "581581103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.3, "providers": [{"billed_charge": 222.3, "npi": [1588665566]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.33, "providers": [{"billed_charge": 15.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.8, "providers": [{"billed_charge": 87.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.33, "providers": [{"billed_charge": 127.16, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 84.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.24, "providers": [{"billed_charge": 78.92, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "770465765"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.38, "providers": [{"billed_charge": 247.0, "npi": [1871543215]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.07, "providers": [{"billed_charge": 745.0, "npi": [1376198028]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.8, "providers": [{"billed_charge": 177.74, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.24, "providers": [{"billed_charge": 45.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.99, "providers": [{"billed_charge": 19.8, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "930593249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.33, "providers": [{"billed_charge": 78.0, "npi": [1225016561]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.0, "providers": [{"billed_charge": 116.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "956000927"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.0, "providers": [{"billed_charge": 258.0, "npi": [1699986331]}]}]}]}, {"name": "Antibody; rubeola", "billing_code_type": "CPT", "billing_code": "86765", "billing_code_type_version": "2022", "description": "ANTIBODY RUBEOLA", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.32, "providers": [{"billed_charge": 42.95, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.73, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 6.73, "npi": [1255314704]}]}]}]}, {"name": "Application of finger splint; static", "billing_code_type": "CPT", "billing_code": "29130", "billing_code_type_version": "2022", "description": "APPLICATION FINGER SPLINT STATIC", "allowed_amounts": [{"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.01, "providers": [{"billed_charge": 95.0, "npi": [1902003635]}]}, {"allowed_amount": 71.81, "providers": [{"billed_charge": 95.0, "npi": [1902003635]}]}, {"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 198.0, "npi": [1245291426]}]}, {"allowed_amount": 15.85, "providers": [{"billed_charge": 198.0, "npi": [1205208436]}]}, {"allowed_amount": 16.78, "providers": [{"billed_charge": 198.0, "npi": [1144354390]}]}, {"allowed_amount": 16.92, "providers": [{"billed_charge": 198.0, "npi": [1255893657, 1053645457, 1467692236, 1568496909]}]}, {"allowed_amount": 26.32, "providers": [{"billed_charge": 198.0, "npi": [1437544384, 1952921025, 1225353766, 1235189358, 1730112244, 1033615414]}]}, {"allowed_amount": 68.04, "providers": [{"billed_charge": 198.0, "npi": [1497920474]}]}, {"allowed_amount": 71.81, "providers": [{"billed_charge": 198.0, "npi": [1437544384, 1023052644, 1124239207, 1245352491, 1104182799, 1346206257, 1821246133, 1538139324]}]}, {"allowed_amount": 89.76, "providers": [{"billed_charge": 198.0, "npi": [1821246133]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 269.0, "npi": [1073935300]}]}, {"allowed_amount": 61.18, "providers": [{"billed_charge": 310.0, "npi": [1598363764]}]}, {"allowed_amount": 66.29, "providers": [{"billed_charge": 269.0, "npi": [1295001667]}, {"billed_charge": 330.0, "npi": [1376511147]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.18, "providers": [{"billed_charge": 285.0, "npi": [1750387726]}]}, {"allowed_amount": 33.15, "providers": [{"billed_charge": 276.0, "npi": [1689014185]}]}, {"allowed_amount": 56.35, "providers": [{"billed_charge": 229.0, "npi": [1891470480, 1215330642]}, {"billed_charge": 234.0, "npi": [1932312964]}, {"billed_charge": 269.0, "npi": [1225432768]}, {"billed_charge": 276.0, "npi": [1437600418]}, {"billed_charge": 283.0, "npi": [1801639430]}]}, {"allowed_amount": 66.29, "providers": [{"billed_charge": 235.0, "npi": [1730121211]}, {"billed_charge": 269.0, "npi": [1275973786]}, {"billed_charge": 285.0, "npi": [1023645074, 1699851295]}]}, {"allowed_amount": 112.69, "providers": [{"billed_charge": 285.0, "npi": [1750387726]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 71.81, "providers": [{"billed_charge": 116.4, "npi": [1194060756]}]}, {"allowed_amount": 89.76, "providers": [{"billed_charge": 116.4, "npi": [1023759875]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.06, "providers": [{"billed_charge": 154.0, "npi": [1730616996]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.81, "providers": [{"billed_charge": 150.0, "npi": [1639600414, 1871681999]}]}, {"allowed_amount": 68.04, "providers": [{"billed_charge": 150.0, "npi": [1871681999]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 112.36, "providers": [{"billed_charge": 160.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.07, "providers": [{"billed_charge": 155.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.04, "providers": [{"billed_charge": 218.0, "npi": [1801221619]}]}]}]}, {"name": "Application of long arm splint (shoulder to hand)", "billing_code_type": "CPT", "billing_code": "29105", "billing_code_type_version": "2022", "description": "APPLICATION LONG ARM SPLINT SHOULDER TO HAND", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 25.66, "providers": [{"billed_charge": 347.0, "npi": [1265665145]}]}, {"allowed_amount": 29.17, "providers": [{"billed_charge": 347.0, "npi": [1346206257]}]}, {"allowed_amount": 40.84, "providers": [{"billed_charge": 347.0, "npi": [1437544384]}]}, {"allowed_amount": 81.67, "providers": [{"billed_charge": 347.0, "npi": [1730112244]}]}, {"allowed_amount": 143.7, "providers": [{"billed_charge": 347.0, "npi": [1952822652]}]}, {"allowed_amount": 151.98, "providers": [{"billed_charge": 347.0, "npi": [1033615414]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1457715096, 1881271310]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1891725164, 1649538828, 1700011335]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1346206257, 1942457692, 1194822353]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 136.04, "providers": [{"billed_charge": 160.0, "npi": [1417547233]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1073833653]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.98, "providers": [{"billed_charge": 254.0, "npi": [1124559828]}]}]}, {"tin": {"type": "ein", "value": "363208390"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.8, "providers": [{"billed_charge": 1025.0, "npi": [1760415939]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 143.7, "providers": [{"billed_charge": 237.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.41, "providers": [{"billed_charge": 761.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 509.08, "providers": [{"billed_charge": 1215.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 136.04, "providers": [{"billed_charge": 268.26, "npi": [1790948164]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.97, "providers": [{"billed_charge": 475.0, "npi": [1619945144]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 533.0, "npi": [1700532645]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 475.0, "npi": [1255697504]}]}, {"allowed_amount": 105.74, "providers": [{"billed_charge": 528.0, "npi": [1376032011]}, {"billed_charge": 533.0, "npi": [1558011197, 1770223166]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.97, "providers": [{"billed_charge": 480.0, "npi": [1942872494]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 480.0, "npi": [1003131749]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.97, "providers": [{"billed_charge": 456.0, "npi": [1932312964]}, {"billed_charge": 480.0, "npi": [1477824126, 1801639430]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 456.0, "npi": [1619269024, 1982883237, 1679816565, 1417930678, 1083642201]}, {"billed_charge": 480.0, "npi": [1922684448, 1073715470]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.71, "providers": [{"billed_charge": 501.0, "npi": [1649375783]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 353.18, "providers": [{"billed_charge": 618.75, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.85, "providers": [{"billed_charge": 319.0, "npi": [1487654521]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.93, "providers": [{"billed_charge": 254.0, "npi": [1013465095]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.1, "providers": [{"billed_charge": 238.0, "npi": [1487282257, 1588694798]}]}, {"allowed_amount": 63.71, "providers": [{"billed_charge": 238.0, "npi": [1194245464, 1295319440]}]}, {"allowed_amount": 143.7, "providers": [{"billed_charge": 238.0, "npi": [1811615297]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1053.84, "providers": [{"billed_charge": 1051.0, "npi": [1780429076]}]}]}]}, {"name": "Application of short arm splint (forearm to hand); static", "billing_code_type": "CPT", "billing_code": "29125", "billing_code_type_version": "2022", "description": "APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC", "allowed_amounts": [{"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.69, "providers": [{"billed_charge": 150.0, "npi": [1902003635]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 24.09, "providers": [{"billed_charge": 302.0, "npi": [1245291426]}]}, {"allowed_amount": 26.28, "providers": [{"billed_charge": 302.0, "npi": [1144354390]}]}, {"allowed_amount": 26.5, "providers": [{"billed_charge": 302.0, "npi": [1578805248, 1205417474, 1821284910, 1053645457, 1659623601, 1164418323, 1518986132, 1811483829, 1033615414]}]}, {"allowed_amount": 40.75, "providers": [{"billed_charge": 302.0, "npi": [1437544384, 1952921025, 1023052644, 1780062414, 1235189358, 1730112244, 1598111924, 1265665145, 1952822652, 1417905886]}]}, {"allowed_amount": 46.57, "providers": [{"billed_charge": 302.0, "npi": [1538139324]}]}, {"allowed_amount": 61.13, "providers": [{"billed_charge": 302.0, "npi": [1730112244]}]}, {"allowed_amount": 115.32, "providers": [{"billed_charge": 302.0, "npi": [1578805248, 1205417474, 1245291426, 1467692236, 1659623601, 1053645457, 1518986132, 1538144597, 1144354390]}]}, {"allowed_amount": 120.69, "providers": [{"billed_charge": 302.0, "npi": [1437544384, 1952921025, 1245352491, 1780062414, 1265993075, 1245755958, 1033615414, 1255893657, 1942457692, 1417905886]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1790906154, 1669919155, 1710947940]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.35, "providers": [{"billed_charge": 108.0, "npi": [1174586465]}]}, {"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1174586465, 1669737953, 1225353766, 1669919155, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 75.43, "providers": [{"billed_charge": 108.0, "npi": [1649538828]}]}, {"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1497258164, 1669919155, 1649538828]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1508137670, 1558395434, 1396774956, 1043313232, 1194822353, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "261155537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 133.0, "providers": [{"billed_charge": 133.0, "npi": [1861622060]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.0, "providers": [{"billed_charge": 106.0, "npi": [1396132569, 1124420229]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1710947940, 1225353766, 1467073254, 1790906154, 1669919155, 1073833653, 1699926774]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.42, "providers": [{"billed_charge": 345.0, "npi": [1386223816]}]}, {"allowed_amount": 115.32, "providers": [{"billed_charge": 345.0, "npi": [1184120008]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1790906154, 1912961293]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.08, "providers": [{"billed_charge": 204.0, "npi": [1366603334]}]}, {"allowed_amount": 63.57, "providers": [{"billed_charge": 204.0, "npi": [1790944205]}]}, {"allowed_amount": 120.69, "providers": [{"billed_charge": 204.0, "npi": [1972936698]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.81, "providers": [{"billed_charge": 204.0, "npi": [1013465095]}]}, {"allowed_amount": 120.69, "providers": [{"billed_charge": 204.0, "npi": [1588098040]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.77, "providers": [{"billed_charge": 271.0, "npi": [1063794238]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.26, "providers": [{"billed_charge": 364.0, "npi": [1659498939]}]}]}, {"tin": {"type": "ein", "value": "471776582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.95, "providers": [{"billed_charge": 403.78, "npi": [1275282444]}]}]}, {"tin": {"type": "ein", "value": "473033715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.66, "providers": [{"billed_charge": 906.07, "npi": [1134353345, 1679546402, 1326542739]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 384.67, "providers": [{"billed_charge": 1099.06, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.42, "providers": [{"billed_charge": 247.74, "npi": [1922022177]}]}, {"allowed_amount": 109.26, "providers": [{"billed_charge": 247.74, "npi": [1952833816]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 212.27, "providers": [{"billed_charge": 825.14, "npi": [1073001673]}]}]}, {"tin": {"type": "ein", "value": "592193856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.26, "providers": [{"billed_charge": 156.0, "npi": [1427051010]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 393.0, "npi": [1598363764]}, {"billed_charge": 467.0, "npi": [1568492817, 1114642345]}]}, {"allowed_amount": 89.03, "providers": [{"billed_charge": 361.0, "npi": [1871572586]}, {"billed_charge": 431.0, "npi": [1003131749]}, {"billed_charge": 444.0, "npi": [1194083881]}]}, {"allowed_amount": 95.3, "providers": [{"billed_charge": 394.0, "npi": [1033143698]}, {"billed_charge": 408.0, "npi": [1376032011]}, {"billed_charge": 453.0, "npi": [1669608618, 1659951358]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.67, "providers": [{"billed_charge": 413.0, "npi": [1073952057]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.62, "providers": [{"billed_charge": 313.0, "npi": [1134108996]}]}, {"allowed_amount": 59.99, "providers": [{"billed_charge": 313.0, "npi": [1275812067, 1255735221]}]}, {"allowed_amount": 115.32, "providers": [{"billed_charge": 313.0, "npi": [1912388224, 1245304310]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.67, "providers": [{"billed_charge": 366.0, "npi": [1235590928, 1225149594, 1700894144]}, {"billed_charge": 369.0, "npi": [1093979650]}, {"billed_charge": 381.0, "npi": [1568490027, 1750387726]}, {"billed_charge": 386.0, "npi": [1477824126, 1013248095]}, {"billed_charge": 396.0, "npi": [1609956119]}]}, {"allowed_amount": 89.03, "providers": [{"billed_charge": 315.0, "npi": [1619149481, 1881678290]}, {"billed_charge": 316.0, "npi": [1013993831, 1891073524, 1548708597, 1174815799, 1780612028]}, {"billed_charge": 317.0, "npi": [1962446088, 1124055959]}, {"billed_charge": 366.0, "npi": [1609870682, 1154764611, 1760418495]}, {"billed_charge": 369.0, "npi": [1689014185, 1598098428]}, {"billed_charge": 381.0, "npi": [1740578368, 1811510282, 1093247330]}, {"billed_charge": 386.0, "npi": [1336339852]}]}, {"allowed_amount": 161.36, "providers": [{"billed_charge": 316.0, "npi": [1013993831]}]}, {"allowed_amount": 178.05, "providers": [{"billed_charge": 369.0, "npi": [1871750349]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.69, "providers": [{"billed_charge": 185.0, "npi": [1801875554, 1306800446]}]}]}, {"tin": {"type": "ein", "value": "810547599"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.95, "providers": [{"billed_charge": 236.0, "npi": [1326073495]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.04, "providers": [{"billed_charge": 314.0, "npi": [1063469724]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.69, "providers": [{"billed_charge": 181.18, "npi": [1891735544]}]}, {"allowed_amount": 150.87, "providers": [{"billed_charge": 181.18, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.99, "providers": [{"billed_charge": 277.0, "npi": [1174866263]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.69, "providers": [{"billed_charge": 204.0, "npi": [1225618192, 1629529433, 1477387371]}]}]}, {"tin": {"type": "ein", "value": "833359672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.1, "providers": [{"billed_charge": 352.0, "npi": [1851133367]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.03, "providers": [{"billed_charge": 362.47, "npi": [1235873654]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.26, "providers": [{"billed_charge": 161.0, "npi": [1467515486]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 99.67, "providers": [{"billed_charge": 230.0, "npi": [1700405818]}]}, {"allowed_amount": 115.32, "providers": [{"billed_charge": 230.0, "npi": [1093315947, 1659389229, 1255388815]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.81, "providers": [{"billed_charge": 204.0, "npi": [1104128305]}]}, {"allowed_amount": 63.57, "providers": [{"billed_charge": 204.0, "npi": [1154650943]}]}, {"allowed_amount": 120.69, "providers": [{"billed_charge": 204.0, "npi": [1467627729, 1972936698]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.57, "providers": [{"billed_charge": 204.0, "npi": [1841876315]}]}, {"allowed_amount": 120.69, "providers": [{"billed_charge": 204.0, "npi": [1407484074, 1639157258, 1427288109]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.99, "providers": [{"billed_charge": 236.0, "npi": [1043830235, 1891435087]}]}, {"allowed_amount": 63.57, "providers": [{"billed_charge": 236.0, "npi": [1750022976, 1386267474, 1386799039]}]}, {"allowed_amount": 115.32, "providers": [{"billed_charge": 236.0, "npi": [1205407624, 1760122774]}]}, {"allowed_amount": 120.69, "providers": [{"billed_charge": 236.0, "npi": [1043956022]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 163.0, "providers": [{"billed_charge": 163.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "994277174"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 102.13, "providers": [{"billed_charge": 249.0, "npi": [1053967760]}]}]}]}, {"name": "Application of short leg splint (calf to foot)", "billing_code_type": "CPT", "billing_code": "29515", "billing_code_type_version": "2022", "description": "APPLICATION SHORT LEG SPLINT CALF TO FOOT", "allowed_amounts": [{"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.22, "providers": [{"billed_charge": 166.0, "npi": [1902003635]}]}, {"allowed_amount": 166.0, "providers": [{"billed_charge": 166.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 32.24, "providers": [{"billed_charge": 246.0, "npi": [1659623601, 1518986132, 1639134661]}]}, {"allowed_amount": 35.5, "providers": [{"billed_charge": 246.0, "npi": [1346206257]}]}, {"allowed_amount": 49.7, "providers": [{"billed_charge": 246.0, "npi": [1437544384, 1225353766, 1245352491, 1780062414, 1821284910, 1265993075, 1598111924, 1730112244, 1033615414, 1265665145]}]}, {"allowed_amount": 121.03, "providers": [{"billed_charge": 246.0, "npi": [1659623601, 1053645457, 1255893657]}]}, {"allowed_amount": 127.22, "providers": [{"billed_charge": 246.0, "npi": [1437544384, 1376579714, 1124239207, 1245352491, 1033615414, 1265665145]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1285780387, 1942457692, 1669919155]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1669737953, 1942457692, 1508108390]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1528022332, 1528493350, 1700011335]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1194822353, 1790906154, 1558395434, 1396774956]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1710175526, 1790906154, 1649538828, 1912961293, 1043313232, 1073833653]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.14, "providers": [{"billed_charge": 426.0, "npi": [1710070578]}]}, {"allowed_amount": 52.08, "providers": [{"billed_charge": 426.0, "npi": [1437739570]}]}, {"allowed_amount": 121.03, "providers": [{"billed_charge": 426.0, "npi": [1720433725]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1942457692, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.53, "providers": [{"billed_charge": 256.0, "npi": [1376125104]}]}, {"allowed_amount": 127.22, "providers": [{"billed_charge": 256.0, "npi": [1972936698]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 121.03, "providers": [{"billed_charge": 310.0, "npi": [1558182824]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 359.76, "providers": [{"billed_charge": 727.0, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.7, "providers": [{"billed_charge": 817.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.2, "providers": [{"billed_charge": 500.0, "npi": [1154060374]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.77, "providers": [{"billed_charge": 321.0, "npi": [1376508341]}]}, {"allowed_amount": 121.03, "providers": [{"billed_charge": 321.0, "npi": [1225373848]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.2, "providers": [{"billed_charge": 565.0, "npi": [1477005239]}]}, {"allowed_amount": 107.53, "providers": [{"billed_charge": 531.0, "npi": [1376511147]}]}, {"allowed_amount": 182.79, "providers": [{"billed_charge": 530.0, "npi": [1457073066]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.79, "providers": [{"billed_charge": 531.0, "npi": [1710574777]}]}, {"allowed_amount": 215.05, "providers": [{"billed_charge": 531.0, "npi": [1578190278]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.01, "providers": [{"billed_charge": 379.0, "npi": [1326467580]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.4, "providers": [{"billed_charge": 398.0, "npi": [1932312964]}, {"billed_charge": 454.0, "npi": [1518131465, 1184093726]}, {"billed_charge": 466.0, "npi": [1316681265, 1982290003, 1912194713, 1013248095, 1780280255]}, {"billed_charge": 487.0, "npi": [1801639430]}]}, {"allowed_amount": 107.53, "providers": [{"billed_charge": 397.0, "npi": [1912993312]}, {"billed_charge": 398.0, "npi": [1639520752, 1689642449, 1508807546]}, {"billed_charge": 402.0, "npi": [1780628560]}, {"billed_charge": 454.0, "npi": [1831176130, 1538144597]}, {"billed_charge": 466.0, "npi": [1831237692]}, {"billed_charge": 483.0, "npi": [1386094274, 1023645074, 1922376730, 1093247330]}, {"billed_charge": 502.0, "npi": [1467947242, 1043322399]}]}, {"allowed_amount": 215.05, "providers": [{"billed_charge": 398.0, "npi": [1083871552]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.53, "providers": [{"billed_charge": 230.0, "npi": [1801875554, 1801474630]}]}, {"allowed_amount": 127.22, "providers": [{"billed_charge": 230.0, "npi": [1801875554]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.95, "providers": [{"billed_charge": 908.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.53, "providers": [{"billed_charge": 399.0, "npi": [1245436021, 1518234319]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.53, "providers": [{"billed_charge": 431.14, "npi": [1578253266]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.01, "providers": [{"billed_charge": 262.0, "npi": [1205851565]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.07, "providers": [{"billed_charge": 256.0, "npi": [1639157258]}]}]}, {"tin": {"type": "ein", "value": "832099849"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 339.4, "providers": [{"billed_charge": 817.0, "npi": [1518604693]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 104.6, "providers": [{"billed_charge": 260.0, "npi": [1700405818, 1639600414]}]}, {"allowed_amount": 121.03, "providers": [{"billed_charge": 260.0, "npi": [1093291916]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.87, "providers": [{"billed_charge": 256.0, "npi": [1790444651]}]}, {"allowed_amount": 77.53, "providers": [{"billed_charge": 256.0, "npi": [1437688215]}]}, {"allowed_amount": 127.22, "providers": [{"billed_charge": 256.0, "npi": [1376250290, 1790444651, 1154650943]}]}, {"allowed_amount": 190.83, "providers": [{"billed_charge": 512.0, "npi": [1154650943]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.87, "providers": [{"billed_charge": 256.0, "npi": [1366603334]}]}, {"allowed_amount": 77.53, "providers": [{"billed_charge": 256.0, "npi": [1730616996]}]}, {"allowed_amount": 127.22, "providers": [{"billed_charge": 256.0, "npi": [1376250290, 1124096946, 1366603334]}]}]}, {"tin": {"type": "ein", "value": "900950252"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.35, "providers": [{"billed_charge": 196.0, "npi": [1982101234]}]}]}, {"tin": {"type": "ein", "value": "920016429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 382.32, "providers": [{"billed_charge": 1516.0, "npi": [1053363119]}]}]}, {"tin": {"type": "ein", "value": "920076058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.62, "providers": [{"billed_charge": 307.0, "npi": [1538458799]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.24, "providers": [{"billed_charge": 287.0, "npi": [1215517537]}]}, {"allowed_amount": 77.53, "providers": [{"billed_charge": 287.0, "npi": [1902435027]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.01, "providers": [{"billed_charge": 367.0, "npi": [1083649602]}]}, {"allowed_amount": 121.03, "providers": [{"billed_charge": 367.0, "npi": [1003076183]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3442.23, "providers": [{"billed_charge": 2416.7, "npi": [1659359446]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.34, "providers": [{"billed_charge": 175.0, "npi": [1073137964]}]}]}]}, {"name": "Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous", "billing_code_type": "CPT", "billing_code": "36620", "billing_code_type_version": "2022", "description": "ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "061200871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.0, "providers": [{"billed_charge": 240.0, "npi": [1174687248]}]}]}, {"tin": {"type": "ein", "value": "061330992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.66, "providers": [{"billed_charge": 131.0, "npi": [1114333689]}]}]}, {"tin": {"type": "ein", "value": "203566888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.21, "providers": [{"billed_charge": 172.0, "npi": [1205271400]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.56, "providers": [{"billed_charge": 112.63, "npi": [1184841835]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.29, "providers": [{"billed_charge": 585.0, "npi": [1629655931]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.5, "providers": [{"billed_charge": 153.0, "npi": [1427078385]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.01, "providers": [{"billed_charge": 128.94, "npi": [1689878134, 1295185189, 1760495998]}]}, {"allowed_amount": 60.17, "providers": [{"billed_charge": 128.94, "npi": [1508266081, 1932558202, 1184120172]}]}, {"allowed_amount": 117.77, "providers": [{"billed_charge": 128.94, "npi": [1427586346]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.71, "providers": [{"billed_charge": 529.0, "npi": [1700353984, 1134223787, 1972907533]}, {"billed_charge": 534.0, "npi": [1194706796, 1861797565, 1174187207]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 92.0, "npi": [1275538944, 1285916627]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.16, "providers": [{"billed_charge": 293.0, "npi": [1285857391]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 271.0, "npi": [1194111930]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.95, "providers": [{"billed_charge": 440.0, "npi": [1023282548]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.71, "providers": [{"billed_charge": 529.0, "npi": [1093367237]}, {"billed_charge": 534.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "461631538"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.05, "providers": [{"billed_charge": 276.0, "npi": [1891703336]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.0, "providers": [{"billed_charge": 187.0, "npi": [1164501102]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.55, "providers": [{"billed_charge": 106.8, "npi": [1619694411]}]}, {"allowed_amount": 60.17, "providers": [{"billed_charge": 106.8, "npi": [1144301854]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.02, "providers": [{"billed_charge": 209.0, "npi": [1407302755]}, {"billed_charge": 215.0, "npi": [1629335674]}]}, {"allowed_amount": 60.17, "providers": [{"billed_charge": 215.0, "npi": [1629335674, 1912971607]}]}, {"allowed_amount": 90.69, "providers": [{"billed_charge": 209.0, "npi": [1619002888]}, {"billed_charge": 215.0, "npi": [1558659524]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.82, "providers": [{"billed_charge": 424.0, "npi": [1003251281]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 440.0, "npi": [1962853945, 1285425991]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 318.0, "npi": [1023434834, 1922341437]}]}, {"allowed_amount": 210.6, "providers": [{"billed_charge": 318.0, "npi": [1023434834, 1922341437]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 321.0, "npi": [1770977688]}]}, {"allowed_amount": 210.6, "providers": [{"billed_charge": 321.0, "npi": [1871955005]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 321.0, "npi": [1316525207]}]}, {"allowed_amount": 121.18, "providers": [{"billed_charge": 321.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.84, "providers": [{"billed_charge": 262.0, "npi": [1780885921]}]}, {"allowed_amount": 208.04, "providers": [{"billed_charge": 262.0, "npi": [1760961312]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 660.0, "npi": [1578302253]}]}, {"allowed_amount": 208.04, "providers": [{"billed_charge": 660.0, "npi": [1265427561, 1902394257, 1114212859]}]}, {"allowed_amount": 210.6, "providers": [{"billed_charge": 660.0, "npi": [1295001279]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.58, "providers": [{"billed_charge": 70.0, "npi": [1740979947]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.75, "providers": [{"billed_charge": 571.0, "npi": [1518082338, 1093768772, 1114453990, 1861473225, 1720734197, 1588631766, 1336544410, 1598306813]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 440.0, "npi": [1902869753]}]}, {"allowed_amount": 211.46, "providers": [{"billed_charge": 440.0, "npi": [1326001454]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.37, "providers": [{"billed_charge": 440.0, "npi": [1346811312, 1962455055]}]}]}, {"tin": {"type": "ein", "value": "800033443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.97, "providers": [{"billed_charge": 87.0, "npi": [1982192746]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 280.92, "npi": [1154854404, 1982967535, 1811346737, 1811987860, 1467844217]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.55, "providers": [{"billed_charge": 135.0, "npi": [1417339284]}]}, {"allowed_amount": 60.17, "providers": [{"billed_charge": 135.0, "npi": [1063549723, 1942445895]}]}, {"allowed_amount": 71.78, "providers": [{"billed_charge": 135.0, "npi": [1225520901]}]}, {"allowed_amount": 99.37, "providers": [{"billed_charge": 135.0, "npi": [1437600285]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.32, "providers": [{"billed_charge": 210.0, "npi": [1992934384]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.6, "providers": [{"billed_charge": 246.0, "npi": [1730494741, 1164482303]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 148.0, "npi": [1033403407, 1942694559]}]}, {"allowed_amount": 116.91, "providers": [{"billed_charge": 148.0, "npi": [1346744034]}]}, {"allowed_amount": 148.0, "providers": [{"billed_charge": 148.0, "npi": [1356314033]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.6, "providers": [{"billed_charge": 246.0, "npi": [1982282992]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.78, "providers": [{"billed_charge": 1268.93, "npi": [1699081117]}]}]}]}, {"name": "Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance", "billing_code_type": "CPT", "billing_code": "20610", "billing_code_type_version": "2022", "description": "ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US", "allowed_amounts": [{"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 100.0, "npi": [1104846773]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.86, "providers": [{"billed_charge": 221.0, "npi": [1659867562]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.77, "providers": [{"billed_charge": 236.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1157.15, "providers": [{"billed_charge": 1208.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1105.86, "providers": [{"billed_charge": 2445.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 101.95, "providers": [{"billed_charge": 275.0, "npi": [1831124825]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.19, "providers": [{"billed_charge": 469.0, "npi": [1598363764]}, {"billed_charge": 534.0, "npi": [1063989168, 1154757656]}]}, {"allowed_amount": 106.1, "providers": [{"billed_charge": 484.0, "npi": [1710568704, 1851354559]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.27, "providers": [{"billed_charge": 422.0, "npi": [1518131465]}]}, {"allowed_amount": 99.14, "providers": [{"billed_charge": 422.0, "npi": [1609870682]}, {"billed_charge": 456.0, "npi": [1740578368, 1922376730]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 101.95, "providers": [{"billed_charge": 500.0, "npi": [1902994908]}]}, {"allowed_amount": 235.94, "providers": [{"billed_charge": 350.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 134.8, "providers": [{"billed_charge": 176.53, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.07, "providers": [{"billed_charge": 221.0, "npi": [1225618192]}]}, {"allowed_amount": 107.84, "providers": [{"billed_charge": 221.0, "npi": [1477387371]}]}]}, {"tin": {"type": "ein", "value": "824525580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 136.0, "npi": [1609196989]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.71, "providers": [{"billed_charge": 220.0, "npi": [1205061744]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.89, "providers": [{"billed_charge": 185.63, "npi": [1568031219]}]}, {"allowed_amount": 101.95, "providers": [{"billed_charge": 185.63, "npi": [1740036516]}]}, {"allowed_amount": 168.36, "providers": [{"billed_charge": 185.63, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 469.0, "npi": [1184055121]}]}]}, {"tin": {"type": "ein", "value": "911503875"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.05, "providers": [{"billed_charge": 307.0, "npi": [1417572587]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.43, "providers": [{"billed_charge": 261.0, "npi": [1205407624]}]}, {"allowed_amount": 63.86, "providers": [{"billed_charge": 261.0, "npi": [1225665003]}]}, {"allowed_amount": 107.84, "providers": [{"billed_charge": 261.0, "npi": [1295485431]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 824.36, "providers": [{"billed_charge": 1872.1, "npi": [1770587107]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.24, "providers": [{"billed_charge": 160.3, "npi": [1679991590]}]}]}]}, {"name": "Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft", "billing_code_type": "CPT", "billing_code": "27130", "billing_code_type_version": "2022", "description": "ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 217.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4898.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 197.45, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 31625.0, "npi": [1508202086]}]}, {"allowed_amount": 413.14, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 31625.0, "npi": [1710348024, 1356984686]}]}]}, {"tin": {"type": "ein", "value": "464397972"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 243.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 19140.0, "npi": [1366864985]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 217.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1725.0, "npi": [1205015674, 1669027967]}]}, {"allowed_amount": 243.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1725.0, "npi": [1205015674, 1417111717, 1669027967]}]}]}, {"tin": {"type": "ein", "value": "650327403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1786.92, "providers": [{"billed_charge": 7459.2, "npi": [1912498874]}]}]}, {"tin": {"type": "ein", "value": "650667458"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 204.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 5539.12, "npi": [1679771505]}]}, {"allowed_amount": 263.66, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11078.24, "npi": [1679771505]}]}]}, {"tin": {"type": "ein", "value": "651039722"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3000.0, "npi": [1215129622]}]}, {"allowed_amount": 1786.92, "providers": [{"billed_charge": 7658.22, "npi": [1548204118]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 196.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1275047698, 1376207803]}]}, {"allowed_amount": 204.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1518380104, 1447792387]}]}, {"allowed_amount": 213.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1861743650, 1669199204, 1114230117, 1881561801, 1942534011]}]}, {"allowed_amount": 232.35, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1760862510]}]}, {"allowed_amount": 243.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1740432848, 1932819794, 1275047698, 1376207803, 1104436476]}]}, {"allowed_amount": 263.66, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1588108930, 1447792387, 1942534011, 1922971514]}]}, {"allowed_amount": 369.09, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1740432848]}]}, {"allowed_amount": 413.14, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1673.0, "npi": [1104436476, 1295773711]}]}]}, {"tin": {"type": "ein", "value": "831521309"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 243.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 8320.0, "npi": [1770958498]}, {"billed_charge": 9855.0, "npi": [1770958498]}]}, {"allowed_amount": 247.58, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 8320.0, "npi": [1770958498]}]}]}, {"tin": {"type": "ein", "value": "850897854"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 413.14, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4125.0, "npi": [1265232409]}]}, {"allowed_amount": 1135.97, "providers": [{"billed_charge": 5500.0, "npi": [1396907762]}]}]}]}, {"name": "Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)", "billing_code_type": "CPT", "billing_code": "27447", "billing_code_type_version": "2022", "description": "ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS", "allowed_amounts": [{"tin": {"type": "ein", "value": "043705083"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1725.63, "providers": [{"billed_charge": 9316.68, "npi": [1992760037]}]}, {"allowed_amount": 1932.7, "providers": [{"billed_charge": 9316.68, "npi": [1992760037]}]}]}, {"tin": {"type": "ein", "value": "104875145"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 212.6, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 7400.0, "npi": [1578380408]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 216.6, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4901.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "300645203"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 231.63, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2908.83, "npi": [1669422200]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 242.35, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 26052.0, "npi": [1023532181]}]}, {"allowed_amount": 412.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 26052.0, "npi": [1710348024, 1356984686]}]}]}, {"tin": {"type": "ein", "value": "464397972"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 216.6, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 13560.0, "npi": [1366864985]}]}, {"allowed_amount": 242.35, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 25440.0, "npi": [1366864985]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 216.6, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1723.0, "npi": [1205015674, 1669027967]}]}, {"allowed_amount": 242.35, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1723.0, "npi": [1205015674, 1669027967]}]}]}, {"tin": {"type": "ein", "value": "475091016"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 412.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4089.21, "npi": [1518369578]}]}]}, {"tin": {"type": "ein", "value": "650667458"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.62, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 5522.0, "npi": [1750960928]}]}, {"allowed_amount": 203.71, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 5522.0, "npi": [1679771505]}]}, {"allowed_amount": 242.97, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 5522.0, "npi": [1750960928]}]}, {"allowed_amount": 262.85, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11044.0, "npi": [1679771505]}]}, {"allowed_amount": 309.23, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 11044.0, "npi": [1750960928]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 196.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1922971514, 1275047698, 1376207803]}]}, {"allowed_amount": 203.71, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1982080099]}]}, {"allowed_amount": 212.6, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1942534011, 1669199204, 1114230117]}]}, {"allowed_amount": 231.63, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1760862510]}]}, {"allowed_amount": 242.35, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1740432848, 1992755714, 1104436476, 1295773711]}]}, {"allowed_amount": 262.85, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1124296801, 1669199204, 1760862510, 1518492404, 1942534011, 1679124861]}]}, {"allowed_amount": 368.07, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1740432848]}]}, {"allowed_amount": 412.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1672.0, "npi": [1982369195]}]}]}, {"tin": {"type": "ein", "value": "831521309"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 242.35, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9855.0, "npi": [1770958498]}]}, {"allowed_amount": 246.9, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9855.0, "npi": [1770958498]}]}]}]}, {"name": "Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction", "billing_code_type": "CPT", "billing_code": "29888", "billing_code_type_version": "2022", "description": "ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3540.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "208032857"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 431.76, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2000.0, "npi": [1104178805]}]}]}, {"tin": {"type": "ein", "value": "300645203"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 87.5, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1856.85, "npi": [1669422200]}]}]}, {"tin": {"type": "ein", "value": "332213472"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 198.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 5250.0, "npi": [1053128215]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 164.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 34214.32, "npi": [1811266216]}]}, {"allowed_amount": 175.01, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 34214.32, "npi": [1215411715]}]}, {"allowed_amount": 176.13, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 34214.32, "npi": [1730600453]}]}, {"allowed_amount": 184.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 34214.32, "npi": [1710348024, 1407871494]}]}, {"allowed_amount": 566.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 34214.32, "npi": [1023532181]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 149.03, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1304.0, "npi": [1932938073]}]}, {"allowed_amount": 184.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1304.0, "npi": [1669027967]}]}]}, {"tin": {"type": "ein", "value": "650829651"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 164.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1161.0, "npi": [1568436400, 1558022426]}]}, {"allowed_amount": 184.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1161.0, "npi": [1194796839]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1213.0, "npi": [1275047698, 1295773711]}]}, {"allowed_amount": 198.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1213.0, "npi": [1942534011]}]}]}, {"tin": {"type": "ein", "value": "814509248"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 14505.0, "npi": [1306158449]}]}]}]}, {"name": "Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "29826", "billing_code_type_version": "2022", "description": "SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS", "allowed_amounts": [{"tin": {"type": "ein", "value": "261642118"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 33.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 223.13, "npi": [1366030488]}]}]}, {"tin": {"type": "ein", "value": "300645203"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 29.95, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 340.88, "npi": [1669422200]}]}, {"allowed_amount": 33.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 340.88, "npi": [1669422200]}]}]}, {"tin": {"type": "ein", "value": "332213472"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 29.95, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3000.0, "npi": [1053128215]}]}, {"allowed_amount": 33.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3000.0, "npi": [1053128215]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 27.85, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 30059.0, "npi": [1811266216]}]}]}, {"tin": {"type": "ein", "value": "650829651"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 31.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 196.0, "npi": [1558022426, 1194796839]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 31.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 219.0, "npi": [1275047698]}]}, {"allowed_amount": 33.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 219.0, "npi": [1861743650, 1447792387]}]}, {"allowed_amount": 52.98, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 219.0, "npi": [1336659507]}]}]}, {"tin": {"type": "ein", "value": "814509248"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 31.75, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4700.0, "npi": [1306158449]}]}]}]}, {"name": "Arthroscopy, shoulder, surgical; with rotator cuff repair", "billing_code_type": "CPT", "billing_code": "29827", "billing_code_type_version": "2022", "description": "SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR", "allowed_amounts": [{"tin": {"type": "ein", "value": "208032857"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1433.89, "providers": [{"billed_charge": 6883.0, "npi": [1477086809]}]}]}, {"tin": {"type": "ein", "value": "261642118"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 109.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1433.89, "npi": [1366030488]}]}, {"allowed_amount": 1433.89, "providers": [{"billed_charge": 1433.89, "npi": [1366030488]}]}]}, {"tin": {"type": "ein", "value": "300645203"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 192.47, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2025.36, "npi": [1669422200]}]}, {"allowed_amount": 218.41, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2025.36, "npi": [1669422200]}]}]}, {"tin": {"type": "ein", "value": "332213472"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 192.47, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 6900.0, "npi": [1053128215]}]}, {"allowed_amount": 218.41, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 6900.0, "npi": [1053128215]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 180.96, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 35173.12, "npi": [1811266216]}]}]}, {"tin": {"type": "ein", "value": "650829651"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 202.47, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1276.0, "npi": [1558022426]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 202.47, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1300.0, "npi": [1124296801, 1275047698]}]}, {"allowed_amount": 218.41, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1300.0, "npi": [1447792387, 1801036454]}]}, {"allowed_amount": 344.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1300.0, "npi": [1336659507]}]}]}, {"tin": {"type": "ein", "value": "814509248"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 206.27, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11935.0, "npi": [1306158449]}]}]}]}, {"name": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes", "billing_code_type": "CPT", "billing_code": "99192", "billing_code_type_version": "2022", "description": "ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI", "allowed_amounts": [{"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.69, "providers": [{"billed_charge": 860.0, "npi": [1881141570]}]}, {"allowed_amount": 141.37, "providers": [{"billed_charge": 860.0, "npi": [1568851608, 1962052654, 1649084328]}]}, {"allowed_amount": 152.46, "providers": [{"billed_charge": 860.0, "npi": [1881561751]}]}, {"allowed_amount": 159.06, "providers": [{"billed_charge": 860.0, "npi": [1073990081, 1417630278, 1700647815, 1528338316, 1639688658, 1326435827, 1427335637, 1114548765, 1225309503]}]}, {"allowed_amount": 225.36, "providers": [{"billed_charge": 860.0, "npi": [1043826886]}]}, {"allowed_amount": 258.0, "providers": [{"billed_charge": 860.0, "npi": [1720439276, 1528338316]}]}, {"allowed_amount": 280.95, "providers": [{"billed_charge": 860.0, "npi": [1881141570]}]}, {"allowed_amount": 308.93, "providers": [{"billed_charge": 860.0, "npi": [1013548239, 1962052654, 1255062030]}]}, {"allowed_amount": 333.16, "providers": [{"billed_charge": 860.0, "npi": [1558700807, 1538029418, 1932444619, 1881964690, 1164816351]}]}, {"allowed_amount": 347.24, "providers": [{"billed_charge": 860.0, "npi": [1962802496, 1033636097, 1932636578, 1003359464, 1720439276, 1225309503]}]}]}]}, {"name": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes", "billing_code_type": "CPT", "billing_code": "99191", "billing_code_type_version": "2022", "description": "ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI", "allowed_amounts": [{"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.35, "providers": [{"billed_charge": 1300.0, "npi": [1881141570]}]}, {"allowed_amount": 213.55, "providers": [{"billed_charge": 1300.0, "npi": [1568851608, 1962052654, 1649084328]}]}, {"allowed_amount": 230.3, "providers": [{"billed_charge": 1300.0, "npi": [1881561751]}]}, {"allowed_amount": 240.21, "providers": [{"billed_charge": 1300.0, "npi": [1073990081, 1417630278, 1700647815, 1528338316, 1639688658, 1326435827, 1427335637, 1114548765, 1225309503]}]}, {"allowed_amount": 340.43, "providers": [{"billed_charge": 1300.0, "npi": [1043826886]}]}, {"allowed_amount": 390.0, "providers": [{"billed_charge": 1300.0, "npi": [1528338316, 1720439276]}]}, {"allowed_amount": 424.6, "providers": [{"billed_charge": 1300.0, "npi": [1881141570]}]}, {"allowed_amount": 466.99, "providers": [{"billed_charge": 1300.0, "npi": [1255062030, 1962052654, 1013548239]}]}, {"allowed_amount": 503.61, "providers": [{"billed_charge": 1300.0, "npi": [1558700807, 1538029418, 1932444619, 1881964690, 1164816351]}]}, {"allowed_amount": 524.79, "providers": [{"billed_charge": 1300.0, "npi": [1962802496, 1033636097, 1932636578, 1003359464, 1720439276, 1225309503]}]}]}]}, {"name": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour", "billing_code_type": "CPT", "billing_code": "99190", "billing_code_type_version": "2022", "description": "ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR", "allowed_amounts": [{"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.27, "providers": [{"billed_charge": 1680.0, "npi": [1881141570]}]}, {"allowed_amount": 276.31, "providers": [{"billed_charge": 1680.0, "npi": [1649084328, 1568851608, 1962052654]}]}, {"allowed_amount": 297.98, "providers": [{"billed_charge": 1680.0, "npi": [1881561751]}]}, {"allowed_amount": 310.56, "providers": [{"billed_charge": 1680.0, "npi": [1073990081, 1417630278, 1700647815, 1528338316, 1639688658, 1326435827, 1427335637, 1114548765, 1225309503]}]}, {"allowed_amount": 440.63, "providers": [{"billed_charge": 1680.0, "npi": [1043826886]}]}, {"allowed_amount": 504.0, "providers": [{"billed_charge": 1680.0, "npi": [1528338316, 1720439276]}]}, {"allowed_amount": 551.3, "providers": [{"billed_charge": 1680.0, "npi": [1881141570]}]}, {"allowed_amount": 606.34, "providers": [{"billed_charge": 1680.0, "npi": [1255062030, 1962052654, 1013548239]}]}, {"allowed_amount": 653.9, "providers": [{"billed_charge": 1680.0, "npi": [1558700807, 1538029418, 1932444619, 1881964690, 1164816351]}]}, {"allowed_amount": 681.38, "providers": [{"billed_charge": 1680.0, "npi": [1962802496, 1033636097, 1932636578, 1003359464, 1720439276, 1225309503]}]}]}]}, {"name": "Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn", "billing_code_type": "CPT", "billing_code": "99464", "billing_code_type_version": "2022", "description": "ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN", "allowed_amounts": [{"tin": {"type": "ein", "value": "550829983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.61, "providers": [{"billed_charge": 677.0, "npi": [1386712727]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 453.0, "npi": [1194113639]}]}, {"allowed_amount": 99.58, "providers": [{"billed_charge": 453.0, "npi": [1720189814]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 648.0, "npi": [1538637483]}]}, {"allowed_amount": 64.11, "providers": [{"billed_charge": 648.0, "npi": [1114415650, 1093778318, 1356327175]}]}, {"allowed_amount": 65.61, "providers": [{"billed_charge": 648.0, "npi": [1679510242, 1427467497, 1124262290, 1972169779, 1992782742, 1730165655, 1700164670, 1417210527]}]}, {"allowed_amount": 78.5, "providers": [{"billed_charge": 648.0, "npi": [1548561186, 1235625443, 1982899399, 1245506161, 1144514738]}]}, {"allowed_amount": 79.16, "providers": [{"billed_charge": 648.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 79.52, "providers": [{"billed_charge": 648.0, "npi": [1689213944, 1821074642, 1851309587, 1437326972]}]}, {"allowed_amount": 84.55, "providers": [{"billed_charge": 648.0, "npi": [1679510242, 1437391331, 1427467497, 1124262290, 1366561847, 1932340155, 1295056380, 1700164670]}]}, {"allowed_amount": 86.43, "providers": [{"billed_charge": 648.0, "npi": [1235195272, 1942879523, 1871744037]}]}, {"allowed_amount": 88.32, "providers": [{"billed_charge": 648.0, "npi": [1063607810, 1861801482, 1093778318, 1275569683, 1851309587, 1306068507, 1629621917, 1417210527, 1114415650, 1881227940, 1417223728, 1144514738, 1154499507, 1972169779, 1598439218, 1972908978, 1902439607, 1699836858, 1881076412, 1396900924, 1497186365, 1417501503, 1154708550, 1598741704, 1881670735, 1306152400, 1821074642, 1215228374, 1104682459, 1386732766, 1477015139, 1235625443, 1598840167, 1851720296, 1588366314, 1164996732, 1245506161, 1760821235, 1710935283, 1689213944, 1437326972]}]}, {"allowed_amount": 91.31, "providers": [{"billed_charge": 648.0, "npi": [1679510242, 1437391331, 1427467497, 1386807857, 1124262290, 1366561847, 1932340155, 1295056380, 1497714109, 1700164670]}]}, {"allowed_amount": 98.13, "providers": [{"billed_charge": 648.0, "npi": [1972169779, 1821074642, 1992782742, 1154708550]}]}, {"allowed_amount": 99.58, "providers": [{"billed_charge": 648.0, "npi": [1710211123]}]}, {"allowed_amount": 101.76, "providers": [{"billed_charge": 648.0, "npi": [1942263454]}]}, {"allowed_amount": 112.04, "providers": [{"billed_charge": 648.0, "npi": [1306893813]}]}, {"allowed_amount": 118.37, "providers": [{"billed_charge": 648.0, "npi": [1386807857, 1497714109]}]}, {"allowed_amount": 135.13, "providers": [{"billed_charge": 648.0, "npi": [1063607810, 1114415650, 1881227940, 1851720296, 1538637483, 1881670735, 1598439218, 1154499507, 1902439607, 1275230138, 1821058587, 1629621917, 1417501503]}]}, {"allowed_amount": 138.04, "providers": [{"billed_charge": 648.0, "npi": [1598840167, 1093778318, 1154580561, 1972908978, 1396900924]}]}, {"allowed_amount": 139.71, "providers": [{"billed_charge": 648.0, "npi": [1053817650]}]}, {"allowed_amount": 149.47, "providers": [{"billed_charge": 648.0, "npi": [1245506161]}]}, {"allowed_amount": 151.25, "providers": [{"billed_charge": 648.0, "npi": [1790730265]}]}, {"allowed_amount": 170.93, "providers": [{"billed_charge": 648.0, "npi": [1497714109]}]}, {"allowed_amount": 1359.98, "providers": [{"billed_charge": 648.0, "npi": [1386807857]}]}]}]}, {"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": "550829983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.71, "providers": [{"billed_charge": 500.0, "npi": [1215037114]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.59, "providers": [{"billed_charge": 250.0, "npi": [1235195272]}]}, {"allowed_amount": 26.5, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 28.65, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 30.47, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 31.22, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 32.55, "providers": [{"billed_charge": 250.0, "npi": [1578590832]}]}, {"allowed_amount": 33.73, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 35.91, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 37.21, "providers": [{"billed_charge": 250.0, "npi": [1235195272, 1578590832]}]}, {"allowed_amount": 38.96, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 40.36, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 41.75, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 43.71, "providers": [{"billed_charge": 250.0, "npi": [1235195272, 1699724195]}]}, {"allowed_amount": 46.59, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}, {"allowed_amount": 54.9, "providers": [{"billed_charge": 250.0, "npi": [1699724195]}]}]}, {"tin": {"type": "ein", "value": "593398308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.55, "providers": [{"billed_charge": 449.0, "npi": [1104900570]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 31.53, "providers": [{"billed_charge": 326.0, "npi": [1174547608]}]}]}]}, {"name": "Autologous blood or component, collection processing and storage; intra- or postoperative salvage", "billing_code_type": "CPT", "billing_code": "86891", "billing_code_type_version": "2022", "description": "AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE", "allowed_amounts": [{"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 418.0, "providers": [{"billed_charge": 1500.0, "npi": [1558700807, 1700647815, 1528338316, 1255062030, 1568193936, 1881964690, 1699470997, 1487180824, 1407744287, 1790496032, 1932636578, 1215601828, 1912755380, 1184977977, 1598442303, 1962802496, 1225309503, 1669296588, 1891036109, 1376818898, 1639688658, 1427335637, 1588285928, 1518662121, 1538029418, 1720439276, 1891662193]}]}, {"allowed_amount": 573.28, "providers": [{"billed_charge": 1500.0, "npi": [1881141570]}]}, {"allowed_amount": 589.75, "providers": [{"billed_charge": 1500.0, "npi": [1255062030, 1013548239]}]}, {"allowed_amount": 629.83, "providers": [{"billed_charge": 1500.0, "npi": [1649084328, 1568851608, 1962052654]}]}, {"allowed_amount": 636.01, "providers": [{"billed_charge": 1500.0, "npi": [1558700807, 1538029418, 1932444619, 1881964690, 1164816351]}]}, {"allowed_amount": 662.5, "providers": [{"billed_charge": 1500.0, "npi": [1033636097, 1932636578, 1003359464, 1720439276, 1225309503]}]}, {"allowed_amount": 679.23, "providers": [{"billed_charge": 1500.0, "npi": [1396471249, 1881561751]}]}, {"allowed_amount": 708.54, "providers": [{"billed_charge": 1500.0, "npi": [1073990081, 1417630278, 1700647815, 1528338316, 1639688658, 1326435827, 1427335637, 1114548765, 1225309503]}]}, {"allowed_amount": 1004.03, "providers": [{"billed_charge": 1500.0, "npi": [1043826886]}]}]}]}, {"name": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative", "billing_code_type": "CPT", "billing_code": "81206", "billing_code_type_version": "2022", "description": "BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "562444564"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 114.77, "providers": [{"billed_charge": 491.88, "npi": [1891909941]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 136.09, "providers": [{"billed_charge": 355.0, "npi": [1396408829]}]}, {"allowed_amount": 163.96, "providers": [{"billed_charge": 355.0, "npi": [1396408829]}]}, {"allowed_amount": 265.62, "providers": [{"billed_charge": 355.0, "npi": [1447437355]}]}]}]}, {"name": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative", "billing_code_type": "CPT", "billing_code": "81207", "billing_code_type_version": "2022", "description": "BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 120.22, "providers": [{"billed_charge": 355.0, "npi": [1396408829]}]}, {"allowed_amount": 144.84, "providers": [{"billed_charge": 355.0, "npi": [1396408829]}]}, {"allowed_amount": 355.0, "providers": [{"billed_charge": 355.0, "npi": [1396408829]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.61, "providers": [{"billed_charge": 178.89, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.55, "providers": [{"billed_charge": 317.55, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.13, "providers": [{"billed_charge": 296.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "237133975"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.59, "providers": [{"billed_charge": 107.59, "npi": [1700896354]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.28, "providers": [{"billed_charge": 280.35, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.26, "providers": [{"billed_charge": 204.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.61, "providers": [{"billed_charge": 78.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.5, "providers": [{"billed_charge": 189.67, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.79, "providers": [{"billed_charge": 61.6, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.11, "providers": [{"billed_charge": 134.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.29, "providers": [{"billed_charge": 33.29, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.86, "providers": [{"billed_charge": 35.86, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.84, "providers": [{"billed_charge": 25.84, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.03, "providers": [{"billed_charge": 23.03, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "582147112"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.93, "providers": [{"billed_charge": 55.64, "npi": [1649405499]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.44, "providers": [{"billed_charge": 604.9, "npi": [1912964768]}]}, {"allowed_amount": 272.2, "providers": [{"billed_charge": 604.9, "npi": [1912964768]}]}, {"allowed_amount": 272.21, "providers": [{"billed_charge": 604.9, "npi": [1912964768]}]}, {"allowed_amount": 376.7, "providers": [{"billed_charge": 604.9, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590683252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.8, "providers": [{"billed_charge": 420.0, "npi": [1427114099]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2829.19, "providers": [{"billed_charge": 64.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 21.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 522.78, "providers": [{"billed_charge": 2586.92, "npi": [1841237930]}]}, {"allowed_amount": 1086.51, "providers": [{"billed_charge": 2586.92, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 21.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1437126612, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.13, "providers": [{"billed_charge": 296.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.72, "providers": [{"billed_charge": 64.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.13, "providers": [{"billed_charge": 296.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.03, "providers": [{"billed_charge": 120.51, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596031176"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.0, "providers": [{"billed_charge": 134.0, "npi": [1366431702]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.11, "providers": [{"billed_charge": 28.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.4, "providers": [{"billed_charge": 724.0, "npi": [1104870187]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.85, "providers": [{"billed_charge": 1651.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 17.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.92, "providers": [{"billed_charge": 8.46, "npi": [1831228709]}]}, {"allowed_amount": 8.46, "providers": [{"billed_charge": 8.46, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "710410253"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.71, "providers": [{"billed_charge": 24.0, "npi": [1295025492]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.74, "providers": [{"billed_charge": 352.17, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.4, "providers": [{"billed_charge": 1629.7, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.92, "providers": [{"billed_charge": 50.0, "npi": [1598953614]}]}, {"allowed_amount": 5.48, "providers": [{"billed_charge": 50.0, "npi": [1083931489, 1598953614]}]}, {"allowed_amount": 9.14, "providers": [{"billed_charge": 50.0, "npi": [1598953614]}]}, {"allowed_amount": 13.71, "providers": [{"billed_charge": 50.0, "npi": [1083931489, 1598953614, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.13, "providers": [{"billed_charge": 296.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.5, "providers": [{"billed_charge": 230.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.71, "providers": [{"billed_charge": 29.5, "npi": [1053372912, 1467679399, 1952362949, 1770545519]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.46, "providers": [{"billed_charge": 35.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 345.0, "providers": [{"billed_charge": 345.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.71, "providers": [{"billed_charge": 102.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 210.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.0, "providers": [{"billed_charge": 78.0, "npi": [1427806025]}]}]}]}, {"name": "Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-to-face with patient and/or guardian(s)/caregiver(s) administering assessments and discussing findings and recommendations, and non-face-to-face analyzing past data, scoring/interpreting the assessment, and preparing the report/treatment plan", "billing_code_type": "CPT", "billing_code": "97151", "billing_code_type_version": "2022", "description": "BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "473572561"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 25.0, "billing_code_modifier": ["HO"], "providers": [{"billed_charge": 25.0, "npi": [1679238455]}]}]}, {"tin": {"type": "ein", "value": "822162367"}, "billing_class": "professional", "service_codes": ["12", "11"], "payments": [{"allowed_amount": 29.88, "billing_code_modifier": ["HO"], "providers": [{"billed_charge": 29.88, "npi": [1144727074]}]}]}, {"tin": {"type": "ein", "value": "824091350"}, "billing_class": "professional", "service_codes": ["12", "11"], "payments": [{"allowed_amount": 33.02, "billing_code_modifier": ["HO"], "providers": [{"billed_charge": 33.02, "npi": [1861849713]}]}]}, {"tin": {"type": "ein", "value": "863902386"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 135.0, "billing_code_modifier": ["HO"], "providers": [{"billed_charge": 495.0, "npi": [1588168728, 1417101585, 1588263826]}]}]}]}, {"name": "Bilirubin; direct", "billing_code_type": "CPT", "billing_code": "82248", "billing_code_type_version": "2022", "description": "BILIRUBIN DIRECT", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.98, "providers": [{"billed_charge": 45.65, "npi": [1801992631]}]}, {"allowed_amount": 23.15, "providers": [{"billed_charge": 66.15, "npi": [1427616002]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.51, "providers": [{"billed_charge": 20.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.62, "providers": [{"billed_charge": 17.62, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.74, "providers": [{"billed_charge": 8.32, "npi": [1912964768]}]}, {"allowed_amount": 3.75, "providers": [{"billed_charge": 8.32, "npi": [1912964768]}]}, {"allowed_amount": 84.56, "providers": [{"billed_charge": 187.91, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.59, "providers": [{"billed_charge": 113.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.59, "providers": [{"billed_charge": 113.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.5, "providers": [{"billed_charge": 7.5, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.02, "providers": [{"billed_charge": 143.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.13, "providers": [{"billed_charge": 61.0, "npi": [1982606992]}]}]}]}, {"name": "Bilirubin; total", "billing_code_type": "CPT", "billing_code": "82247", "billing_code_type_version": "2022", "description": "BILIRUBIN TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.56, "providers": [{"billed_charge": 187.91, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.02, "providers": [{"billed_charge": 112.79, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.02, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 8.79, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.13, "providers": [{"billed_charge": 61.0, "npi": [1982606992]}]}]}]}, {"name": "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance", "billing_code_type": "CPT", "billing_code": "19083", "billing_code_type_version": "2022", "description": "BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 215.63, "providers": [{"billed_charge": 700.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 256.22, "providers": [{"billed_charge": 2449.0, "npi": [1013969294]}]}, {"allowed_amount": 685.34, "providers": [{"billed_charge": 2449.0, "npi": [1225089428]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 292.05, "providers": [{"billed_charge": 649.0, "npi": [1568802304]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 196.48, "providers": [{"billed_charge": 372.0, "npi": [1891996047]}]}, {"allowed_amount": 294.71, "providers": [{"billed_charge": 372.0, "npi": [1891996047]}]}, {"allowed_amount": 372.0, "providers": [{"billed_charge": 372.0, "npi": [1104288836, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 425.47, "providers": [{"billed_charge": 1198.0, "npi": [1447372131]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 215.63, "providers": [{"billed_charge": 3463.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 322.02, "providers": [{"billed_charge": 1046.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 322.02, "providers": [{"billed_charge": 980.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 685.34, "providers": [{"billed_charge": 980.0, "npi": [1083693352, 1477754349]}]}]}]}, {"name": "Biotinidase, each specimen", "billing_code_type": "CPT", "billing_code": "82261", "billing_code_type_version": "2022", "description": "BIOTINIDASE EACH SPECIMEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.87, "providers": [{"billed_charge": 16.87, "npi": [1518983642]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 206.81, "providers": [{"billed_charge": 206.81, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427080951]}]}, {"allowed_amount": 22.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427080951]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.96, "providers": [{"billed_charge": 155.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "223620531"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.53, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 16.18, "npi": [1376587113]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.73, "providers": [{"billed_charge": 513.5, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.62, "providers": [{"billed_charge": 27.62, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.21, "providers": [{"billed_charge": 24.21, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.75, "providers": [{"billed_charge": 16.75, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "541456064"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.2, "providers": [{"billed_charge": 13.59, "npi": [1932589959]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.75, "providers": [{"billed_charge": 385.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.54, "providers": [{"billed_charge": 115.84, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.52, "providers": [{"billed_charge": 272.27, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 8.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.16, "providers": [{"billed_charge": 938.47, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.96, "providers": [{"billed_charge": 155.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.96, "providers": [{"billed_charge": 155.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596031176"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.0, "providers": [{"billed_charge": 215.0, "npi": [1366431702]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.66, "providers": [{"billed_charge": 584.74, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.95, "providers": [{"billed_charge": 408.42, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 278.25, "providers": [{"billed_charge": 795.0, "npi": [1104870187]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.45, "providers": [{"billed_charge": 249.86, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.37, "providers": [{"billed_charge": 64.69, "npi": [1487657573]}]}, {"allowed_amount": 6.47, "providers": [{"billed_charge": 64.69, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 285.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 259.7, "providers": [{"billed_charge": 742.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.25, "providers": [{"billed_charge": 475.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.65, "providers": [{"billed_charge": 219.0, "npi": [1366496937]}]}, {"allowed_amount": 275.8, "providers": [{"billed_charge": 788.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.59, "providers": [{"billed_charge": 304.53, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.53, "providers": [{"billed_charge": 6.47, "npi": [1831228709]}]}, {"allowed_amount": 6.47, "providers": [{"billed_charge": 6.47, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.9, "providers": [{"billed_charge": 794.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.08, "providers": [{"billed_charge": 408.79, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.95, "providers": [{"billed_charge": 437.0, "npi": [1114576857, 1457306359]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.24, "providers": [{"billed_charge": 40.0, "npi": [1700074143]}]}, {"allowed_amount": 6.99, "providers": [{"billed_charge": 40.0, "npi": [1700074143]}]}, {"allowed_amount": 10.48, "providers": [{"billed_charge": 40.0, "npi": [1083931489, 1598953614, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.96, "providers": [{"billed_charge": 155.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.85, "providers": [{"billed_charge": 231.0, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.17, "providers": [{"billed_charge": 131.9, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.7, "providers": [{"billed_charge": 242.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.04, "providers": [{"billed_charge": 192.0, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.75, "providers": [{"billed_charge": 367.85, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.48, "providers": [{"billed_charge": 22.5, "npi": [1053372912, 1982804340, 1952362949]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.47, "providers": [{"billed_charge": 36.68, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.48, "providers": [{"billed_charge": 78.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.0, "providers": [{"billed_charge": 64.0, "npi": [1427806025]}]}]}]}, {"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": "113412370"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.44, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 39.0, "npi": [1366543795]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.51, "providers": [{"billed_charge": 138.61, "npi": [1801992631]}]}, {"allowed_amount": 92.61, "providers": [{"billed_charge": 264.6, "npi": [1427616002]}]}]}, {"tin": {"type": "ein", "value": "161660256"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.77, "providers": [{"billed_charge": 15.54, "npi": [1033281324]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1477608628]}]}, {"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 490.3, "providers": [{"billed_charge": 490.3, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.45, "providers": [{"billed_charge": 227.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "237133975"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.12, "providers": [{"billed_charge": 79.12, "npi": [1700896354]}]}]}, {"tin": {"type": "ein", "value": "237134386"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.02, "providers": [{"billed_charge": 89.0, "npi": [1508823741]}]}]}, {"tin": {"type": "ein", "value": "261408014"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.85, "providers": [{"billed_charge": 33.0, "npi": [1326079864]}]}]}, {"tin": {"type": "ein", "value": "272207464"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.44, "providers": [{"billed_charge": 11.0, "npi": [1194099762]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.83, "providers": [{"billed_charge": 39.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.8, "providers": [{"billed_charge": 152.25, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "320443777"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.1, "providers": [{"billed_charge": 32.1, "npi": [1174660120]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.63, "providers": [{"billed_charge": 202.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.72, "providers": [{"billed_charge": 73.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.0, "providers": [{"billed_charge": 151.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.38, "providers": [{"billed_charge": 104.9, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.94, "providers": [{"billed_charge": 79.3, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.54, "providers": [{"billed_charge": 56.8, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.77, "providers": [{"billed_charge": 204.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.0, "providers": [{"billed_charge": 194.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.88, "providers": [{"billed_charge": 106.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.58, "providers": [{"billed_charge": 104.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.56, "providers": [{"billed_charge": 81.0, "npi": [1114923406]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 81.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.77, "providers": [{"billed_charge": 31.08, "npi": [1588533509]}]}, {"allowed_amount": 12.67, "providers": [{"billed_charge": 31.08, "npi": [1588533509]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.55, "providers": [{"billed_charge": 135.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.0, "providers": [{"billed_charge": 163.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.77, "providers": [{"billed_charge": 35.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "464163620"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 20.0, "npi": [1265854855]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.77, "providers": [{"billed_charge": 16.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.95, "providers": [{"billed_charge": 117.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "474376020"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.77, "providers": [{"billed_charge": 24.0, "npi": [1710358932]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.14, "providers": [{"billed_charge": 29.14, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.27, "providers": [{"billed_charge": 30.27, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.95, "providers": [{"billed_charge": 36.95, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.6, "providers": [{"billed_charge": 32.6, "npi": [1942281266]}]}, {"allowed_amount": 35.5, "providers": [{"billed_charge": 35.5, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520608007"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.4, "providers": [{"billed_charge": 21.4, "npi": [1184712085]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.72, "providers": [{"billed_charge": 26.72, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 20.88, "npi": [1245655638]}]}, {"allowed_amount": 23.49, "providers": [{"billed_charge": 23.49, "npi": [1669417838]}]}, {"allowed_amount": 29.37, "providers": [{"billed_charge": 29.37, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.2, "providers": [{"billed_charge": 27.2, "npi": [1720099286]}]}, {"allowed_amount": 30.7, "providers": [{"billed_charge": 30.7, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.93, "providers": [{"billed_charge": 20.93, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "541669672"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.85, "providers": [{"billed_charge": 37.0, "npi": [1659475200, 1548364771, 1104194398]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.79, "providers": [{"billed_charge": 115.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.84, "providers": [{"billed_charge": 58.5, "npi": [1699063750]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.07, "providers": [{"billed_charge": 212.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.06, "providers": [{"billed_charge": 126.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "586002830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.0, "providers": [{"billed_charge": 154.0, "npi": [1306890942]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.37, "providers": [{"billed_charge": 315.17, "npi": [1912964768]}]}, {"allowed_amount": 141.82, "providers": [{"billed_charge": 315.17, "npi": [1912964768]}]}, {"allowed_amount": 141.83, "providers": [{"billed_charge": 315.17, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.0, "providers": [{"billed_charge": 176.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 451.02, "providers": [{"billed_charge": 137.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.46, "providers": [{"billed_charge": 56.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1437126612, 1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.29, "providers": [{"billed_charge": 227.0, "npi": [1184709057]}]}, {"allowed_amount": 61.45, "providers": [{"billed_charge": 227.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 4.21, "providers": [{"billed_charge": 15.54, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.77, "providers": [{"billed_charge": 174.75, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.45, "providers": [{"billed_charge": 227.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.0, "providers": [{"billed_charge": 51.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.69, "providers": [{"billed_charge": 112.27, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.44, "providers": [{"billed_charge": 29.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.04, "providers": [{"billed_charge": 13.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.84, "providers": [{"billed_charge": 39.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 22.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1265489090, 1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.44, "providers": [{"billed_charge": 7.77, "npi": [1831228709]}]}, {"allowed_amount": 7.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 7.77, "npi": [1710358932, 1831228709]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "710410253"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.5, "providers": [{"billed_charge": 6.5, "npi": [1295025492]}]}]}, {"tin": {"type": "ein", "value": "730725208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.24, "providers": [{"billed_charge": 120.0, "npi": [1144205360]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.4, "providers": [{"billed_charge": 156.75, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "760594559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.25, "providers": [{"billed_charge": 341.25, "npi": [1417957473]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.45, "providers": [{"billed_charge": 227.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.69, "providers": [{"billed_charge": 271.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.38, "providers": [{"billed_charge": 100.38, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.84, "providers": [{"billed_charge": 161.0, "npi": [1376175687]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.02, "providers": [{"billed_charge": 100.02, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.51, "providers": [{"billed_charge": 36.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.09, "providers": [{"billed_charge": 109.65, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 27.0, "npi": [1467679399, 1952362949, 1770545519]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1376329110]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.45, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 57.2, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.45, "providers": [{"billed_charge": 23.31, "npi": [1609596907]}, {"billed_charge": 43.8, "npi": [1609596907]}]}, {"allowed_amount": 7.77, "providers": [{"billed_charge": 23.31, "npi": [1609596907]}, {"billed_charge": 43.8, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "910511770"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 33.0, "npi": [1326145061]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.77, "providers": [{"billed_charge": 60.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 13.6, "providers": [{"billed_charge": 60.0, "npi": [1457007478]}]}, {"allowed_amount": 21.21, "providers": [{"billed_charge": 60.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.0, "providers": [{"billed_charge": 213.0, "npi": [1134274897]}]}, {"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 94.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "946000533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.0, "providers": [{"billed_charge": 68.0, "npi": [1063406551]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.0, "providers": [{"billed_charge": 198.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.96, "providers": [{"billed_charge": 229.96, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.0, "providers": [{"billed_charge": 103.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 325.0, "providers": [{"billed_charge": 325.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 140.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.61, "providers": [{"billed_charge": 293.61, "npi": [1811099674]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.0, "providers": [{"billed_charge": 69.0, "npi": [1427806025]}]}]}]}, {"name": "Blood count; hematocrit (Hct)", "billing_code_type": "CPT", "billing_code": "85014", "billing_code_type_version": "2022", "description": "BLOOD COUNT HEMATOCRIT", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.14, "providers": [{"billed_charge": 60.32, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.26, "providers": [{"billed_charge": 97.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.37, "providers": [{"billed_charge": 53.18, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.26, "providers": [{"billed_charge": 97.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.37, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 2.37, "npi": [1639197395]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.84, "providers": [{"billed_charge": 29.0, "npi": [1982606992]}]}]}]}, {"name": "Blood count; hemoglobin (Hgb)", "billing_code_type": "CPT", "billing_code": "85018", "billing_code_type_version": "2022", "description": "BLOOD COUNT HEMOGLOBIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.37, "providers": [{"billed_charge": 5.0, "npi": [1093700346]}]}, {"allowed_amount": 4.15, "providers": [{"billed_charge": 5.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.57, "providers": [{"billed_charge": 92.38, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.26, "providers": [{"billed_charge": 97.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.37, "providers": [{"billed_charge": 53.18, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.26, "providers": [{"billed_charge": 97.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.37, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 2.37, "npi": [1639197395]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.47, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.84, "providers": [{"billed_charge": 29.0, "npi": [1982606992]}]}]}]}, {"name": "Blood count; reticulocyte, automated", "billing_code_type": "CPT", "billing_code": "85045", "billing_code_type_version": "2022", "description": "BLOOD COUNT RETICULOCYTE AUTOMATED", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.54, "providers": [{"billed_charge": 176.75, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.15, "providers": [{"billed_charge": 152.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.99, "providers": [{"billed_charge": 90.05, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.15, "providers": [{"billed_charge": 152.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.46, "providers": [{"billed_charge": 48.0, "npi": [1982606992]}]}]}]}, {"name": "Blood smear, peripheral, interpretation by physician with written report", "billing_code_type": "CPT", "billing_code": "85060", "billing_code_type_version": "2022", "description": "BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.63, "providers": [{"billed_charge": 120.0, "npi": [1760454516, 1326270125]}]}, {"allowed_amount": 29.3, "providers": [{"billed_charge": 120.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.63, "providers": [{"billed_charge": 91.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 29.45, "providers": [{"billed_charge": 91.0, "npi": [1427080951, 1659337251, 1457870719]}]}, {"allowed_amount": 36.51, "providers": [{"billed_charge": 91.0, "npi": [1346336674, 1659337251, 1750664132, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 29.3, "providers": [{"billed_charge": 120.0, "npi": [1134107857]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.52, "providers": [{"billed_charge": 115.0, "npi": [1295182608]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.63, "providers": [{"billed_charge": 131.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 25.52, "providers": [{"billed_charge": 131.0, "npi": [1154393221, 1568615078]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.63, "providers": [{"billed_charge": 144.0, "npi": [1679794671]}]}, {"allowed_amount": 20.21, "providers": [{"billed_charge": 144.0, "npi": [1811962194, 1154596468, 1679794671]}]}, {"allowed_amount": 29.3, "providers": [{"billed_charge": 144.0, "npi": [1811962194, 1154596468, 1679794671]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.24, "providers": [{"billed_charge": 61.0, "npi": [1619170552]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.21, "providers": [{"billed_charge": 90.0, "npi": [1790865467, 1386616779, 1831246511]}]}, {"allowed_amount": 60.7, "providers": [{"billed_charge": 90.0, "npi": [1790865467, 1386616779]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 14.65, "providers": [{"billed_charge": 154.0, "npi": [1609161892]}]}, {"allowed_amount": 14.72, "providers": [{"billed_charge": 154.0, "npi": [1396044574]}]}, {"allowed_amount": 19.63, "providers": [{"billed_charge": 154.0, "npi": [1609161892, 1497727895, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 22.84, "providers": [{"billed_charge": 154.0, "npi": [1700994431]}]}, {"allowed_amount": 25.52, "providers": [{"billed_charge": 154.0, "npi": [1669675153]}]}, {"allowed_amount": 29.3, "providers": [{"billed_charge": 154.0, "npi": [1194797985, 1609161892, 1396044574]}]}, {"allowed_amount": 29.45, "providers": [{"billed_charge": 154.0, "npi": [1821258211, 1609161892, 1396044574, 1700994431]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.63, "providers": [{"billed_charge": 121.0, "npi": [1457333817, 1144205188]}]}, {"allowed_amount": 25.52, "providers": [{"billed_charge": 121.0, "npi": [1144205188]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 19.21, "providers": [{"billed_charge": 41.0, "npi": [1750544128]}]}, {"allowed_amount": 38.61, "providers": [{"billed_charge": 41.0, "npi": [1568968097]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.21, "providers": [{"billed_charge": 82.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.7, "providers": [{"billed_charge": 153.0, "npi": [1912247792, 1093985103]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22"], "payments": [{"allowed_amount": 16.29, "providers": [{"billed_charge": 83.0, "npi": [1073549663]}]}, {"allowed_amount": 19.63, "providers": [{"billed_charge": 83.0, "npi": [1073549663]}]}, {"allowed_amount": 32.22, "providers": [{"billed_charge": 83.0, "npi": [1740240753]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "providers": [{"billed_charge": 194.0, "npi": [1700206661]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.08, "providers": [{"billed_charge": 145.0, "npi": [1922070259]}]}, {"allowed_amount": 19.63, "providers": [{"billed_charge": 145.0, "npi": [1841441490, 1922070259, 1831240142]}]}, {"allowed_amount": 29.3, "providers": [{"billed_charge": 145.0, "npi": [1841441490, 1922070259, 1831240142]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.08, "providers": [{"billed_charge": 129.0, "npi": [1538115852]}]}, {"allowed_amount": 19.63, "providers": [{"billed_charge": 129.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 29.3, "providers": [{"billed_charge": 129.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.81, "providers": [{"billed_charge": 70.0, "npi": [1023237872, 1255461349]}]}]}, {"tin": {"type": "ein", "value": "863024305"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.55, "providers": [{"billed_charge": 125.0, "npi": [1699161356]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.38, "providers": [{"billed_charge": 8.38, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1381.62, "providers": [{"billed_charge": 168.0, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.75, "providers": [{"billed_charge": 163.88, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.44, "providers": [{"billed_charge": 46.28, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1437126612]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.17, "providers": [{"billed_charge": 455.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.17, "providers": [{"billed_charge": 455.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.5, "providers": [{"billed_charge": 4.5, "npi": [1083931489, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.17, "providers": [{"billed_charge": 455.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.12, "providers": [{"billed_charge": 95.21, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 70.0, "npi": [1427806025]}]}, {"allowed_amount": 496.41, "providers": [{"billed_charge": 70.0, "npi": [1427806025]}]}, {"allowed_amount": 600.88, "providers": [{"billed_charge": 70.0, "npi": [1427806025]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 770.78, "providers": [{"billed_charge": 156.3, "npi": [1215003348]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.38, "providers": [{"billed_charge": 8.38, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.15, "providers": [{"billed_charge": 155.88, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.01, "providers": [{"billed_charge": 42.88, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1437126612]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.71, "providers": [{"billed_charge": 143.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.71, "providers": [{"billed_charge": 143.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.5, "providers": [{"billed_charge": 4.5, "npi": [1083931489, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.71, "providers": [{"billed_charge": 143.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.5, "providers": [{"billed_charge": 92.03, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.84, "providers": [{"billed_charge": 17.5, "npi": [1821658485]}]}]}]}, {"name": "Bls routine disposable supplies", "billing_code_type": "CPT", "billing_code": "A0382", "billing_code_type_version": "2022", "description": "Bls routine disposable supplies", "allowed_amounts": [{"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 49.94, "providers": [{"billed_charge": 250.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "200817213"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 41.2, "providers": [{"billed_charge": 41.2, "npi": [1285630459]}]}]}, {"tin": {"type": "ein", "value": "203434780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 31.45, "providers": [{"billed_charge": 69.71, "npi": [1972657914]}, {"billed_charge": 70.2, "npi": [1972657914]}]}, {"allowed_amount": 36.86, "providers": [{"billed_charge": 57.05, "npi": [1972657914]}, {"billed_charge": 69.71, "npi": [1972657914]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 49.94, "providers": [{"billed_charge": 125.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "231740898"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 55.79, "providers": [{"billed_charge": 125.0, "npi": [1114919396]}]}]}, {"tin": {"type": "ein", "value": "273054181"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 37.13, "providers": [{"billed_charge": 73.53, "npi": [1659685964]}]}]}, {"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.09, "providers": [{"billed_charge": 5.09, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "436003231"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1952490682]}]}]}, {"tin": {"type": "ein", "value": "562332847"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 268.0, "providers": [{"billed_charge": 150.0, "npi": [1356326615]}]}]}, {"tin": {"type": "ein", "value": "566000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 48.94, "providers": [{"billed_charge": 60.0, "npi": [1073574786]}]}]}, {"tin": {"type": "ein", "value": "630725492"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 47.45, "providers": [{"billed_charge": 50.0, "npi": [1386710515]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4516.62, "providers": [{"billed_charge": 375.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 59.07, "providers": [{"billed_charge": 100.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1205883717]}]}]}]}, {"name": "Bone marrow, smear interpretation", "billing_code_type": "CPT", "billing_code": "85097", "billing_code_type_version": "2022", "description": "BONE MARROW SMEAR INTERPRETATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 69.61, "providers": [{"billed_charge": 184.0, "npi": [1477608628, 1750664132, 1427080951]}]}, {"allowed_amount": 75.37, "providers": [{"billed_charge": 184.0, "npi": [1477966984, 1659337251, 1750664132, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203139459"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.66, "providers": [{"billed_charge": 245.0, "npi": [1023334976]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.77, "providers": [{"billed_charge": 285.0, "npi": [1134107857]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.77, "providers": [{"billed_charge": 216.0, "npi": [1679794671]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 47.36, "providers": [{"billed_charge": 264.0, "npi": [1700994431]}]}, {"allowed_amount": 60.77, "providers": [{"billed_charge": 264.0, "npi": [1609161892, 1396044574]}]}, {"allowed_amount": 69.61, "providers": [{"billed_charge": 264.0, "npi": [1821258211, 1609161892, 1386964815, 1396044574, 1700994431]}]}, {"allowed_amount": 104.42, "providers": [{"billed_charge": 264.0, "npi": [1821258211, 1396044574]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 60.77, "providers": [{"billed_charge": 249.0, "npi": [1831240142]}]}, {"allowed_amount": 69.61, "providers": [{"billed_charge": 249.0, "npi": [1831240142]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.77, "providers": [{"billed_charge": 323.0, "npi": [1326402371]}]}]}]}, {"name": "Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration", "billing_code_type": "CPT", "billing_code": "94060", "billing_code_type_version": "2022", "description": "BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN", "allowed_amounts": [{"tin": {"type": "ein", "value": "202823061"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 9.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1043272115]}]}, {"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1043272115]}]}]}, {"tin": {"type": "ein", "value": "262516349"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1831296607]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1760700348]}]}]}, {"tin": {"type": "ein", "value": "650196781"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1003874561]}]}, {"allowed_amount": 19.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1003874561]}]}]}, {"tin": {"type": "ein", "value": "650236433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.5, "npi": [1184629800]}]}]}, {"tin": {"type": "ein", "value": "650507012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1720131998]}]}]}, {"tin": {"type": "ein", "value": "651040252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1750438974]}]}, {"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1750438974]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1669596201]}]}, {"allowed_amount": 22.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1669596201]}]}]}]}, {"name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage", "billing_code_type": "CPT", "billing_code": "31624", "billing_code_type_version": "2022", "description": "BRNCHSC W/BRNCL ALVEOLAR LAVAGE", "allowed_amounts": [{"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.85, "providers": [{"billed_charge": 276.0, "npi": [1992969604]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 413.32, "providers": [{"billed_charge": 1256.65, "npi": [1346602927]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 227.25, "providers": [{"billed_charge": 505.0, "npi": [1881956944, 1679561609]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.45, "providers": [{"billed_charge": 1411.0, "npi": [1629335674, 1407302755]}]}, {"allowed_amount": 269.53, "providers": [{"billed_charge": 1478.0, "npi": [1619002888]}]}, {"allowed_amount": 625.93, "providers": [{"billed_charge": 1411.0, "npi": [1982841961]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 900.0, "providers": [{"billed_charge": 2000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.66, "providers": [{"billed_charge": 310.0, "npi": [1760773246]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.26, "providers": [{"billed_charge": 755.0, "npi": [1639565914]}]}]}, {"tin": {"type": "ein", "value": "650523388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1366883365]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.06, "providers": [{"billed_charge": 793.95, "npi": [1770679771]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 269.53, "providers": [{"billed_charge": 480.0, "npi": [1669596201]}]}]}, {"tin": {"type": "ein", "value": "813080216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.0, "providers": [{"billed_charge": 184.0, "npi": [1407815525]}]}]}, {"tin": {"type": "ein", "value": "850808438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1932548542]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.77, "providers": [{"billed_charge": 745.0, "npi": [1063807170]}]}, {"allowed_amount": 213.33, "providers": [{"billed_charge": 745.0, "npi": [1174886386]}]}, {"allowed_amount": 413.32, "providers": [{"billed_charge": 745.0, "npi": [1174886386, 1225520901, 1851753909]}]}]}]}, {"name": "C-reactive protein;", "billing_code_type": "CPT", "billing_code": "86140", "billing_code_type_version": "2022", "description": "C-REACTIVE PROTEIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "113412370"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.63, "providers": [{"billed_charge": 50.0, "npi": [1366543795]}]}]}, {"tin": {"type": "ein", "value": "237134386"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.97, "providers": [{"billed_charge": 60.0, "npi": [1508823741]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.16, "providers": [{"billed_charge": 92.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.12, "providers": [{"billed_charge": 104.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.0, "providers": [{"billed_charge": 96.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.95, "providers": [{"billed_charge": 133.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.25, "providers": [{"billed_charge": 53.25, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.79, "providers": [{"billed_charge": 186.19, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.0, "providers": [{"billed_charge": 142.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.17, "providers": [{"billed_charge": 141.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2.8, "providers": [{"billed_charge": 7.7, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.0, "providers": [{"billed_charge": 111.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.3, "providers": [{"billed_charge": 21.56, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "910511770"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 22.0, "npi": [1326145061]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 63.0, "npi": [1982606992]}]}]}]}, {"name": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code": "81223", "billing_code_type_version": "2022", "description": "CFTR GENE ANALYSIS FULL GENE SEQUENCE", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 425.29, "providers": [{"billed_charge": 269.46, "npi": [1518983642]}]}, {"allowed_amount": 497.66, "providers": [{"billed_charge": 269.46, "npi": [1518983642]}]}, {"allowed_amount": 499.0, "providers": [{"billed_charge": 499.0, "npi": [1518983642]}]}, {"allowed_amount": 507.42, "providers": [{"billed_charge": 269.46, "npi": [1518983642]}]}]}]}, {"name": "Calcium; total", "billing_code_type": "CPT", "billing_code": "82310", "billing_code_type_version": "2022", "description": "CALCIUM TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.33, "providers": [{"billed_charge": 54.06, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.16, "providers": [{"billed_charge": 115.93, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.16, "providers": [{"billed_charge": 20.0, "npi": [1457812273]}]}, {"allowed_amount": 9.03, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.36, "providers": [{"billed_charge": 62.0, "npi": [1982606992]}]}]}]}, {"name": "Carbon dioxide (bicarbonate)", "billing_code_type": "CPT", "billing_code": "82374", "billing_code_type_version": "2022", "description": "CARBON DIOXIDE BICARBONATE", "allowed_amounts": [{"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.88, "providers": [{"billed_charge": 109.81, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.91, "providers": [{"billed_charge": 59.0, "npi": [1982606992]}]}]}]}, {"name": "Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported as a rejection risk score", "billing_code_type": "CPT", "billing_code": "81595", "billing_code_type_version": "2022", "description": "CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES", "allowed_amounts": [{"tin": {"type": "ein", "value": "943316839"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3240.0, "providers": [{"billed_charge": 4300.0, "npi": [1689607384]}]}, {"allowed_amount": 4300.0, "providers": [{"billed_charge": 4300.0, "npi": [1689607384]}]}]}]}, {"name": "Cardiopulmonary resuscitation (eg, in cardiac arrest)", "billing_code_type": "CPT", "billing_code": "92950", "billing_code_type_version": "2022", "description": "CARDIOPULMONARY RESUSCITATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.25, "providers": [{"billed_charge": 484.65, "npi": [1184841835]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 490.0, "providers": [{"billed_charge": 490.0, "npi": [1396132569, 1619384187]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 500.19, "providers": [{"billed_charge": 547.65, "npi": [1710403381]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 250.1, "providers": [{"billed_charge": 1491.0, "npi": [1114504305]}]}, {"allowed_amount": 526.67, "providers": [{"billed_charge": 1491.0, "npi": [1083936413]}]}, {"allowed_amount": 551.63, "providers": [{"billed_charge": 1491.0, "npi": [1942267182]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 529.24, "providers": [{"billed_charge": 1846.0, "npi": [1154333987]}]}]}, {"tin": {"type": "ein", "value": "474196634"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.62, "providers": [{"billed_charge": 1265.0, "npi": [1942685920]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.86, "providers": [{"billed_charge": 1881.0, "npi": [1912971607]}]}, {"allowed_amount": 385.18, "providers": [{"billed_charge": 1970.0, "npi": [1558659524]}]}, {"allowed_amount": 551.63, "providers": [{"billed_charge": 1970.0, "npi": [1629335674]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 526.67, "providers": [{"billed_charge": 1116.54, "npi": [1104453455]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 526.67, "providers": [{"billed_charge": 975.0, "npi": [1205298460]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 784.7, "providers": [{"billed_charge": 2048.0, "npi": [1487690897]}]}, {"allowed_amount": 827.56, "providers": [{"billed_charge": 1983.0, "npi": [1073762043, 1538148127]}, {"billed_charge": 2097.0, "npi": [1801092465]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 784.7, "providers": [{"billed_charge": 1983.0, "npi": [1366684615, 1942350079]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 784.7, "providers": [{"billed_charge": 1983.0, "npi": [1336339852, 1811933062]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 529.24, "providers": [{"billed_charge": 1793.0, "npi": [1649375783]}]}]}, {"tin": {"type": "ein", "value": "752684562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 519.62, "providers": [{"billed_charge": 1493.0, "npi": [1336176064]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 757.51, "providers": [{"billed_charge": 1405.0, "npi": [1164443925]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 367.75, "providers": [{"billed_charge": 889.02, "npi": [1164833489, 1063549723]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 250.1, "providers": [{"billed_charge": 1031.0, "npi": [1477133114]}]}, {"allowed_amount": 526.67, "providers": [{"billed_charge": 1031.0, "npi": [1982282992]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 500.19, "providers": [{"billed_charge": 1407.0, "npi": [1083649602, 1003076183]}]}]}]}, {"name": "Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only", "billing_code_type": "CPT", "billing_code": "93018", "billing_code_type_version": "2022", "description": "CV STRS TST XERS&/RX CONT ECG I&R ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "208411663"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.61, "providers": [{"billed_charge": 30.0, "npi": [1902808298]}]}]}, {"tin": {"type": "ein", "value": "223316007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.68, "providers": [{"billed_charge": 60.0, "npi": [1598938391]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.05, "providers": [{"billed_charge": 49.0, "npi": [1033451877, 1639601958, 1538253711, 1548757040, 1619366259, 1952668725, 1598113367]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 19.18, "providers": [{"billed_charge": 35.0, "npi": [1881890457, 1124343231]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.41, "providers": [{"billed_charge": 41.0, "npi": [1083844278]}]}, {"allowed_amount": 16.95, "providers": [{"billed_charge": 41.0, "npi": [1710902416]}]}, {"allowed_amount": 19.61, "providers": [{"billed_charge": 41.0, "npi": [1083844278, 1487115382]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.78, "providers": [{"billed_charge": 35.0, "npi": [1033141692, 1629118740]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.18, "providers": [{"billed_charge": 70.0, "npi": [1750743183]}]}, {"allowed_amount": 21.24, "providers": [{"billed_charge": 70.0, "npi": [1750743183]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.24, "providers": [{"billed_charge": 31.0, "npi": [1346276631]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.18, "providers": [{"billed_charge": 87.0, "npi": [1679679781]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.61, "providers": [{"billed_charge": 28.0, "npi": [1801231311]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.61, "providers": [{"billed_charge": 132.0, "npi": [1326047432]}]}, {"allowed_amount": 32.78, "providers": [{"billed_charge": 132.0, "npi": [1639535784]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.61, "providers": [{"billed_charge": 28.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "592577628"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.61, "providers": [{"billed_charge": 27.0, "npi": [1992782577]}]}, {"allowed_amount": 22.28, "providers": [{"billed_charge": 27.0, "npi": [1992782577]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.18, "providers": [{"billed_charge": 50.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.18, "providers": [{"billed_charge": 30.0, "npi": [1043524176]}]}, {"allowed_amount": 23.98, "providers": [{"billed_charge": 30.0, "npi": [1548555956]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.61, "providers": [{"billed_charge": 132.0, "npi": [1891182879]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.95, "providers": [{"billed_charge": 98.0, "npi": [1841305851]}]}, {"allowed_amount": 19.61, "providers": [{"billed_charge": 98.0, "npi": [1841305851]}]}]}, {"tin": {"type": "ein", "value": "650672834"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1760687842]}]}]}, {"tin": {"type": "ein", "value": "901116753"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.24, "providers": [{"billed_charge": 43.0, "npi": [1316981467]}]}]}]}, {"name": "Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report", "billing_code_type": "CPT", "billing_code": "93016", "billing_code_type_version": "2022", "description": "CV STRS TST XERS&/RX CONT ECG SUPVJ ONLY W/O I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "208411663"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.47, "providers": [{"billed_charge": 45.0, "npi": [1902808298]}]}]}, {"tin": {"type": "ein", "value": "223316007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.31, "providers": [{"billed_charge": 88.0, "npi": [1598938391]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 32.85, "providers": [{"billed_charge": 73.0, "npi": [1033451877, 1639601958, 1538253711, 1548757040, 1619366259, 1952668725, 1598113367]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 28.88, "providers": [{"billed_charge": 50.0, "npi": [1881890457, 1124343231]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.16, "providers": [{"billed_charge": 62.0, "npi": [1083844278]}]}, {"allowed_amount": 25.47, "providers": [{"billed_charge": 62.0, "npi": [1710902416]}]}, {"allowed_amount": 29.47, "providers": [{"billed_charge": 62.0, "npi": [1083844278, 1487115382]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.88, "providers": [{"billed_charge": 52.0, "npi": [1629030325]}]}, {"allowed_amount": 32.8, "providers": [{"billed_charge": 52.0, "npi": [1033141692, 1629118740]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.88, "providers": [{"billed_charge": 75.0, "npi": [1750743183]}]}, {"allowed_amount": 31.98, "providers": [{"billed_charge": 75.0, "npi": [1750743183]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 31.98, "providers": [{"billed_charge": 47.0, "npi": [1346276631]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.88, "providers": [{"billed_charge": 67.0, "npi": [1679679781]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.95, "providers": [{"billed_charge": 42.0, "npi": [1801231311]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 29.47, "providers": [{"billed_charge": 198.0, "npi": [1326047432]}]}, {"allowed_amount": 49.26, "providers": [{"billed_charge": 198.0, "npi": [1639535784]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.47, "providers": [{"billed_charge": 42.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "592577628"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.47, "providers": [{"billed_charge": 41.0, "npi": [1992782577]}]}, {"allowed_amount": 33.47, "providers": [{"billed_charge": 41.0, "npi": [1992782577]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.88, "providers": [{"billed_charge": 50.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.88, "providers": [{"billed_charge": 45.0, "npi": [1043524176]}]}, {"allowed_amount": 36.1, "providers": [{"billed_charge": 45.0, "npi": [1548555956]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 29.47, "providers": [{"billed_charge": 198.0, "npi": [1891182879]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 25.47, "providers": [{"billed_charge": 147.0, "npi": [1841305851]}]}, {"allowed_amount": 29.47, "providers": [{"billed_charge": 147.0, "npi": [1841305851]}]}]}, {"tin": {"type": "ein", "value": "650672834"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1760687842]}]}]}, {"tin": {"type": "ein", "value": "901116753"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 24.58, "providers": [{"billed_charge": 63.0, "npi": [1316981467]}]}]}]}, {"name": "Carnitine (total and free), quantitative, each specimen", "billing_code_type": "CPT", "billing_code": "82379", "billing_code_type_version": "2022", "description": "CARNITINE QUANTITATIVE EACH SPECIMEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.87, "providers": [{"billed_charge": 16.87, "npi": [1518983642]}]}]}]}, {"name": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;", "billing_code_type": "CPT", "billing_code": "93454", "billing_code_type_version": "2022", "description": "CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I", "allowed_amounts": [{"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 456.75, "providers": [{"billed_charge": 1015.0, "npi": [1558337329, 1700235405, 1528350543]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 343.41, "providers": [{"billed_charge": 520.0, "npi": [1710062732, 1215132246]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 390.01, "providers": [{"billed_charge": 614.0, "npi": [1780640953]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6898.97, "providers": [{"billed_charge": 15331.04, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14828.4, "providers": [{"billed_charge": 19958.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 380.2, "providers": [{"billed_charge": 1619.0, "npi": [1669534897]}]}]}, {"tin": {"type": "ein", "value": "630889615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 345.89, "providers": [{"billed_charge": 983.0, "npi": [1922469147]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 360.29, "providers": [{"billed_charge": 580.0, "npi": [1427554856]}]}]}, {"tin": {"type": "ein", "value": "815124973"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 391.82, "providers": [{"billed_charge": 650.0, "npi": [1992016497]}]}, {"allowed_amount": 489.77, "providers": [{"billed_charge": 650.0, "npi": [1992016497]}]}, {"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1992016497]}]}]}]}, {"name": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed", "billing_code_type": "CPT", "billing_code": "93458", "billing_code_type_version": "2022", "description": "CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I", "allowed_amounts": [{"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 302.07, "providers": [{"billed_charge": 1800.0, "npi": [1285652016]}]}, {"allowed_amount": 483.31, "providers": [{"billed_charge": 1800.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "202396250"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 431.53, "providers": [{"billed_charge": 1500.0, "npi": [1720037690]}]}, {"allowed_amount": 483.31, "providers": [{"billed_charge": 1500.0, "npi": [1720037690]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 444.21, "providers": [{"billed_charge": 1184.0, "npi": [1215425319]}]}]}, {"tin": {"type": "ein", "value": "208411663"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 444.21, "providers": [{"billed_charge": 668.0, "npi": [1902808298]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 444.21, "providers": [{"billed_charge": 830.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.17, "providers": [{"billed_charge": 4924.05, "npi": [1467872481, 1740336908]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 557.1, "providers": [{"billed_charge": 1238.0, "npi": [1700235405, 1245460526, 1558337329, 1851753917, 1972761567]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.51, "providers": [{"billed_charge": 907.0, "npi": [1083844278]}]}, {"allowed_amount": 349.02, "providers": [{"billed_charge": 907.0, "npi": [1083844278]}]}, {"allowed_amount": 444.21, "providers": [{"billed_charge": 907.0, "npi": [1083844278]}]}, {"allowed_amount": 483.31, "providers": [{"billed_charge": 907.0, "npi": [1083844278]}]}]}, {"tin": {"type": "ein", "value": "270765771"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 604.14, "providers": [{"billed_charge": 781.0, "npi": [1588896120]}]}]}, {"tin": {"type": "ein", "value": "272182082"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 285.56, "providers": [{"billed_charge": 563.83, "npi": [1427491364]}]}]}, {"tin": {"type": "ein", "value": "332805466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 604.14, "providers": [{"billed_charge": 3301.0, "npi": [1073744520]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 423.3, "providers": [{"billed_charge": 756.0, "npi": [1669696407]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 264.57, "providers": [{"billed_charge": 693.0, "npi": [1982609467]}]}, {"allowed_amount": 529.13, "providers": [{"billed_charge": 693.0, "npi": [1982609467]}]}]}, {"tin": {"type": "ein", "value": "455367757"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 423.3, "providers": [{"billed_charge": 703.0, "npi": [1598106841]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 423.3, "providers": [{"billed_charge": 807.0, "npi": [1811903222]}]}]}, {"tin": {"type": "ein", "value": "464258971"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 349.02, "providers": [{"billed_charge": 500.0, "npi": [1194799387]}]}, {"allowed_amount": 444.21, "providers": [{"billed_charge": 500.0, "npi": [1194799387]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 285.56, "providers": [{"billed_charge": 635.0, "npi": [1679969851]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.76, "providers": [{"billed_charge": 1238.0, "npi": [1609215771]}]}, {"allowed_amount": 431.53, "providers": [{"billed_charge": 1238.0, "npi": [1609215771]}]}, {"allowed_amount": 483.31, "providers": [{"billed_charge": 1238.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11111.91, "providers": [{"billed_charge": 24693.13, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32452.86, "providers": [{"billed_charge": 23118.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 504.49, "providers": [{"billed_charge": 2464.0, "npi": [1487064283]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 423.3, "providers": [{"billed_charge": 1209.0, "npi": [1952510729]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 287.24, "providers": [{"billed_charge": 1740.0, "npi": [1659767820]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 174.51, "providers": [{"billed_charge": 1500.0, "npi": [1326011545]}]}, {"allowed_amount": 444.21, "providers": [{"billed_charge": 1500.0, "npi": [1326011545]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 423.3, "providers": [{"billed_charge": 500.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.38, "providers": [{"billed_charge": 1165.0, "npi": [1720423601]}]}, {"allowed_amount": 480.75, "providers": [{"billed_charge": 1165.0, "npi": [1629292875]}]}]}, {"tin": {"type": "ein", "value": "600099763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.76, "providers": [{"billed_charge": 1000.0, "npi": [1710990908]}]}, {"allowed_amount": 483.31, "providers": [{"billed_charge": 1000.0, "npi": [1710990908]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 294.77, "providers": [{"billed_charge": 1320.0, "npi": [1376572933]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 444.21, "providers": [{"billed_charge": 2464.0, "npi": [1386717114, 1598725954]}]}]}, {"tin": {"type": "ein", "value": "650454934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.78, "providers": [{"billed_charge": 650.0, "npi": [1306821350]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 742.46, "providers": [{"billed_charge": 1081.0, "npi": [1457598088]}]}]}, {"tin": {"type": "ein", "value": "812758498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.76, "providers": [{"billed_charge": 926.0, "npi": [1093815508]}]}]}, {"tin": {"type": "ein", "value": "920902509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.17, "providers": [{"billed_charge": 1576.21, "npi": [1255747507]}]}]}]}, {"name": "Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs", "billing_code_type": "CPT", "billing_code": "95939", "billing_code_type_version": "2022", "description": "CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI", "allowed_amounts": [{"tin": {"type": "ein", "value": "200837806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17850.01, "npi": [1679004006]}]}]}, {"tin": {"type": "ein", "value": "260406521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5330.0, "npi": [1275859183]}]}]}, {"tin": {"type": "ein", "value": "262188574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 132.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1780849281, 1851572937, 1417059346, 1093133076, 1780805077, 1427106012]}]}, {"allowed_amount": 138.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1851572937]}]}, {"allowed_amount": 150.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1851572937, 1518586569, 1508898669, 1689795510, 1053574681, 1780612671]}]}, {"allowed_amount": 154.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1780849281]}]}, {"allowed_amount": 165.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1093133076, 1124412085]}]}, {"allowed_amount": 179.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1851572937, 1518586569]}]}, {"allowed_amount": 247.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1508898669]}]}, {"allowed_amount": 333.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1760465942]}]}, {"allowed_amount": 1040.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1124315411]}]}]}, {"tin": {"type": "ein", "value": "264645356"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18600.0, "npi": [1700128287]}]}]}, {"tin": {"type": "ein", "value": "352587817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12500.0, "npi": [1437404563]}]}]}, {"tin": {"type": "ein", "value": "364916680"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 132.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12500.0, "npi": [1750373338]}]}, {"allowed_amount": 150.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12500.0, "npi": [1528005485, 1558424846, 1437404563, 1023022357, 1457511743]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1760402820]}]}]}, {"tin": {"type": "ein", "value": "651180239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 560.0, "npi": [1518976729]}]}]}, {"tin": {"type": "ein", "value": "810934442"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 132.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1518586569, 1417059346]}]}, {"allowed_amount": 138.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1518586569, 1417059346, 1124315411, 1780612671]}]}, {"allowed_amount": 145.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1295997740]}]}, {"allowed_amount": 150.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1780849281, 1285833186, 1578023180, 1508898669, 1124315411, 1760465942, 1780612671]}]}, {"allowed_amount": 154.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1780849281, 1518586569, 1508898669]}]}, {"allowed_amount": 179.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1780849281, 1518586569, 1851572937, 1124315411, 1093133076, 1700802584, 1780612671]}]}, {"allowed_amount": 180.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1790105658, 1508898669]}]}, {"allowed_amount": 247.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1508898669]}]}, {"allowed_amount": 250.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1508898669]}]}, {"allowed_amount": 590.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1760465942]}]}, {"allowed_amount": 970.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4586.0, "npi": [1518586569]}]}]}, {"tin": {"type": "ein", "value": "834381597"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 749.85, "providers": [{"billed_charge": 11250.0, "npi": [1346719689, 1548557796]}]}, {"allowed_amount": 899.82, "providers": [{"billed_charge": 11250.0, "npi": [1346719689]}]}]}, {"tin": {"type": "ein", "value": "834572520"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 150.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7325.0, "npi": [1649598285]}]}]}, {"tin": {"type": "ein", "value": "873299446"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 599.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 7325.0, "npi": [1386753317]}]}]}, {"tin": {"type": "ein", "value": "900793277"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 179.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17850.01, "npi": [1427205939]}]}]}]}, {"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": "061483728"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1423.4, "providers": [{"billed_charge": 4000.0, "npi": [1477656411]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3537.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3537.0, "npi": [1467622258, 1659641595, 1497024053, 1588723373]}]}, {"allowed_amount": 277.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3537.0, "npi": [1659641595]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2800.17, "npi": [1962086801]}]}, {"allowed_amount": 186.29, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2800.17, "npi": [1891051769]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 147.9, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11440.0, "npi": [1013994169]}]}, {"allowed_amount": 162.69, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11440.0, "npi": [1285840264]}]}, {"allowed_amount": 163.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11440.0, "npi": [1942728548, 1134963390]}]}, {"allowed_amount": 174.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11440.0, "npi": [1730600453]}]}, {"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11440.0, "npi": [1891095196, 1730600453]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.71, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 979.5, "npi": [1669446449, 1154640100]}]}, {"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 979.5, "npi": [1316432784, 1447883756, 1013341080]}]}, {"allowed_amount": 186.29, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 979.5, "npi": [1013341080, 1447883756, 1821741216]}]}, {"allowed_amount": 212.9, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 979.5, "npi": [1821741216, 1467096321, 1013341080]}]}, {"allowed_amount": 215.13, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 979.5, "npi": [1912102104, 1366847147, 1447883756, 1821741216]}]}, {"allowed_amount": 324.23, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 979.5, "npi": [1710074182]}]}, {"allowed_amount": 1104.46, "providers": [{"billed_charge": 1959.0, "npi": [1669446449, 1740240571, 1154640100, 1144304197]}]}, {"allowed_amount": 1152.48, "providers": [{"billed_charge": 2096.0, "npi": [1578983847]}]}, {"allowed_amount": 1192.79, "providers": [{"billed_charge": 2096.0, "npi": [1639439896, 1215106216]}]}, {"allowed_amount": 1344.56, "providers": [{"billed_charge": 1959.0, "npi": [1154640100, 1700879749, 1710074182, 1366847147, 1669446449, 1932276177, 1912102104]}]}, {"allowed_amount": 1959.0, "providers": [{"billed_charge": 1959.0, "npi": [1912102104]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1283.0, "npi": [1407369705]}]}, {"allowed_amount": 147.9, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1283.0, "npi": [1497554208, 1932938073, 1629696786, 1417111717]}]}, {"allowed_amount": 163.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1283.0, "npi": [1821704552, 1366254575]}]}, {"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1283.0, "npi": [1497554208, 1932938073, 1417111717]}]}]}, {"tin": {"type": "ein", "value": "520913438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1426.46, "providers": [{"billed_charge": 3816.0, "npi": [1184664278]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1774.25, "npi": [1710384235]}]}, {"allowed_amount": 215.13, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1774.25, "npi": [1174028518]}]}, {"allowed_amount": 1344.56, "providers": [{"billed_charge": 7097.0, "npi": [1558856674, 1942295563]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.68, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1519.0, "npi": [1629262126]}]}, {"allowed_amount": 176.71, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1519.0, "npi": [1629262126]}]}, {"allowed_amount": 184.4, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1519.0, "npi": [1962852251, 1083077507, 1386633774]}]}, {"allowed_amount": 215.13, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1519.0, "npi": [1083077507, 1578958443, 1629262126, 1649275249, 1700837044, 1396108635]}]}, {"allowed_amount": 623.0, "providers": [{"billed_charge": 2794.0, "npi": [1497722748]}]}, {"allowed_amount": 1152.48, "providers": [{"billed_charge": 7583.0, "npi": [1275809469]}]}, {"allowed_amount": 1344.56, "providers": [{"billed_charge": 7583.0, "npi": [1396108635, 1952313173]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.68, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1774.25, "npi": [1750816153]}]}, {"allowed_amount": 623.0, "providers": [{"billed_charge": 7097.0, "npi": [1700077021]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1192.79, "providers": [{"billed_charge": 2930.0, "npi": [1457463010]}]}, {"allowed_amount": 1518.09, "providers": [{"billed_charge": 2930.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["19", "21"], "payments": [{"allowed_amount": 137.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1093449530, 1164065454]}]}, {"allowed_amount": 160.01, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1518380104]}]}, {"allowed_amount": 166.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1477910560, 1467769505, 1801036454, 1487033031, 1316376395, 1184871436, 1306208145, 1306624184, 1194878298, 1609643931, 1265158364, 1073837183]}]}, {"allowed_amount": 177.62, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1932775723]}]}, {"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1164268728, 1780400523, 1215207956, 1164065454]}]}, {"allowed_amount": 206.46, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1477910560, 1467769505, 1033995428, 1801036454, 1487033031, 1316376395, 1306208145, 1215207956, 1306624184, 1194878298, 1609643931, 1568175933, 1033587134, 1073837183]}]}, {"allowed_amount": 221.21, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1306208145]}]}, {"allowed_amount": 310.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1128.0, "npi": [1114796331, 1215207956]}]}]}, {"tin": {"type": "ein", "value": "821544470"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 6800.0, "npi": [1174052229]}]}, {"allowed_amount": 182.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 6800.0, "npi": [1174052229]}]}]}, {"tin": {"type": "ein", "value": "823693221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.74, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2100.0, "npi": [1356498323]}]}, {"allowed_amount": 215.13, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2100.0, "npi": [1356498323]}]}, {"allowed_amount": 230.5, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2100.0, "npi": [1356498323]}]}]}]}, {"name": "Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code": "74300", "billing_code_type_version": "2022", "description": "CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1225069776, 1538196977, 1851569701]}]}, {"allowed_amount": 21.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "264190328"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.44, "npi": [1497771323]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1366893976, 1578913174]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1053585380]}]}, {"allowed_amount": 19.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1770646457, 1053585380, 1619497567, 1891996047]}]}, {"allowed_amount": 21.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1104288836, 1013063908, 1851826440, 1891996047, 1700315025, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 22.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1093120958]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1497131734]}]}]}, {"tin": {"type": "ein", "value": "621237566"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1033191986]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1780662700]}]}, {"allowed_amount": 31.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1205815289]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1831416544]}]}]}]}, {"name": "Chromosome analysis; analyze 20-25 cells", "billing_code_type": "CPT", "billing_code": "88264", "billing_code_type_version": "2022", "description": "CHRMSM ANALYZE 20-25 CELLS", "allowed_amounts": [{"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 118.58, "providers": [{"billed_charge": 318.0, "npi": [1851664916, 1003245317]}]}, {"allowed_amount": 120.03, "providers": [{"billed_charge": 318.0, "npi": [1396408829]}]}, {"allowed_amount": 144.61, "providers": [{"billed_charge": 318.0, "npi": [1396408829]}]}]}]}, {"name": "Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation", "billing_code_type": "CPT", "billing_code": "25605", "billing_code_type_version": "2022", "description": "CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ", "allowed_amounts": [{"tin": {"type": "ein", "value": "131624070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3151.35, "providers": [{"billed_charge": 4805.0, "npi": [1477616571]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3151.35, "providers": [{"billed_charge": 1569.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5548.43, "providers": [{"billed_charge": 2927.34, "npi": [1144247982]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 656.29, "providers": [{"billed_charge": 1007.0, "npi": [1255913034]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6129.04, "providers": [{"billed_charge": 4808.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6129.04, "providers": [{"billed_charge": 4128.18, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "650136946"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 947.24, "providers": [{"billed_charge": 3250.0, "npi": [1710993258]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1813.4, "providers": [{"billed_charge": 5617.0, "npi": [1457512642]}, {"billed_charge": 5684.0, "npi": [1194083881]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1813.4, "providers": [{"billed_charge": 5721.0, "npi": [1669576005]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1813.4, "providers": [{"billed_charge": 4117.0, "npi": [1417930678]}, {"billed_charge": 4885.0, "npi": [1619910973]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 695.9, "providers": [{"billed_charge": 2412.0, "npi": [1801875554]}]}]}, {"tin": {"type": "ein", "value": "812875670"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 618.89, "providers": [{"billed_charge": 2865.0, "npi": [1740329598]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2831.17, "providers": [{"billed_charge": 3355.0, "npi": [1386608859]}]}]}, {"tin": {"type": "ein", "value": "860593131"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1475.27, "providers": [{"billed_charge": 2882.0, "npi": [1669113429]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 653.6, "providers": [{"billed_charge": 3097.0, "npi": [1427686336]}]}, {"allowed_amount": 695.9, "providers": [{"billed_charge": 3097.0, "npi": [1891324745, 1881825461]}]}]}]}, {"name": "Closed treatment of shoulder dislocation, with manipulation; without anesthesia", "billing_code_type": "CPT", "billing_code": "23650", "billing_code_type_version": "2022", "description": "CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES", "allowed_amounts": [{"tin": {"type": "ein", "value": "112868878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 483.42, "providers": [{"billed_charge": 2061.34, "npi": [1407877137]}]}]}, {"tin": {"type": "ein", "value": "131974191"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 483.42, "providers": [{"billed_charge": 548.0, "npi": [1417027558]}]}]}, {"tin": {"type": "ein", "value": "131974191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1103.0, "providers": [{"billed_charge": 1103.0, "npi": [1205330016]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 539.0, "providers": [{"billed_charge": 539.0, "npi": [1073856241, 1881058170, 1104846773, 1790216695]}]}, {"allowed_amount": 903.36, "providers": [{"billed_charge": 999.0, "npi": [1407895402, 1508044686]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 721.13, "providers": [{"billed_charge": 2468.0, "npi": [1639810377]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 553.28, "providers": [{"billed_charge": 1912.0, "npi": [1700883717]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 431.56, "providers": [{"billed_charge": 970.0, "npi": [1205882545]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1380.19, "providers": [{"billed_charge": 2810.0, "npi": [1861717753]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.72, "providers": [{"billed_charge": 545.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.54, "providers": [{"billed_charge": 1788.28, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 968.9, "providers": [{"billed_charge": 3039.0, "npi": [1598363764]}]}, {"allowed_amount": 1067.07, "providers": [{"billed_charge": 2735.0, "npi": [1942797972]}, {"billed_charge": 3087.0, "npi": [1760743512, 1972130318, 1518946367]}, {"billed_charge": 3136.0, "npi": [1336725225]}]}, {"allowed_amount": 1139.88, "providers": [{"billed_charge": 2924.0, "npi": [1265883433, 1902866494]}, {"billed_charge": 2936.0, "npi": [1114509270]}, {"billed_charge": 3039.0, "npi": [1053690479]}, {"billed_charge": 3303.0, "npi": [1326579566]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1067.07, "providers": [{"billed_charge": 3193.0, "npi": [1457556714]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1067.07, "providers": [{"billed_charge": 2779.0, "npi": [1689014185, 1871750349]}, {"billed_charge": 2826.0, "npi": [1023645074, 1477589034, 1831413558]}, {"billed_charge": 2858.0, "npi": [1407282445]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 471.13, "providers": [{"billed_charge": 1397.0, "npi": [1306800446]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 471.13, "providers": [{"billed_charge": 2628.0, "npi": [1881210920]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 643.72, "providers": [{"billed_charge": 4227.0, "npi": [1801835418]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 903.36, "providers": [{"billed_charge": 1527.0, "npi": [1386385862]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 903.36, "providers": [{"billed_charge": 1527.0, "npi": [1730616996]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 471.13, "providers": [{"billed_charge": 1527.0, "npi": [1841876315]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 444.17, "providers": [{"billed_charge": 3089.0, "npi": [1417999285]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 471.13, "providers": [{"billed_charge": 1798.0, "npi": [1295319440, 1457092710]}]}, {"allowed_amount": 850.25, "providers": [{"billed_charge": 1798.0, "npi": [1659012052, 1306412671]}]}, {"allowed_amount": 903.36, "providers": [{"billed_charge": 1798.0, "npi": [1669608618, 1295485431]}]}, {"allowed_amount": 983.44, "providers": [{"billed_charge": 1798.0, "npi": [1730716747]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 850.25, "providers": [{"billed_charge": 2234.0, "npi": [1215982657, 1003076183]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1390.0, "providers": [{"billed_charge": 1390.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954558726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 517.69, "providers": [{"billed_charge": 1922.0, "npi": [1306188727]}]}]}]}, {"name": "Coagulation time; activated", "billing_code_type": "CPT", "billing_code": "85347", "billing_code_type_version": "2022", "description": "COAGULATION TIME ACTIVATED", "allowed_amounts": [{"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.81, "providers": [{"billed_charge": 30.0, "npi": [1881141570]}]}, {"allowed_amount": 4.28, "providers": [{"billed_charge": 30.0, "npi": [1700647815, 1558700807, 1528338316, 1255062030, 1568193936, 1881964690, 1699470997, 1487180824, 1932636578, 1215601828, 1912755380, 1184977977, 1225309503, 1962802496, 1598442303, 1669296588, 1891036109, 1639688658, 1376818898, 1427335637, 1588285928, 1518662121, 1538029418, 1720439276, 1891662193]}]}, {"allowed_amount": 4.37, "providers": [{"billed_charge": 30.0, "npi": [1649084328, 1962052654, 1255062030]}]}, {"allowed_amount": 4.71, "providers": [{"billed_charge": 30.0, "npi": [1073990081, 1932636578, 1033636097, 1417630278, 1558700807, 1003359464, 1538029418, 1932444619, 1720439276, 1881964690, 1427335637, 1164816351, 1114548765, 1225309503]}]}, {"allowed_amount": 7.23, "providers": [{"billed_charge": 30.0, "npi": [1043826886]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1215909536]}]}]}]}, {"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": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 23.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 598.08, "providers": [{"billed_charge": 47.82, "npi": [1316992134]}]}, {"allowed_amount": 1303.86, "providers": [{"billed_charge": 47.82, "npi": [1316992134]}]}, {"allowed_amount": 1643.65, "providers": [{"billed_charge": 47.82, "npi": [1215003348]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1033.08, "providers": [{"billed_charge": 52.0, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 30.0, "npi": [1669422341]}]}]}, {"tin": {"type": "ein", "value": "261408014"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 4.05, "providers": [{"billed_charge": 9.0, "npi": [1326079864]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 4.05, "providers": [{"billed_charge": 9.0, "npi": [1932159043]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 24.43, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "271789847"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.52, "providers": [{"billed_charge": 35.0, "npi": [1891891792]}]}]}, {"tin": {"type": "ein", "value": "272763125"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1330.76, "providers": [{"billed_charge": 13.0, "npi": [1750788238]}]}]}, {"tin": {"type": "ein", "value": "332056666"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 18.68, "providers": [{"billed_charge": 25.0, "npi": [1396239323]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 4.05, "providers": [{"billed_charge": 9.0, "npi": [1699325852]}]}]}, {"tin": {"type": "ein", "value": "452743520"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 411.57, "providers": [{"billed_charge": 38.53, "npi": [1164707725]}]}, {"allowed_amount": 643.35, "providers": [{"billed_charge": 38.53, "npi": [1164707725]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 20.0, "npi": [1255203873, 1386460756, 1306686381]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 36.36, "npi": [1194518241, 1588533509, 1538051990]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 17.66, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.61, "providers": [{"billed_charge": 30.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "520795508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 820.42, "providers": [{"billed_charge": 32.0, "npi": [1649270257]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.7, "providers": [{"billed_charge": 63.78, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 697.57, "providers": [{"billed_charge": 88.0, "npi": [1245520386]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 519.57, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 620.62, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 1082.99, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 1241.24, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 1391.5, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 1401.96, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 1675.15, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}, {"allowed_amount": 1717.42, "providers": [{"billed_charge": 25.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1082.99, "providers": [{"billed_charge": 27.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1244.44, "providers": [{"billed_charge": 19.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 758.8, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 782.23, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 917.05, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 948.92, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 1139.04, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 1148.0, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 1192.41, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}, {"allowed_amount": 1192.71, "providers": [{"billed_charge": 29.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 802.16, "providers": [{"billed_charge": 32.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 45.0, "npi": [1396992475]}]}, {"allowed_amount": 686.53, "providers": [{"billed_charge": 45.0, "npi": [1396992475]}]}, {"allowed_amount": 838.88, "providers": [{"billed_charge": 45.0, "npi": [1396992475]}]}, {"allowed_amount": 867.66, "providers": [{"billed_charge": 45.0, "npi": [1396992475]}]}, {"allowed_amount": 886.2, "providers": [{"billed_charge": 45.0, "npi": [1396992475]}]}, {"allowed_amount": 1105.33, "providers": [{"billed_charge": 45.0, "npi": [1396992475]}]}, {"allowed_amount": 2038.9, "providers": [{"billed_charge": 45.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 5.06, "providers": [{"billed_charge": 18.68, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 948.92, "providers": [{"billed_charge": 51.0, "npi": [1437177664]}]}, {"allowed_amount": 1161.21, "providers": [{"billed_charge": 51.0, "npi": [1437177664]}]}, {"allowed_amount": 1277.36, "providers": [{"billed_charge": 51.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.61, "providers": [{"billed_charge": 29.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.94, "providers": [{"billed_charge": 42.0, "npi": [1053360685, 1225328206]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1275627622]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 948.92, "providers": [{"billed_charge": 29.4, "npi": [1285662239]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 884.47, "providers": [{"billed_charge": 18.0, "npi": [1053424648]}]}, {"allowed_amount": 1136.88, "providers": [{"billed_charge": 18.0, "npi": [1053424648]}]}, {"allowed_amount": 1492.81, "providers": [{"billed_charge": 18.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2374.17, "providers": [{"billed_charge": 9.0, "npi": [1043293608]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 620.62, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 758.8, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1082.99, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1241.24, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1401.96, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1463.23, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1485.4, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1490.84, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1516.9, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1592.08, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1643.65, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1680.96, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1717.42, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1835.87, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1967.02, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}, {"allowed_amount": 1970.61, "providers": [{"billed_charge": 20.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 93.75, "npi": [1023759875, 1508115825, 1225176209, 1285359414, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1407731177, 1225899826, 1811798275]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 20.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "833011825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.86, "providers": [{"billed_charge": 31.0, "npi": [1669713442]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.76, "providers": [{"billed_charge": 11.76, "npi": [1366828089, 1508489972, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1386324051]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 584.47, "providers": [{"billed_charge": 13.0, "npi": [1629053509]}]}, {"allowed_amount": 1184.84, "providers": [{"billed_charge": 13.0, "npi": [1629053509]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 25.0, "npi": [1205061744]}, {"billed_charge": 80.0, "npi": [1205061744, 1992043715, 1154054260]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 17.0, "npi": [1114696176, 1922436922, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 65.0, "npi": [1093670945, 1568031219, 1740036516]}]}, {"allowed_amount": 21.59, "providers": [{"billed_charge": 65.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.35, "providers": [{"billed_charge": 100.0, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 154.5, "npi": [1154385946]}]}]}, {"tin": {"type": "ein", "value": "930579541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 604.94, "providers": [{"billed_charge": 28.96, "npi": [1730223967]}]}]}, {"tin": {"type": "ein", "value": "930635514"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 7.47, "providers": [{"billed_charge": 12.0, "npi": [1174509210]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.88, "providers": [{"billed_charge": 71.0, "npi": [1073811378]}]}]}, {"tin": {"type": "ein", "value": "995002378"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1628.04, "providers": [{"billed_charge": 39.24, "npi": [1881412740]}]}]}, {"tin": {"type": "ein", "value": "995020733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.14, "providers": [{"billed_charge": 39.24, "npi": [1720019995]}]}, {"allowed_amount": 1082.99, "providers": [{"billed_charge": 39.24, "npi": [1194552141]}]}]}, {"tin": {"type": "ein", "value": "995038459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1835.61, "providers": [{"billed_charge": 39.24, "npi": [1104653153]}]}]}]}, {"name": "Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)", "billing_code_type": "CPT", "billing_code": "G0471", "billing_code_type_version": "2022", "description": "Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)", "allowed_amounts": [{"tin": {"type": "ein", "value": "113412370"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 7.94, "providers": [{"billed_charge": 12.5, "npi": [1366543795]}]}]}, {"tin": {"type": "ein", "value": "161660256"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 15.31, "providers": [{"billed_charge": 21.14, "npi": [1033281324]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["32", "31"], "payments": [{"allowed_amount": 7.94, "providers": [{"billed_charge": 10.57, "npi": [1831228709]}]}, {"allowed_amount": 10.57, "providers": [{"billed_charge": 10.57, "npi": [1639197395, 1710358932, 1831228709]}]}]}]}, {"name": "Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code": "45378", "billing_code_type_version": "2022", "description": "COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD", "allowed_amounts": [{"tin": {"type": "ein", "value": "133006635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.73, "providers": [{"billed_charge": 6000.0, "npi": [1336178581]}]}]}, {"tin": {"type": "ein", "value": "204949875"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.44, "providers": [{"billed_charge": 1850.0, "npi": [1508840430]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.01, "providers": [{"billed_charge": 1070.07, "npi": [1912091794]}]}, {"allowed_amount": 213.34, "providers": [{"billed_charge": 1070.07, "npi": [1114075785]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 359.1, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 798.0, "npi": [1518200401, 1801392295, 1205255783]}]}]}, {"tin": {"type": "ein", "value": "592751388"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 271.79, "providers": [{"billed_charge": 1400.0, "npi": [1922335900]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.97, "providers": [{"billed_charge": 1434.0, "npi": [1124221882]}]}, {"allowed_amount": 549.53, "providers": [{"billed_charge": 1434.0, "npi": [1003818188]}]}]}, {"tin": {"type": "ein", "value": "650085794"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 48.65, "billing_code_modifier": ["53"], "providers": [{"billed_charge": 550.0, "npi": [1407882483]}]}, {"allowed_amount": 549.53, "providers": [{"billed_charge": 550.0, "npi": [1407882483]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.84, "billing_code_modifier": ["53"], "providers": [{"billed_charge": 709.0, "npi": [1003268715]}]}, {"allowed_amount": 573.47, "providers": [{"billed_charge": 854.0, "npi": [1003268715]}]}]}, {"tin": {"type": "ein", "value": "650710550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.44, "providers": [{"billed_charge": 737.0, "npi": [1205815529]}]}, {"allowed_amount": 286.73, "providers": [{"billed_charge": 737.0, "npi": [1205815529]}]}]}, {"tin": {"type": "ein", "value": "934292769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 187.44, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 854.0, "npi": [1598514291]}]}, {"allowed_amount": 587.06, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 854.0, "npi": [1598514291]}]}]}]}, {"name": "Colonoscopy, flexible; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code": "45380", "billing_code_type_version": "2022", "description": "COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949875"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.75, "providers": [{"billed_charge": 1500.0, "npi": [1508840430]}]}]}, {"tin": {"type": "ein", "value": "263871268"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.33, "providers": [{"billed_charge": 365.3, "npi": [1629182365]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.67, "providers": [{"billed_charge": 1490.4, "npi": [1841252657]}]}, {"allowed_amount": 347.1, "providers": [{"billed_charge": 1490.4, "npi": [1841252657]}]}, {"allowed_amount": 694.2, "providers": [{"billed_charge": 1490.4, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "270709861"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 660.28, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 944.0, "npi": [1336162916, 1649273871]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 229.48, "providers": [{"billed_charge": 1361.2, "npi": [1114075785]}]}, {"allowed_amount": 256.03, "providers": [{"billed_charge": 1361.2, "npi": [1114075785, 1912091794]}]}, {"allowed_amount": 347.1, "providers": [{"billed_charge": 1361.2, "npi": [1912091794]}]}, {"allowed_amount": 694.2, "providers": [{"billed_charge": 1361.2, "npi": [1114075785]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 427.05, "providers": [{"billed_charge": 949.0, "npi": [1801392295]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.02, "providers": [{"billed_charge": 456.0, "npi": [1942244934]}]}]}, {"tin": {"type": "ein", "value": "562319289"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 402.2, "providers": [{"billed_charge": 525.0, "npi": [1831156066]}]}]}, {"tin": {"type": "ein", "value": "591943602"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.11, "providers": [{"billed_charge": 1500.0, "npi": [1780779355]}]}]}, {"tin": {"type": "ein", "value": "592676843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 536.0, "providers": [{"billed_charge": 536.0, "npi": [1639572134]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.64, "providers": [{"billed_charge": 457.0, "npi": [1699125559]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 263.02, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 1291.0, "npi": [1174818058]}]}, {"allowed_amount": 660.28, "providers": [{"billed_charge": 1291.0, "npi": [1174818058]}]}, {"allowed_amount": 707.45, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 1291.0, "npi": [1174818058]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 694.2, "providers": [{"billed_charge": 1566.0, "npi": [1912937913]}]}]}, {"tin": {"type": "ein", "value": "650085794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 694.2, "providers": [{"billed_charge": 700.0, "npi": [1407882483]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 217.19, "providers": [{"billed_charge": 918.0, "npi": [1003268715]}]}]}, {"tin": {"type": "ein", "value": "650450662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 694.2, "providers": [{"billed_charge": 700.0, "npi": [1346363967]}]}]}, {"tin": {"type": "ein", "value": "650710550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 217.19, "providers": [{"billed_charge": 937.0, "npi": [1205815529]}]}]}, {"tin": {"type": "ein", "value": "811894645"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 402.2, "providers": [{"billed_charge": 1090.0, "npi": [1215994447]}]}]}, {"tin": {"type": "ein", "value": "934292769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.27, "providers": [{"billed_charge": 918.0, "npi": [1598514291]}, {"billed_charge": 1563.0, "npi": [1598514291]}]}, {"allowed_amount": 539.14, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 1563.0, "npi": [1598514291]}]}, {"allowed_amount": 593.14, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 1563.0, "npi": [1598514291]}]}, {"allowed_amount": 755.26, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 918.0, "npi": [1598514291]}]}, {"allowed_amount": 1405.94, "providers": [{"billed_charge": 1563.0, "npi": [1598514291]}]}]}]}, {"name": "Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen", "billing_code_type": "CPT", "billing_code": "82542", "billing_code_type_version": "2022", "description": "COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC", "allowed_amounts": [{"tin": {"type": "ein", "value": "330685754"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 39.03, "providers": [{"billed_charge": 209.4, "npi": [1073642641]}]}]}, {"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.09, "providers": [{"billed_charge": 24.09, "npi": [1518983642]}]}]}]}, {"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": "061760818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.49, "providers": [{"billed_charge": 952.56, "npi": [1376876664]}]}]}, {"tin": {"type": "ein", "value": "113387538"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 307.17, "providers": [{"billed_charge": 26.4, "npi": [1336361575]}]}]}, {"tin": {"type": "ein", "value": "113412370"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.39, "providers": [{"billed_charge": 75.0, "npi": [1366543795]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.93, "providers": [{"billed_charge": 325.51, "npi": [1801992631]}]}, {"allowed_amount": 329.28, "providers": [{"billed_charge": 940.8, "npi": [1427616002]}]}]}, {"tin": {"type": "ein", "value": "161660256"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.56, "providers": [{"billed_charge": 21.12, "npi": [1033281324]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1477608628]}]}, {"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.75, "providers": [{"billed_charge": 632.75, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1659337251]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.83, "providers": [{"billed_charge": 354.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "223620531"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.39, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 26.4, "npi": [1376587113]}]}]}, {"tin": {"type": "ein", "value": "232786651"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.68, "providers": [{"billed_charge": 28.0, "npi": [1922072636]}]}]}, {"tin": {"type": "ein", "value": "237134386"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.87, "providers": [{"billed_charge": 121.0, "npi": [1508823741]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1043.2, "providers": [{"billed_charge": 116.0, "npi": [1730494816]}]}, {"allowed_amount": 1312.74, "providers": [{"billed_charge": 116.0, "npi": [1730494816]}]}, {"allowed_amount": 1636.47, "providers": [{"billed_charge": 116.0, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "272207464"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.39, "providers": [{"billed_charge": 15.0, "npi": [1194099762]}]}]}, {"tin": {"type": "ein", "value": "320443777"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.15, "providers": [{"billed_charge": 48.15, "npi": [1174660120]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 793.19, "providers": [{"billed_charge": 2266.25, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.27, "providers": [{"billed_charge": 210.84, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.86, "providers": [{"billed_charge": 208.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "383322109"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.0, "providers": [{"billed_charge": 48.0, "npi": [1124099858]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 187.53, "providers": [{"billed_charge": 236.3, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "390816857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 124.0, "npi": [1427007384]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.0, "providers": [{"billed_charge": 290.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.0, "providers": [{"billed_charge": 351.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 283.19, "providers": [{"billed_charge": 436.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.85, "providers": [{"billed_charge": 151.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.57, "providers": [{"billed_charge": 228.0, "npi": [1114923406]}]}, {"allowed_amount": 86.18, "providers": [{"billed_charge": 228.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.56, "providers": [{"billed_charge": 43.0, "npi": [1588533509]}]}, {"allowed_amount": 17.21, "providers": [{"billed_charge": 43.0, "npi": [1588533509]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.0, "providers": [{"billed_charge": 200.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.0, "providers": [{"billed_charge": 229.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.56, "providers": [{"billed_charge": 21.12, "npi": [1326017468]}, {"billed_charge": 40.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "464163620"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 30.0, "npi": [1265854855]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.56, "providers": [{"billed_charge": 22.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.93, "providers": [{"billed_charge": 182.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "474196634"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.09, "providers": [{"billed_charge": 300.0, "npi": [1942685920]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.79, "providers": [{"billed_charge": 51.79, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.7, "providers": [{"billed_charge": 43.7, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.39, "providers": [{"billed_charge": 55.39, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.25, "providers": [{"billed_charge": 53.25, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.08, "providers": [{"billed_charge": 40.08, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.32, "providers": [{"billed_charge": 31.32, "npi": [1245655638]}]}, {"allowed_amount": 44.05, "providers": [{"billed_charge": 44.05, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.8, "providers": [{"billed_charge": 40.8, "npi": [1720099286]}]}, {"allowed_amount": 46.05, "providers": [{"billed_charge": 46.05, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.4, "providers": [{"billed_charge": 31.4, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "560611546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.92, "providers": [{"billed_charge": 489.0, "npi": [1093712655]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.75, "providers": [{"billed_charge": 218.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 288.91, "providers": [{"billed_charge": 482.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.4, "providers": [{"billed_charge": 644.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.29, "providers": [{"billed_charge": 166.54, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.25, "providers": [{"billed_charge": 369.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "586002830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1306890942]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 923.92, "providers": [{"billed_charge": 116.0, "npi": [1295702728]}]}, {"allowed_amount": 945.42, "providers": [{"billed_charge": 116.0, "npi": [1386940823]}]}, {"allowed_amount": 1027.66, "providers": [{"billed_charge": 116.0, "npi": [1295702728]}]}, {"allowed_amount": 1059.27, "providers": [{"billed_charge": 116.0, "npi": [1295702728]}]}, {"allowed_amount": 1346.77, "providers": [{"billed_charge": 116.0, "npi": [1295702728]}]}, {"allowed_amount": 1359.26, "providers": [{"billed_charge": 116.0, "npi": [1386940823]}]}, {"allowed_amount": 1657.24, "providers": [{"billed_charge": 116.0, "npi": [1295702728]}]}, {"allowed_amount": 1787.87, "providers": [{"billed_charge": 116.0, "npi": [1295702728]}]}, {"allowed_amount": 2626.38, "providers": [{"billed_charge": 116.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 432.69, "providers": [{"billed_charge": 961.53, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.0, "providers": [{"billed_charge": 514.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 482.88, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 741.02, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 744.97, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 809.64, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 914.78, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 948.92, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 999.32, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 1094.52, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 1124.89, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 1161.21, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 1162.11, "providers": [{"billed_charge": 240.0, "npi": [1972664530]}]}, {"allowed_amount": 1265.5, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 1361.33, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}, {"allowed_amount": 1418.45, "providers": [{"billed_charge": 240.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1022.44, "providers": [{"billed_charge": 544.0, "npi": [1891782470]}]}, {"allowed_amount": 1191.41, "providers": [{"billed_charge": 544.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1795.96, "providers": [{"billed_charge": 601.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590855412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1472.84, "providers": [{"billed_charge": 601.0, "npi": [1336125640]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.01, "providers": [{"billed_charge": 174.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1598.69, "providers": [{"billed_charge": 3806.41, "npi": [1841237930]}]}, {"allowed_amount": 1598.71, "providers": [{"billed_charge": 3806.46, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 30.43, "providers": [{"billed_charge": 30.43, "npi": [1477757359]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 304.03, "providers": [{"billed_charge": 454.0, "npi": [1649340415]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.83, "providers": [{"billed_charge": 354.0, "npi": [1184709057]}]}, {"allowed_amount": 3161.57, "providers": [{"billed_charge": 354.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 5.72, "providers": [{"billed_charge": 21.12, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.8, "providers": [{"billed_charge": 601.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 745.89, "providers": [{"billed_charge": 116.0, "npi": [1184691610]}]}, {"allowed_amount": 1012.2, "providers": [{"billed_charge": 116.0, "npi": [1184691610]}]}, {"allowed_amount": 1102.36, "providers": [{"billed_charge": 116.0, "npi": [1184691610]}]}, {"allowed_amount": 1489.64, "providers": [{"billed_charge": 116.0, "npi": [1184691610]}]}, {"allowed_amount": 1722.59, "providers": [{"billed_charge": 116.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.83, "providers": [{"billed_charge": 354.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.71, "providers": [{"billed_charge": 167.89, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 359.45, "providers": [{"billed_charge": 1027.0, "npi": [1871547703]}]}, {"allowed_amount": 523.76, "providers": [{"billed_charge": 1496.47, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.67, "providers": [{"billed_charge": 1344.77, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.44, "providers": [{"billed_charge": 40.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.75, "providers": [{"billed_charge": 405.01, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.76, "providers": [{"billed_charge": 86.25, "npi": [1487657573]}]}, {"allowed_amount": 10.56, "providers": [{"billed_charge": 86.25, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 272.65, "providers": [{"billed_charge": 779.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 826.35, "providers": [{"billed_charge": 2361.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 553.0, "providers": [{"billed_charge": 1580.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.2, "providers": [{"billed_charge": 692.0, "npi": [1366496937]}]}, {"allowed_amount": 788.9, "providers": [{"billed_charge": 2254.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 484.96, "providers": [{"billed_charge": 1385.59, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.46, "providers": [{"billed_charge": 52.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 48.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1265489090, 1689614620]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1390.8, "providers": [{"billed_charge": 326.55, "npi": [1619922077]}]}, {"allowed_amount": 1907.94, "providers": [{"billed_charge": 326.55, "npi": [1619922077]}]}, {"allowed_amount": 2082.69, "providers": [{"billed_charge": 326.55, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.39, "providers": [{"billed_charge": 10.56, "npi": [1831228709]}]}, {"allowed_amount": 10.56, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 10.56, "npi": [1710358932, 1831228709]}]}]}, {"tin": {"type": "ein", "value": "730725208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.54, "providers": [{"billed_charge": 270.0, "npi": [1144205360]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 769.65, "providers": [{"billed_charge": 2199.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 998.97, "providers": [{"billed_charge": 2854.2, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.7, "providers": [{"billed_charge": 722.0, "npi": [1114576857, 1457306359]}]}]}, {"tin": {"type": "ein", "value": "760594559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 998.55, "providers": [{"billed_charge": 998.55, "npi": [1417957473]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.55, "providers": [{"billed_charge": 30.0, "npi": [1700074143]}]}, {"allowed_amount": 17.11, "providers": [{"billed_charge": 30.0, "npi": [1083931489, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 334.0, "providers": [{"billed_charge": 334.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.83, "providers": [{"billed_charge": 354.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.64, "providers": [{"billed_charge": 439.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.81, "providers": [{"billed_charge": 313.75, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.66, "providers": [{"billed_charge": 433.32, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 400.26, "providers": [{"billed_charge": 400.26, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.85, "providers": [{"billed_charge": 271.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.0, "providers": [{"billed_charge": 137.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.1, "providers": [{"billed_charge": 387.98, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.0, "providers": [{"billed_charge": 253.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.87, "providers": [{"billed_charge": 1128.21, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 260.94, "providers": [{"billed_charge": 386.0, "npi": [1376175687]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.35, "providers": [{"billed_charge": 199.35, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 641.48, "providers": [{"billed_charge": 406.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.6, "providers": [{"billed_charge": 50.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.05, "providers": [{"billed_charge": 203.49, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.76, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 74.25, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.76, "providers": [{"billed_charge": 31.68, "npi": [1609596907]}, {"billed_charge": 59.88, "npi": [1609596907]}]}, {"allowed_amount": 10.56, "providers": [{"billed_charge": 31.68, "npi": [1609596907]}, {"billed_charge": 59.88, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 441.0, "providers": [{"billed_charge": 441.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "910511770"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.11, "providers": [{"billed_charge": 38.0, "npi": [1326145061]}]}]}, {"tin": {"type": "ein", "value": "921715117"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.79, "providers": [{"billed_charge": 301.0, "npi": [1285340877]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.11, "providers": [{"billed_charge": 127.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 469.0, "providers": [{"billed_charge": 469.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 574.94, "providers": [{"billed_charge": 574.94, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1010.0, "providers": [{"billed_charge": 1010.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 766.0, "providers": [{"billed_charge": 766.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 340.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 340.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "providers": [{"billed_charge": 592.32, "npi": [1811099674]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.0, "providers": [{"billed_charge": 118.0, "npi": [1427806025]}]}, {"allowed_amount": 339.71, "providers": [{"billed_charge": 118.0, "npi": [1427806025]}]}, {"allowed_amount": 1140.5, "providers": [{"billed_charge": 118.0, "npi": [1427806025]}]}, {"allowed_amount": 1944.99, "providers": [{"billed_charge": 118.0, "npi": [1366281750]}]}]}]}, {"name": "Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed with concurrent CT or CT angiography of the same anatomy (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "70472", "billing_code_type_version": "2022", "description": "CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 685.0, "npi": [1851569701]}]}, {"allowed_amount": 53.1, "providers": [{"billed_charge": 685.0, "npi": [1225069776, 1538196977, 1801899042]}]}, {"allowed_amount": 57.03, "providers": [{"billed_charge": 685.0, "npi": [1225069776, 1598913980]}]}, {"allowed_amount": 68.83, "providers": [{"billed_charge": 685.0, "npi": [1851569701]}]}, {"allowed_amount": 87.1, "providers": [{"billed_charge": 685.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.02, "providers": [{"billed_charge": 186.0, "npi": [1013405547]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 101.25, "providers": [{"billed_charge": 225.0, "npi": [1174086466, 1487821542, 1306166442, 1043474190, 1306330899]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.75, "providers": [{"billed_charge": 147.0, "npi": [1760694285]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 49.75, "providers": [{"billed_charge": 99.0, "npi": [1770646457, 1215024971, 1891996047]}]}, {"allowed_amount": 53.1, "providers": [{"billed_charge": 99.0, "npi": [1013063908]}]}, {"allowed_amount": 53.43, "providers": [{"billed_charge": 99.0, "npi": [1770646457, 1215024971, 1619497567, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2322.45, "providers": [{"billed_charge": 5161.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.71, "providers": [{"billed_charge": 450.0, "npi": [1497131734]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.12, "providers": [{"billed_charge": 695.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 51.12, "providers": [{"billed_charge": 151.0, "npi": [1497929954]}]}, {"allowed_amount": 87.1, "providers": [{"billed_charge": 151.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.07, "providers": [{"billed_charge": 111.0, "npi": [1548477060]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.12, "providers": [{"billed_charge": 265.0, "npi": [1205815289, 1649764531, 1235578980, 1962834671]}]}, {"allowed_amount": 87.1, "providers": [{"billed_charge": 265.0, "npi": [1124293568, 1477754349, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.81, "providers": [{"billed_charge": 119.0, "npi": [1992096614]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.71, "providers": [{"billed_charge": 110.0, "npi": [1174797286]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.4, "providers": [{"billed_charge": 150.0, "npi": [1275704371]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.03, "providers": [{"billed_charge": 221.0, "npi": [1770739260]}]}, {"allowed_amount": 90.46, "providers": [{"billed_charge": 221.0, "npi": [1396940342]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.31, "providers": [{"billed_charge": 4153.7, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "010510040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.11, "providers": [{"billed_charge": 473.0, "npi": [1235499948]}]}]}, {"tin": {"type": "ein", "value": "042103881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 886.39, "providers": [{"billed_charge": 1385.0, "npi": [1548202641]}]}]}, {"tin": {"type": "ein", "value": "050258954"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 831.57, "providers": [{"billed_charge": 4070.0, "npi": [1588659528]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 886.65, "providers": [{"billed_charge": 2409.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060775886"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.67, "providers": [{"billed_charge": 431.0, "npi": [1285912485]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.25, "providers": [{"billed_charge": 1069.29, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.95, "providers": [{"billed_charge": 2163.0, "npi": [1396813036]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 1100.0, "npi": [1285619858, 1518128495]}]}, {"allowed_amount": 282.14, "providers": [{"billed_charge": 1100.0, "npi": [1518128495]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 36.86, "providers": [{"billed_charge": 1650.0, "npi": [1538196977]}]}, {"allowed_amount": 148.43, "providers": [{"billed_charge": 1650.0, "npi": [1851569701]}]}, {"allowed_amount": 171.61, "providers": [{"billed_charge": 1650.0, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977]}]}, {"allowed_amount": 184.32, "providers": [{"billed_charge": 1650.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 222.46, "providers": [{"billed_charge": 1650.0, "npi": [1851569701]}]}, {"allowed_amount": 282.14, "providers": [{"billed_charge": 1650.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 418.0, "npi": [1528098555, 1477991156]}]}, {"allowed_amount": 179.18, "providers": [{"billed_charge": 418.0, "npi": [1376746438]}]}, {"allowed_amount": 375.07, "providers": [{"billed_charge": 418.0, "npi": [1568824738, 1770532012, 1376746438]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 204.14, "providers": [{"billed_charge": 348.0, "npi": [1306466412]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 770.0, "npi": [1376867150]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.52, "providers": [{"billed_charge": 347.0, "npi": [1487189825]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 224.49, "providers": [{"billed_charge": 613.0, "npi": [1578756524]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.38, "providers": [{"billed_charge": 4901.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "274495916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.0, "providers": [{"billed_charge": 164.0, "npi": [1942731039]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 10875.7, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 224.49, "providers": [{"billed_charge": 430.0, "npi": [1922088392, 1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 613.0, "npi": [1093748840, 1053383786, 1265457485, 1225089428, 1386694040]}]}, {"allowed_amount": 224.49, "providers": [{"billed_charge": 613.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 1100.0, "npi": [1104267525]}]}, {"allowed_amount": 224.49, "providers": [{"billed_charge": 1100.0, "npi": [1255651642, 1720518061]}]}, {"allowed_amount": 282.14, "providers": [{"billed_charge": 1100.0, "npi": [1720518061]}]}, {"allowed_amount": 292.7, "providers": [{"billed_charge": 1100.0, "npi": [1811951114, 1255651642, 1295900611, 1699739821]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 2000.0, "npi": [1205937547]}]}]}, {"tin": {"type": "ein", "value": "430954380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.53, "providers": [{"billed_charge": 342.0, "npi": [1902812613]}]}]}, {"tin": {"type": "ein", "value": "431664107"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.88, "providers": [{"billed_charge": 235.0, "npi": [1003038746]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.72, "providers": [{"billed_charge": 378.0, "npi": [1942206990]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3529.8, "providers": [{"billed_charge": 4500.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.95, "providers": [{"billed_charge": 601.0, "npi": [1013405547]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 216.45, "providers": [{"billed_charge": 481.0, "npi": [1588616338]}]}, {"allowed_amount": 292.5, "providers": [{"billed_charge": 650.0, "npi": [1174086466, 1932190436, 1578539557, 1346211877, 1487821542, 1306166442, 1093703787, 1144209420, 1174790638, 1164595823, 1588661904, 1043474190, 1588616338, 1306330899, 1275598708, 1427031095, 1770560542]}]}]}, {"tin": {"type": "ein", "value": "460552280"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.89, "providers": [{"billed_charge": 286.0, "npi": [1114245990]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 478.0, "npi": [1760694285, 1821148743]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 318.0, "npi": [1851826440, 1215024971]}]}, {"allowed_amount": 165.6, "providers": [{"billed_charge": 318.0, "npi": [1851826440]}]}, {"allowed_amount": 171.61, "providers": [{"billed_charge": 318.0, "npi": [1851826440, 1235767062, 1538588207]}]}, {"allowed_amount": 173.2, "providers": [{"billed_charge": 318.0, "npi": [1851826440, 1215024971, 1235767062, 1538588207]}]}, {"allowed_amount": 184.32, "providers": [{"billed_charge": 318.0, "npi": [1851826440, 1215024971, 1104288836]}]}]}, {"tin": {"type": "ein", "value": "481191854"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.84, "providers": [{"billed_charge": 339.0, "npi": [1346569464]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.35, "providers": [{"billed_charge": 416.0, "npi": [1366492977]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 562.38, "providers": [{"billed_charge": 5496.0, "npi": [1992703540]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.96, "providers": [{"billed_charge": 464.0, "npi": [1497251375]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 173.99, "providers": [{"billed_charge": 180.0, "npi": [1316981996]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.96, "providers": [{"billed_charge": 2258.0, "npi": [1962480152, 1134353378]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 951.07, "providers": [{"billed_charge": 3288.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1857.96, "providers": [{"billed_charge": 4128.8, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "providers": [{"billed_charge": 4221.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "providers": [{"billed_charge": 6806.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 1162.0, "npi": [1679006555, 1215164348, 1932182219, 1982832572]}]}, {"allowed_amount": 375.07, "providers": [{"billed_charge": 1162.0, "npi": [1497190946, 1497131734]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 2258.0, "npi": [1609220300]}]}, {"allowed_amount": 209.04, "providers": [{"billed_charge": 2258.0, "npi": [1205498896]}]}, {"allowed_amount": 224.49, "providers": [{"billed_charge": 2258.0, "npi": [1306865639]}]}, {"allowed_amount": 282.14, "providers": [{"billed_charge": 2258.0, "npi": [1285637330]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 717.0, "npi": [1801185897]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 491.0, "npi": [1497929954, 1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 137.37, "providers": [{"billed_charge": 269.0, "npi": [1316981996]}]}, {"allowed_amount": 165.6, "providers": [{"billed_charge": 369.0, "npi": [1902243009, 1578704342]}]}, {"allowed_amount": 224.49, "providers": [{"billed_charge": 369.0, "npi": [1447815089]}]}, {"allowed_amount": 375.07, "providers": [{"billed_charge": 478.0, "npi": [1164410916]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 419.0, "npi": [1427317882, 1821592999]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3219.44, "providers": [{"billed_charge": 11893.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 375.07, "providers": [{"billed_charge": 735.0, "npi": [1346446911]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 734.3, "npi": [1114239001]}]}, {"allowed_amount": 217.4, "providers": [{"billed_charge": 734.3, "npi": [1457525578]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 358.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 217.4, "providers": [{"billed_charge": 358.0, "npi": [1881691616, 1548477060]}]}, {"allowed_amount": 271.15, "providers": [{"billed_charge": 358.0, "npi": [1376961904]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.26, "providers": [{"billed_charge": 611.0, "npi": [1972726222]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1050.96, "providers": [{"billed_charge": 29744.54, "npi": [1982650024]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 266.04, "providers": [{"billed_charge": 2258.0, "npi": [1154458545, 1740495654]}]}]}, {"tin": {"type": "ein", "value": "630639615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.01, "providers": [{"billed_charge": 393.0, "npi": [1689646473]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 1100.0, "npi": [1306882873, 1306334404, 1730485277, 1437671062]}]}, {"allowed_amount": 282.14, "providers": [{"billed_charge": 1100.0, "npi": [1306334404, 1730485277, 1437671062]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 859.0, "npi": [1235578980, 1477754349, 1962834671, 1609180306, 1649764531, 1205815289, 1639111966]}]}, {"allowed_amount": 282.14, "providers": [{"billed_charge": 859.0, "npi": [1124293568, 1235578980, 1477754349, 1962834671, 1609180306, 1649764531, 1205815289, 1639111966]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.99, "providers": [{"billed_charge": 3074.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.01, "providers": [{"billed_charge": 386.0, "npi": [1992096614]}]}, {"allowed_amount": 224.49, "providers": [{"billed_charge": 386.0, "npi": [1609939735]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 145.0, "providers": [{"billed_charge": 145.0, "npi": [1427443241]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.2, "providers": [{"billed_charge": 2258.0, "npi": [1205895505]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 129.72, "providers": [{"billed_charge": 492.0, "npi": [1013273630]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 165.6, "providers": [{"billed_charge": 1100.0, "npi": [1932465010, 1598183766]}]}, {"allowed_amount": 224.49, "providers": [{"billed_charge": 1100.0, "npi": [1891080644]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 182.01, "providers": [{"billed_charge": 1285.0, "npi": [1760672026]}]}, {"allowed_amount": 266.04, "providers": [{"billed_charge": 1285.0, "npi": [1023212214]}]}]}, {"tin": {"type": "ein", "value": "831294232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 792.74, "providers": [{"billed_charge": 1268.0, "npi": [1083174973]}]}]}, {"tin": {"type": "ein", "value": "853059482"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 235.34, "providers": [{"billed_charge": 770.0, "npi": [1144460999]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 282.14, "providers": [{"billed_charge": 2000.0, "npi": [1053474080]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 173.95, "providers": [{"billed_charge": 461.0, "npi": [1841516606]}]}]}, {"tin": {"type": "ein", "value": "900065118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.38, "providers": [{"billed_charge": 4901.0, "npi": [1275566200]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.28, "providers": [{"billed_charge": 355.0, "npi": [1174797286]}]}]}, {"tin": {"type": "ein", "value": "910565546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 851.71, "providers": [{"billed_charge": 12372.0, "npi": [1518912609]}]}]}, {"tin": {"type": "ein", "value": "910936291"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1598802399]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.81, "providers": [{"billed_charge": 475.0, "npi": [1275704371]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.18, "providers": [{"billed_charge": 713.0, "npi": [1487186698]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.32, "providers": [{"billed_charge": 717.0, "npi": [1770739260]}]}, {"allowed_amount": 292.38, "providers": [{"billed_charge": 717.0, "npi": [1396940342]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.85, "providers": [{"billed_charge": 256.0, "npi": [1184608929]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2785.93, "providers": [{"billed_charge": 13235.0, "npi": [1427806025]}]}]}]}, {"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": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 146.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1780864033, 1801899042, 1851569701, 1225069776, 1538196977]}]}, {"allowed_amount": 157.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1225069776, 1538196977, 1598913980]}]}, {"allowed_amount": 189.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1851569701]}]}, {"allowed_amount": 240.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1316207202]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 393.4, "npi": [1326033366]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 308.0, "npi": [1740488527]}]}]}, {"tin": {"type": "ein", "value": "222768204"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 175.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 431.0, "npi": [1306135561]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1881.95, "npi": [1497762801]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 524.0, "npi": [1386694040, 1093748840, 1558450023]}]}, {"allowed_amount": 191.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 524.0, "npi": [1437125077, 1386694040, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 968.0, "npi": [1548436132, 1700011582]}]}]}, {"tin": {"type": "ein", "value": "350868130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 838.08, "providers": [{"billed_charge": 3351.0, "npi": [1770679201]}]}]}, {"tin": {"type": "ein", "value": "370701328"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 763.0, "npi": [1932594546]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 980.0, "npi": [1831312099]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 846.0, "npi": [1316064637]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 750.0, "npi": [1861789778]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 485.72, "providers": [{"billed_charge": 2223.0, "npi": [1962572396]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 197.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 438.0, "npi": [1093122277, 1336347335, 1578079562, 1437326956, 1043474190, 1841675642, 1588616338, 1417924242, 1659767093, 1659374262, 1255364378, 1952518235, 1750354973, 1487760351]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1215024971]}]}, {"allowed_amount": 146.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1104288836, 1053585380, 1851826440, 1215024971, 1619497567]}]}, {"allowed_amount": 147.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1215024971]}]}, {"allowed_amount": 157.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1235517558]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 413.0, "npi": [1205896446]}]}]}, {"tin": {"type": "ein", "value": "560529976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1020.39, "providers": [{"billed_charge": 7505.0, "npi": [1700860491]}]}]}, {"tin": {"type": "ein", "value": "560945618"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1245456680]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1306021407]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 335.0, "npi": [1356787840]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5080.68, "providers": [{"billed_charge": 11290.4, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2185.92, "providers": [{"billed_charge": 3080.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1067.46, "providers": [{"billed_charge": 9000.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "providers": [{"billed_charge": 5272.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 698.0, "npi": [1588610026, 1457334732, 1710179676, 1932182219]}]}, {"allowed_amount": 232.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 698.0, "npi": [1033608922]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 563.0, "npi": [1790167237]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1986.0, "npi": [1255580627, 1063468486]}]}, {"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1986.0, "npi": [1609220300]}]}, {"allowed_amount": 146.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1986.0, "npi": [1750801031]}]}, {"allowed_amount": 157.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1986.0, "npi": [1750801031]}]}, {"allowed_amount": 191.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1986.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 612.0, "npi": [1093109969]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1497929954, 1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 451.0, "npi": [1174029870]}]}, {"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 344.0, "npi": [1376705665, 1558789115]}]}, {"allowed_amount": 191.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 344.0, "npi": [1023052990]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 340.0, "npi": [1427317882]}]}, {"allowed_amount": 186.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 340.0, "npi": [1811903867]}]}, {"allowed_amount": 209.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 340.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6758.61, "providers": [{"billed_charge": 16091.94, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 320.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 620.0, "npi": [1194229658]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 320.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1942769286]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1437378742, 1528333887]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 137.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1982690624, 1215317888, 1548477060, 1386616761, 1952537052]}]}, {"allowed_amount": 185.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1659571412]}]}, {"allowed_amount": 231.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1174510994, 1659571412]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 837.94, "providers": [{"billed_charge": 9015.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.28, "providers": [{"billed_charge": 5970.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 288.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 480.0, "npi": [1417182007]}]}]}, {"tin": {"type": "ein", "value": "630639615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 344.0, "npi": [1407201916]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 968.0, "npi": [1942760343]}]}, {"allowed_amount": 240.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 968.0, "npi": [1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1609180306, 1235578980, 1962834671]}]}, {"allowed_amount": 240.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1205815289, 1649764531, 1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.99, "providers": [{"billed_charge": 3080.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1275587388]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3219.44, "providers": [{"billed_charge": 11893.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 7104.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 968.0, "npi": [1871024943]}]}, {"allowed_amount": 240.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 968.0, "npi": [1659509305, 1093957037]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6220.03, "providers": [{"billed_charge": 12307.12, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1053474080, 1396701165]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1558336834]}]}]}, {"tin": {"type": "ein", "value": "933380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 541.0, "npi": [1396815700]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1306158191]}]}]}]}, {"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": "020777195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 414.0, "npi": [1477535680]}]}]}, {"tin": {"type": "ein", "value": "042769210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1091.48, "providers": [{"billed_charge": 3697.0, "npi": [1134227606]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.75, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3700.0, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 758.0, "npi": [1801989033]}]}]}, {"tin": {"type": "ein", "value": "131740130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 841.93, "providers": [{"billed_charge": 3209.0, "npi": [1447255153]}]}]}, {"tin": {"type": "ein", "value": "141338373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 312.0, "npi": [1558757377, 1285926709]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1578738852]}]}, {"allowed_amount": 199.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 314.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1558389981]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 121.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1178.0, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 130.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1178.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 157.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1178.0, "npi": [1851569701]}]}, {"allowed_amount": 199.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1178.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1568663680, 1316207202, 1912980079, 1972575280, 1881643153, 1508186131, 1144756214, 1528098555]}]}, {"allowed_amount": 265.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1568663680, 1568824738, 1144756214]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.52, "npi": [1326033366]}]}]}, {"tin": {"type": "ein", "value": "210634549"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 710.42, "providers": [{"billed_charge": 5324.0, "npi": [1013919315]}]}]}, {"tin": {"type": "ein", "value": "221487307"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 539.7, "providers": [{"billed_charge": 1659.0, "npi": [1013912633]}]}]}, {"tin": {"type": "ein", "value": "221487330"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.07, "providers": [{"billed_charge": 3690.0, "npi": [1114924834]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.07, "providers": [{"billed_charge": 3587.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "221773439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.71, "providers": [{"billed_charge": 2893.0, "npi": [1386746592]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 430.0, "npi": [1609300078, 1972985687]}]}]}, {"tin": {"type": "ein", "value": "221928145"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 317.0, "npi": [1366739245]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 947.0, "npi": [1447853262]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 368.17, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2751.0, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "223537847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 615.0, "npi": [1548231541]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1003122698]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 936.0, "npi": [1225318827, 1447243878]}]}, {"allowed_amount": 158.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 936.0, "npi": [1578756524, 1710211701, 1710182407]}]}]}, {"tin": {"type": "ein", "value": "264036315"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1235545807]}]}]}, {"tin": {"type": "ein", "value": "273645560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1144510603]}]}]}, {"tin": {"type": "ein", "value": "273815440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2818.3, "npi": [1851632616]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1508975533]}]}]}, {"tin": {"type": "ein", "value": "274206597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1003011933]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1932170800]}]}]}, {"tin": {"type": "ein", "value": "300754305"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.59, "providers": [{"billed_charge": 6902.0, "npi": [1407191984]}]}]}, {"tin": {"type": "ein", "value": "320443777"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.26, "providers": [{"billed_charge": 303.26, "npi": [1174660120]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1508182742]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1558450023]}]}, {"allowed_amount": 64.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1053383786]}]}, {"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 158.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1558450023, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 206.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1538130265, 1013900117, 1700011582, 1740780535]}]}]}, {"tin": {"type": "ein", "value": "341996544"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 443.0, "npi": [1922315472]}]}]}, {"tin": {"type": "ein", "value": "350868130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 421.35, "providers": [{"billed_charge": 2162.0, "npi": [1770679201]}]}]}, {"tin": {"type": "ein", "value": "351153879"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 542.0, "npi": [1912908351]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1447813522]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1458.02, "providers": [{"billed_charge": 1293.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1948.47, "providers": [{"billed_charge": 3829.54, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "370701328"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 571.0, "npi": [1932594546]}]}]}, {"tin": {"type": "ein", "value": "372543054"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 340.0, "npi": [1295706307]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.71, "providers": [{"billed_charge": 2322.3, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "390964813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 905.0, "npi": [1417240102]}]}]}, {"tin": {"type": "ein", "value": "392249320"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.61, "npi": [1487890117]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1831122761, 1013173681]}]}, {"allowed_amount": 158.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1831122761]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 335.0, "npi": [1508271149]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 604.0, "npi": [1952157380]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1861789778]}]}]}, {"tin": {"type": "ein", "value": "430954380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 291.0, "npi": [1902812613]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.2, "providers": [{"billed_charge": 2223.0, "npi": [1962572396]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 439.2, "providers": [{"billed_charge": 7404.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "451649781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1124762026]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 470.79, "npi": [1831463926]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 238.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 529.0, "npi": [1558322180, 1275587461, 1770640393, 1043474190, 1952359697, 1588616338, 1952593170, 1417924242, 1255364378, 1750354973, 1033169438, 1770560542, 1326343716, 1578539557, 1346211877, 1700013356, 1831189935, 1659374262, 1730384447, 1275500225, 1154372423, 1336347335, 1679632970, 1578079562, 1649271131, 1952518235, 1457332447, 1376032607, 1487760351, 1093122277, 1093703787, 1437326956, 1174790638, 1164595823, 1396852851, 1912997115]}]}]}, {"tin": {"type": "ein", "value": "454395947"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 292.0, "npi": [1497956361]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1285682930, 1972556678]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1548435290, 1477015956, 1760694285, 1265432215]}]}]}, {"tin": {"type": "ein", "value": "465285330"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.6, "npi": [1992063358]}]}]}, {"tin": {"type": "ein", "value": "470527459"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 136.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1245300565]}]}]}, {"tin": {"type": "ein", "value": "470785575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.1, "npi": [1730198151]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 29.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1215024971]}]}, {"allowed_amount": 112.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1053585380]}]}, {"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1851826440, 1215024971, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 121.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1053585380, 1104288836, 1851569701, 1851826440, 1215024971, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 122.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1851826440, 1215024971, 1700315025, 1235767062, 1235517558, 1619497567]}]}, {"allowed_amount": 130.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1700315025, 1235517558]}]}]}, {"tin": {"type": "ein", "value": "475419443"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1164410916]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1750678710]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 465.11, "providers": [{"billed_charge": 465.11, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "521136675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 392.0, "npi": [1376962506]}]}]}, {"tin": {"type": "ein", "value": "560529976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 513.01, "providers": [{"billed_charge": 5062.0, "npi": [1700860491]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1982969663]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 552.0, "npi": [1891255618]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1256.5, "providers": [{"billed_charge": 4363.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 282.74, "providers": [{"billed_charge": 2778.0, "npi": [1992703540]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1669458246]}]}, {"allowed_amount": 153.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 251.0, "npi": [1558332171]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 127.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1356787840, 1134252182]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.16, "providers": [{"billed_charge": 2482.0, "npi": [1477591055]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 417.0, "npi": [1811177884]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 397.3, "providers": [{"billed_charge": 5755.0, "npi": [1376574277]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.32, "providers": [{"billed_charge": 4939.0, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 509.0, "npi": [1669835351]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1861455271]}]}, {"allowed_amount": 127.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1760598924]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2097.55, "providers": [{"billed_charge": 4661.23, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.59, "providers": [{"billed_charge": 7504.0, "npi": [1376529743]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1099.02, "providers": [{"billed_charge": 1535.0, "npi": [1194790055]}]}, {"allowed_amount": 2691.72, "providers": [{"billed_charge": 1535.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1314.46, "providers": [{"billed_charge": 9500.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 668.57, "providers": [{"billed_charge": 3199.0, "npi": [1578620449]}]}, {"allowed_amount": 1637.46, "providers": [{"billed_charge": 3199.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 89.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 637.0, "npi": [1982832572]}]}, {"allowed_amount": 97.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 637.0, "npi": [1457334732]}]}, {"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 637.0, "npi": [1861726952, 1588610026, 1932182219, 1457334732, 1710179676, 1215164348]}]}, {"allowed_amount": 192.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 637.0, "npi": [1033608922]}]}, {"allowed_amount": 265.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 637.0, "npi": [1780846204, 1861726952, 1023570827, 1932182219, 1457334732, 1497131734, 1033608922, 1679006555, 1982832572]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 467.0, "npi": [1790167237]}]}, {"allowed_amount": 153.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 467.0, "npi": [1538200969]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1720024680, 1669521803, 1952612046, 1083696561, 1255580627]}]}, {"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1609220300]}]}, {"allowed_amount": 121.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1750801031]}]}, {"allowed_amount": 130.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1750801031]}]}, {"allowed_amount": 158.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1417035817, 1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 507.0, "npi": [1811191661, 1801026893, 1679956817, 1093109969, 1285923292]}]}, {"allowed_amount": 153.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 507.0, "npi": [1508245424]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 199.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 97.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 298.0, "npi": [1578507588]}]}, {"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 372.0, "npi": [1598854994, 1912360421]}, {"billed_charge": 400.0, "npi": [1437248853]}]}, {"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1376705665, 1568953065, 1659341139, 1558789115]}]}, {"allowed_amount": 158.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1902243009, 1376705665, 1306263751, 1447815089, 1578704342, 1811151996, 1023052990]}]}, {"allowed_amount": 192.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 298.0, "npi": [1174567697]}]}, {"allowed_amount": 265.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 372.0, "npi": [1609152701]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1821592999, 1417941832, 1003027376, 1487151536, 1295729689, 1427317882, 1811903867]}]}, {"allowed_amount": 173.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1457770232]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 595.3, "providers": [{"billed_charge": 1242.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3469.03, "providers": [{"billed_charge": 8259.6, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 513.0, "npi": [1528632122]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 400.42, "providers": [{"billed_charge": 3777.0, "npi": [1386900637]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.46, "providers": [{"billed_charge": 8468.0, "npi": [1184709057]}]}, {"allowed_amount": 2292.29, "providers": [{"billed_charge": 8468.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 265.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 438.0, "npi": [1235172529, 1457553034, 1497981989, 1942769286]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.86, "npi": [1114239001]}]}, {"allowed_amount": 265.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.86, "npi": [1437151826]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.59, "providers": [{"billed_charge": 7504.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 668.57, "providers": [{"billed_charge": 4273.07, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 349.0, "npi": [1861068058]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1235194168, 1093827214]}]}, {"allowed_amount": 153.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1285673293, 1093827214]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 110.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1366978876]}]}, {"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1982690624, 1548477060, 1275949414, 1669679569, 1386616761, 1952537052]}]}, {"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1649478702]}]}, {"allowed_amount": 126.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1063854354]}]}, {"allowed_amount": 153.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1912084955]}]}, {"allowed_amount": 191.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1063854354, 1659571412, 1497072292, 1174510994]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 948.0, "npi": [1225358096]}]}, {"allowed_amount": 265.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 948.0, "npi": [1659714350]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 421.29, "providers": [{"billed_charge": 5750.0, "npi": [1811991227]}]}, {"allowed_amount": 1031.83, "providers": [{"billed_charge": 5750.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 902.95, "providers": [{"billed_charge": 4542.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610982294"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1386775849]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.64, "providers": [{"billed_charge": 5467.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 238.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1083848329, 1801358106]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5086.2, "providers": [{"billed_charge": 14532.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1477873495]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1457579559, 1265438287, 1184112468, 1437671062, 1942760343, 1043419351]}]}, {"allowed_amount": 199.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1306882873, 1417410507, 1457579559, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 607.0, "npi": [1124293568, 1235578980, 1962834671, 1609180306, 1649764531, 1205815289]}]}, {"allowed_amount": 199.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 607.0, "npi": [1124293568, 1235578980, 1083693352, 1952363913, 1780662700, 1477754349, 1154311694, 1962834671, 1609180306, 1649764531, 1033193941, 1144329848, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.86, "providers": [{"billed_charge": 1535.0, "npi": [1083644033]}]}, {"allowed_amount": 829.95, "providers": [{"billed_charge": 1535.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1275587388]}]}, {"allowed_amount": 130.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1811996382]}]}]}, {"tin": {"type": "ein", "value": "732074807"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 136.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 317.0, "npi": [1366739245]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.92, "providers": [{"billed_charge": 4614.25, "npi": [1730132234]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1467427153]}]}, {"allowed_amount": 97.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1548589674]}]}, {"allowed_amount": 314.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1215322458, 1245799170]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4530.75, "providers": [{"billed_charge": 12945.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1508209495]}]}]}, {"tin": {"type": "ein", "value": "751292603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1033313093]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1730292384]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 478.0, "npi": [1578065967]}]}]}, {"tin": {"type": "ein", "value": "800719005"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1952518235]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2292.29, "providers": [{"billed_charge": 8468.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "800886397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1124052253]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 121.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 130.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1225533433]}]}, {"allowed_amount": 180.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.18, "providers": [{"billed_charge": 3088.0, "npi": [1982150009]}]}]}, {"tin": {"type": "ein", "value": "820315919"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1376599548]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1516.04, "providers": [{"billed_charge": 4331.54, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1306307525, 1093742694, 1093957037, 1871024943, 1417190323, 1316366776, 1508204348]}]}, {"allowed_amount": 158.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1548496912]}]}, {"allowed_amount": 199.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1518279660, 1093957037, 1386936623, 1316366776, 1659509305, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.54, "npi": [1912266974]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 392.0, "npi": [1730138876]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1265499826]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1225096464]}]}]}, {"tin": {"type": "ein", "value": "850422820"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1487675120]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1346390952, 1396701165]}]}, {"allowed_amount": 158.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2000.0, "npi": [1265457485]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1225561640, 1902253289]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 711.51, "providers": [{"billed_charge": 5850.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880119638"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 134.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1801245147, 1932316429]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1558336834]}]}]}, {"tin": {"type": "ein", "value": "900054201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.83, "providers": [{"billed_charge": 3698.0, "npi": [1720011810]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1912525254]}]}]}, {"tin": {"type": "ein", "value": "911858433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 662.99, "providers": [{"billed_charge": 1050.0, "npi": [1356307581]}]}]}, {"tin": {"type": "ein", "value": "930593725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 322.0, "npi": [1083813844]}]}]}, {"tin": {"type": "ein", "value": "933380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 448.0, "npi": [1396815700]}]}]}, {"tin": {"type": "ein", "value": "934163254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.03, "npi": [1568634509]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 376.51, "providers": [{"billed_charge": 3567.65, "npi": [1124661384]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 321.4, "npi": [1235183781]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 558.0, "npi": [1518995141]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6066.78, "providers": [{"billed_charge": 4990.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 113.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 384.0, "npi": [1730138793]}, {"billed_charge": 465.0, "npi": [1033168422]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.4, "npi": [1235349234]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2785.93, "providers": [{"billed_charge": 10369.0, "npi": [1366281750]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1306158191]}]}]}]}, {"name": "Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "70496", "billing_code_type_version": "2022", "description": "CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "030219309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.05, "providers": [{"billed_charge": 4125.0, "npi": [1568419976]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1770069445]}]}]}, {"tin": {"type": "ein", "value": "050318025"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1295149565]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1155.0, "npi": [1225069776]}]}, {"allowed_amount": 124.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1155.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.61, "providers": [{"billed_charge": 2097.6, "npi": [1215936927]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 111.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 414.0, "npi": [1225089428]}]}, {"allowed_amount": 151.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 414.0, "npi": [1093748840]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 640.57, "providers": [{"billed_charge": 3434.0, "npi": [1790740363]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 124.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1147.0, "npi": [1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 216.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 481.0, "npi": [1275500225, 1174086466, 1487821542, 1306166442, 1679632970, 1700013356, 1174790638, 1164595823, 1588616338, 1306330899, 1275598708, 1417924242, 1750354973, 1952518235, 1548243165, 1487760351]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1215024971]}]}, {"allowed_amount": 117.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1851826440]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1879.43, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4176.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 151.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1238.0, "npi": [1891839718, 1306865639]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 389.8, "providers": [{"billed_charge": 3332.0, "npi": [1356405187]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 770.0, "npi": [1306882873]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 111.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 580.0, "npi": [1205815289, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1396940342]}]}]}]}, {"name": "Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)", "billing_code_type": "CPT", "billing_code": "75574", "billing_code_type_version": "2022", "description": "CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST", "allowed_amounts": [{"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 276.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 615.0, "npi": [1437326956, 1093122277]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 790.22, "providers": [{"billed_charge": 2707.0, "npi": [1376574277]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 168.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2371.0, "npi": [1528130523]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1839.39, "providers": [{"billed_charge": 4087.53, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 150.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2371.0, "npi": [1750801031]}]}, {"allowed_amount": 170.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2371.0, "npi": [1750801031]}]}, {"allowed_amount": 208.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2371.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 668.0, "npi": [1184940330]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 546.0, "npi": [1437248853]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1821790650]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 960.0, "npi": [1265722888]}]}, {"allowed_amount": 262.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 960.0, "npi": [1710449376]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 154.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 799.0, "npi": [1235578980, 1780662700, 1477754349, 1649764531, 1205815289]}]}, {"allowed_amount": 262.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 799.0, "npi": [1235578980, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650378614"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 609.61, "providers": [{"billed_charge": 2025.0, "npi": [1376727321]}]}]}]}, {"name": "Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "70498", "billing_code_type_version": "2022", "description": "CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "050318025"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1295149565]}]}]}, {"tin": {"type": "ein", "value": "060931385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 251.0, "npi": [1841673712]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1153.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 322.0, "npi": [1700440583]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1619268182]}]}]}, {"tin": {"type": "ein", "value": "340714593"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.5, "providers": [{"billed_charge": 1228.0, "npi": [1902858152]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 188.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 419.0, "npi": [1174086466, 1487821542, 1679632970, 1306166442, 1093703787, 1700013356, 1174790638, 1164595823, 1588616338, 1306330899, 1275598708, 1417924242, 1952518235, 1548243165, 1487760351]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 115.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1215024971, 1104288836, 1053585380, 1619497567]}]}, {"allowed_amount": 124.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1235517558]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1561.0, "npi": [1134353378]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1974.51, "providers": [{"billed_charge": 4387.79, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1561.0, "npi": [1306865639]}]}, {"allowed_amount": 190.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1561.0, "npi": [1285637330]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 403.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 109.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1285051441]}]}, {"allowed_amount": 111.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1811151996]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3549.25, "providers": [{"billed_charge": 8450.59, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 478.0, "npi": [1235172529]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 580.0, "npi": [1205815289, 1033193941, 1154311694]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 762.03, "providers": [{"billed_charge": 2710.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.95, "providers": [{"billed_charge": 1535.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1561.0, "npi": [1609302967]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 359.0, "npi": [1033670898]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.0, "npi": [1497914691]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1770739260]}]}, {"allowed_amount": 196.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1396940342]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1306158191]}]}, {"allowed_amount": 115.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1306158191]}]}]}]}, {"name": "Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code": "77012", "billing_code_type_version": "2022", "description": "CT GUIDANCE NEEDLE PLACEMENT", "allowed_amounts": [{"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1235517558]}]}, {"allowed_amount": 97.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1104288836]}]}, {"allowed_amount": 98.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1700315025, 1619497567, 1538588207]}]}, {"allowed_amount": 104.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1235517558]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 91.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 408.0, "npi": [1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 94.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 488.0, "npi": [1780662700, 1962834671]}]}, {"allowed_amount": 160.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 488.0, "npi": [1205815289, 1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1417274481, 1023436235]}]}]}]}, {"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": "010510040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1821432972]}]}]}, {"tin": {"type": "ein", "value": "010594994"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 488.0, "npi": [1790720779]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 808.0, "providers": [{"billed_charge": 5662.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020777195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 523.0, "npi": [1477535680]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1629241336]}]}]}, {"tin": {"type": "ein", "value": "043283573"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 145.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1912978172]}]}]}, {"tin": {"type": "ein", "value": "043314093"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 886.39, "providers": [{"billed_charge": 3745.0, "npi": [1346218294]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 886.65, "providers": [{"billed_charge": 2778.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 410.0, "npi": [1891368957]}]}]}, {"tin": {"type": "ein", "value": "060775886"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1225014731]}]}]}, {"tin": {"type": "ein", "value": "060931385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1841673712]}]}]}, {"tin": {"type": "ein", "value": "111631746"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.72, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 904.0, "npi": [1487724712]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 437.0, "npi": [1801917240, 1386901742]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 161.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 677.0, "npi": [1801989033, 1043303282]}]}]}, {"tin": {"type": "ein", "value": "131740126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.72, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3153.0, "npi": [1578526695]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.72, "providers": [{"billed_charge": 3529.0, "npi": [1194832477]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 410.0, "npi": [1902065311]}]}]}, {"tin": {"type": "ein", "value": "141338547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.72, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 8048.0, "npi": [1073569331]}]}]}, {"tin": {"type": "ein", "value": "141348692"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.72, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4322.0, "npi": [1497701106]}]}]}, {"tin": {"type": "ein", "value": "141825546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.0, "npi": [1861856080]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.72, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3284.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "160988763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1548252646]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1578738852]}]}, {"allowed_amount": 200.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1205367992]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 105.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.5, "npi": [1851569701]}]}, {"allowed_amount": 121.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.5, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 130.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.5, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 135.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.5, "npi": [1225069776]}]}, {"allowed_amount": 158.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.5, "npi": [1851569701]}]}, {"allowed_amount": 200.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.5, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "202028539"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1100.18, "providers": [{"billed_charge": 7790.0, "npi": [1154419737]}]}]}, {"tin": {"type": "ein", "value": "202844893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.49, "providers": [{"billed_charge": 4396.0, "npi": [1568551455]}]}]}, {"tin": {"type": "ein", "value": "202999870"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 168.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1578507588]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2912.46, "providers": [{"billed_charge": 10759.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 62.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1821417296]}]}, {"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1659321248, 1568663680, 1720070279, 1912980079, 1821417296, 1881643153]}]}, {"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1568663680, 1659321248, 1215983085, 1508186131, 1528098555]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.76, "npi": [1821112699]}]}]}, {"tin": {"type": "ein", "value": "204361034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1871708438]}]}, {"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1336126721]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 490.0, "npi": [1700166733]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 7554.75, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "205672300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1386610442]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1609894708, 1558310789, 1841298262]}]}, {"allowed_amount": 144.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1396770111]}]}]}, {"tin": {"type": "ein", "value": "208032568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.86, "npi": [1770558496]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1821169509]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1813.4, "providers": [{"billed_charge": 9035.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "210634549"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1739.99, "providers": [{"billed_charge": 6141.0, "npi": [1013919315]}]}]}, {"tin": {"type": "ein", "value": "210635001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1813.4, "providers": [{"billed_charge": 9035.0, "npi": [1235134024]}]}]}, {"tin": {"type": "ein", "value": "210635009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1460.04, "providers": [{"billed_charge": 20479.0, "npi": [1689714255]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1101.83, "providers": [{"billed_charge": 3605.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1101.83, "providers": [{"billed_charge": 1623.84, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 148.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 415.0, "npi": [1144208588]}]}, {"allowed_amount": 166.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 415.0, "npi": [1538190947]}]}]}, {"tin": {"type": "ein", "value": "221899118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 828.0, "npi": [1053597294]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1407353568]}]}]}, {"tin": {"type": "ein", "value": "221977626"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 453.0, "npi": [1285975862]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 459.0, "npi": [1740237502, 1447853262]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3864.0, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1073.48, "providers": [{"billed_charge": 3605.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1063.7, "providers": [{"billed_charge": 3605.0, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1221.86, "providers": [{"billed_charge": 4427.0, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 465.0, "npi": [1659413805]}]}, {"allowed_amount": 125.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 465.0, "npi": [1063496628, 1790744324]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.43, "providers": [{"billed_charge": 281.0, "npi": [1194939470]}]}, {"allowed_amount": 73.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1316200900]}]}, {"allowed_amount": 125.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1255306171, 1194939470]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 378.0, "npi": [1730528365]}]}, {"allowed_amount": 129.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 378.0, "npi": [1891172011]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 808.44, "providers": [{"billed_charge": 24064.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1487189825]}]}]}, {"tin": {"type": "ein", "value": "261956698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 548.0, "npi": [1326256678]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1492.75, "npi": [1710182407, 1659323368, 1225318827, 1578756524, 1851734354, 1710211701, 1982650842]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1492.75, "npi": [1659323368, 1982650842, 1447243878, 1124462783]}]}]}, {"tin": {"type": "ein", "value": "263359979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1178.83, "providers": [{"billed_charge": 4877.0, "npi": [1386896306]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 772.36, "providers": [{"billed_charge": 5640.0, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "271203252"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1699003764]}]}]}, {"tin": {"type": "ein", "value": "272200283"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.22, "providers": [{"billed_charge": 9573.71, "npi": [1013233741]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 139.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1821292400, 1750126017]}]}]}, {"tin": {"type": "ein", "value": "274206597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 346.0, "npi": [1437289147]}]}]}, {"tin": {"type": "ein", "value": "274495916"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1124345566]}]}]}, {"tin": {"type": "ein", "value": "274658935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4926.84, "providers": [{"billed_charge": 15965.0, "npi": [1114367497]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 7554.75, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1063401388]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 207.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 393.0, "npi": [1114974706]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.04, "providers": [{"billed_charge": 3200.0, "npi": [1417037045]}]}]}, {"tin": {"type": "ein", "value": "314379519"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.04, "providers": [{"billed_charge": 8469.8, "npi": [1568446755]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.04, "providers": [{"billed_charge": 2972.0, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "320579508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 14400.8, "npi": [1790250959]}]}]}, {"tin": {"type": "ein", "value": "331216751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 816.27, "providers": [{"billed_charge": 5824.71, "npi": [1407082308]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 285.0, "npi": [1639150741, 1508182742]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1235124561]}]}, {"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1922088392, 1598750747, 1619268182]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1922088392, 1508819970, 1598750747, 1235335324]}]}]}, {"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1962546309]}]}, {"allowed_amount": 90.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1013173681, 1215284898]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 38.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1265457485]}]}, {"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1558450023, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "333995572"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.93, "providers": [{"billed_charge": 4369.5, "npi": [1457146250]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.93, "providers": [{"billed_charge": 2464.0, "npi": [1679525919]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 205.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1174580732]}]}, {"allowed_amount": 207.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1548436132, 1043432495, 1326466640, 1013900117, 1538130265, 1700011582, 1821104191]}]}]}, {"tin": {"type": "ein", "value": "341105619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.72, "providers": [{"billed_charge": 7592.0, "npi": [1811939887]}]}]}, {"tin": {"type": "ein", "value": "341123193"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1770740854]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.93, "providers": [{"billed_charge": 2464.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2589.74, "providers": [{"billed_charge": 3333.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "351140337"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1639268253]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1518194257, 1831417625]}]}]}, {"tin": {"type": "ein", "value": "351276175"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 479.0, "npi": [1710950258]}]}]}, {"tin": {"type": "ein", "value": "351720796"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 782.51, "providers": [{"billed_charge": 2168.0, "npi": [1205860335]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 782.51, "providers": [{"billed_charge": 2168.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1184.04, "providers": [{"billed_charge": 3255.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "356001540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 782.51, "providers": [{"billed_charge": 3996.0, "npi": [1740268846]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1717.79, "providers": [{"billed_charge": 3376.17, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "358823027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1699160671]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.4, "providers": [{"billed_charge": 4692.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 527.27, "providers": [{"billed_charge": 8642.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362379649"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.4, "providers": [{"billed_charge": 5795.0, "npi": [1831170232]}]}]}, {"tin": {"type": "ein", "value": "362680147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 321.53, "npi": [1053312694]}]}, {"allowed_amount": 138.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 321.53, "npi": [1962490813]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1205278496]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.4, "providers": [{"billed_charge": 8609.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "363482203"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1443.0, "npi": [1235179409]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 298.0, "npi": [1316309537]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 395.0, "npi": [1952450025]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1750321691]}]}]}, {"tin": {"type": "ein", "value": "371119538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.4, "providers": [{"billed_charge": 7518.0, "npi": [1013071653]}]}]}, {"tin": {"type": "ein", "value": "371140016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1278.0, "npi": [1538533229]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.95, "providers": [{"billed_charge": 2695.9, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "381894009"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1679740302]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2059.0, "providers": [{"billed_charge": 2594.5, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "390867579"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 939.0, "npi": [1568923340]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2510.08, "providers": [{"billed_charge": 3700.0, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "392249320"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.69, "npi": [1154959948]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1457640328]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1831122761, 1831312099, 1902030711]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2709.17, "providers": [{"billed_charge": 4733.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 522.0, "npi": [1568874758]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1790733822]}]}, {"allowed_amount": 131.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1669512760]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 411.1, "providers": [{"billed_charge": 6736.93, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "421516894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1841298262]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1497771786]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1558868356]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 485.72, "providers": [{"billed_charge": 4199.0, "npi": [1871665380, 1598835308]}]}]}, {"tin": {"type": "ein", "value": "451649781"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 134.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1124762026, 1700439189]}]}]}, {"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 903.78, "npi": [1487742698]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 447.44, "npi": [1295030229, 1518950021]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 218.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 485.0, "npi": [1558322180, 1275587461, 1245256072, 1770640393, 1144209420, 1043474190, 1659578896, 1588661904, 1588616338, 1417924242, 1952593170, 1265429013, 1952359697, 1255364378, 1750354973, 1770560542, 1033169438, 1487883427, 1326343716, 1346211877, 1578539557, 1700013356, 1457553075, 1659767093, 1659374262, 1427031095, 1598785594, 1396770111, 1730384447, 1275500225, 1336347335, 1154372423, 1679632970, 1578079562, 1114956109, 1073017174, 1952518235, 1649271131, 1548243165, 1487760351, 1457332447, 1376032607, 1932190436, 1093122277, 1093703787, 1437326956, 1174790638, 1164595823, 1396852851, 1275598708, 1841675642, 1912997115]}]}]}, {"tin": {"type": "ein", "value": "460226963"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 471.0, "npi": [1417361379]}]}]}, {"tin": {"type": "ein", "value": "460319070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.29, "providers": [{"billed_charge": 5861.0, "npi": [1437122009]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1846.0, "providers": [{"billed_charge": 1846.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "461177336"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1689643470]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1003296146]}]}, {"allowed_amount": 147.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1902943707]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1285196451, 1548516131, 1598986473, 1124196886, 1902285240, 1023125531]}]}, {"allowed_amount": 154.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1588690010]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1184056202]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 362.0, "npi": [1023026945, 1770743908, 1265432215, 1457619017, 1669708715, 1760694285, 1639161847, 1477015956, 1720177207, 1548435290, 1366627804, 1073595740]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.27, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.66, "npi": [1467871715]}]}]}, {"tin": {"type": "ein", "value": "470548630"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1275587487]}]}]}, {"tin": {"type": "ein", "value": "470587199"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 556.0, "npi": [1124196886]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5798.68, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5801.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 105.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1053585380]}]}, {"allowed_amount": 112.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1053585380]}]}, {"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1053585380, 1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1053585380, 1891996047, 1538588207, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 121.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1013063908, 1851569701, 1053585380, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235767062, 1235517558, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 122.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 130.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235767062, 1235517558, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 135.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1851826440, 1770646457]}]}, {"allowed_amount": 148.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1851569701]}]}, {"allowed_amount": 158.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.41, "providers": [{"billed_charge": 4391.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "481191854"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1699156422]}]}]}, {"tin": {"type": "ein", "value": "510382045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 782.51, "providers": [{"billed_charge": 10643.0, "npi": [1023060472]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.91, "providers": [{"billed_charge": 348.91, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 488.7, "providers": [{"billed_charge": 488.7, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.02, "providers": [{"billed_charge": 199.02, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 143.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1265457485]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.06, "providers": [{"billed_charge": 225.06, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521495113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1134414527]}]}]}, {"tin": {"type": "ein", "value": "521902711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1912319989]}]}]}, {"tin": {"type": "ein", "value": "528558896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1639111966]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1147.79, "providers": [{"billed_charge": 2129.0, "npi": [1376564302]}]}, {"allowed_amount": 1202.74, "providers": [{"billed_charge": 2129.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "540846558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 664.0, "npi": [1679912588, 1902165533, 1407218654]}]}]}, {"tin": {"type": "ein", "value": "541671658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 168.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1346212818]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1037.4, "providers": [{"billed_charge": 6702.0, "npi": [1417432840]}]}]}, {"tin": {"type": "ein", "value": "560529994"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.47, "providers": [{"billed_charge": 4131.0, "npi": [1326010273]}]}]}, {"tin": {"type": "ein", "value": "560845796"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 227.28, "npi": [1215932983]}]}]}, {"tin": {"type": "ein", "value": "560942865"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1962710780, 1720174238]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1689636185]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 131.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1619460086]}]}, {"allowed_amount": 137.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1528083011, 1306996038, 1336181288, 1356325393, 1215224191]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 671.0, "npi": [1154325553, 1619237690, 1396745188, 1831184415]}]}, {"allowed_amount": 122.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 671.0, "npi": [1891255618]}]}]}, {"tin": {"type": "ein", "value": "561376368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1037.4, "providers": [{"billed_charge": 5640.0, "npi": [1063463156]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.0, "npi": [1427130152, 1043392145]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3919.56, "providers": [{"billed_charge": 4343.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1669458246, 1861443327]}]}]}, {"tin": {"type": "ein", "value": "570370242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 687.9, "providers": [{"billed_charge": 6811.0, "npi": [1699756221]}]}]}, {"tin": {"type": "ein", "value": "570634747"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1518314772]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 132.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 915.0, "npi": [1972896231, 1467956631]}]}]}, {"tin": {"type": "ein", "value": "571049603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1609042126]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 763.69, "providers": [{"billed_charge": 6967.0, "npi": [1609807122]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 303.0, "npi": [1023012010]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 790.22, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3959.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 790.22, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3167.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.81, "providers": [{"billed_charge": 5130.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 144.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 368.0, "npi": [1831495696, 1992169734]}]}]}, {"tin": {"type": "ein", "value": "581157005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.81, "providers": [{"billed_charge": 2832.69, "npi": [1245248624]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 470.0, "npi": [1558345777, 1396233565]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 407.0, "npi": [1417290198]}]}, {"allowed_amount": 127.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 407.0, "npi": [1174573901]}]}, {"allowed_amount": 151.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 407.0, "npi": [1649790684]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 765.56, "providers": [{"billed_charge": 5137.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 419.0, "npi": [1093764425, 1205213162, 1558584086, 1467763383, 1134489438]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 644.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2232.0, "npi": [1598784720]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 961.01, "providers": [{"billed_charge": 8231.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 733.53, "providers": [{"billed_charge": 7115.0, "npi": [1225050396]}]}, {"allowed_amount": 780.34, "providers": [{"billed_charge": 7115.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3167.0, "npi": [1962403865]}, {"billed_charge": 3959.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1063518660, 1235379017, 1336528017, 1295146108, 1487281341]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 733.53, "providers": [{"billed_charge": 7020.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 529.0, "npi": [1578551321, 1710395314, 1609152701]}]}]}, {"tin": {"type": "ein", "value": "582095884"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 733.53, "providers": [{"billed_charge": 7020.0, "npi": [1457329435]}]}]}, {"tin": {"type": "ein", "value": "582144788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.11, "providers": [{"billed_charge": 7020.0, "npi": [1437135902]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 7554.75, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582179986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 765.56, "providers": [{"billed_charge": 7554.75, "npi": [1437186111]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 7554.75, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 157.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 666.0, "npi": [1013207984, 1083663405, 1841264496, 1629430285]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 119.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1063498400, 1588710487]}]}, {"allowed_amount": 127.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1487628244]}]}, {"allowed_amount": 157.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1396009007]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 7554.75, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 730.17, "providers": [{"billed_charge": 2488.5, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 772.36, "providers": [{"billed_charge": 5640.0, "npi": [1386940823]}]}, {"allowed_amount": 951.07, "providers": [{"billed_charge": 5640.0, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3752.99, "providers": [{"billed_charge": 8339.98, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 728.64, "providers": [{"billed_charge": 7553.0, "npi": [1437135811]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2185.92, "providers": [{"billed_charge": 3080.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.99, "providers": [{"billed_charge": 5605.38, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1067.46, "providers": [{"billed_charge": 14000.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "providers": [{"billed_charge": 2375.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2262.43, "providers": [{"billed_charge": 11533.0, "npi": [1720085137]}]}, {"allowed_amount": 2785.93, "providers": [{"billed_charge": 11533.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "providers": [{"billed_charge": 4654.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 743.21, "providers": [{"billed_charge": 7553.0, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 725.0, "providers": [{"billed_charge": 14144.54, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "providers": [{"billed_charge": 4325.0, "npi": [1578620449]}]}, {"allowed_amount": 1637.46, "providers": [{"billed_charge": 4325.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 728.64, "providers": [{"billed_charge": 7553.0, "npi": [1881632818]}]}, {"allowed_amount": 897.24, "providers": [{"billed_charge": 7553.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590855412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 918.09, "providers": [{"billed_charge": 7553.0, "npi": [1265419907]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 62.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 765.0, "npi": [1780846204]}]}, {"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 765.0, "npi": [1306135777, 1215164348, 1932182219, 1457334732, 1750516720, 1033608922, 1679006555, 1982832572]}]}, {"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 765.0, "npi": [1306135777, 1497190946, 1982832572, 1023570827, 1427580331, 1588610026, 1457334732, 1932182219, 1750516720, 1811525108, 1497131734, 1710179676, 1679006555, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 467.0, "npi": [1538200969, 1811336308]}]}, {"allowed_amount": 154.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 467.0, "npi": [1245694991]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19", "20", "23", "21"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1104183714, 1366909830, 1720024680, 1669521803, 1780900365, 1952612046, 1083696561, 1992150866, 1255580627, 1477086718]}]}, {"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1194846345, 1609220300]}]}, {"allowed_amount": 121.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1750801031]}]}, {"allowed_amount": 130.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1750801031]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1609220300]}]}, {"allowed_amount": 199.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1205498896]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 509.0, "npi": [1295178630, 1801185897, 1811191661, 1801026893, 1649245903, 1679956817, 1093109969, 1659324275, 1104145366, 1437140951, 1285923292, 1861463069, 1356393086, 1477966463]}]}, {"allowed_amount": 192.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 509.0, "npi": [1891159992]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 200.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 85.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1902066129]}]}, {"allowed_amount": 97.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1093759599, 1619064623]}]}, {"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1083656706, 1316981996]}, {"billed_charge": 374.0, "npi": [1912360421, 1003056755, 1588079917]}, {"billed_charge": 429.0, "npi": [1902066129, 1700010923, 1962504621, 1932408358]}]}, {"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 287.0, "npi": [1235109729, 1902243009, 1376705665, 1306263751, 1568953065, 1447815089, 1659341139, 1578704342, 1558789115, 1023052990]}]}, {"allowed_amount": 155.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1699717124]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 287.0, "npi": [1376705665, 1235109729, 1902243009, 1447815089, 1164490769, 1578704342, 1558789115, 1811151996, 1023052990]}]}, {"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1316366818, 1003056755, 1336436724]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1821592999, 1417941832, 1851404107, 1821228396, 1487151536, 1003027376, 1295729689, 1811903867]}]}, {"allowed_amount": 155.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1851404107]}]}, {"allowed_amount": 173.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 459.0, "npi": [1912267766]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1184.04, "providers": [{"billed_charge": 1242.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5928.96, "providers": [{"billed_charge": 14116.56, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 74.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 515.0, "npi": [1699394486]}]}, {"allowed_amount": 97.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 515.0, "npi": [1588387161]}]}, {"allowed_amount": 155.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 515.0, "npi": [1922637784, 1699394486]}]}, {"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 515.0, "npi": [1356056451, 1801281605, 1467689232, 1922637784, 1194229658]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 427.44, "providers": [{"billed_charge": 6177.0, "npi": [1639533698, 1467958595, 1386093540, 1801249032, 1962665174, 1083212856]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.49, "providers": [{"billed_charge": 10759.0, "npi": [1184709057]}]}, {"allowed_amount": 2912.46, "providers": [{"billed_charge": 10759.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1558332809]}]}, {"allowed_amount": 193.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1891857611, 1013123447]}]}, {"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1477085504, 1598442048, 1497981989, 1942769286, 1235172529, 1013123447, 1922460120, 1912972092]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1595.72, "providers": [{"billed_charge": 6825.68, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 570.02, "npi": [1124281175]}]}, {"allowed_amount": 154.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 570.02, "npi": [1851581540]}]}, {"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 570.02, "npi": [1649411422]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1315.2, "providers": [{"billed_charge": 2375.0, "npi": [1699874248]}]}, {"allowed_amount": 1619.52, "providers": [{"billed_charge": 2375.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1130.52, "providers": [{"billed_charge": 7553.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9649.91, "npi": [1821186313]}]}, {"allowed_amount": 1637.46, "providers": [{"billed_charge": 9649.91, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 772.36, "providers": [{"billed_charge": 5640.0, "npi": [1184691610]}]}, {"allowed_amount": 951.07, "providers": [{"billed_charge": 5640.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2185.92, "providers": [{"billed_charge": 3080.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1396751426, 1437378742, 1457349458, 1093827214]}]}, {"allowed_amount": 154.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1689622094, 1093827214]}]}, {"allowed_amount": 180.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1235194168, 1457349458]}]}]}, {"tin": {"type": "ein", "value": "593202547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1424.19, "providers": [{"billed_charge": 5667.0, "npi": [1104926401]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1093888489, 1669679569, 1487185013, 1134115959]}]}, {"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1285976431]}]}, {"allowed_amount": 154.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1770905085]}]}, {"allowed_amount": 192.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1174510994, 1558571794, 1013335876, 1942797170]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2912.46, "providers": [{"billed_charge": 10759.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1352.0, "npi": [1184680852, 1467081380, 1649599630]}]}, {"allowed_amount": 266.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1352.0, "npi": [1225358096, 1982854527, 1124027933, 1073991360]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 837.94, "providers": [{"billed_charge": 10210.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1470.57, "providers": [{"billed_charge": 2271.15, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1144669326]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 772.36, "providers": [{"billed_charge": 8974.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.98, "providers": [{"billed_charge": 7274.24, "npi": [1265539498]}]}, {"allowed_amount": 782.51, "providers": [{"billed_charge": 7274.24, "npi": [1497798847]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 733.29, "providers": [{"billed_charge": 5641.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5820.02, "providers": [{"billed_charge": 16628.62, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610981548"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 692.0, "npi": [1356592943]}]}]}, {"tin": {"type": "ein", "value": "610982294"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 430.0, "npi": [1609854488, 1386775849, 1386062511]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.28, "providers": [{"billed_charge": 9393.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "620545814"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 807.13, "providers": [{"billed_charge": 2640.0, "npi": [1912997024]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1851317309]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 530.0, "npi": [1467422808, 1184883092]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.49, "providers": [{"billed_charge": 13984.87, "npi": [1720032345]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 993.89, "providers": [{"billed_charge": 2640.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621237566"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 342.0, "npi": [1033191986]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1044.37, "providers": [{"billed_charge": 27437.05, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 784.19, "providers": [{"billed_charge": 12827.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4421.2, "providers": [{"billed_charge": 12632.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3148.08, "providers": [{"billed_charge": 8994.5, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 701.64, "providers": [{"billed_charge": 5348.06, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 131.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1316955925, 1043522311]}]}, {"allowed_amount": 188.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1871974162, 1205813573]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1730316118]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1053654731, 1902887615]}]}]}, {"tin": {"type": "ein", "value": "630891904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 701.64, "providers": [{"billed_charge": 4887.09, "npi": [1447303227]}]}]}, {"tin": {"type": "ein", "value": "631041806"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 128.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 287.0, "npi": [1407201916]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 105.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1770890147]}]}, {"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1063533412, 1457579559, 1528070521, 1962444620, 1629497870, 1265438287, 1942760343, 1235394990, 1184112468, 1043419351, 1306882873]}]}, {"allowed_amount": 130.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1255593885, 1043419351]}]}, {"allowed_amount": 200.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1063533412, 1457579559, 1962444620, 1972634541, 1235394990, 1306882873, 1184112468, 1275530198, 1346696663, 1528070521, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 610.0, "npi": [1124293568, 1235578980, 1417940420, 1083693352, 1780662700, 1477754349, 1154311694, 1588688782, 1962834671, 1609180306, 1649764531, 1144329848, 1205815289, 1225076219]}]}, {"allowed_amount": 130.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 610.0, "npi": [1417940420]}]}, {"allowed_amount": 200.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 610.0, "npi": [1124293568, 1255533857, 1235578980, 1083751366, 1043469992, 1083693352, 1780662700, 1477754349, 1588688782, 1962834671, 1609180306, 1649764531, 1144329848, 1205815289, 1225076219, 1649242207]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.99, "providers": [{"billed_charge": 3080.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1151.06, "providers": [{"billed_charge": 11379.9, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1952613424, 1558315069]}]}, {"allowed_amount": 130.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1396011300, 1124202916, 1801208749, 1740549245, 1811996382, 1639564479]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1629333810, 1811996382]}]}]}, {"tin": {"type": "ein", "value": "680273974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 384.0, "npi": [1356876429]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1154538692]}]}]}, {"tin": {"type": "ein", "value": "711045290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 590.66, "providers": [{"billed_charge": 2272.0, "npi": [1962435792]}]}]}, {"tin": {"type": "ein", "value": "720276883"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1316965114]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 694.24, "providers": [{"billed_charge": 2288.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "721367427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 395.0, "npi": [1306258751]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 808.44, "providers": [{"billed_charge": 25251.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "730700090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 449.62, "providers": [{"billed_charge": 4027.05, "npi": [1144228487]}]}]}, {"tin": {"type": "ein", "value": "730962438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.5, "npi": [1407843006]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 9478.75, "npi": [1730132234]}, {"billed_charge": 9987.0, "npi": [1982666111]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 4724.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 3479.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1720399629]}]}, {"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1073777249, 1427098029]}]}, {"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1255330213]}]}, {"allowed_amount": 324.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1801890603]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 948.0, "npi": [1669656567]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8401.4, "providers": [{"billed_charge": 24004.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5200.69, "providers": [{"billed_charge": 14859.1, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7836.85, "providers": [{"billed_charge": 22391.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 597.0, "npi": [1326433442]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.76, "providers": [{"billed_charge": 11094.71, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1891104550, 1598883217, 1841583796, 1508209495, 1013273630]}]}]}, {"tin": {"type": "ein", "value": "751292603"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1033313093, 1699958157]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1598723231]}]}, {"allowed_amount": 112.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1942681549]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1508363292]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 2704.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760339462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 4911.0, "npi": [1700883196]}]}]}, {"tin": {"type": "ein", "value": "760452719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1417911090]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 471.0, "npi": [1508376856, 1609667245, 1538133095]}]}]}, {"tin": {"type": "ein", "value": "760591590"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 2293.0, "npi": [1679557888]}]}]}, {"tin": {"type": "ein", "value": "760686474"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1477871275]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 29063.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2504.74, "providers": [{"billed_charge": 7020.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.3, "providers": [{"billed_charge": 6468.0, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 121.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 130.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1225533433]}]}, {"allowed_amount": 181.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "814015190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.34, "providers": [{"billed_charge": 5137.0, "npi": [1881144889]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3143.53, "providers": [{"billed_charge": 8981.5, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "814584169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 17811.98, "npi": [1376064295]}]}]}, {"tin": {"type": "ein", "value": "820651263"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 449.62, "providers": [{"billed_charge": 9845.0, "npi": [1780125005]}]}]}, {"tin": {"type": "ein", "value": "821349955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 33493.96, "npi": [1750819025]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1265712129, 1306307525, 1093742694, 1093957037, 1386936623, 1548496912, 1114258191, 1417190323, 1700229523, 1750577078, 1316366776, 1508204348]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1609997121, 1457589699, 1518279660, 1043517006, 1548496912, 1417190323, 1700229523, 1194847038]}]}, {"allowed_amount": 200.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1093742694, 1518279660, 1871024943, 1548496912, 1386936623, 1619938743, 1316366776, 1316108731, 1508204348]}]}, {"allowed_amount": 205.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 801.0, "npi": [1558893693]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 134.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1396823878]}]}]}, {"tin": {"type": "ein", "value": "823167668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 414.0, "npi": [1811293525]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1205070851]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 369.04, "npi": [1437577517]}]}, {"allowed_amount": 161.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 369.04, "npi": [1063079994]}]}]}, {"tin": {"type": "ein", "value": "831294232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 792.74, "providers": [{"billed_charge": 5137.0, "npi": [1083174973]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1203.79, "providers": [{"billed_charge": 9585.71, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4844.62, "providers": [{"billed_charge": 9585.71, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 835.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2422.0, "npi": [1790787307]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 485.81, "npi": [1679734669]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1154348894]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5258.0, "providers": [{"billed_charge": 5258.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "840760359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1001.0, "npi": [1447255047]}]}]}, {"tin": {"type": "ein", "value": "843065045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.9, "providers": [{"billed_charge": 27514.0, "npi": [1104461276]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1205942711]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1063686624]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 546.0, "npi": [1316116270]}]}, {"allowed_amount": 166.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 546.0, "npi": [1780826016, 1780002238]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.26, "providers": [{"billed_charge": 5350.0, "npi": [1114744752]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.26, "providers": [{"billed_charge": 7500.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1346390952, 1538363114]}, {"billed_charge": 1600.0, "npi": [1518062413, 1265457485]}]}, {"allowed_amount": 130.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1104273549]}]}, {"allowed_amount": 159.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1600.0, "npi": [1265457485]}]}, {"allowed_amount": 190.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1053474080, 1346390952, 1407836935]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1528406543]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 657.87, "providers": [{"billed_charge": 6640.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1417020967]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.81, "providers": [{"billed_charge": 8754.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880119638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1932316429]}]}]}, {"tin": {"type": "ein", "value": "880307447"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 427.0, "npi": [1164818175]}]}]}, {"tin": {"type": "ein", "value": "880455713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 808.44, "providers": [{"billed_charge": 18696.0, "npi": [1770626426]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1700894557, 1790219335]}]}]}, {"tin": {"type": "ein", "value": "883330119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 9262.23, "npi": [1295995272]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 449.0, "npi": [1508860438]}]}]}, {"tin": {"type": "ein", "value": "911220843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.8, "npi": [1659001014]}]}]}, {"tin": {"type": "ein", "value": "916001537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 856.46, "providers": [{"billed_charge": 3837.38, "npi": [1326002049]}]}]}, {"tin": {"type": "ein", "value": "921281848"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 376.0, "npi": [1346482460]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.09, "providers": [{"billed_charge": 2734.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "934555562"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 687.9, "providers": [{"billed_charge": 11091.0, "npi": [1841069044]}]}]}, {"tin": {"type": "ein", "value": "934624425"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1144218991]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 598.0, "npi": [1336307842]}]}]}, {"tin": {"type": "ein", "value": "951816017"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4926.84, "providers": [{"billed_charge": 11175.0, "npi": [1831188275]}]}]}, {"tin": {"type": "ein", "value": "951816017"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1649421447]}]}]}, {"tin": {"type": "ein", "value": "953153631"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1144631441]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.72, "providers": [{"billed_charge": 11329.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "953879238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1518941616]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 483.0, "npi": [1043253255]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.0, "npi": [1366646416]}]}, {"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.0, "npi": [1770739260, 1396940342]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 383.0, "npi": [1740212372, 1184864100, 1437268695]}, {"billed_charge": 467.0, "npi": [1184056202, 1033168422]}]}, {"allowed_amount": 192.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 467.0, "npi": [1053386136, 1033153663]}]}]}, {"tin": {"type": "ein", "value": "991380793"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 75.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 419.0, "npi": [1134489438]}]}, {"allowed_amount": 115.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 419.0, "npi": [1437577517]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1558304642, 1386136091, 1407886047, 1699160671]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1851567788]}]}, {"allowed_amount": 115.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1265895254]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2262.43, "providers": [{"billed_charge": 14048.0, "npi": [1427806025, 1780429076, 1366281750]}]}, {"allowed_amount": 2785.93, "providers": [{"billed_charge": 14048.0, "npi": [1780429076, 1366281750]}]}]}]}, {"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": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.61, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1942.51, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1848.42, "providers": [{"billed_charge": 5281.19, "npi": [1427616002]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 93.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.14, "npi": [1265723969, 1568876977]}]}]}, {"tin": {"type": "ein", "value": "161533232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.61, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1505.0, "npi": [1639209596]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 62.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1225069776]}]}, {"allowed_amount": 99.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1851569701]}]}, {"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1225069776]}]}, {"allowed_amount": 115.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1780864033, 1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 123.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 127.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1538196977]}]}, {"allowed_amount": 149.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1851569701]}]}, {"allowed_amount": 189.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 261.47, "providers": [{"billed_charge": 357.5, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3369.54, "providers": [{"billed_charge": 11994.43, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202844893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 583.72, "providers": [{"billed_charge": 3476.0, "npi": [1568551455]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1316207202]}]}, {"allowed_amount": 252.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1568824738, 1003868522, 1912980079]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1306070453]}]}]}, {"tin": {"type": "ein", "value": "208112143"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 309.0, "npi": [1851590186]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.19, "providers": [{"billed_charge": 3190.0, "npi": [1457456279]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1093927642]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1356546048]}]}]}, {"tin": {"type": "ein", "value": "223452412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1020.52, "providers": [{"billed_charge": 3040.0, "npi": [1609983790]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1417375080]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 714.28, "providers": [{"billed_charge": 32990.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.19, "providers": [{"billed_charge": 7437.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 909.4, "npi": [1710182407, 1578756524, 1447243878, 1124462783]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 909.4, "npi": [1225318827, 1710211701]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1720066749]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1326055856, 1265636575]}]}]}, {"tin": {"type": "ein", "value": "300284087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3369.54, "providers": [{"billed_charge": 3546.71, "npi": [1922033547]}]}]}, {"tin": {"type": "ein", "value": "310745303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 197.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1528068319]}]}]}, {"tin": {"type": "ein", "value": "310874388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1447492772]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1790737328]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1619268182]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1922088392, 1598750747, 1235335324]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 413.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 413.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1700822913]}]}, {"allowed_amount": 197.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1013900117, 1700011582]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 487.6, "providers": [{"billed_charge": 1668.0, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1501.61, "providers": [{"billed_charge": 4767.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "341041385"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 498.53, "providers": [{"billed_charge": 2840.0, "npi": [1639131535]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 343.0, "npi": [1083650139]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.8, "providers": [{"billed_charge": 2940.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 357.97, "providers": [{"billed_charge": 5915.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1598127458]}]}]}, {"tin": {"type": "ein", "value": "364867084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.66, "providers": [{"billed_charge": 6950.0, "npi": [1376870840]}]}]}, {"tin": {"type": "ein", "value": "382791823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 304.31, "providers": [{"billed_charge": 2732.0, "npi": [1992725352]}]}]}, {"tin": {"type": "ein", "value": "390816818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 495.55, "providers": [{"billed_charge": 1251.0, "npi": [1407803638]}]}]}, {"tin": {"type": "ein", "value": "390867579"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 861.0, "npi": [1801834460]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1637.0, "npi": [1215284898, 1770901738]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1637.0, "npi": [1831122761, 1972739100, 1205223765]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 317.0, "npi": [1386608172]}]}, {"allowed_amount": 113.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1679591689]}]}, {"allowed_amount": 300.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1508271149]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 770.0, "npi": [1831115641]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1922054659]}]}]}, {"tin": {"type": "ein", "value": "450480099"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 408.0, "npi": [1134168735]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 209.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 465.0, "npi": [1558322180, 1245256072, 1770640393, 1144209420, 1043474190, 1659578896, 1952359697, 1588616338, 1417924242, 1952593170, 1265429013, 1255364378, 1750354973, 1033169438, 1770560542, 1326343716, 1578539557, 1346211877, 1700013356, 1831189935, 1457553075, 1659767093, 1659374262, 1427031095, 1598785594, 1730384447, 1396770111, 1336347335, 1154372423, 1679632970, 1073017174, 1144437336, 1952518235, 1649271131, 1548243165, 1487760351, 1457332447, 1376032607, 1932190436, 1093122277, 1093703787, 1437326956, 1174790638, 1164595823, 1396852851, 1275598708, 1841675642, 1912997115]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1285196451]}]}, {"allowed_amount": 146.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1992083133]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 346.0, "npi": [1265432215, 1669708715, 1063578995, 1639161847, 1720177207, 1548435290, 1073595740]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "470376604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 901.85, "providers": [{"billed_charge": 3818.0, "npi": [1336470558]}]}]}, {"tin": {"type": "ein", "value": "470379755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 589.67, "providers": [{"billed_charge": 4584.0, "npi": [1336184019]}]}]}, {"tin": {"type": "ein", "value": "470526763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1578581914]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 420.11, "providers": [{"billed_charge": 5243.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 100.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1053585380]}]}, {"allowed_amount": 106.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1053585380]}]}, {"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1053585380, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 115.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1053585380, 1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 116.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 123.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 127.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1891996047, 1053585380, 1619497567]}]}, {"allowed_amount": 140.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1851569701]}]}, {"allowed_amount": 149.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1851569701]}]}, {"allowed_amount": 189.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1851826440]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1629352083]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.4, "providers": [{"billed_charge": 94.4, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1356332449]}]}]}, {"tin": {"type": "ein", "value": "550840991"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.69, "npi": [1831312099]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 709.49, "providers": [{"billed_charge": 5989.0, "npi": [1346297892]}]}]}, {"tin": {"type": "ein", "value": "560942865"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1023061827]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 347.0, "npi": [1013179266]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 641.0, "npi": [1386805109]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 823.3, "providers": [{"billed_charge": 5058.0, "npi": [1144247982]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1649296039]}]}]}, {"tin": {"type": "ein", "value": "581581103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 369.39, "providers": [{"billed_charge": 4731.01, "npi": [1588665566]}]}]}, {"tin": {"type": "ein", "value": "581734026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.76, "providers": [{"billed_charge": 7662.0, "npi": [1659376630]}]}]}, {"tin": {"type": "ein", "value": "581790149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 533.68, "providers": [{"billed_charge": 6058.0, "npi": [1801883780]}]}]}, {"tin": {"type": "ein", "value": "581839412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1881817286]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 657.25, "providers": [{"billed_charge": 6804.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.44, "providers": [{"billed_charge": 6178.0, "npi": [1457396079]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 421.0, "npi": [1134480288]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 400.52, "providers": [{"billed_charge": 7258.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1588710487]}]}, {"allowed_amount": 121.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1760598924]}]}]}, {"tin": {"type": "ein", "value": "582453303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 533.68, "providers": [{"billed_charge": 6058.0, "npi": [1851388748]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.98, "providers": [{"billed_charge": 3991.0, "npi": [1295702728]}]}, {"allowed_amount": 528.24, "providers": [{"billed_charge": 3991.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3465.8, "providers": [{"billed_charge": 7701.78, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1495.02, "providers": [{"billed_charge": 2085.0, "npi": [1194790055]}]}, {"allowed_amount": 2085.0, "providers": [{"billed_charge": 2085.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.96, "providers": [{"billed_charge": 4087.94, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 730.07, "providers": [{"billed_charge": 12000.0, "npi": [1700979465, 1972664530]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1547.35, "providers": [{"billed_charge": 7815.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 2887.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 508.31, "providers": [{"billed_charge": 5665.0, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 495.85, "providers": [{"billed_charge": 11625.4, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 3094.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1861726952, 1215164348, 1588610026, 1982832572, 1457334732, 1932182219, 1033608922, 1780846204]}]}, {"allowed_amount": 252.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1780846204, 1497190946, 1447372131, 1215164348, 1023570827, 1457334732, 1932182219, 1750516720, 1497131734, 1033608922, 1982832572]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1104183714, 1366909830, 1063468486]}]}, {"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1609220300, 1962021774]}]}, {"allowed_amount": 115.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1750801031]}]}, {"allowed_amount": 123.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1750801031]}]}, {"allowed_amount": 140.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1205498896]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 483.0, "npi": [1316135429, 1881647592, 1801026893, 1811191661, 1679956817, 1093109969, 1891159992, 1285923292, 1356393086, 1275092223]}]}, {"allowed_amount": 146.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 483.0, "npi": [1508245424, 1295178630, 1477966463]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 189.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1710230982]}]}, {"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1306263751, 1568953065, 1447815089, 1659341139, 1578704342, 1558789115, 1023052990]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1376705665, 1902243009, 1306263751, 1447815089, 1578704342, 1811151996]}]}, {"allowed_amount": 252.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.0, "npi": [1184186959]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 268.0, "npi": [1003027376, 1427317882, 1285016733, 1821592999]}]}, {"allowed_amount": 147.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 268.0, "npi": [1811903867]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.8, "providers": [{"billed_charge": 1242.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6358.61, "providers": [{"billed_charge": 15139.54, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 261.47, "providers": [{"billed_charge": 4046.0, "npi": [1588283352]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1976.92, "providers": [{"billed_charge": 7303.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 252.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 430.0, "npi": [1235172529, 1942769286]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.1, "npi": [1992294938]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 6866.4, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592319288"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 580.8, "npi": [1528180338]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1396770111]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1013177120, 1396751426, 1437378742, 1235194168, 1528333887]}]}, {"allowed_amount": 172.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1093888489, 1063854354, 1548796535, 1659665016, 1912084955, 1124080668]}]}, {"allowed_amount": 146.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1982690624]}]}, {"allowed_amount": 182.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1093888489, 1558571794, 1184637688, 1396946653, 1659494334]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1976.92, "providers": [{"billed_charge": 7303.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1300.0, "npi": [1932490703]}]}, {"allowed_amount": 252.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1300.0, "npi": [1336309053]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 573.09, "providers": [{"billed_charge": 7650.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1470.57, "providers": [{"billed_charge": 2271.15, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 528.24, "providers": [{"billed_charge": 7366.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.51, "providers": [{"billed_charge": 4427.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1424.0, "providers": [{"billed_charge": 2239.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "610982294"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1609255546]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1174631410]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 311.0, "npi": [1649807702]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 714.28, "providers": [{"billed_charge": 27755.54, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621682198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 9136.03, "npi": [1689628984]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7122.15, "providers": [{"billed_charge": 20349.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1699725457]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 968.76, "providers": [{"billed_charge": 1904.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1346696663, 1457579559, 1962444620, 1043419351, 1306882873]}]}, {"allowed_amount": 189.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1063533412, 1457579559, 1235394990, 1942760343, 1184112468, 1275530198, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 578.0, "npi": [1235578980, 1083693352, 1780662700, 1962834671, 1609180306, 1649764531, 1205815289]}]}, {"allowed_amount": 189.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 578.0, "npi": [1124293568, 1235578980, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289, 1225076219]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.96, "providers": [{"billed_charge": 2085.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.03, "providers": [{"billed_charge": 4355.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "720891412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1528250883, 1316954068]}]}]}, {"tin": {"type": "ein", "value": "730579285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.5, "providers": [{"billed_charge": 4059.0, "npi": [1184721722]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1457398877]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1730189572]}]}, {"allowed_amount": 87.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1447233713]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5896.8, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752302928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 992.57, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4164.0, "npi": [1740273994]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 5817.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1976.92, "providers": [{"billed_charge": 7303.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 552.92, "providers": [{"billed_charge": 20460.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 115.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 123.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1225533433]}]}, {"allowed_amount": 171.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3719.8, "providers": [{"billed_charge": 14752.0, "npi": [1134152549]}]}]}, {"tin": {"type": "ein", "value": "820301061"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.0, "npi": [1508816471]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1306307525, 1043517006, 1326179995, 1508204348, 1194847038]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1548496912, 1700229523]}]}, {"allowed_amount": 189.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1093742694, 1487851556, 1508204348, 1386665719]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 300.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1932465812]}]}]}, {"tin": {"type": "ein", "value": "831651180"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.96, "providers": [{"billed_charge": 1526.8, "npi": [1407313760]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1841685435]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 63.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1073777249]}]}, {"allowed_amount": 84.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1972593929]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 420.11, "providers": [{"billed_charge": 6200.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1000.0, "npi": [1811549868]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1000.0, "npi": [1265457485]}]}]}, {"tin": {"type": "ein", "value": "863087969"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1174882583]}]}]}, {"tin": {"type": "ein", "value": "870702512"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 441.0, "npi": [1265791628]}]}]}, {"tin": {"type": "ein", "value": "880119638"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1427588615]}]}]}, {"tin": {"type": "ein", "value": "880307447"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1659799955]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 258.47, "providers": [{"billed_charge": 391.54, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "900412842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 420.11, "providers": [{"billed_charge": 2533.0, "npi": [1124341672]}]}]}, {"tin": {"type": "ein", "value": "910979582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1659628154]}]}]}, {"tin": {"type": "ein", "value": "911267921"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 587.39, "providers": [{"billed_charge": 10266.14, "npi": [1093713091]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 298.8, "npi": [1922260033, 1912939679]}]}]}, {"tin": {"type": "ein", "value": "933040761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 498.34, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 12504.45, "npi": [1407637531]}]}]}, {"tin": {"type": "ein", "value": "934027365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1710478847]}]}]}, {"tin": {"type": "ein", "value": "943159355"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 382.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 382.0, "npi": [1336137025]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5043.0, "providers": [{"billed_charge": 5043.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1538629068]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.54, "providers": [{"billed_charge": 6220.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 474.0, "npi": [1518995141]}]}]}, {"tin": {"type": "ein", "value": "954747393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.88, "providers": [{"billed_charge": 454.0, "npi": [1497745194]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1366646416, 1770739260]}]}, {"allowed_amount": 146.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1407047228]}]}, {"allowed_amount": 147.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1730138793]}, {"billed_charge": 443.0, "npi": [1184056202, 1619409372]}]}]}, {"tin": {"type": "ein", "value": "991380793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1548766066, 1467763383]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1435.01, "providers": [{"billed_charge": 8925.0, "npi": [1366281750]}]}, {"allowed_amount": 1547.35, "providers": [{"billed_charge": 8925.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 557.25, "providers": [{"billed_charge": 11733.0, "npi": [1255171096]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1306158191]}]}]}]}, {"name": "Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions", "billing_code_type": "CPT", "billing_code": "74178", "billing_code_type_version": "2022", "description": "CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 134.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 697.5, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 144.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 697.5, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 174.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 697.5, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 403.0, "npi": [1467459198]}]}]}, {"tin": {"type": "ein", "value": "250965406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 696.61, "providers": [{"billed_charge": 5562.0, "npi": [1477538312]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 482.0, "npi": [1437125077]}]}, {"allowed_amount": 176.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 482.0, "npi": [1093748840]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 243.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 540.0, "npi": [1841675642, 1255364378, 1093122277]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 79.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.95, "npi": [1770646457]}]}, {"allowed_amount": 117.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1053585380]}]}, {"allowed_amount": 124.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1053585380]}]}, {"allowed_amount": 126.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1770646457, 1235517558, 1891996047]}]}, {"allowed_amount": 130.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1538588207]}]}, {"allowed_amount": 134.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1053585380, 1013063908, 1891996047, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 136.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1013063908, 1235517558, 1891996047]}]}, {"allowed_amount": 144.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1013063908, 1104288836, 1538588207, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 174.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 562.38, "providers": [{"billed_charge": 5727.0, "npi": [1871592113]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4308.48, "providers": [{"billed_charge": 9574.4, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["19", "21"], "payments": [{"allowed_amount": 144.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1712.0, "npi": [1750801031]}]}, {"allowed_amount": 176.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1712.0, "npi": [1609220300, 1306865639]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 126.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 564.0, "npi": [1285923292]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 386.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 564.0, "npi": [1699394486]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 481.48, "providers": [{"billed_charge": 6882.0, "npi": [1962665174]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 126.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1265466395, 1083175061]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 130.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 675.0, "npi": [1205815289, 1649764531, 1235578980]}]}, {"allowed_amount": 221.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 675.0, "npi": [1083693352, 1205815289, 1235578980, 1124293568]}]}]}, {"tin": {"type": "ein", "value": "751292603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 410.0, "npi": [1376747949]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 134.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1427019728]}]}, {"allowed_amount": 144.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 171.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1770739260]}]}]}]}, {"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": "010510040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1659938785]}]}]}, {"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "042911067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1538367289]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 78.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1073990008, 1871850438]}]}]}, {"tin": {"type": "ein", "value": "060931385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1841673712]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1346211877, 1841466430]}]}]}, {"tin": {"type": "ein", "value": "121649025"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1912199779]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1354.16, "providers": [{"billed_charge": 3869.03, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 382.0, "npi": [1780062687]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1518128495]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1225069776]}]}, {"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1780864033, 1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 74.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1538196977]}]}, {"allowed_amount": 87.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1851569701]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1508186131]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1508186131, 1528098555]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1376746438]}]}]}, {"tin": {"type": "ein", "value": "204361034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1639431869]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1760435416]}]}, {"allowed_amount": 66.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1396770111]}]}, {"allowed_amount": 80.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1558310789]}]}]}, {"tin": {"type": "ein", "value": "208112143"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1073522843]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1669601605]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 31.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1275700999]}]}, {"allowed_amount": 79.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1326197393]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1487189825]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.35, "npi": [1225318827]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.35, "npi": [1982650842, 1225318827]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1497725824]}]}]}, {"tin": {"type": "ein", "value": "310745303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1528068319]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1477547305]}]}]}, {"tin": {"type": "ein", "value": "330449527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4651.0, "providers": [{"billed_charge": 4651.0, "npi": [1528041811]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1922088392, 1619268182]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1508819970, 1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1104267525, 1689888422]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1255651642]}]}, {"allowed_amount": 114.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1548436132]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1205879988]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 1203.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1235690827]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1265429013]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 298.0, "npi": [1467656041]}]}]}, {"tin": {"type": "ein", "value": "363305449"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1669847307]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1861805871]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 611.0, "npi": [1013173681]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 611.0, "npi": [1205937547, 1376527382, 1588045439]}]}]}, {"tin": {"type": "ein", "value": "412648278"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1891089132]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1184659294]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1083658264, 1205802154]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1548202757]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 532.24, "npi": [1407387558, 1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 124.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1558322180, 1245256072, 1770640393, 1043474190, 1588616338, 1306330899, 1417924242, 1265429013, 1255364378, 1750354973, 1346211877, 1578539557, 1306166442, 1700013356, 1639478837, 1396770111, 1174086466, 1154372423, 1679632970, 1073017174, 1144437336, 1457332447, 1932190436, 1487821542, 1093703787, 1164595823, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1720058951]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1871760538, 1184056202]}]}, {"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1033116991]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1831107754, 1003084971, 1972767556, 1821148743]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.5, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.32, "npi": [1467871715]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1215024971]}]}, {"allowed_amount": 22.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 25.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1700315025, 1053585380, 1891996047]}]}, {"allowed_amount": 33.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1770646457]}]}, {"allowed_amount": 58.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 62.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380, 1851569701, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1073017174, 1619497567]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1891996047, 1770646457, 1053585380, 1619497567]}]}, {"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380, 1851569701, 1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 68.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235767062, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 70.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1770646457]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 87.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.29, "providers": [{"billed_charge": 124.29, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "540846558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 317.0, "npi": [1518933951]}]}]}, {"tin": {"type": "ein", "value": "541671658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1346212818]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1720511033, 1386063725, 1760903751]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1664.21, "providers": [{"billed_charge": 1844.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1669458246]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1356623235]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1881857332]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1356787840, 1275996316]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 227.0, "npi": [1811177884]}]}, {"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 227.0, "npi": [1891717666, 1134489438]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1289.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1861951881, 1366938516]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1369.7, "providers": [{"billed_charge": 2499.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 66.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 3963.3, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1560.33, "providers": [{"billed_charge": 3467.39, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}, {"allowed_amount": 1386.48, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}, {"allowed_amount": 2691.72, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.87, "providers": [{"billed_charge": 8000.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 2052.0, "npi": [1578620449]}]}, {"allowed_amount": 843.44, "providers": [{"billed_charge": 2052.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.34, "providers": [{"billed_charge": 5007.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1780846204, 1861726952, 1588610026, 1932182219, 1023570827, 1982832572]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1861726952, 1215164348, 1427580331, 1932182219, 1750516720, 1710179676, 1780846204]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1720024680, 1669521803, 1770947038, 1033181839]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1609220300]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1609220300, 1962021774, 1306865639]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1285637330]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1578824181]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1427345032, 1679956817, 1801026893, 1295178630]}]}, {"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1295178630]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 44.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1902066129]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1669664603, 1588079917]}, {"billed_charge": 224.0, "npi": [1932316098, 1750730149, 1285051441, 1407022940, 1649245085]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1447815089, 1578704342, 1558789115, 1811151996, 1023052990]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1376705665, 1902243009, 1235109729, 1033307137, 1568953065, 1164490769, 1659341139, 1578704342, 1558789115, 1023052990]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1841340429]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1821592999, 1417941832, 1821228396, 1003027376, 1295729689, 1427317882, 1285016733]}]}, {"allowed_amount": 96.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 1242.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4407.51, "providers": [{"billed_charge": 10494.08, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 70.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1144615352]}]}, {"allowed_amount": 89.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1457611873]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1457611873, 1285258566, 1164618278]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1235172529, 1497981989]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.4, "npi": [1265886626, 1710060595]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4018.67, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2691.72, "providers": [{"billed_charge": 918.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 2052.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1982690624, 1053721985, 1750840682, 1164552014, 1063854354, 1952537052, 1659494334]}]}, {"allowed_amount": 106.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1508183088, 1003376823]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 601.0, "npi": [1235529421]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 531.48, "providers": [{"billed_charge": 4925.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1667.31, "providers": [{"billed_charge": 2575.0, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.99, "providers": [{"billed_charge": 427.0, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610492356"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 454.1, "providers": [{"billed_charge": 1921.75, "npi": [1821135963]}]}]}, {"tin": {"type": "ein", "value": "610492356"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1295998581]}]}]}, {"tin": {"type": "ein", "value": "610679378"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1720040884]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1740495654]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1730316118]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1043303548]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1457579559, 1528070521, 1417410507, 1962444620, 1972634541, 1043419351, 1306882873]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1063533412, 1457579559, 1962444620, 1235394990, 1346696663]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1235578980, 1417940420, 1477754349, 1962834671, 1609180306, 1649764531, 1205815289]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1124293568, 1083751366, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}, {"allowed_amount": 427.5, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}, {"allowed_amount": 1161.21, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1366646424]}]}, {"allowed_amount": 72.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1396011300, 1811996382]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1639564479]}]}]}, {"tin": {"type": "ein", "value": "660853861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1134169378]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1154538692]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 70.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1598856460]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 3939.75, "npi": [1730132234]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1073723144, 1902070519]}]}, {"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1689676975]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1073952412]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2749.78, "providers": [{"billed_charge": 7856.5, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 302.0, "npi": [1245233022]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1508209495]}]}, {"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1053671636]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1316902133]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 5498.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "770460802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 714.0, "npi": [1942466156]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225533433]}]}, {"allowed_amount": 100.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1265712129, 1417190323, 1508204348]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1093957037]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1932465010, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1396169694]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1750624144]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.81, "npi": [1437577517]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1760693493]}]}]}, {"tin": {"type": "ein", "value": "844693833"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1104125517]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1558350512, 1871972786, 1043451461]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1396307344]}]}, {"allowed_amount": 72.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1104273549]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1053474080]}]}]}, {"tin": {"type": "ein", "value": "870281028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1821483389]}]}]}, {"tin": {"type": "ein", "value": "870622942"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1548443716]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1164251864, 1497914691]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1508860438]}]}]}, {"tin": {"type": "ein", "value": "900981239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 389.6, "providers": [{"billed_charge": 2642.0, "npi": [1932543428]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1174797286]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1306838131]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1154764462]}]}]}, {"tin": {"type": "ein", "value": "930593725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1194848697]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 373.44, "npi": [1073532404]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4073.81, "providers": [{"billed_charge": 4073.81, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "952639291"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1306342084]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1780138289, 1538629068]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1720280530]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 7740.0, "npi": [1780429076]}]}, {"allowed_amount": 1435.01, "providers": [{"billed_charge": 7740.0, "npi": [1780429076]}]}]}]}, {"name": "Computed tomography, head or brain; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "70460", "billing_code_type_version": "2022", "description": "CT HEAD/BRAIN W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 335.0, "npi": [1619950490]}]}]}, {"tin": {"type": "ein", "value": "415046638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 307.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1053585380]}]}, {"allowed_amount": 71.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1891996047]}]}, {"allowed_amount": 73.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1891996047]}]}, {"allowed_amount": 75.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1770646457, 1053585380]}]}, {"allowed_amount": 76.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 81.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1700315025, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 960.88, "providers": [{"billed_charge": 1511.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1366938516]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 730.0, "npi": [1578824181]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 497.0, "npi": [1457545956]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1477754349]}]}]}]}, {"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": "010510040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1659938785]}]}]}, {"tin": {"type": "ein", "value": "017762308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 307.0, "npi": [1285661298]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.13, "providers": [{"billed_charge": 2997.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020316134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1871565630]}]}]}, {"tin": {"type": "ein", "value": "042103577"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 562.2, "providers": [{"billed_charge": 1625.0, "npi": [1790780047]}]}]}, {"tin": {"type": "ein", "value": "042807148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1255010021]}]}]}, {"tin": {"type": "ein", "value": "042911067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1538367289]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1091.48, "providers": [{"billed_charge": 700.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "060646844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1091.82, "providers": [{"billed_charge": 1864.0, "npi": [1760426969]}]}]}, {"tin": {"type": "ein", "value": "060646917"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.7, "providers": [{"billed_charge": 5343.62, "npi": [1356331425]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 66.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1073990008, 1922456425, 1871850438]}]}]}, {"tin": {"type": "ein", "value": "060931385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 285.0, "npi": [1841673712]}]}]}, {"tin": {"type": "ein", "value": "073764338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1861856080]}]}]}, {"tin": {"type": "ein", "value": "099663399"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 964.0, "npi": [1831392372]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1558322180, 1841466430]}]}]}, {"tin": {"type": "ein", "value": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1352.26, "npi": [1700886322]}]}, {"allowed_amount": 433.67, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1352.26, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 1768.0, "npi": [1285641514]}]}]}, {"tin": {"type": "ein", "value": "121649025"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1912199779]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1720462385]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 1332.9, "npi": [1801803903]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1851304299]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1154.09, "providers": [{"billed_charge": 3297.4, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1800.0, "npi": [1245251222]}]}]}, {"tin": {"type": "ein", "value": "141338547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2430.0, "npi": [1073569331]}]}]}, {"tin": {"type": "ein", "value": "141825546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1861856080]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1397.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "160645644"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1992902035]}]}]}, {"tin": {"type": "ein", "value": "160988763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1164414066]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.21, "npi": [1730384512]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1518128495]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1285619858, 1518128495]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1881987238]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 30.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1225069776, 1821175993, 1851569701]}]}, {"allowed_amount": 49.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1851569701]}]}, {"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1225069776]}]}, {"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1780864033, 1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 61.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1538196977]}]}, {"allowed_amount": 61.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 63.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1538196977, 1851569701]}]}, {"allowed_amount": 74.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1851569701]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "202552772"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1952518235, 1114956109]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1568663680, 1376746438, 1720070279, 1003868522, 1508186131, 1477991156, 1528098555]}]}, {"allowed_amount": 125.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1659321248, 1568663680, 1376746438, 1003868522, 1215983085, 1508186131, 1477991156, 1346235801]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 6857.27, "npi": [1215003348]}]}, {"allowed_amount": 1435.01, "providers": [{"billed_charge": 6857.27, "npi": [1316992134]}]}]}, {"tin": {"type": "ein", "value": "204722218"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.0, "npi": [1811343726]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1306466412]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 3609.24, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1396770111]}]}, {"allowed_amount": 68.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1558310789]}]}]}, {"tin": {"type": "ein", "value": "208112143"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1073522843]}]}]}, {"tin": {"type": "ein", "value": "208489105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 698.85, "providers": [{"billed_charge": 3145.0, "npi": [1982720249]}]}]}, {"tin": {"type": "ein", "value": "208639828"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1831141092]}]}]}, {"tin": {"type": "ein", "value": "210662542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.43, "providers": [{"billed_charge": 4281.0, "npi": [1053382697]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 330.19, "providers": [{"billed_charge": 2085.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 698.85, "providers": [{"billed_charge": 2535.72, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1285925347, 1790217396, 1821073677, 1225011703]}]}]}, {"tin": {"type": "ein", "value": "221917247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1538428453]}]}]}, {"tin": {"type": "ein", "value": "221928145"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1366739245]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 964.0, "npi": [1831392372]}]}]}, {"tin": {"type": "ein", "value": "223548695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.63, "providers": [{"billed_charge": 18988.0, "npi": [1275583726]}]}]}, {"tin": {"type": "ein", "value": "231529076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.19, "providers": [{"billed_charge": 1515.0, "npi": [1407856099]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1560.75, "providers": [{"billed_charge": 2589.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1639105299]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1669601605]}]}]}, {"tin": {"type": "ein", "value": "232859375"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1114900602]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1720278609]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 24.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1275700999]}]}, {"allowed_amount": 67.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1326197393]}]}]}, {"tin": {"type": "ein", "value": "237133975"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.4, "providers": [{"billed_charge": 822.4, "npi": [1700896354]}]}]}, {"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.07, "providers": [{"billed_charge": 3037.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "250965429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.75, "providers": [{"billed_charge": 2601.0, "npi": [1881695146]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1487189825]}]}]}, {"tin": {"type": "ein", "value": "254615754"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1205246741]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1023008299]}]}]}, {"tin": {"type": "ein", "value": "261512163"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.66, "providers": [{"billed_charge": 11618.82, "npi": [1740450121]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.8, "providers": [{"billed_charge": 4026.0, "npi": [1992799050]}]}, {"allowed_amount": 501.19, "providers": [{"billed_charge": 4026.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 32.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 528.2, "npi": [1447216924]}]}, {"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 528.2, "npi": [1447243878, 1659323368, 1225318827, 1578756524, 1710211701, 1982650842, 1447216924]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 528.2, "npi": [1982650842, 1225318827, 1124462783]}]}]}, {"tin": {"type": "ein", "value": "264036315"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1326451642, 1487674180]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1235352923]}]}]}, {"tin": {"type": "ein", "value": "274495916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1093094005, 1942731039]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 960.88, "providers": [{"billed_charge": 3609.24, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1831505494]}]}]}, {"tin": {"type": "ein", "value": "310745303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 96.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1528068319]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1477547305]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.48, "providers": [{"billed_charge": 1285.0, "npi": [1801937008]}]}]}, {"tin": {"type": "ein", "value": "330449527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3603.0, "providers": [{"billed_charge": 3603.0, "npi": [1528041811]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1922088392, 1598750747, 1619268182]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1508819970, 1922088392, 1619268182, 1598750747, 1235335324]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1053383786]}]}, {"allowed_amount": 30.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1093748840]}]}, {"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.83, "npi": [1659559334]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1104267525, 1689888422, 1720518061]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1689888422]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1720518061, 1689888422]}]}, {"allowed_amount": 97.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1548436132]}]}]}, {"tin": {"type": "ein", "value": "341996544"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1083757132]}]}]}, {"tin": {"type": "ein", "value": "351166081"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 963.58, "providers": [{"billed_charge": 2314.0, "npi": [1346248986]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1205879988]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 1375.0, "npi": [1801885413]}]}, {"allowed_amount": 751.01, "providers": [{"billed_charge": 1375.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.84, "providers": [{"billed_charge": 2063.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.97, "providers": [{"billed_charge": 2600.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1174750152, 1235690827, 1194070342]}]}]}, {"tin": {"type": "ein", "value": "362170133"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.97, "providers": [{"billed_charge": 2293.34, "npi": [1962425611]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1467656041]}]}]}, {"tin": {"type": "ein", "value": "363305449"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.88, "npi": [1669847307]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1407891633]}]}, {"allowed_amount": 54.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1861805871]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1043259252]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.34, "providers": [{"billed_charge": 1327.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "383380785"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1437578457]}]}]}, {"tin": {"type": "ein", "value": "384105653"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.04, "providers": [{"billed_charge": 1222.0, "npi": [1326020447]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1700834777]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 608.0, "npi": [1740408384, 1568440089, 1215284898]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 608.0, "npi": [1831312099, 1831328038, 1205937547, 1376527382, 1588045439]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1386976207]}]}, {"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1639431869]}]}]}, {"tin": {"type": "ein", "value": "412648278"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1891089132]}]}]}, {"tin": {"type": "ein", "value": "415046638"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1760200901]}]}]}, {"tin": {"type": "ein", "value": "420504780"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.54, "providers": [{"billed_charge": 1692.71, "npi": [1083708226]}]}]}, {"tin": {"type": "ein", "value": "421480598"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1316381833]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.14, "providers": [{"billed_charge": 857.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 62.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1306838644, 1184659294]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1083658264, 1205802154]}]}]}, {"tin": {"type": "ein", "value": "431009163"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.0, "providers": [{"billed_charge": 93.0, "npi": [1447288253]}]}]}, {"tin": {"type": "ein", "value": "431664107"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1003038746]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 817.0, "npi": [1467595793]}]}, {"allowed_amount": 554.08, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 817.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1548202757]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1942206990]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1657.44, "providers": [{"billed_charge": 2113.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "450503121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.78, "providers": [{"billed_charge": 10283.93, "npi": [1942247044]}]}]}, {"tin": {"type": "ein", "value": "451649781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1003064999]}]}]}, {"tin": {"type": "ein", "value": "452528314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.87, "providers": [{"billed_charge": 4059.79, "npi": [1972576247]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.41, "npi": [1013405547]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 378.74, "providers": [{"billed_charge": 1929.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 444.0, "npi": [1134377518]}]}, {"allowed_amount": 61.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 444.0, "npi": [1407387558, 1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 102.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1306166442]}]}, {"allowed_amount": 103.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1275587461, 1245256072, 1770640393, 1043474190, 1659578896, 1952359697, 1417924242, 1588616338, 1306330899, 1265429013, 1255364378, 1750354973, 1033169438, 1578539557, 1346211877, 1306166442, 1700013356, 1457553075, 1639478837, 1427031095, 1598785594, 1396770111, 1174086466, 1154372423, 1679632970, 1114956109, 1073017174, 1144437336, 1952518235, 1649271131, 1376032607, 1487760351, 1932190436, 1487821542, 1093703787, 1174790638, 1164595823, 1275598708, 1912997115, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.75, "providers": [{"billed_charge": 889.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "460552280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1114245990]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1043578446, 1720058951]}]}]}, {"tin": {"type": "ein", "value": "461956481"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1841600194]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.0, "npi": [1184056202, 1770534869, 1871760538]}]}, {"allowed_amount": 72.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.0, "npi": [1033116991]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1972767556, 1770743908, 1821148743, 1457619017, 1831107754, 1003084971, 1760694285, 1205079506, 1063578995, 1265432215, 1073595740]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.16, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.19, "npi": [1467871715]}]}]}, {"tin": {"type": "ein", "value": "474196634"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 299.05, "providers": [{"billed_charge": 1800.0, "npi": [1942685920]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 2.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1215024971]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1053585380]}]}, {"allowed_amount": 21.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1700315025]}]}, {"allowed_amount": 28.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1770646457]}]}, {"allowed_amount": 49.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1053585380]}]}, {"allowed_amount": 51.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1770646457]}]}, {"allowed_amount": 52.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1053585380]}]}, {"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1053585380, 1104288836, 1851569701, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1235767062, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1104288836, 1053585380, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1104288836, 1053585380, 1013063908, 1851569701, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1073017174, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 57.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 61.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 63.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1215024971, 1053585380]}]}, {"allowed_amount": 69.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1851569701]}]}, {"allowed_amount": 74.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1871936518]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 78.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 508.0, "npi": [1740546951]}]}]}, {"tin": {"type": "ein", "value": "520445374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.97, "providers": [{"billed_charge": 74.97, "npi": [1992701825]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.54, "providers": [{"billed_charge": 70.54, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.6, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521272129"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.82, "providers": [{"billed_charge": 2111.08, "npi": [1548378235]}]}]}, {"tin": {"type": "ein", "value": "521958352"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 698.85, "providers": [{"billed_charge": 2462.0, "npi": [1053384776]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.44, "providers": [{"billed_charge": 418.33, "npi": [1831220714]}]}]}, {"tin": {"type": "ein", "value": "540647482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.36, "providers": [{"billed_charge": 2805.0, "npi": [1366404428]}]}]}, {"tin": {"type": "ein", "value": "540846558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1518933951]}]}]}, {"tin": {"type": "ein", "value": "540972713"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1033376132]}]}]}, {"tin": {"type": "ein", "value": "541671658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1154312940, 1174595839]}]}]}, {"tin": {"type": "ein", "value": "550492006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1447460803]}]}]}, {"tin": {"type": "ein", "value": "550643304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.76, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2113.0, "npi": [1841271459]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.87, "providers": [{"billed_charge": 2644.0, "npi": [1417432840]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.13, "providers": [{"billed_charge": 2118.0, "npi": [1427030774]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1831484112]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1255523791]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1811282056, 1184801441]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 38.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 268.0, "npi": [1265757728, 1760903751, 1356465611, 1285052142, 1497107387, 1285098749]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 305.79, "providers": [{"billed_charge": 2644.0, "npi": [1376985135]}]}, {"allowed_amount": 647.19, "providers": [{"billed_charge": 2644.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1191.3, "providers": [{"billed_charge": 1320.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562143518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.96, "providers": [{"billed_charge": 2778.84, "npi": [1881688976]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1669458246]}]}]}, {"tin": {"type": "ein", "value": "570359174"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.78, "providers": [{"billed_charge": 2400.0, "npi": [1417919531]}]}]}, {"tin": {"type": "ein", "value": "570963518"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2128.0, "npi": [1982888467]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1720087745, 1093786626, 1194797597]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1031.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1289.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "580625140"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.44, "providers": [{"billed_charge": 1074.15, "npi": [1740272095]}]}]}, {"tin": {"type": "ein", "value": "581093931"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1215137385]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1356623235, 1568442887]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1932261161]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 440.51, "providers": [{"billed_charge": 1464.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1356787840, 1275996316, 1457748527]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.42, "providers": [{"billed_charge": 1754.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 59.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1992782155]}]}, {"allowed_amount": 59.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1134489438, 1376937722, 1548766066]}]}]}, {"tin": {"type": "ein", "value": "581839412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1881817286]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 287.99, "providers": [{"billed_charge": 2832.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.8, "providers": [{"billed_charge": 3990.0, "npi": [1376574277]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1031.0, "npi": [1093716979]}, {"billed_charge": 1289.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 37.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1730441593]}]}, {"allowed_amount": 59.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1235379017, 1861951881, 1346656972, 1366692717, 1538593298, 1295146108, 1174020127]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1316366818, 1154522738]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.88, "providers": [{"billed_charge": 2825.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 3609.24, "npi": [1225034333]}]}, {"allowed_amount": 494.95, "providers": [{"billed_charge": 3609.24, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1962455113]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 56.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1053384644, 1306865639, 1396761748, 1841219508, 1093700957]}]}, {"allowed_amount": 59.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1952628877]}]}]}, {"tin": {"type": "ein", "value": "582433432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 3609.24, "npi": [1467406132]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1161.21, "providers": [{"billed_charge": 2361.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1418.36, "providers": [{"billed_charge": 3151.92, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 458.0, "npi": [1972361756]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}, {"allowed_amount": 1066.61, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}, {"allowed_amount": 1386.48, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}, {"allowed_amount": 2691.72, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 2948.79, "npi": [1033001748]}]}, {"allowed_amount": 427.5, "providers": [{"billed_charge": 2948.79, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.87, "providers": [{"billed_charge": 4640.0, "npi": [1700979465]}]}, {"allowed_amount": 677.06, "providers": [{"billed_charge": 4640.0, "npi": [1700979465]}]}, {"allowed_amount": 1314.46, "providers": [{"billed_charge": 4640.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 2609.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 4009.0, "npi": [1720085137]}]}, {"allowed_amount": 1435.01, "providers": [{"billed_charge": 4009.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1697.0, "npi": [1891782470]}]}, {"allowed_amount": 843.44, "providers": [{"billed_charge": 1697.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1562.0, "npi": [1578620449]}]}, {"allowed_amount": 1637.46, "providers": [{"billed_charge": 1562.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.34, "providers": [{"billed_charge": 4468.0, "npi": [1881632818]}]}, {"allowed_amount": 462.16, "providers": [{"billed_charge": 4468.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.25, "providers": [{"billed_charge": 2185.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1780846204, 1861726952, 1588610026, 1932182219, 1457334732, 1023570827, 1427580331, 1982832572, 1750516720, 1710179676, 1033608922, 1679006555, 1215164348]}]}, {"allowed_amount": 125.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1780846204, 1306135777, 1710179676, 1588610026, 1023570827, 1427580331, 1932182219, 1457334732, 1750516720, 1497131734, 1023212214, 1679006555, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1770947038, 1720024680, 1669521803, 1780900365, 1033181839, 1003296146, 1255580627, 1518974260, 1992150866, 1700317054]}]}, {"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1609220300]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1609220300, 1962021774, 1306865639]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1316135429, 1295178630, 1427345032, 1801185897, 1801026893, 1912401936, 1679956817, 1508245424, 1659324275, 1285923292]}]}, {"allowed_amount": 72.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1508245424, 1801026893, 1295178630]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 39.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1902066129]}]}, {"allowed_amount": 45.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1316981996, 1073557518]}]}, {"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1174567697, 1083656706]}, {"billed_charge": 173.0, "npi": [1275840720, 1669664603, 1588079917]}, {"billed_charge": 197.0, "npi": [1629277249, 1932316098, 1750730149, 1790975019, 1457880015, 1649245085]}]}, {"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1902243009, 1235109729, 1033307137, 1306263751, 1508319815, 1447815089, 1659341139, 1578704342, 1558789115, 1811151996, 1023052990]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1902243009, 1033307137, 1235109729, 1376705665, 1306263751, 1508319815, 1568953065, 1659341139, 1578704342, 1558789115, 1811151996, 1023052990]}]}, {"allowed_amount": 125.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1558822890, 1295090587]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1821592999, 1417941832, 1851404107, 1821228396, 1184690893, 1003027376, 1487151536, 1295729689, 1427317882, 1811903867, 1285016733]}]}, {"allowed_amount": 61.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1003027376]}]}, {"allowed_amount": 81.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1487151536]}]}, {"allowed_amount": 93.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1285016733]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1720492960]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 1480.0, "npi": [1396992475]}]}, {"allowed_amount": 751.01, "providers": [{"billed_charge": 1480.0, "npi": [1396992475]}]}, {"allowed_amount": 798.39, "providers": [{"billed_charge": 1480.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2261.99, "providers": [{"billed_charge": 5385.68, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 59.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1144615352]}]}, {"allowed_amount": 75.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1457611873]}]}, {"allowed_amount": 125.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1467286948, 1164618278, 1285258566, 1194266866, 1174732051, 1588763635]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 90.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 287.0, "npi": [1013123447]}]}, {"allowed_amount": 125.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 287.0, "npi": [1477085504, 1497981989, 1235172529, 1699805523, 1346446911]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.64, "npi": [1265886626, 1669482725, 1457525578, 1114239001, 1992294938]}, {"billed_charge": 217.1, "npi": [1710060595]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.1, "providers": [{"billed_charge": 2609.0, "npi": [1699874248]}]}, {"allowed_amount": 834.2, "providers": [{"billed_charge": 2609.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4220.12, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.44, "providers": [{"billed_charge": 2361.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.71, "providers": [{"billed_charge": 4674.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1922366632]}]}, {"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1497762801, 1225491889]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1235194168, 1093827214, 1437378742, 1528333887]}]}, {"allowed_amount": 72.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1093827214, 1528333887]}]}, {"allowed_amount": 83.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1982690624, 1013904192, 1801047683, 1497072292, 1548477060, 1396946653, 1750840682, 1124080668, 1164552014, 1053494674, 1063854354, 1952537052, 1033395165, 1578560223]}]}, {"allowed_amount": 56.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1366978876]}]}, {"allowed_amount": 72.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1881691616, 1548477060]}]}, {"allowed_amount": 90.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1659801504, 1013904192, 1538180963, 1548477060, 1497072292, 1285166439, 1376961904, 1508183088, 1003376823, 1912084955, 1336410844]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 561.0, "npi": [1972726222]}]}, {"allowed_amount": 125.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 561.0, "npi": [1558352633, 1235529421]}]}]}, {"tin": {"type": "ein", "value": "593527036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 485.27, "providers": [{"billed_charge": 2185.0, "npi": [1740276518]}]}, {"allowed_amount": 1113.21, "providers": [{"billed_charge": 2185.0, "npi": [1740276518]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1637.97, "providers": [{"billed_charge": 2529.68, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1528588787]}]}, {"allowed_amount": 61.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1730134313]}]}, {"allowed_amount": 66.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1740668300]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.44, "providers": [{"billed_charge": 3068.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610492356"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1295998581]}]}]}, {"tin": {"type": "ein", "value": "611029626"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 382.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1447549118]}]}]}, {"tin": {"type": "ein", "value": "611786722"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 971.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5024.0, "npi": [1154876985]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.69, "providers": [{"billed_charge": 3394.0, "npi": [1558365890]}]}, {"allowed_amount": 346.48, "providers": [{"billed_charge": 3394.0, "npi": [1558365890]}]}, {"allowed_amount": 672.67, "providers": [{"billed_charge": 3394.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "620842484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1245790138]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1336142520, 1851317309]}]}]}, {"tin": {"type": "ein", "value": "621237566"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 308.0, "npi": [1033191986]}]}]}, {"tin": {"type": "ein", "value": "621682198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 3789.7, "npi": [1689628984]}]}]}, {"tin": {"type": "ein", "value": "621762412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.53, "providers": [{"billed_charge": 8094.0, "npi": [1801830500]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3306.8, "providers": [{"billed_charge": 9448.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621811285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 389.6, "providers": [{"billed_charge": 7946.0, "npi": [1326022765]}]}]}, {"tin": {"type": "ein", "value": "630288856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 445.03, "providers": [{"billed_charge": 1957.0, "npi": [1558364802]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1992095707, 1730316118]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1043303548]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1457545956, 1457579559, 1528070521, 1417410507, 1962444620, 1972634541, 1629497870, 1437671062, 1942760343, 1275530198, 1306882873, 1043419351, 1730485277]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1932188174]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1346696663, 1457545956, 1063533412, 1306334404, 1457579559, 1962444620, 1437671062, 1043419351, 1306882873]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 18.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1962834671]}]}, {"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1124293568, 1235578980, 1083751366, 1083693352, 1477754349, 1962834671, 1609180306, 1386688851, 1649764531, 1205815289]}]}, {"allowed_amount": 61.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1609180306]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1124293568, 1861734592, 1629031299, 1235578980, 1477754349, 1962834671, 1609180306, 1649764531, 1770922676, 1386688851, 1144329848, 1205815289, 1649242207]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}, {"allowed_amount": 427.5, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}, {"allowed_amount": 948.92, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1417239765]}]}, {"allowed_amount": 61.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1366646424, 1396011300, 1811996382]}, {"billed_charge": 164.0, "npi": [1881984425]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1639564479]}]}]}, {"tin": {"type": "ein", "value": "660677706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 165.78, "providers": [{"billed_charge": 703.4, "npi": [1467417865]}]}]}, {"tin": {"type": "ein", "value": "660853861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.25, "npi": [1134169378]}]}]}, {"tin": {"type": "ein", "value": "680273974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1639393762]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1467407627]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.27, "providers": [{"billed_charge": 9489.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 3366.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 3321.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.95, "providers": [{"billed_charge": 2205.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 3209.0, "npi": [1295843787, 1740233782]}]}, {"allowed_amount": 690.48, "providers": [{"billed_charge": 3209.0, "npi": [1932152337]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2918.0, "npi": [1942294939]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.66, "providers": [{"billed_charge": 2320.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 47.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1396131728]}]}, {"allowed_amount": 80.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1053756098, 1447613005]}]}, {"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1184685240, 1346453313]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 64.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1952457541]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3550.75, "providers": [{"billed_charge": 10145.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2236.89, "providers": [{"billed_charge": 6391.11, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1245233022]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3578.0, "npi": [1528027786, 1487271375]}]}, {"allowed_amount": 227.23, "providers": [{"billed_charge": 3578.0, "npi": [1568818417]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1730383829]}]}, {"allowed_amount": 43.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1669816658, 1508209495]}]}, {"allowed_amount": 43.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1053671636]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 3566.75, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 8174.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "770460802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 568.0, "npi": [1942466156]}]}]}, {"tin": {"type": "ein", "value": "770633896"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.18, "providers": [{"billed_charge": 5464.0, "npi": [1629057229]}]}]}, {"tin": {"type": "ein", "value": "800023773"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1124092986]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "800886397"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 74.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1982631925]}]}]}, {"tin": {"type": "ein", "value": "810889110"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1619908555]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 61.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1225533433]}]}, {"allowed_amount": 85.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1598780884]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.17, "providers": [{"billed_charge": 2148.0, "npi": [1649726738]}]}, {"allowed_amount": 212.3, "providers": [{"billed_charge": 2148.0, "npi": [1447706569]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1114.05, "providers": [{"billed_charge": 3183.0, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1265712129, 1043483175, 1386174415, 1932465010, 1417190323, 1598183766, 1508204348]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1891080644, 1386174415, 1932465010, 1417190323, 1598183766]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1679661318, 1043483175, 1093957037, 1932465010, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "821885403"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 494.85, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5024.0, "npi": [1891294518]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 666.4, "providers": [{"billed_charge": 1904.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 63.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1396169694]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1447785480]}]}, {"allowed_amount": 88.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1902164825]}]}]}, {"tin": {"type": "ein", "value": "830212463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.49, "npi": [1194266866]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1499.0, "providers": [{"billed_charge": 1499.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.1, "npi": [1437577517]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.86, "providers": [{"billed_charge": 140.0, "npi": [1861576530]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.0, "npi": [1760693493]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1780663609]}]}]}, {"tin": {"type": "ein", "value": "844693833"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 78.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1104125517]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1558350512, 1871972786, 1043451461]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1801823554]}]}]}, {"tin": {"type": "ein", "value": "853059482"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 630.0, "npi": [1538149943]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1235182106]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 55.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1417416371, 1578539557]}, {"billed_charge": 1000.0, "npi": [1811549868]}]}, {"allowed_amount": 61.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1104273549]}]}, {"allowed_amount": 74.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1000.0, "npi": [1265457485]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1053474080, 1093742553]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1235366899]}]}]}, {"tin": {"type": "ein", "value": "863655230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.23, "providers": [{"billed_charge": 225.53, "npi": [1205663465]}]}]}, {"tin": {"type": "ein", "value": "870281028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1821483389]}]}]}, {"tin": {"type": "ein", "value": "870622942"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1548443716]}]}]}, {"tin": {"type": "ein", "value": "880119638"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 63.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1194767012, 1992096614]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1164251864, 1497914691, 1023438835]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.27, "providers": [{"billed_charge": 5574.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1821169509]}]}]}, {"tin": {"type": "ein", "value": "900054201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 389.6, "providers": [{"billed_charge": 1626.0, "npi": [1720011810]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1174797286]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.83, "providers": [{"billed_charge": 1754.0, "npi": [1306883228]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1245218171]}]}]}, {"tin": {"type": "ein", "value": "910858298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1710900352]}]}]}, {"tin": {"type": "ein", "value": "916000986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.37, "providers": [{"billed_charge": 2686.0, "npi": [1649209230]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.77, "providers": [{"billed_charge": 1137.4, "npi": [1770587107]}]}]}, {"tin": {"type": "ein", "value": "930593725"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1659683928]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 317.04, "npi": [1073532404]}]}]}, {"tin": {"type": "ein", "value": "933380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1396815700]}]}]}, {"tin": {"type": "ein", "value": "934027365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1710478847]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6066.78, "providers": [{"billed_charge": 4400.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.42, "providers": [{"billed_charge": 1785.82, "npi": [1194749580]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.27, "npi": [1750744421]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1760638118, 1831126952, 1952740938, 1609887371, 1982792818]}]}]}, {"tin": {"type": "ein", "value": "943159355"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1023205879]}]}]}, {"tin": {"type": "ein", "value": "943281657"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1609261379]}]}]}, {"tin": {"type": "ein", "value": "946000533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1056.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1056.0, "npi": [1063406551]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3124.91, "providers": [{"billed_charge": 9670.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2549.67, "providers": [{"billed_charge": 2549.67, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "952639291"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1306342084]}]}]}, {"tin": {"type": "ein", "value": "953153631"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1720061211]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1780138289, 1538629068]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 885.02, "providers": [{"billed_charge": 4751.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 52.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1366646416]}]}, {"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1770739260, 1396940342]}]}, {"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1770739260]}]}, {"allowed_amount": 61.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1821040866, 1922661859, 1215277108, 1407047228, 1770739260]}]}, {"allowed_amount": 72.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1770739260, 1396940342]}]}, {"allowed_amount": 97.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1396940342]}]}, {"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1821040866]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1306108386]}, {"billed_charge": 219.0, "npi": [1053386136, 1720280530, 1184056202, 1033153663]}]}, {"allowed_amount": 55.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1619409372]}]}, {"allowed_amount": 90.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1033168422]}]}]}, {"tin": {"type": "ein", "value": "991380793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1326401514]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1598184152, 1356737688]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 5840.0, "npi": [1366281750]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1306158191]}]}]}]}, {"name": "Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code": "70470", "billing_code_type_version": "2022", "description": "CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 813.0, "npi": [1225069776]}]}, {"allowed_amount": 139.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 813.0, "npi": [1447250618]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 356.0, "npi": [1821073677]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 303.0, "npi": [1265457485, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 559.0, "npi": [1720518061]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 90.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 758.0, "npi": [1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 349.0, "npi": [1306166442]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 73.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1053585380]}]}, {"allowed_amount": 78.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1053585380]}]}, {"allowed_amount": 79.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1053585380, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 81.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1053585380, 1619497567]}]}, {"allowed_amount": 84.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1053585380, 1013063908, 1851569701, 1891996047, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 85.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1851826440, 1770646457, 1619497567, 1891996047]}]}, {"allowed_amount": 90.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1891996047, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 103.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1215164348]}]}]}, {"tin": {"type": "ein", "value": "620803743"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1114137155]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 139.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 424.0, "npi": [1477754349]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1396094652]}]}]}]}, {"name": "Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium", "billing_code_type": "CPT", "billing_code": "75571", "billing_code_type_version": "2022", "description": "CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1598913980]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1053585380]}]}, {"allowed_amount": 38.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1053585380, 1104288836, 1538588207, 1891996047, 1235517558, 1619497567]}]}, {"allowed_amount": 41.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1891996047, 1538588207, 1700315025, 1235517558, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1780846204]}]}, {"allowed_amount": 84.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1932182219]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 142.18, "providers": [{"billed_charge": 626.0, "npi": [1548845282, 1558673251, 1316436272, 1073995544, 1003017112, 1154332120, 1386900637]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 37.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1124293568, 1235578980, 1083693352, 1477754349, 1649764531, 1205815289]}]}, {"allowed_amount": 63.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1124293568, 1235578980, 1083693352, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1225533433]}]}]}]}, {"name": "Computed tomography, lower extremity; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "73701", "billing_code_type_version": "2022", "description": "CT LOWER EXTREMITY W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 783.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.81, "providers": [{"billed_charge": 1419.0, "npi": [1538164090]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1265457485]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 144.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1841675642]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 67.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1053585380]}]}, {"allowed_amount": 77.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1770646457, 1700315025, 1891996047]}]}, {"allowed_amount": 78.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1851826440, 1770646457, 1538588207]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1245687540]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2086.49, "providers": [{"billed_charge": 4636.63, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 62.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1588610026]}]}, {"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1215164348, 1457334732]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1609152701]}]}, {"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1376705665]}]}, {"allowed_amount": 101.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1235109729]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 595.3, "providers": [{"billed_charge": 1242.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1396727491]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 120.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1851592257]}]}, {"allowed_amount": 240.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1851592257]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1609180306]}]}]}, {"tin": {"type": "ein", "value": "820301061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1780878314]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1518279660]}]}]}]}, {"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": "060646678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.7, "providers": [{"billed_charge": 1037.0, "npi": [1629075734]}]}]}, {"tin": {"type": "ein", "value": "060914379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1578587788]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1831196922]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 1100.17, "npi": [1063426377]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 652.0, "npi": [1225069776, 1538196977, 1265428908, 1851569701]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 652.0, "npi": [1225069776, 1538196977, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 6335.88, "npi": [1215003348]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 7910.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.27, "providers": [{"billed_charge": 8680.0, "npi": [1770150914]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 369.0, "npi": [1477720092, 1265660542]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 640.75, "npi": [1447243878]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.0, "npi": [1962056192]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1386694040, 1225089428]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1386694040, 1053383786, 1265457485, 1437125077]}]}, {"allowed_amount": 176.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.24, "npi": [1104018951]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 127.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1639161847, 1972767556, 1821148743, 1952426983]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 39.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1891996047]}]}, {"allowed_amount": 58.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 62.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1104288836, 1891996047]}]}, {"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380, 1104288836, 1013063908, 1215024971, 1538588207, 1700315025]}]}, {"allowed_amount": 68.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.28, "providers": [{"billed_charge": 233.28, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1437654654]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.42, "providers": [{"billed_charge": 2127.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 347.0, "npi": [1932532900, 1578507588]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2033.71, "providers": [{"billed_charge": 4519.37, "npi": [1912964768]}]}, {"allowed_amount": 2033.72, "providers": [{"billed_charge": 4519.37, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 5058.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1585.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 730.03, "providers": [{"billed_charge": 3538.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1962021774]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1922046135]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1801185897, 1831180124]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1407275118]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 148.0, "npi": [1083656706]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1376705665, 1023052990]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1497981989]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 3227.95, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1437378742, 1528333887]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1437681921, 1770905085, 1780047118]}]}, {"allowed_amount": 106.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1013335876]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1421.89, "providers": [{"billed_charge": 2195.96, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1205815289, 1649764531, 1235578980]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1124293568, 1205815289, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "680464311"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1871793380]}]}]}, {"tin": {"type": "ein", "value": "720276883"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1740667096]}]}]}, {"tin": {"type": "ein", "value": "726014895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.27, "providers": [{"billed_charge": 1591.0, "npi": [1578568481]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 50.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1770792046, 1740717495]}]}]}, {"tin": {"type": "ein", "value": "800756169"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1881680791]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1053474080]}]}]}, {"tin": {"type": "ein", "value": "910979582"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1912325473]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1366646416]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1780112102]}]}, {"allowed_amount": 85.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1770739260]}]}]}]}, {"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": "042499135"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1356473839]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1395.06, "providers": [{"billed_charge": 3985.88, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1114245016]}]}]}, {"tin": {"type": "ein", "value": "135564934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1700.0, "npi": [1174768071]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1518128495]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 14.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1538196977]}]}, {"allowed_amount": 58.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1851569701]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1225069776]}]}, {"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 74.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1538196977]}]}, {"allowed_amount": 87.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1851569701]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1477991156, 1912980079]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.68, "providers": [{"billed_charge": 2184.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221904530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1376836874]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 700.0, "npi": [1295994168]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 378.0, "npi": [1326197393]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 639.1, "npi": [1225318827]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 639.1, "npi": [1447243878]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1922088392, 1619268182]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1508819970, 1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1720518061]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1215284898]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1376527382, 1588045439]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1003376708]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1184659294]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 536.0, "npi": [1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 124.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1770640393, 1952359697, 1417924242, 1306330899, 1265429013, 1750354973, 1578539557, 1346211877, 1306166442, 1700013356, 1457553075, 1639478837, 1427031095, 1598785594, 1396770111, 1275500225, 1174086466, 1679632970, 1073017174, 1952518235, 1548243165, 1487760351, 1457332447, 1932190436, 1487821542, 1093703787, 1174790638, 1164595823, 1275598708, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1023026945, 1972767556]}]}]}, {"tin": {"type": "ein", "value": "463176429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.49, "providers": [{"billed_charge": 2622.0, "npi": [1619911104]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1215024971]}]}, {"allowed_amount": 25.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1700315025, 1053585380]}]}, {"allowed_amount": 33.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1770646457]}]}, {"allowed_amount": 58.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 62.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1013063908, 1053585380, 1851826440, 1215024971, 1538588207, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380, 1104288836, 1891996047]}]}, {"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380, 1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 68.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1235517558, 1770646457]}]}, {"allowed_amount": 82.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1497107387, 1386063725]}]}]}, {"tin": {"type": "ein", "value": "560990409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 299.0, "npi": [1457565806]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1396736153]}]}]}, {"tin": {"type": "ein", "value": "581075840"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1447593165]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 391.0, "npi": [1033679758]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 950.18, "providers": [{"billed_charge": 2040.0, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1538.84, "providers": [{"billed_charge": 3419.64, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 5090.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1818.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1861726952, 1750516720]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1861726952, 1982832572, 1497131734]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1255580627]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1609220300]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1285637330]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1033181839]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1497929954]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1497929954]}, {"billed_charge": 482.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 53.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1578507588]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1306263751]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1902243009, 1811151996, 1578704342, 1235109729]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1295729689, 1427317882]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 1242.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.18, "npi": [1710060595]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1437378742]}]}, {"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1093827214]}]}]}, {"tin": {"type": "ein", "value": "593202547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 426.79, "providers": [{"billed_charge": 2180.0, "npi": [1104926401]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1982690624, 1396731113, 1952537052]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.09, "providers": [{"billed_charge": 4535.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1614.62, "providers": [{"billed_charge": 2493.63, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1042.26, "providers": [{"billed_charge": 2977.88, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1457579559, 1962444620, 1235394990, 1265438287, 1437671062]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1962444620, 1275530198, 1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1205815289, 1649764531, 1235578980]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1962834671]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1427019728, 1952613424]}]}, {"allowed_amount": 72.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1396011300]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1639564479]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.3, "providers": [{"billed_charge": 2310.0, "npi": [1467473579]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1669411732]}]}, {"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1790776771]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1063286763]}]}]}, {"tin": {"type": "ein", "value": "770460802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 671.0, "npi": [1942466156]}]}]}, {"tin": {"type": "ein", "value": "800886397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1801835319]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225533433]}]}, {"allowed_amount": 100.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.8, "providers": [{"billed_charge": 2754.0, "npi": [1063968196]}]}]}, {"tin": {"type": "ein", "value": "813935393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "providers": [{"billed_charge": 4563.73, "npi": [1861994808]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1265712129, 1891080644, 1508204348]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1508204348, 1598183766]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1396132437]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1417416371]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1000.0, "npi": [1811549868]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1962653675]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1164251864, 1497914691]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1184078560]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1154764462]}]}]}, {"tin": {"type": "ein", "value": "922451946"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.31, "providers": [{"billed_charge": 2241.0, "npi": [1740981430]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 474.99, "providers": [{"billed_charge": 2454.87, "npi": [1124661384]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.38, "npi": [1891737094]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1538629068]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1558397430]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1366646416]}]}, {"allowed_amount": 85.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1033168422]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 7480.0, "npi": [1427806025, 1366281750]}]}]}]}, {"name": "Computed tomography, maxillofacial area; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "70487", "billing_code_type_version": "2022", "description": "CT MAXILLOFACIAL W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "111667761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1973.44, "providers": [{"billed_charge": 2929.0, "npi": [1457369381]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.75, "providers": [{"billed_charge": 2044.72, "npi": [1073535027]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1841759966]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 821.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 81.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 821.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1962405852]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1427003920]}]}]}, {"tin": {"type": "ein", "value": "223452412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 750.18, "providers": [{"billed_charge": 2799.0, "npi": [1609983790]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 406.47, "providers": [{"billed_charge": 9727.0, "npi": [1770150914]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 752.6, "npi": [1447243878]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1265457485]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 595.3, "providers": [{"billed_charge": 1172.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 159.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 355.0, "npi": [1306166442, 1174086466, 1306330899, 1427031095]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 70.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1053585380]}]}, {"allowed_amount": 71.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1770646457, 1053585380, 1891996047]}]}, {"allowed_amount": 75.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1053585380, 1013063908, 1891996047, 1700315025, 1073017174, 1619497567]}]}, {"allowed_amount": 81.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1851826440, 1770646457, 1013063908, 1891996047]}]}, {"allowed_amount": 98.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1653.54, "providers": [{"billed_charge": 3674.53, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 536.69, "providers": [{"billed_charge": 6400.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 668.57, "providers": [{"billed_charge": 2485.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 71.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1679006555]}]}, {"allowed_amount": 165.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1679006555]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 930.0, "npi": [1669521803, 1265488035, 1255580627]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1982828752]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 316.0, "npi": [1538131990]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1225069800]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.24, "providers": [{"billed_charge": 2294.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 668.57, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3825.69, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1831651520]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 497.0, "npi": [1457545956]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1649764531]}]}, {"allowed_amount": 124.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1205815289, 1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 497.0, "npi": [1831625433]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1407118318]}]}]}]}, {"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": "017762308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1285661298]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 562.2, "providers": [{"billed_charge": 700.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1073990008, 1871850438]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 49.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 677.0, "npi": [1851569701]}]}, {"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 677.0, "npi": [1225069776]}]}, {"allowed_amount": 57.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 677.0, "npi": [1225069776, 1538196977, 1851569701, 1780864033]}]}, {"allowed_amount": 61.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 677.0, "npi": [1225069776, 1538196977, 1598913980]}]}, {"allowed_amount": 74.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 677.0, "npi": [1851569701]}]}, {"allowed_amount": 94.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 677.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "201209403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1326254913]}]}]}, {"tin": {"type": "ein", "value": "208639828"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1831141092]}]}]}, {"tin": {"type": "ein", "value": "221917247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1538428453]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1178.0, "npi": [1831392372]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1669601605]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 633.15, "npi": [1982650842]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1700440583]}]}]}, {"tin": {"type": "ein", "value": "310745303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1528068319]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1922088392]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1093748840, 1053383786, 1386694040, 1558450023]}]}, {"allowed_amount": 75.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1053383786, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1104267525]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 306.0, "npi": [1174086466, 1457332447, 1558322180, 1770640393, 1306166442, 1164595823, 1306330899, 1275598708, 1952518235, 1487760351]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1831107754, 1386646438, 1821148743]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 14.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1215024971]}]}, {"allowed_amount": 50.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1053585380]}]}, {"allowed_amount": 51.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1770646457]}]}, {"allowed_amount": 53.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1053585380]}]}, {"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1053585380, 1851569701, 1851826440, 1891996047, 1073017174, 1619497567]}]}, {"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1770646457, 1053585380, 1619497567]}]}, {"allowed_amount": 57.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1053585380, 1104288836, 1215024971, 1538588207, 1891996047, 1700315025, 1235767062, 1235517558, 1619497567]}]}, {"allowed_amount": 58.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1851826440, 1215024971, 1538588207, 1700315025, 1235517558, 1770646457]}]}, {"allowed_amount": 60.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1851826440]}]}, {"allowed_amount": 61.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "520445374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.39, "providers": [{"billed_charge": 96.39, "npi": [1992701825]}]}]}, {"tin": {"type": "ein", "value": "540846558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 287.0, "npi": [1518933951]}]}]}, {"tin": {"type": "ein", "value": "550492006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.0, "npi": [1447460803]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1356465611]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1992153290]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1881987972]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1992264212]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 56.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 948.92, "providers": [{"billed_charge": 2176.0, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1490.35, "providers": [{"billed_charge": 3311.88, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1215164348]}]}, {"allowed_amount": 126.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["19", "23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1770947038]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1497929954, 1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1588079917]}]}, {"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1164490769, 1447815089]}]}, {"allowed_amount": 75.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1376705665, 1558789115]}]}, {"allowed_amount": 126.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1932532900]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1417941832]}]}, {"allowed_amount": 82.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.16, "npi": [1265886626, 1710060595]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1063854354, 1164552014, 1053494674]}]}, {"allowed_amount": 91.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1538180963]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1579.27, "providers": [{"billed_charge": 2439.04, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1902926264]}]}]}, {"tin": {"type": "ein", "value": "631034703"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1811208143]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1457545956, 1942760343]}]}, {"allowed_amount": 94.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1306334404]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1124293568, 1649764531]}]}, {"allowed_amount": 61.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1609180306]}]}, {"allowed_amount": 94.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1124293568, 1205815289, 1649764531, 1649242207]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 96.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1861757692]}]}]}, {"tin": {"type": "ein", "value": "731605613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.74, "providers": [{"billed_charge": 4657.0, "npi": [1306865357]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1144410283]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "providers": [{"billed_charge": 4236.0, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.93, "providers": [{"billed_charge": 4562.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 57.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1427019728, 1225533433]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.17, "providers": [{"billed_charge": 2121.0, "npi": [1649726738]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1265712129, 1598183766]}]}, {"allowed_amount": 94.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1932465010]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1033670898]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2094.32, "providers": [{"billed_charge": 2094.32, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1053474080]}]}]}, {"tin": {"type": "ein", "value": "873454381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 554.17, "providers": [{"billed_charge": 1908.0, "npi": [1487740957]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1164251864, 1497914691]}]}]}, {"tin": {"type": "ein", "value": "951643360"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1476.37, "providers": [{"billed_charge": 3553.0, "npi": [1992752315]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1396940342]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1720280530]}]}]}]}, {"name": "Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material", "billing_code_type": "CPT", "billing_code": "70480", "billing_code_type_version": "2022", "description": "CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "060646715"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.7, "providers": [{"billed_charge": 1239.0, "npi": [1427007848]}]}]}, {"tin": {"type": "ein", "value": "061522306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.4, "npi": [1295706307]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 112.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 306.0, "npi": [1386694040, 1093748840, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1174086466, 1679632970, 1487821542, 1417924242]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1770646457]}]}, {"allowed_amount": 86.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1851826440]}]}, {"allowed_amount": 91.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1891996047]}]}, {"allowed_amount": 110.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1641.7, "providers": [{"billed_charge": 3648.22, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.5, "providers": [{"billed_charge": 3345.44, "npi": [1598657298]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1225069800]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1265417695]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1427019728]}]}]}]}, {"name": "Computed tomography, pelvis; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "72193", "billing_code_type_version": "2022", "description": "CT PELVIS W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 771.0, "npi": [1225069776]}]}, {"allowed_amount": 83.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 771.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1093748840]}]}, {"allowed_amount": 101.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1053383786, 1225089428, 1265457485, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 595.3, "providers": [{"billed_charge": 1652.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1457332447, 1952593170, 1073017174, 1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1770646457]}]}, {"allowed_amount": 77.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1013063908]}]}, {"allowed_amount": 78.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1818.79, "providers": [{"billed_charge": 4041.75, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1447372131]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1023052990]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1821228396, 1821592999]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1649764531, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1225533433]}]}]}]}, {"name": "Computed tomography, pelvis; without contrast material", "billing_code_type": "CPT", "billing_code": "72192", "billing_code_type_version": "2022", "description": "CT PELVIS W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 69.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 644.0, "npi": [1225069776]}]}, {"allowed_amount": 72.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 644.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 77.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 644.0, "npi": [1225069776, 1598913980]}]}, {"allowed_amount": 93.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 644.0, "npi": [1851569701]}]}, {"allowed_amount": 118.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 644.0, "npi": [1447250618]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1770532012]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1386694040]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 130.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 291.0, "npi": [1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1003084971]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 66.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1053585380]}]}, {"allowed_amount": 67.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1013063908, 1891996047]}]}, {"allowed_amount": 69.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1053585380]}]}, {"allowed_amount": 72.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1053585380, 1215024971, 1538588207, 1235517558, 1619497567]}]}, {"allowed_amount": 72.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1235517558, 1538588207]}]}, {"allowed_amount": 77.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1770646457, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 489.89, "providers": [{"billed_charge": 2116.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1602.57, "providers": [{"billed_charge": 3561.27, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 67.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 356.0, "npi": [1306135777]}]}, {"allowed_amount": 157.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 356.0, "npi": [1427580331]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1447815089]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1003027376]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1912972092]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 69.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1083693352]}]}, {"allowed_amount": 118.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1235578980]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 77.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1225533433]}]}, {"allowed_amount": 107.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 436.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.45, "npi": [1013572775]}]}]}]}, {"name": "Computed tomography, soft tissue neck; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "70491", "billing_code_type_version": "2022", "description": "CT SOFT TISSUE NECK W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "042499135"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1518170349]}]}]}, {"tin": {"type": "ein", "value": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 792.27, "providers": [{"billed_charge": 3283.0, "npi": [1346603107]}]}]}, {"tin": {"type": "ein", "value": "160743187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.75, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 911.0, "npi": [1790727543]}]}]}, {"tin": {"type": "ein", "value": "160988763"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 105.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1346459617]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 607.0, "npi": [1518128495]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 807.0, "npi": [1225069776]}]}, {"allowed_amount": 98.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 807.0, "npi": [1225069776, 1538196977, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1881643153, 1508186131]}]}, {"allowed_amount": 200.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1508186131]}]}]}, {"tin": {"type": "ein", "value": "274384326"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.69, "npi": [1134234966]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1386694040, 1265457485, 1558450023]}]}, {"allowed_amount": 119.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1558450023, 1053383786, 1265457485, 1225089428, 1437125077]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 607.0, "npi": [1104267525]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 595.3, "providers": [{"billed_charge": 1428.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1750591129]}]}]}, {"tin": {"type": "ein", "value": "415046638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 439.2, "providers": [{"billed_charge": 8346.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "451649781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 950.0, "npi": [1659319614]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 168.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1174086466, 1558322180, 1487821542, 1306166442, 1700013356, 1417924242, 1306330899, 1275598708, 1548243165]}]}]}, {"tin": {"type": "ein", "value": "461956481"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 380.0, "npi": [1841600194]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.32, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 79.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1053585380]}]}, {"allowed_amount": 84.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1053585380]}]}, {"allowed_amount": 86.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1053585380, 1538588207, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 88.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1891996047, 1053585380, 1619497567]}]}, {"allowed_amount": 91.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1013063908, 1053585380, 1851569701, 1215024971, 1891996047, 1700315025, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 92.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1215024971, 1891996047, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 98.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 111.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1851569701]}]}, {"allowed_amount": 118.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1053724005]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.32, "providers": [{"billed_charge": 1581.0, "npi": [1093716979]}, {"billed_charge": 1976.0, "npi": [1962403865]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 96.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1982107744, 1437105707, 1366938516]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.32, "providers": [{"billed_charge": 3521.1, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "586002659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.73, "providers": [{"billed_charge": 3176.5, "npi": [1861615304]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1741.57, "providers": [{"billed_charge": 3870.15, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1099.02, "providers": [{"billed_charge": 1535.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.86, "providers": [{"billed_charge": 5605.38, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 453.0, "npi": [1306135777]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 119.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 950.0, "npi": [1609220300]}]}, {"allowed_amount": 150.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 950.0, "npi": [1285637330]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 86.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 384.0, "npi": [1356393086, 1477966463]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 311.0, "npi": [1497929954]}]}, {"allowed_amount": 150.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 311.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1558789115]}]}, {"allowed_amount": 119.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1033307137]}]}, {"allowed_amount": 200.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1346312931]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2261.94, "providers": [{"billed_charge": 5385.58, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 386.0, "npi": [1285258566]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1235172529]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.24, "providers": [{"billed_charge": 2294.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 607.0, "npi": [1275530198]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "23", "21"], "payments": [{"allowed_amount": 88.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 459.0, "npi": [1235578980, 1154311694, 1962834671, 1649764531, 1205815289, 1225076219]}]}, {"allowed_amount": 150.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 459.0, "npi": [1205815289, 1649764531, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.86, "providers": [{"billed_charge": 1535.0, "npi": [1083644033]}]}, {"allowed_amount": 829.95, "providers": [{"billed_charge": 1535.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 578.7, "providers": [{"billed_charge": 6098.4, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "680578730"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1225045685]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 406.47, "providers": [{"billed_charge": 11783.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 150.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 607.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1346390952, 1417416371]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1609814623]}]}]}]}, {"name": "Computed tomography, soft tissue neck; without contrast material", "billing_code_type": "CPT", "billing_code": "70490", "billing_code_type_version": "2022", "description": "CT SOFT TISSUE NECK W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 672.0, "npi": [1225069776, 1851569701]}]}, {"allowed_amount": 91.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 672.0, "npi": [1538196977]}]}, {"allowed_amount": 110.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 672.0, "npi": [1851569701]}]}, {"allowed_amount": 140.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 672.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 417.0, "npi": [1477045284]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 82.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1093748840]}]}, {"allowed_amount": 112.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1386694040, 1053383786, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1306166442, 1679632970, 1306330899, 1750354973, 1487760351]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1053585380]}]}, {"allowed_amount": 85.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1891996047, 1770646457, 1235517558, 1235767062]}]}, {"allowed_amount": 86.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1235517558]}]}, {"allowed_amount": 91.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "540888075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.84, "npi": [1639191299]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.55, "providers": [{"billed_charge": 5843.0, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "581093931"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1215137385]}]}]}, {"tin": {"type": "ein", "value": "586002659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.69, "providers": [{"billed_charge": 942.5, "npi": [1861615304]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1611.84, "providers": [{"billed_charge": 3581.86, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 80.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 423.0, "npi": [1215164348]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 356.0, "npi": [1891159992, 1356393086]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1851317309]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 82.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1639111966, 1962834671]}]}, {"allowed_amount": 140.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1962834671]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1427019728]}]}, {"allowed_amount": 91.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1225533433]}]}, {"allowed_amount": 126.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1255780029]}]}]}]}, {"name": "Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code": "70492", "billing_code_type_version": "2022", "description": "CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 92.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1053585380]}]}, {"allowed_amount": 98.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1053585380]}]}, {"allowed_amount": 100.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1891996047, 1053585380, 1538588207]}]}, {"allowed_amount": 106.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1770646457, 1053585380, 1619497567]}]}, {"allowed_amount": 107.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1851826440, 1538588207, 1891996047]}]}, {"allowed_amount": 114.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1700315025, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1038.0, "npi": [1134353378]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 100.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1215164348]}]}]}]}, {"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": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 680.0, "npi": [1225069776, 1538196977, 1851569701]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 680.0, "npi": [1225069776, 1538196977, 1598913980]}]}, {"allowed_amount": 74.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 680.0, "npi": [1538196977]}]}, {"allowed_amount": 87.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 680.0, "npi": [1851569701]}]}, {"allowed_amount": 104.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 680.0, "npi": [1538196977]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 680.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203204949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.92, "providers": [{"billed_charge": 1936.45, "npi": [1942391230]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1477991156]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 378.0, "npi": [1326197393]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 640.75, "npi": [1225318827]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1619268182]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1386694040, 1053383786, 1437125077, 1558450023]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1437125077]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 751.01, "providers": [{"billed_charge": 1203.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1205937547, 1376527382, 1588045439]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1184659294]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 124.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1275500225, 1174086466, 1457332447, 1932190436, 1487821542, 1306166442, 1679632970, 1093703787, 1164595823, 1306330899, 1073017174, 1649271131, 1750354973, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1669708715]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1215024971]}]}, {"allowed_amount": 22.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 25.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1700315025, 1053585380]}]}, {"allowed_amount": 33.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1770646457]}]}, {"allowed_amount": 58.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 62.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1619497567]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1891996047, 1619497567]}]}, {"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1104288836, 1053585380, 1851569701, 1013063908, 1215024971, 1891996047, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 68.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "581075840"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1447593165]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1556.42, "providers": [{"billed_charge": 3458.72, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1861726952]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1710179676, 1497131734]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1164490769]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1902243009]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1093827214]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1982690624, 1952537052]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1962444620, 1437671062, 1265438287]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1962444620, 1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1235578980, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1952613424, 1679131338]}]}, {"allowed_amount": 72.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1396011300]}]}]}, {"tin": {"type": "ein", "value": "770460802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 671.0, "npi": [1942466156]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1427019728]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1659509305, 1265712129]}]}]}, {"tin": {"type": "ein", "value": "851762276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1588253058]}]}]}, {"tin": {"type": "ein", "value": "853972091"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1679000806]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1000.0, "npi": [1811549868]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1053474080]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 389.6, "providers": [{"billed_charge": 6804.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1164251864, 1497914691]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1538629068]}]}]}]}, {"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": "042499135"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1518170349]}]}]}, {"tin": {"type": "ein", "value": "043466314"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 93.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1326401563]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 575.0, "npi": [1891368957]}]}]}, {"tin": {"type": "ein", "value": "060931385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1841673712]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 492.0, "npi": [1043303282]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1265722656, 1952712176]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 78.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 814.0, "npi": [1801899042, 1851569701, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 83.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 814.0, "npi": [1225069776]}]}, {"allowed_amount": 101.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 814.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "201202088"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1285895318]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1821417296, 1508186131]}]}]}, {"tin": {"type": "ein", "value": "204361034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1336126721]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1942423843]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1659413805]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1487189825]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1821292400]}]}]}, {"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.98, "providers": [{"billed_charge": 2682.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1518175223]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1922088392, 1619268182]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1386694040, 1053383786, 1225089428, 1437125077]}]}, {"allowed_amount": 102.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1548436132]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1518194257]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1497771786]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 153.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1558322180, 1093122277, 1326343716, 1932190436, 1245256072, 1598785594, 1437326956, 1043474190, 1841675642, 1952359697, 1255364378, 1649271131, 1033169438, 1396770111]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1669708715]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.35, "npi": [1467871715]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 67.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1053585380]}]}, {"allowed_amount": 72.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1053585380]}]}, {"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1053585380, 1013063908, 1851826440, 1891996047, 1538588207, 1235517558, 1770646457]}]}, {"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1891996047]}]}, {"allowed_amount": 78.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1013063908, 1851569701, 1053585380, 1104288836, 1851826440, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 78.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457]}]}, {"allowed_amount": 83.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 86.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1851826440]}]}]}, {"tin": {"type": "ein", "value": "541671658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1346212818]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1721.97, "providers": [{"billed_charge": 1908.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1669458246]}]}]}, {"tin": {"type": "ein", "value": "581075840"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1447593165]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 92.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1831495696, 1992169734]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1134489438, 1558584086]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 483.16, "providers": [{"billed_charge": 4068.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 899.11, "providers": [{"billed_charge": 2110.5, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1858.59, "providers": [{"billed_charge": 4130.19, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1637.46, "providers": [{"billed_charge": 2446.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 412.0, "npi": [1861726952, 1750516720, 1427580331, 1982832572]}]}, {"allowed_amount": 170.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 412.0, "npi": [1023570827]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19", "20", "23", "21"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1669521803]}]}, {"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1609220300]}]}, {"allowed_amount": 78.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1750801031]}]}, {"allowed_amount": 83.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1750801031]}]}, {"allowed_amount": 102.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1609220300]}]}, {"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 327.0, "npi": [1427345032, 1477966463, 1295178630, 1649245903]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1902066129]}]}, {"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1588079917]}]}, {"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1447815089, 1659341139]}]}, {"allowed_amount": 102.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1235109729]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1821592999]}]}, {"allowed_amount": 125.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1134509284]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2990.76, "providers": [{"billed_charge": 7120.85, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1922637784, 1699394486]}]}, {"allowed_amount": 170.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1033857792]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 238.18, "providers": [{"billed_charge": 2353.0, "npi": [1639533698, 1467958595, 1194814319, 1962665174, 1083212856]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 715.0, "npi": [1538150180]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1922126093]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1356301972]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1184883092]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1730316118]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1942760343]}]}, {"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1962444620]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 391.0, "npi": [1124293568, 1235578980, 1780662700, 1649764531, 1205815289]}]}, {"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 391.0, "npi": [1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650378614"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 230.5, "providers": [{"billed_charge": 1250.0, "npi": [1124161872]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.0, "npi": [1952613424]}]}, {"allowed_amount": 102.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.0, "npi": [1629333810]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1154538692]}]}]}, {"tin": {"type": "ein", "value": "731034824"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.06, "providers": [{"billed_charge": 3186.0, "npi": [1831103654]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1073777249]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3041.62, "providers": [{"billed_charge": 8690.33, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 78.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1427019728, 1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1093742694]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 86.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1396823878]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1104273549]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1457779332, 1790219335]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.66, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2384.0, "npi": [1679299408]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1336119460]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 8480.0, "npi": [1750142121]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 437.52, "npi": [1396797155]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1558304642]}]}]}]}, {"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": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 71.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1225069776, 1538196977, 1447250618, 1851569701]}]}, {"allowed_amount": 76.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 79.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1538196977]}]}, {"allowed_amount": 92.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 679.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1134488497]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1538190947]}]}]}, {"tin": {"type": "ein", "value": "251792806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1699793604]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1477045284]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 657.9, "npi": [1578756524, 1447243878]}]}, {"allowed_amount": 93.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 657.9, "npi": [1497762801, 1982650842]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 489.89, "providers": [{"billed_charge": 1673.0, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1922088392]}]}, {"allowed_amount": 93.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1922088392, 1598750747, 1235335324]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1053383786]}]}, {"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1558450023, 1093748840, 1053383786, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 93.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 611.0, "npi": [1205223765]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 124.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1326343716, 1093122277, 1578539557, 1154372423, 1679632970, 1093703787, 1437326956, 1114956109, 1043474190, 1730384447, 1588661904, 1588616338, 1457553075, 1265429013, 1255364378, 1952518235, 1548243165, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1497752240, 1154673713]}]}, {"allowed_amount": 90.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1285682930]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1366654162, 1669708715]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 62.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1053585380]}]}, {"allowed_amount": 66.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1053585380]}]}, {"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1053585380, 1851826440, 1215024971, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1053585380, 1104288836, 1891996047]}]}, {"allowed_amount": 71.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1053585380, 1851569701, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 72.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 76.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1013063908, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 79.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1053585380]}]}, {"allowed_amount": 92.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1073510863]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1235442963]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 75.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1417038662]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1497251375]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1841370723]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 3348.8, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1402.04, "providers": [{"billed_charge": 2558.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1673.1, "providers": [{"billed_charge": 3718.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 843.44, "providers": [{"billed_charge": 2009.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1750516720, 1588610026, 1427580331, 1982832572]}]}, {"allowed_amount": 156.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1215164348, 1023570827, 1497131734, 1033608922, 1780846204]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1275186280, 1669521803]}]}, {"allowed_amount": 71.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1750801031]}]}, {"allowed_amount": 76.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1750801031]}]}, {"allowed_amount": 93.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1093931313, 1285923292, 1356393086, 1457342727]}]}, {"allowed_amount": 90.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1295178630]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1497929954]}]}, {"allowed_amount": 117.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1710230982]}]}, {"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1164490769, 1578704342]}]}, {"allowed_amount": 93.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1902243009]}]}, {"allowed_amount": 156.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1669664603]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1487151536]}]}, {"allowed_amount": 102.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1487151536]}]}, {"allowed_amount": 115.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1134509284]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 189.11, "providers": [{"billed_charge": 2085.0, "npi": [1316436272, 1316197668, 1962665174]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 57.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1508021460]}]}, {"allowed_amount": 156.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1598442048, 1477085504]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.52, "npi": [1710060595]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1235194168, 1093827214]}]}, {"allowed_amount": 106.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1659494334, 1578856662]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 694.0, "npi": [1235379082]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1457579559]}]}, {"allowed_amount": 117.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1265722888, 1962444620, 1255593885, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 76.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1235578980]}]}, {"allowed_amount": 117.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1124293568, 1235578980, 1457313413, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.0, "npi": [1396011300]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 71.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.06, "npi": [1427019728]}, {"billed_charge": 106.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 76.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1225533433]}]}, {"allowed_amount": 106.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "813080216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1407815525]}, {"billed_charge": 150.0, "npi": [1407815525]}]}, {"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1407815525]}]}]}, {"tin": {"type": "ein", "value": "820301061"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1508816471]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1659509305, 1508204348]}]}, {"allowed_amount": 93.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1548496912]}]}, {"allowed_amount": 117.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1417916602, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1154348894]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1396307344]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.2, "providers": [{"billed_charge": 110.0, "npi": [1679035836, 1790219335]}]}]}, {"tin": {"type": "ein", "value": "921281848"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1689659047]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.37, "providers": [{"billed_charge": 1480.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1538629068]}]}]}]}, {"name": "Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)", "billing_code_type": "CPT", "billing_code": "71271", "billing_code_type_version": "2022", "description": "COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-", "allowed_amounts": [{"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 332.0, "npi": [1215164348]}]}, {"allowed_amount": 156.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 332.0, "npi": [1750516720, 1710179676]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1679956817]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1174567697, 1336436724]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1124293568, 1235578980, 1083693352, 1477754349, 1962834671, 1649764531]}]}, {"allowed_amount": 76.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1235578980]}]}, {"allowed_amount": 117.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 358.0, "npi": [1124293568, 1235578980, 1083693352, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "650378614"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 188.62, "providers": [{"billed_charge": 764.0, "npi": [1124161872]}]}]}]}, {"name": "Computed tomography, upper extremity; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "73201", "billing_code_type_version": "2022", "description": "CT UPPER EXTREMITY W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 779.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.0, "npi": [1346235801]}]}]}, {"tin": {"type": "ein", "value": "232730785"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 75.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1467436394]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1770646457]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 790.22, "providers": [{"billed_charge": 1963.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1801857909]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1329.77, "providers": [{"billed_charge": 2011.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1457342727]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1417941832]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 72.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1033125950, 1912267766]}]}, {"allowed_amount": 98.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1063754729]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 918.09, "providers": [{"billed_charge": 3685.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1093827214]}]}]}, {"tin": {"type": "ein", "value": "611661796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1417111477]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 127.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1205815289, 1417940420]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 840.0, "npi": [1841789781]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1508204348]}]}]}]}, {"name": "Computed tomography, upper extremity; without contrast material", "billing_code_type": "CPT", "billing_code": "73200", "billing_code_type_version": "2022", "description": "CT UPPER EXTREMITY W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1770640393, 1346211877]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 651.0, "npi": [1538196977]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 651.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 87.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 651.0, "npi": [1851569701]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 651.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1962056192]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1558450023]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.24, "npi": [1386096535]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1538130265]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 58.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 62.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380]}]}, {"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1053585380, 1215024971, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 68.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1013063908, 1235517558]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1851826440, 1538588207, 1891996047, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.13, "providers": [{"billed_charge": 2200.0, "npi": [1427030774]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1699747170]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1811282056]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1708.11, "providers": [{"billed_charge": 3795.79, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 669.0, "npi": [1265488035]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 669.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1205815289, 1235578980]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1124293568]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1386665719]}]}]}]}, {"name": "Consultation and report on referred slides prepared elsewhere", "billing_code_type": "CPT", "billing_code": "88321", "billing_code_type_version": "2022", "description": "CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 129.31, "providers": [{"billed_charge": 315.0, "npi": [1427080951]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 105.01, "providers": [{"billed_charge": 291.0, "npi": [1811069685]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 93.34, "providers": [{"billed_charge": 285.0, "npi": [1386616779]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 80.84, "providers": [{"billed_charge": 338.0, "npi": [1700994431]}]}, {"allowed_amount": 90.38, "providers": [{"billed_charge": 338.0, "npi": [1821258211]}]}, {"allowed_amount": 96.25, "providers": [{"billed_charge": 338.0, "npi": [1689646465, 1467617506, 1609161892, 1902096894, 1619920204, 1386964815, 1114999091, 1851529945, 1396044574, 1700994431]}]}, {"allowed_amount": 103.73, "providers": [{"billed_charge": 338.0, "npi": [1689646465, 1467617506, 1194797985, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315]}]}, {"allowed_amount": 125.2, "providers": [{"billed_charge": 338.0, "npi": [1386964815]}]}, {"allowed_amount": 144.38, "providers": [{"billed_charge": 338.0, "npi": [1609161892]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 127.06, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 190.0, "npi": [1003878539]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 96.25, "providers": [{"billed_charge": 318.0, "npi": [1770734337, 1831240142]}]}, {"allowed_amount": 103.73, "providers": [{"billed_charge": 318.0, "npi": [1770734337, 1841441490, 1831240142]}]}]}]}, {"name": "Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room, per hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "95941", "billing_code_type_version": "2022", "description": "IONM REMOTE/NEARBY/>1 PATIENT IN OR PER HOUR", "allowed_amounts": [{"tin": {"type": "ein", "value": "260406521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1321.95, "providers": [{"billed_charge": 2080.0, "npi": [1275859183]}]}]}, {"tin": {"type": "ein", "value": "262188574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.95, "providers": [{"billed_charge": 3053.0, "npi": [1851572937, 1780849281, 1053574681, 1780612671]}]}, {"allowed_amount": 144.05, "providers": [{"billed_charge": 3053.0, "npi": [1780849281, 1518586569, 1508898669, 1124315411, 1689795510]}]}, {"allowed_amount": 150.9, "providers": [{"billed_charge": 3053.0, "npi": [1780849281, 1780612671]}]}, {"allowed_amount": 172.86, "providers": [{"billed_charge": 3053.0, "npi": [1124315411]}]}, {"allowed_amount": 985.29, "providers": [{"billed_charge": 3053.0, "npi": [1780849281, 1851572937, 1417059346, 1093133076, 1780805077, 1427106012]}]}, {"allowed_amount": 1102.52, "providers": [{"billed_charge": 3053.0, "npi": [1851572937, 1780849281, 1093133076]}]}, {"allowed_amount": 1152.63, "providers": [{"billed_charge": 3053.0, "npi": [1851572937, 1124315411]}]}, {"allowed_amount": 1215.28, "providers": [{"billed_charge": 3053.0, "npi": [1093133076, 1124412085]}]}, {"allowed_amount": 1354.52, "providers": [{"billed_charge": 3053.0, "npi": [1518586569]}]}, {"allowed_amount": 1514.46, "providers": [{"billed_charge": 3053.0, "npi": [1851572937, 1518586569]}]}, {"allowed_amount": 1984.45, "providers": [{"billed_charge": 3053.0, "npi": [1508898669]}]}]}, {"tin": {"type": "ein", "value": "264645356"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1118.93, "providers": [{"billed_charge": 6600.0, "npi": [1700128287]}]}]}, {"tin": {"type": "ein", "value": "352587817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.04, "providers": [{"billed_charge": 4500.0, "npi": [1437404563]}]}]}, {"tin": {"type": "ein", "value": "364916680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.95, "providers": [{"billed_charge": 4500.0, "npi": [1528005485]}]}, {"allowed_amount": 141.05, "providers": [{"billed_charge": 4500.0, "npi": [1457511743]}]}, {"allowed_amount": 144.05, "providers": [{"billed_charge": 4500.0, "npi": [1437404563, 1023022357]}]}]}, {"tin": {"type": "ein", "value": "810934442"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.95, "providers": [{"billed_charge": 3053.0, "npi": [1679773600, 1780849281, 1285833186, 1518586569, 1508898669, 1780612671]}]}, {"allowed_amount": 144.04, "providers": [{"billed_charge": 3053.0, "npi": [1124315411, 1760465942]}]}, {"allowed_amount": 144.05, "providers": [{"billed_charge": 3053.0, "npi": [1780849281, 1578023180, 1508898669, 1124315411, 1780612671]}]}, {"allowed_amount": 150.9, "providers": [{"billed_charge": 3053.0, "npi": [1518586569, 1780849281, 1427106012, 1508898669]}]}, {"allowed_amount": 302.89, "providers": [{"billed_charge": 3053.0, "npi": [1518586569]}]}, {"allowed_amount": 985.29, "providers": [{"billed_charge": 3053.0, "npi": [1851572937, 1780612671]}]}, {"allowed_amount": 1030.08, "providers": [{"billed_charge": 3053.0, "npi": [1518586569, 1124315411]}]}, {"allowed_amount": 1083.82, "providers": [{"billed_charge": 3053.0, "npi": [1295997740]}]}, {"allowed_amount": 1102.52, "providers": [{"billed_charge": 3053.0, "npi": [1518586569, 1417059346, 1093133076]}]}, {"allowed_amount": 1152.63, "providers": [{"billed_charge": 3053.0, "npi": [1417059346, 1780612671]}]}, {"allowed_amount": 1343.58, "providers": [{"billed_charge": 3053.0, "npi": [1790105658, 1508898669]}]}, {"allowed_amount": 1354.52, "providers": [{"billed_charge": 3053.0, "npi": [1700802584, 1780849281, 1124315411, 1780612671]}]}, {"allowed_amount": 1503.43, "providers": [{"billed_charge": 3053.0, "npi": [1578023180]}]}, {"allowed_amount": 1514.46, "providers": [{"billed_charge": 3053.0, "npi": [1093133076]}]}, {"allowed_amount": 1514.47, "providers": [{"billed_charge": 3053.0, "npi": [1851572937, 1518586569, 1780612671]}]}, {"allowed_amount": 1863.1, "providers": [{"billed_charge": 3053.0, "npi": [1508898669]}]}, {"allowed_amount": 1868.3, "providers": [{"billed_charge": 3053.0, "npi": [1508898669]}]}, {"allowed_amount": 2088.92, "providers": [{"billed_charge": 3053.0, "npi": [1508898669]}]}, {"allowed_amount": 3053.0, "providers": [{"billed_charge": 3053.0, "npi": [1760465942]}]}]}, {"tin": {"type": "ein", "value": "834572520"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 144.05, "providers": [{"billed_charge": 5850.0, "npi": [1649598285]}]}]}, {"tin": {"type": "ein", "value": "862676026"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3324.3, "providers": [{"billed_charge": 4749.0, "npi": [1235447517]}]}]}, {"tin": {"type": "ein", "value": "900793277"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 150.9, "providers": [{"billed_charge": 8000.0, "npi": [1780686162]}]}]}]}, {"name": "Coronary artery bypass, using arterial graft(s); single arterial graft", "billing_code_type": "CPT", "billing_code": "33533", "billing_code_type_version": "2022", "description": "CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT", "allowed_amounts": [{"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 367.29, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 7000.0, "npi": [1508737255]}]}, {"allowed_amount": 416.78, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 7000.0, "npi": [1659259679, 1508737255]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3473.1, "providers": [{"billed_charge": 7718.0, "npi": [1083779888]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 377.44, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1800.0, "npi": [1194260208, 1144214198]}]}]}, {"tin": {"type": "ein", "value": "593338654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 357.47, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 832.0, "npi": [1629845128]}]}, {"allowed_amount": 2628.43, "providers": [{"billed_charge": 6840.0, "npi": [1598799942]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 510.3, "npi": [1831418458]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1528670338]}]}, {"allowed_amount": 305.28, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1538621123]}]}, {"allowed_amount": 337.1, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1528670338, 1447862859]}]}, {"allowed_amount": 337.33, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1093491144, 1518130947]}]}, {"allowed_amount": 367.29, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1649206517]}]}, {"allowed_amount": 377.44, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1093491144]}]}, {"allowed_amount": 384.51, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1205957784]}]}, {"allowed_amount": 416.78, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2312.0, "npi": [1528670338, 1841369410, 1043102858, 1447862859, 1649206517, 1972099455]}]}]}]}, {"name": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "33518", "billing_code_type_version": "2022", "description": "CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.44, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1600.0, "npi": [1508737255]}]}, {"allowed_amount": 662.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1600.0, "npi": [1508737255]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 561.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 561.0, "npi": [1194260208, 1144214198]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.6, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 511.0, "npi": [1538621123]}]}, {"allowed_amount": 72.49, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 511.0, "npi": [1093491144, 1518130947]}]}, {"allowed_amount": 72.91, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 511.0, "npi": [1528670338]}]}, {"allowed_amount": 79.44, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 511.0, "npi": [1649206517]}]}, {"allowed_amount": 90.14, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 511.0, "npi": [1972099455]}]}, {"allowed_amount": 511.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 511.0, "npi": [1093491144, 1043102858, 1447862859, 1649206517]}]}]}]}, {"name": "Creatine", "billing_code_type": "CPT", "billing_code": "82540", "billing_code_type_version": "2022", "description": "ASSAY OF CREATINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.64, "providers": [{"billed_charge": 4.64, "npi": [1518983642]}]}]}]}, {"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": "131624082"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.96, "providers": [{"billed_charge": 170.0, "npi": [1700887411]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.0, "providers": [{"billed_charge": 103.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.62, "providers": [{"billed_charge": 17.62, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.56, "providers": [{"billed_charge": 12.56, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.0, "providers": [{"billed_charge": 161.0, "npi": [1962403865]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.23, "providers": [{"billed_charge": 88.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.67, "providers": [{"billed_charge": 225.94, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.93, "providers": [{"billed_charge": 214.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.14, "providers": [{"billed_charge": 377.54, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.51, "providers": [{"billed_charge": 6.51, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.7, "providers": [{"billed_charge": 9.7, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.93, "providers": [{"billed_charge": 214.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.47, "providers": [{"billed_charge": 304.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.55, "providers": [{"billed_charge": 31.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.51, "providers": [{"billed_charge": 60.0, "npi": [1457812273]}]}]}]}, {"name": "Creatinine; blood", "billing_code_type": "CPT", "billing_code": "82565", "billing_code_type_version": "2022", "description": "CREATININE BLOOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "474376020"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.12, "providers": [{"billed_charge": 15.0, "npi": [1710358932]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.19, "providers": [{"billed_charge": 111.54, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.12, "providers": [{"billed_charge": 115.14, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.12, "providers": [{"billed_charge": 20.0, "npi": [1457812273]}]}, {"allowed_amount": 8.96, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.0, "providers": [{"billed_charge": 86.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.29, "providers": [{"billed_charge": 62.0, "npi": [1982606992]}]}]}]}, {"name": "Creatinine; other source", "billing_code_type": "CPT", "billing_code": "82570", "billing_code_type_version": "2022", "description": "CREATININE OTHER SOURCE", "allowed_amounts": [{"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.63, "providers": [{"billed_charge": 10.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "272207464"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.63, "providers": [{"billed_charge": 8.0, "npi": [1194099762]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.63, "providers": [{"billed_charge": 96.96, "npi": [1912964768]}]}, {"allowed_amount": 53.67, "providers": [{"billed_charge": 119.27, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.3, "providers": [{"billed_charge": 123.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 116.25, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.3, "providers": [{"billed_charge": 123.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 63.0, "npi": [1982606992]}]}]}]}, {"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": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.12, "providers": [{"billed_charge": 480.0, "npi": [1306238126]}]}, {"allowed_amount": 169.55, "providers": [{"billed_charge": 480.0, "npi": [1336556208]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.03, "providers": [{"billed_charge": 470.0, "npi": [1942628805]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 470.0, "npi": [1942628805]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.93, "providers": [{"billed_charge": 281.65, "npi": [1184841835]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.03, "providers": [{"billed_charge": 397.0, "npi": [1548269178]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 182.0, "providers": [{"billed_charge": 182.0, "npi": [1578054920, 1124465331, 1942731799, 1639305212, 1881980829]}]}, {"allowed_amount": 307.56, "providers": [{"billed_charge": 377.0, "npi": [1437491040, 1942731799, 1174741078, 1487971479, 1487738654]}]}]}, {"tin": {"type": "ein", "value": "262765049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.65, "providers": [{"billed_charge": 300.0, "npi": [1396704482]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.01, "providers": [{"billed_charge": 319.92, "npi": [1508266081, 1629496815, 1598208647]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 166.05, "providers": [{"billed_charge": 369.0, "npi": [1245460526, 1508357831]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.44, "providers": [{"billed_charge": 933.0, "npi": [1760914030]}]}, {"allowed_amount": 279.94, "providers": [{"billed_charge": 933.0, "npi": [1871560870]}]}]}, {"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.27, "providers": [{"billed_charge": 1200.0, "npi": [1881141570]}]}, {"allowed_amount": 123.93, "providers": [{"billed_charge": 1200.0, "npi": [1033484480, 1972314946, 1770993867, 1417630278]}]}, {"allowed_amount": 169.44, "providers": [{"billed_charge": 1200.0, "npi": [1386319093, 1043826886]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.2, "providers": [{"billed_charge": 277.0, "npi": [1457733156]}]}]}, {"tin": {"type": "ein", "value": "412117806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.72, "providers": [{"billed_charge": 380.0, "npi": [1639632714, 1750938924, 1184341141]}]}, {"allowed_amount": 184.73, "providers": [{"billed_charge": 380.0, "npi": [1639632714, 1750938924, 1750977021]}]}]}, {"tin": {"type": "ein", "value": "461306148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 396.67, "providers": [{"billed_charge": 1044.0, "npi": [1215314083]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 263.42, "providers": [{"billed_charge": 695.0, "npi": [1043249568]}]}]}, {"tin": {"type": "ein", "value": "464319695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.52, "providers": [{"billed_charge": 1140.0, "npi": [1417983636]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.56, "providers": [{"billed_charge": 1162.0, "npi": [1104110386]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.96, "providers": [{"billed_charge": 225.8, "npi": [1295029635]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 225.8, "npi": [1366883365, 1144301854]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.01, "providers": [{"billed_charge": 704.0, "npi": [1962844944, 1629335674]}]}, {"allowed_amount": 225.01, "providers": [{"billed_charge": 678.0, "npi": [1619002888]}, {"billed_charge": 704.0, "npi": [1619002888]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.0, "providers": [{"billed_charge": 523.0, "npi": [1003251281, 1518283282]}]}, {"allowed_amount": 182.01, "providers": [{"billed_charge": 523.0, "npi": [1003251281, 1518283282]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.17, "providers": [{"billed_charge": 1116.0, "npi": [1154060374, 1205320942]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.76, "providers": [{"billed_charge": 419.0, "npi": [1023595246]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.44, "providers": [{"billed_charge": 956.9, "npi": [1023169968]}]}, {"allowed_amount": 280.98, "providers": [{"billed_charge": 956.9, "npi": [1407344153, 1164963419, 1356630529]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.99, "providers": [{"billed_charge": 422.0, "npi": [1962962084]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.01, "providers": [{"billed_charge": 1057.0, "npi": [1871749358]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.44, "providers": [{"billed_charge": 364.0, "npi": [1639565914]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.98, "providers": [{"billed_charge": 1029.0, "npi": [1750558102]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.14, "providers": [{"billed_charge": 188.0, "npi": [1558705194]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.44, "providers": [{"billed_charge": 1199.0, "npi": [1174962179]}]}]}, {"tin": {"type": "ein", "value": "593573936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.44, "providers": [{"billed_charge": 470.0, "npi": [1477661825]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.01, "providers": [{"billed_charge": 401.0, "npi": [1790159796, 1417264532, 1679088868]}]}, {"allowed_amount": 220.26, "providers": [{"billed_charge": 401.0, "npi": [1679088868]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.16, "providers": [{"billed_charge": 990.0, "npi": [1568673630]}]}]}, {"tin": {"type": "ein", "value": "650236284"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.32, "providers": [{"billed_charge": 1000.0, "npi": [1710047121]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 461.89, "providers": [{"billed_charge": 1162.0, "npi": [1922206168]}]}, {"allowed_amount": 461.9, "providers": [{"billed_charge": 935.0, "npi": [1346772076, 1982054029]}, {"billed_charge": 1105.0, "npi": [1891894838]}, {"billed_charge": 1162.0, "npi": [1255697504, 1235440017, 1023751138, 1205451135]}, {"billed_charge": 1299.0, "npi": [1457580441, 1659498939, 1073720405]}]}, {"allowed_amount": 487.18, "providers": [{"billed_charge": 1075.0, "npi": [1487232450, 1639495245, 1699208637]}, {"billed_charge": 1103.0, "npi": [1508039595, 1437649175]}, {"billed_charge": 1199.0, "npi": [1376522144, 1801092465, 1124657085, 1508494733]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 461.89, "providers": [{"billed_charge": 1162.0, "npi": [1598749335]}]}, {"allowed_amount": 461.9, "providers": [{"billed_charge": 1162.0, "npi": [1366684615, 1679742027, 1598393589, 1629465497, 1942350079]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.01, "providers": [{"billed_charge": 763.0, "npi": [1134108996]}]}, {"allowed_amount": 292.19, "providers": [{"billed_charge": 763.0, "npi": [1720068224]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 392.62, "providers": [{"billed_charge": 1101.0, "npi": [1396296729]}]}, {"allowed_amount": 461.89, "providers": [{"billed_charge": 1101.0, "npi": [1689014185, 1629126149]}]}, {"allowed_amount": 461.9, "providers": [{"billed_charge": 1101.0, "npi": [1083871552, 1740578368, 1629657184, 1275100059, 1639585607, 1720389679, 1316261233, 1417930678, 1922376730, 1730121211]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.73, "providers": [{"billed_charge": 859.0, "npi": [1780796086]}]}, {"allowed_amount": 307.56, "providers": [{"billed_charge": 859.0, "npi": [1568491082, 1548609258, 1235766767]}]}]}, {"tin": {"type": "ein", "value": "651020460"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.72, "providers": [{"billed_charge": 650.0, "npi": [1831256809]}]}, {"allowed_amount": 184.73, "providers": [{"billed_charge": 650.0, "npi": [1831256809]}]}, {"allowed_amount": 225.32, "providers": [{"billed_charge": 650.0, "npi": [1831256809]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.17, "providers": [{"billed_charge": 904.0, "npi": [1265704332, 1245492487]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.98, "providers": [{"billed_charge": 598.0, "npi": [1457811457]}]}]}, {"tin": {"type": "ein", "value": "823518817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.77, "providers": [{"billed_charge": 289.2, "npi": [1053758805]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.03, "providers": [{"billed_charge": 563.0, "npi": [1699017681]}]}, {"allowed_amount": 143.96, "providers": [{"billed_charge": 563.0, "npi": [1033640743]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 563.0, "npi": [1821157504]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.56, "providers": [{"billed_charge": 565.0, "npi": [1336536440]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.96, "providers": [{"billed_charge": 357.33, "npi": [1851753909]}]}, {"allowed_amount": 143.97, "providers": [{"billed_charge": 357.33, "npi": [1851753909]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 357.33, "npi": [1063807170, 1942445895, 1215279625, 1174886386, 1972822963, 1851753909, 1063549723, 1972745438]}, {"billed_charge": 2716.0, "npi": [1063807170, 1417191891, 1225520901, 1972745438]}]}, {"allowed_amount": 178.09, "providers": [{"billed_charge": 357.33, "npi": [1215279625, 1225520901, 1427233006, 1972745438]}]}, {"allowed_amount": 225.01, "providers": [{"billed_charge": 357.33, "npi": [1164833489, 1063807170, 1417191891]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.64, "providers": [{"billed_charge": 372.0, "npi": [1831584085]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 170.63, "providers": [{"billed_charge": 1729.0, "npi": [1225081532]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 1729.0, "npi": [1225081532]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.72, "providers": [{"billed_charge": 1575.0, "npi": [1306473624]}]}, {"allowed_amount": 184.73, "providers": [{"billed_charge": 1575.0, "npi": [1063964666, 1821331612]}]}, {"allowed_amount": 307.56, "providers": [{"billed_charge": 1575.0, "npi": [1063964666, 1881994770, 1184853004, 1841754678]}]}]}, {"tin": {"type": "ein", "value": "921934530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.03, "providers": [{"billed_charge": 250.0, "npi": [1326482092]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 250.0, "npi": [1326482092]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.03, "providers": [{"billed_charge": 612.0, "npi": [1215517537]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 612.0, "npi": [1215517537]}]}, {"allowed_amount": 292.19, "providers": [{"billed_charge": 612.0, "npi": [1427686336, 1841754678]}]}, {"allowed_amount": 307.56, "providers": [{"billed_charge": 612.0, "npi": [1306473624, 1225665003]}]}]}, {"tin": {"type": "ein", "value": "943192446"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.65, "providers": [{"billed_charge": 571.0, "npi": [1770844474]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.09, "providers": [{"billed_charge": 3480.91, "npi": [1356766554, 1699081117]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1790.72, "providers": [{"billed_charge": 4880.55, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "010238552"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 312.82, "providers": [{"billed_charge": 1546.5, "npi": [1184060188]}]}]}, {"tin": {"type": "ein", "value": "040526446"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.67, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 920.0, "npi": [1033528864]}]}, {"allowed_amount": 174.98, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 920.0, "npi": [1033528864]}]}]}, {"tin": {"type": "ein", "value": "041945759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.67, "providers": [{"billed_charge": 920.0, "npi": [1164218582]}]}]}, {"tin": {"type": "ein", "value": "045027068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.67, "providers": [{"billed_charge": 920.0, "npi": [1457170169]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2099.35, "providers": [{"billed_charge": 7853.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 336.75, "providers": [{"billed_charge": 920.0, "npi": [1902191547]}]}]}, {"tin": {"type": "ein", "value": "060646844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2099.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4226.0, "npi": [1760426969]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 286.24, "providers": [{"billed_charge": 1250.0, "npi": [1306238126]}]}, {"allowed_amount": 336.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1250.0, "npi": [1336556208, 1427209873, 1588654412]}]}]}, {"tin": {"type": "ein", "value": "061137531"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 920.0, "npi": [1417187709]}]}]}, {"tin": {"type": "ein", "value": "061330992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 336.75, "providers": [{"billed_charge": 844.0, "npi": [1790246866]}]}]}, {"tin": {"type": "ein", "value": "087728038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 920.0, "npi": [1720491384]}]}]}, {"tin": {"type": "ein", "value": "092806638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 920.0, "npi": [1083175954]}]}]}, {"tin": {"type": "ein", "value": "104724158"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 920.0, "npi": [1740544949]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1618.86, "providers": [{"billed_charge": 2949.45, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "113537613"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.5, "providers": [{"billed_charge": 2258.28, "npi": [1770203564]}]}]}, {"tin": {"type": "ein", "value": "128680440"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 920.0, "npi": [1902191547]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 903.55, "providers": [{"billed_charge": 1000.0, "npi": [1083148043]}]}]}, {"tin": {"type": "ein", "value": "141338467"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1618.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3714.0, "npi": [1124072715]}]}]}, {"tin": {"type": "ein", "value": "161395906"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.41, "providers": [{"billed_charge": 669.59, "npi": [1336672492]}]}]}, {"tin": {"type": "ein", "value": "200593702"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.39, "providers": [{"billed_charge": 455.0, "npi": [1831656511]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.88, "providers": [{"billed_charge": 1112.0, "npi": [1912226275, 1124472261, 1669667796, 1609452341, 1922319003]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 1112.0, "npi": [1669667796, 1124472261]}]}]}, {"tin": {"type": "ein", "value": "201054138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.05, "providers": [{"billed_charge": 553.0, "npi": [1134757008]}]}]}, {"tin": {"type": "ein", "value": "201064117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.03, "providers": [{"billed_charge": 1495.0, "npi": [1326076290]}]}]}, {"tin": {"type": "ein", "value": "201395801"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.45, "providers": [{"billed_charge": 444.0, "npi": [1699762641]}]}]}, {"tin": {"type": "ein", "value": "201585675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.11, "providers": [{"billed_charge": 687.0, "npi": [1578554408]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 687.0, "npi": [1578554408]}]}]}, {"tin": {"type": "ein", "value": "202069671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.05, "providers": [{"billed_charge": 525.0, "npi": [1679544704]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 324.7, "providers": [{"billed_charge": 724.0, "npi": [1558998849, 1811450505, 1427348978, 1669499604, 1548623606, 1811300536, 1043663867, 1578040093]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 724.0, "npi": [1558998849, 1154559045, 1811450505, 1427348978, 1669499604, 1811300536, 1518578202, 1043663867, 1578040093]}]}, {"allowed_amount": 447.86, "providers": [{"billed_charge": 724.0, "npi": [1154559045]}]}, {"allowed_amount": 507.5, "providers": [{"billed_charge": 724.0, "npi": [1811450505]}]}]}, {"tin": {"type": "ein", "value": "203566888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 845.0, "npi": [1205271400]}]}, {"allowed_amount": 319.44, "providers": [{"billed_charge": 845.0, "npi": [1659133833]}]}, {"allowed_amount": 361.59, "providers": [{"billed_charge": 845.0, "npi": [1457771669]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 941.0, "npi": [1396932216, 1013595289, 1821583956, 1942628805]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 941.0, "npi": [1396932216, 1942628805]}]}, {"allowed_amount": 484.86, "providers": [{"billed_charge": 941.0, "npi": [1396932216]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.07, "providers": [{"billed_charge": 50.89, "npi": [1730676404]}]}, {"allowed_amount": 246.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 559.83, "npi": [1184841835]}]}, {"allowed_amount": 279.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 559.83, "npi": [1184841835]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 559.83, "npi": [1710128657]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 256.42, "providers": [{"billed_charge": 812.0, "npi": [1649809633, 1144961707, 1134862642, 1023690419, 1114661204, 1306586037, 1205579414, 1548269178, 1316566680, 1710203161, 1508500026, 1861012411]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 812.0, "npi": [1649809633, 1235871591, 1881334761, 1316566680, 1114661204, 1790359958, 1205579414, 1548269178, 1710474010, 1861012411]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 267.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.0, "npi": [1003492778]}]}, {"allowed_amount": 314.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.0, "npi": [1992969604]}]}]}, {"tin": {"type": "ein", "value": "205615996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.07, "providers": [{"billed_charge": 2229.0, "npi": [1457393738]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.72, "providers": [{"billed_charge": 1762.0, "npi": [1710240254]}]}, {"allowed_amount": 372.69, "providers": [{"billed_charge": 1762.0, "npi": [1821484460]}]}]}, {"tin": {"type": "ein", "value": "223594884"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 735.47, "providers": [{"billed_charge": 2004.0, "npi": [1760770697]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.87, "providers": [{"billed_charge": 659.0, "npi": [1023462215]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.79, "providers": [{"billed_charge": 663.0, "npi": [1487818886]}]}]}, {"tin": {"type": "ein", "value": "260255161"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 268.98, "providers": [{"billed_charge": 600.0, "npi": [1730174400]}]}]}, {"tin": {"type": "ein", "value": "260341143"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.11, "providers": [{"billed_charge": 1300.0, "npi": [1548483761]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 1300.0, "npi": [1548483761]}]}]}, {"tin": {"type": "ein", "value": "260593928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 361.59, "providers": [{"billed_charge": 762.0, "npi": [1346410594]}]}]}, {"tin": {"type": "ein", "value": "261179038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 324.7, "providers": [{"billed_charge": 1400.0, "npi": [1598791212]}]}, {"allowed_amount": 422.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1598791212]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 246.32, "providers": [{"billed_charge": 749.0, "npi": [1811432719]}]}, {"allowed_amount": 391.88, "providers": [{"billed_charge": 749.0, "npi": [1073856241, 1629248539]}]}, {"allowed_amount": 419.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 419.0, "npi": [1487090437, 1235574021, 1578054920, 1407835150, 1407029523, 1942731799, 1205332889, 1881980829, 1700981156, 1275941544, 1194931626, 1730716721, 1124465331, 1104846773, 1528004165, 1376561100, 1245783117, 1609212372, 1396132569, 1164542809, 1013150044, 1437491040, 1790216695, 1619384187, 1639305212]}]}, {"allowed_amount": 519.63, "providers": [{"billed_charge": 749.0, "npi": [1528515210]}]}, {"allowed_amount": 611.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 749.0, "npi": [1609403013, 1578054920, 1578686218, 1487971479, 1942731799, 1558301978, 1316912157, 1487738654, 1700981156, 1124465331, 1104846773, 1942218433, 1871015248, 1174741078, 1164542809, 1396132569, 1437491040, 1790216695, 1609278969]}]}]}, {"tin": {"type": "ein", "value": "262765049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 358.18, "providers": [{"billed_charge": 500.0, "npi": [1396704482]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.71, "providers": [{"billed_charge": 635.76, "npi": [1003305186]}]}, {"allowed_amount": 254.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 635.76, "npi": [1033616115, 1265051700, 1639433725, 1245469923]}]}, {"allowed_amount": 256.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 635.76, "npi": [1760987713, 1295185189, 1184120172, 1629496815, 1124392378, 1821187121, 1619959186, 1689878134, 1700826807, 1932558202, 1760495998]}]}, {"allowed_amount": 275.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 635.76, "npi": [1891761128]}]}, {"allowed_amount": 286.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 635.76, "npi": [1679544704, 1891158630, 1619914868, 1508991126]}]}, {"allowed_amount": 293.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 635.76, "npi": [1487902771, 1285129965]}]}, {"allowed_amount": 353.91, "providers": [{"billed_charge": 635.76, "npi": [1902946247]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 635.76, "npi": [1598208647, 1740226190, 1952995342, 1619959186, 1295084564, 1508991126, 1396987681, 1295185189, 1821187121, 1487902771, 1265051700, 1710403381, 1124392378, 1760987713, 1356169056, 1508266081, 1245469923, 1891158630, 1184120172, 1285129965, 1629496815, 1033616115, 1619914868, 1689878134, 1215101688, 1932558202, 1639433725, 1760495998]}]}, {"allowed_amount": 437.72, "providers": [{"billed_charge": 635.76, "npi": [1356169056, 1508266081, 1679036164, 1598208647]}]}, {"allowed_amount": 447.15, "providers": [{"billed_charge": 635.76, "npi": [1659564268]}]}, {"allowed_amount": 484.86, "providers": [{"billed_charge": 635.76, "npi": [1508991126, 1740226190, 1629496815]}]}, {"allowed_amount": 580.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 635.76, "npi": [1710403381, 1740226190]}]}, {"allowed_amount": 635.76, "providers": [{"billed_charge": 635.76, "npi": [1477600260, 1851730030]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 286.09, "providers": [{"billed_charge": 1366.3, "npi": [1346602927]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1366.3, "npi": [1346602927, 1104989698, 1659724573, 1043476807]}]}, {"allowed_amount": 447.15, "providers": [{"billed_charge": 1366.3, "npi": [1104989698]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.08, "providers": [{"billed_charge": 1863.0, "npi": [1285208926]}]}, {"allowed_amount": 264.23, "providers": [{"billed_charge": 1863.0, "npi": [1982229258]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 328.95, "providers": [{"billed_charge": 731.0, "npi": [1891965158, 1851743207, 1508357831, 1700235405, 1245460526, 1528350543]}]}]}, {"tin": {"type": "ein", "value": "264076297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 406.14, "providers": [{"billed_charge": 1168.0, "npi": [1902970932, 1497312623]}]}]}, {"tin": {"type": "ein", "value": "264467460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 520.13, "providers": [{"billed_charge": 1411.0, "npi": [1871884551]}]}]}, {"tin": {"type": "ein", "value": "270781655"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 2280.0, "npi": [1922391440, 1225205313, 1831108083]}]}, {"allowed_amount": 556.44, "providers": [{"billed_charge": 2280.0, "npi": [1407873177, 1841258654]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.53, "providers": [{"billed_charge": 1863.0, "npi": [1023232840, 1174038970, 1710775341, 1811481294]}]}, {"allowed_amount": 233.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1863.0, "npi": [1760904056]}]}, {"allowed_amount": 257.59, "providers": [{"billed_charge": 1863.0, "npi": [1114664224, 1306486196, 1518612407, 1972992824, 1457496572, 1730343070]}]}, {"allowed_amount": 305.74, "providers": [{"billed_charge": 1863.0, "npi": [1629295019]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1863.0, "npi": [1235852856, 1306280268, 1710775341, 1760914030, 1336746668, 1891255568, 1669104881, 1710070578, 1811524440, 1831147354, 1275037624, 1376170746, 1083936413, 1790416766]}]}, {"allowed_amount": 395.72, "providers": [{"billed_charge": 1863.0, "npi": [1467666560]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1863.0, "npi": [1578906624, 1730152646, 1942401062, 1184120008, 1346954088, 1194798090, 1225562762, 1912249962, 1942267182, 1598724403, 1760904056, 1912103060, 1720617590, 1558757880, 1154711547, 1457496572, 1720433725]}]}, {"allowed_amount": 484.86, "providers": [{"billed_charge": 1863.0, "npi": [1194798090]}]}, {"allowed_amount": 491.6, "providers": [{"billed_charge": 1863.0, "npi": [1275037624]}]}, {"allowed_amount": 556.44, "providers": [{"billed_charge": 1863.0, "npi": [1811524440, 1083358626, 1306339486, 1871560870]}]}, {"allowed_amount": 558.5, "providers": [{"billed_charge": 1863.0, "npi": [1659900512, 1487911178, 1265403141]}]}, {"allowed_amount": 580.66, "providers": [{"billed_charge": 1863.0, "npi": [1578906624, 1730152646, 1942401062, 1184120008, 1922427368, 1912249962, 1942267182, 1114504305, 1598724403, 1154900660, 1912103060, 1720617590, 1558757880, 1720433725]}]}]}, {"tin": {"type": "ein", "value": "272398444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 422.91, "providers": [{"billed_charge": 850.0, "npi": [1346485877]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.73, "providers": [{"billed_charge": 463.0, "npi": [1275538944, 1760700348, 1215919733]}]}, {"allowed_amount": 286.09, "providers": [{"billed_charge": 463.0, "npi": [1407302755, 1942628037, 1205327244, 1285916627, 1336536382]}]}, {"allowed_amount": 293.62, "providers": [{"billed_charge": 463.0, "npi": [1598240418]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 463.0, "npi": [1275538944, 1275883456, 1942628037, 1205327244, 1265774574, 1285916627, 1215919733, 1760700348, 1336536382]}]}, {"allowed_amount": 447.15, "providers": [{"billed_charge": 463.0, "npi": [1831284132, 1942628037, 1265774574, 1295717718, 1760773246, 1942444831]}]}, {"allowed_amount": 463.0, "providers": [{"billed_charge": 463.0, "npi": [1639431679]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 337.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 733.0, "npi": [1508393497, 1285857391]}]}]}, {"tin": {"type": "ein", "value": "274369422"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.13, "providers": [{"billed_charge": 434.65, "npi": [1659535987]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 558.5, "providers": [{"billed_charge": 1133.0, "npi": [1730533639]}]}]}, {"tin": {"type": "ein", "value": "310823056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.85, "providers": [{"billed_charge": 1785.0, "npi": [1821658386]}]}, {"allowed_amount": 372.95, "providers": [{"billed_charge": 1785.0, "npi": [1063158590]}]}]}, {"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1881141570]}]}, {"allowed_amount": 246.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1033484480, 1972314946, 1770993867, 1417630278]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1386319093, 1043826886]}]}]}, {"tin": {"type": "ein", "value": "320150689"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 326.69, "providers": [{"billed_charge": 602.0, "npi": [1306815618]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.11, "providers": [{"billed_charge": 466.0, "npi": [1184787467]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 466.0, "npi": [1942669817]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 236.02, "providers": [{"billed_charge": 1125.0, "npi": [1366603334]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 1125.0, "npi": [1376125104, 1912154865, 1659867562]}]}, {"allowed_amount": 611.33, "providers": [{"billed_charge": 1125.0, "npi": [1912154865]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 422.91, "providers": [{"billed_charge": 1125.0, "npi": [1184944357]}]}]}, {"tin": {"type": "ein", "value": "332805466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.88, "providers": [{"billed_charge": 1015.0, "npi": [1073744520]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 254.3, "providers": [{"billed_charge": 1534.0, "npi": [1679869549]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 1534.0, "npi": [1528188034, 1679869549]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 80.71, "providers": [{"billed_charge": 1980.0, "npi": [1164142865]}]}, {"allowed_amount": 484.84, "providers": [{"billed_charge": 1980.0, "npi": [1346441854]}]}, {"allowed_amount": 529.98, "providers": [{"billed_charge": 1980.0, "npi": [1760436687]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 326.47, "providers": [{"billed_charge": 514.0, "npi": [1215157136, 1376741736]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 514.0, "npi": [1629118740]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 290.65, "providers": [{"billed_charge": 551.0, "npi": [1457733156]}]}]}, {"tin": {"type": "ein", "value": "383784872"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.71, "providers": [{"billed_charge": 1217.0, "npi": [1417195140, 1417122052]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2272.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3350.0, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 302.99, "providers": [{"billed_charge": 1239.3, "npi": [1407962855]}]}]}, {"tin": {"type": "ein", "value": "393624856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.05, "providers": [{"billed_charge": 423.84, "npi": [1154678811]}]}]}, {"tin": {"type": "ein", "value": "412117806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.02, "providers": [{"billed_charge": 753.0, "npi": [1639632714, 1750938924, 1184341141, 1326509720, 1750977021]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 753.0, "npi": [1639632714, 1750938924, 1750977021, 1184341141]}]}]}, {"tin": {"type": "ein", "value": "413975337"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 262.48, "providers": [{"billed_charge": 2000.0, "npi": [1265483366]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.37, "providers": [{"billed_charge": 529.0, "npi": [1992899702]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 306.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 890.0, "npi": [1477086593]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 332.81, "providers": [{"billed_charge": 1334.0, "npi": [1962425785]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.45, "providers": [{"billed_charge": 801.0, "npi": [1801186309]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2280.0, "npi": [1972164200, 1063542249, 1811048689, 1083858674, 1558723577, 1598407421, 1679223614]}]}, {"allowed_amount": 474.72, "providers": [{"billed_charge": 2280.0, "npi": [1508233156]}]}, {"allowed_amount": 556.44, "providers": [{"billed_charge": 2280.0, "npi": [1932786373, 1053540617, 1811048689, 1083858674, 1477189108, 1538397302, 1558723577, 1851584346]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 328.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 731.0, "npi": [1396323010, 1770969859, 1881956944, 1992793939, 1619183829, 1619217049, 1033640669]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 613.71, "providers": [{"billed_charge": 1755.0, "npi": [1487073680]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 1864.0, "npi": [1518490457]}]}, {"allowed_amount": 687.86, "providers": [{"billed_charge": 1864.0, "npi": [1629129531, 1417112723]}]}]}, {"tin": {"type": "ein", "value": "452820011"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.09, "providers": [{"billed_charge": 400.0, "npi": [1699962639]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 700.0, "npi": [1699962639]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.89, "providers": [{"billed_charge": 1931.0, "npi": [1851977425]}]}]}, {"tin": {"type": "ein", "value": "453976574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.09, "providers": [{"billed_charge": 1552.0, "npi": [1053351643, 1366680357]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 1552.0, "npi": [1053351643]}]}]}, {"tin": {"type": "ein", "value": "454045959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1020.49, "providers": [{"billed_charge": 2297.0, "npi": [1538197579]}]}]}, {"tin": {"type": "ein", "value": "454395947"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 277.22, "providers": [{"billed_charge": 667.0, "npi": [1659884435]}]}]}, {"tin": {"type": "ein", "value": "455440305"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.79, "providers": [{"billed_charge": 667.0, "npi": [1467077040]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 704.25, "npi": [1710385414]}]}]}, {"tin": {"type": "ein", "value": "461120780"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 766.73, "providers": [{"billed_charge": 2342.0, "npi": [1821678947]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.18, "providers": [{"billed_charge": 435.0, "npi": [1700407939]}]}, {"allowed_amount": 319.39, "providers": [{"billed_charge": 435.0, "npi": [1851836753, 1952818650, 1902547045, 1558866574]}]}, {"allowed_amount": 435.0, "providers": [{"billed_charge": 435.0, "npi": [1508920091]}]}]}, {"tin": {"type": "ein", "value": "461306148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 789.52, "providers": [{"billed_charge": 2080.0, "npi": [1215314083]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 348.09, "providers": [{"billed_charge": 685.0, "npi": [1689038663]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 867.5, "providers": [{"billed_charge": 2035.0, "npi": [1922413475]}]}]}, {"tin": {"type": "ein", "value": "461448783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.05, "providers": [{"billed_charge": 700.0, "npi": [1104002054]}]}]}, {"tin": {"type": "ein", "value": "462099970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 304.93, "providers": [{"billed_charge": 2280.0, "npi": [1114010121]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 1391.0, "npi": [1992807150]}]}, {"allowed_amount": 523.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1391.0, "npi": [1043249568, 1871173633, 1881252468, 1063482073, 1942950969]}]}]}, {"tin": {"type": "ein", "value": "462964946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.11, "providers": [{"billed_charge": 550.0, "npi": [1629344882]}]}, {"allowed_amount": 240.24, "providers": [{"billed_charge": 550.0, "npi": [1750692422]}]}, {"allowed_amount": 243.71, "providers": [{"billed_charge": 550.0, "npi": [1184043523, 1407901382, 1730746603, 1508068750, 1881037240]}]}, {"allowed_amount": 256.66, "providers": [{"billed_charge": 550.0, "npi": [1417445677]}]}, {"allowed_amount": 277.2, "providers": [{"billed_charge": 550.0, "npi": [1124589015]}]}, {"allowed_amount": 287.46, "providers": [{"billed_charge": 550.0, "npi": [1174785513, 1982807921, 1548820210, 1609080886, 1851550743, 1245493402, 1154461531]}]}, {"allowed_amount": 291.57, "providers": [{"billed_charge": 550.0, "npi": [1700248937]}]}, {"allowed_amount": 324.42, "providers": [{"billed_charge": 550.0, "npi": [1316568728]}]}, {"allowed_amount": 326.47, "providers": [{"billed_charge": 550.0, "npi": [1477787067]}]}, {"allowed_amount": 353.91, "providers": [{"billed_charge": 550.0, "npi": [1942588983]}]}, {"allowed_amount": 387.98, "providers": [{"billed_charge": 550.0, "npi": [1588084800, 1891321824, 1144754979, 1700074796, 1326562257, 1760801112, 1528550043, 1144232893]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 550.0, "npi": [1992713234, 1184287427, 1700074796]}]}, {"allowed_amount": 447.15, "providers": [{"billed_charge": 550.0, "npi": [1407944002, 1285780718]}]}]}, {"tin": {"type": "ein", "value": "463077526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 2280.0, "npi": [1730683129, 1003372194, 1558591891, 1184628802]}]}, {"allowed_amount": 484.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2280.0, "npi": [1558591891]}]}]}, {"tin": {"type": "ein", "value": "464319695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2280.0, "npi": [1417983636]}]}]}, {"tin": {"type": "ein", "value": "464713792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 291.57, "providers": [{"billed_charge": 550.79, "npi": [1194761916]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 2324.0, "npi": [1356320808, 1659498939]}]}, {"allowed_amount": 391.88, "providers": [{"billed_charge": 2324.0, "npi": [1700306164]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 2324.0, "npi": [1104271725]}]}, {"allowed_amount": 480.47, "providers": [{"billed_charge": 2324.0, "npi": [1316254493]}]}, {"allowed_amount": 482.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2324.0, "npi": [1811928666]}]}, {"allowed_amount": 556.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2324.0, "npi": [1356320808]}]}, {"allowed_amount": 611.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2324.0, "npi": [1154333987, 1104110386, 1023219763, 1104271725]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.16, "providers": [{"billed_charge": 445.8, "npi": [1104002054]}]}, {"allowed_amount": 186.47, "providers": [{"billed_charge": 445.8, "npi": [1366883365]}]}, {"allowed_amount": 190.73, "providers": [{"billed_charge": 445.8, "npi": [1366883365, 1144301854]}]}, {"allowed_amount": 243.71, "providers": [{"billed_charge": 445.8, "npi": [1851775860]}]}, {"allowed_amount": 279.7, "providers": [{"billed_charge": 445.8, "npi": [1497149116]}]}, {"allowed_amount": 286.09, "providers": [{"billed_charge": 445.8, "npi": [1295029635, 1285165068, 1689743445, 1689878134, 1497149116]}]}, {"allowed_amount": 293.62, "providers": [{"billed_charge": 445.8, "npi": [1457187528]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 445.8, "npi": [1295029635, 1366883365, 1285165068, 1053832691, 1851775860, 1689743445, 1497149116, 1578150173, 1144301854]}]}, {"allowed_amount": 435.85, "providers": [{"billed_charge": 445.8, "npi": [1104002054]}]}, {"allowed_amount": 445.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 445.8, "npi": [1104002054]}]}, {"allowed_amount": 782.54, "providers": [{"billed_charge": 445.8, "npi": [1104002054]}]}]}, {"tin": {"type": "ein", "value": "473874447"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.88, "providers": [{"billed_charge": 540.0, "npi": [1457308744]}]}]}, {"tin": {"type": "ein", "value": "475040973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2458.0, "npi": [1528495587]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1552.0, "npi": [1629335674, 1407302755]}, {"billed_charge": 1616.0, "npi": [1629335674, 1407302755]}]}, {"allowed_amount": 353.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1552.0, "npi": [1912971607]}, {"billed_charge": 1616.0, "npi": [1912971607]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1552.0, "npi": [1912971607]}, {"billed_charge": 1616.0, "npi": [1407302755, 1558659524, 1619002888, 1982841961, 1962844944, 1629335674]}]}, {"allowed_amount": 447.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1552.0, "npi": [1619002888]}, {"billed_charge": 1616.0, "npi": [1619002888, 1558659524]}]}, {"allowed_amount": 580.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1552.0, "npi": [1962844944]}, {"billed_charge": 1616.0, "npi": [1962844944]}]}, {"allowed_amount": 1038.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1552.0, "npi": [1982841961]}, {"billed_charge": 1616.0, "npi": [1982841961]}]}]}, {"tin": {"type": "ein", "value": "537199256"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.81, "providers": [{"billed_charge": 532.0, "npi": [1588319172]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 324.7, "providers": [{"billed_charge": 1235.0, "npi": [1730509068]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2456.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4644.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "561903275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 309.87, "providers": [{"billed_charge": 1435.0, "npi": [1952643884]}]}]}, {"tin": {"type": "ein", "value": "562066152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 309.87, "providers": [{"billed_charge": 1976.0, "npi": [1790044097]}]}, {"allowed_amount": 369.07, "providers": [{"billed_charge": 1976.0, "npi": [1295308591]}]}]}, {"tin": {"type": "ein", "value": "570359174"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1744.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4338.0, "npi": [1417919531]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.65, "providers": [{"billed_charge": 1270.0, "npi": [1558628164]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 491.6, "providers": [{"billed_charge": 704.0, "npi": [1437383916]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 361.59, "providers": [{"billed_charge": 704.0, "npi": [1689052136]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 491.6, "providers": [{"billed_charge": 1678.0, "npi": [1659412971]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3026.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3026.0, "npi": [1962403865]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 361.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1198.0, "npi": [1003251281, 1518283282]}]}]}, {"tin": {"type": "ein", "value": "582228258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.15, "providers": [{"billed_charge": 1960.0, "npi": [1346478542, 1477999126]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.17, "providers": [{"billed_charge": 1020.0, "npi": [1942512777]}]}, {"allowed_amount": 480.15, "providers": [{"billed_charge": 1020.0, "npi": [1215469937]}]}]}, {"tin": {"type": "ein", "value": "582540964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 361.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 762.0, "npi": [1982849808]}]}]}, {"tin": {"type": "ein", "value": "582636306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 548.48, "providers": [{"billed_charge": 2280.0, "npi": [1336317395]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1828.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3472.75, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590634434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 569.7, "npi": [1265589956]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5175.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7268.0, "npi": [1194790055]}]}, {"allowed_amount": 16387.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7268.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 292.45, "providers": [{"billed_charge": 1980.0, "npi": [1255793642]}]}, {"allowed_amount": 392.05, "providers": [{"billed_charge": 1980.0, "npi": [1922355619]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1980.0, "npi": [1205275203, 1285425991, 1508032137, 1255793642, 1346665130, 1952995342, 1982961934, 1669836177, 1306282199, 1902186745, 1043620446]}]}, {"allowed_amount": 447.15, "providers": [{"billed_charge": 1980.0, "npi": [1871853507, 1306282199]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2527.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6955.0, "npi": [1700979465]}]}, {"allowed_amount": 8002.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6955.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3148.49, "providers": [{"billed_charge": 7445.0, "npi": [1578620449]}]}, {"allowed_amount": 9969.28, "providers": [{"billed_charge": 7445.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 219.01, "providers": [{"billed_charge": 2227.0, "npi": [1669857447]}]}, {"allowed_amount": 752.29, "providers": [{"billed_charge": 2227.0, "npi": [1003568254]}]}, {"allowed_amount": 885.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1739.0, "npi": [1710448246]}, {"billed_charge": 2067.0, "npi": [1073509618]}, {"billed_charge": 2165.0, "npi": [1568048395]}, {"billed_charge": 2227.0, "npi": [1255951364, 1417309212, 1740848159, 1720422694, 1902366503, 1558341180, 1669748927, 1124467394, 1326570060, 1255919569, 1154060374, 1831538016, 1003278433, 1215341540, 1114487527, 1073824108, 1205320942, 1003498353, 1093177982]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 184.24, "providers": [{"billed_charge": 838.0, "npi": [1275062705]}]}, {"allowed_amount": 268.98, "providers": [{"billed_charge": 838.0, "npi": [1346539574]}]}, {"allowed_amount": 420.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 838.0, "npi": [1023595246, 1538680590]}]}, {"allowed_amount": 558.5, "providers": [{"billed_charge": 838.0, "npi": [1467468983, 1831849306, 1487233839]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2585.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9551.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591803105"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1417191891]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 195.06, "providers": [{"billed_charge": 1902.43, "npi": [1801174073]}]}, {"allowed_amount": 337.3, "providers": [{"billed_charge": 1902.43, "npi": [1548723257]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1902.43, "npi": [1518171776, 1790384642, 1013596808, 1043897101, 1922208016, 1801978515, 1639303456, 1023169968, 1528506433, 1588604870, 1639512650, 1679192140, 1104453455, 1912224593, 1952668626, 1508824657, 1790041689, 1336889948, 1740576735, 1144413675]}]}, {"allowed_amount": 434.53, "providers": [{"billed_charge": 1902.43, "npi": [1154781748]}]}, {"allowed_amount": 465.57, "providers": [{"billed_charge": 1902.43, "npi": [1558557637]}]}, {"allowed_amount": 558.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1902.43, "npi": [1356630529, 1487187233, 1790384642, 1225667801, 1174840904, 1336726793, 1639512650, 1013146505, 1679192140, 1407344153, 1750517199, 1104453455, 1386394997, 1356318711, 1801472568, 1790041689, 1164963419]}]}, {"allowed_amount": 817.21, "providers": [{"billed_charge": 1902.43, "npi": [1902127293]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 195.06, "providers": [{"billed_charge": 870.0, "npi": [1679070593]}]}, {"allowed_amount": 248.45, "providers": [{"billed_charge": 870.0, "npi": [1679070593, 1962962084]}]}, {"allowed_amount": 287.46, "providers": [{"billed_charge": 1909.0, "npi": [1245625748, 1659685279]}]}, {"allowed_amount": 558.5, "providers": [{"billed_charge": 870.0, "npi": [1760772958, 1821485822]}, {"billed_charge": 1909.0, "npi": [1821485822]}]}, {"allowed_amount": 1020.49, "providers": [{"billed_charge": 1909.0, "npi": [1033340906]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 254.3, "providers": [{"billed_charge": 2113.0, "npi": [1235625443]}]}, {"allowed_amount": 256.42, "providers": [{"billed_charge": 2113.0, "npi": [1003072760, 1437323573]}]}, {"allowed_amount": 279.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1932340155]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 2113.0, "npi": [1699260018, 1174928162, 1871749358]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2173.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9673.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3148.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9771.51, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592292041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.06, "providers": [{"billed_charge": 817.0, "npi": [1609339746]}]}]}, {"tin": {"type": "ein", "value": "592313481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 277.2, "providers": [{"billed_charge": 629.0, "npi": [1275725178]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 629.0, "npi": [1801113576, 1538197579, 1093938573]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1828.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3472.75, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 248.45, "providers": [{"billed_charge": 535.0, "npi": [1205821170]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.36, "providers": [{"billed_charge": 826.0, "npi": [1417319096]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 826.0, "npi": [1730679754, 1912694480, 1710321617, 1114681970, 1750040945, 1023467222, 1740662295, 1639565914, 1013960095]}]}, {"allowed_amount": 465.57, "providers": [{"billed_charge": 826.0, "npi": [1023467222]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 174.53, "providers": [{"billed_charge": 2420.0, "npi": [1093373771]}]}, {"allowed_amount": 387.98, "providers": [{"billed_charge": 2420.0, "npi": [1467442392]}]}, {"allowed_amount": 558.5, "providers": [{"billed_charge": 2420.0, "npi": [1750558102]}]}]}, {"tin": {"type": "ein", "value": "593360315"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.14, "providers": [{"billed_charge": 776.0, "npi": [1104166339]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 573.0, "npi": [1538345442, 1922321868]}]}, {"allowed_amount": 420.93, "providers": [{"billed_charge": 573.0, "npi": [1699208462]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 419.0, "npi": [1790042513, 1659699122, 1184911372, 1558705194]}]}, {"allowed_amount": 248.45, "providers": [{"billed_charge": 419.0, "npi": [1568996791]}]}, {"allowed_amount": 387.98, "providers": [{"billed_charge": 419.0, "npi": [1790042513, 1184911372, 1154615813]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 545.19, "providers": [{"billed_charge": 943.0, "npi": [1225852726]}]}, {"allowed_amount": 641.4, "providers": [{"billed_charge": 943.0, "npi": [1346294253]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 229.97, "providers": [{"billed_charge": 2372.0, "npi": [1245646587]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2372.0, "npi": [1558628578, 1174962179, 1679893960, 1689244105, 1366533226, 1205276789]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 2372.0, "npi": [1679964464]}]}, {"allowed_amount": 558.5, "providers": [{"billed_charge": 2372.0, "npi": [1538423330, 1063663508]}]}]}, {"tin": {"type": "ein", "value": "593535333"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 558.5, "providers": [{"billed_charge": 1912.0, "npi": [1912213422]}]}]}, {"tin": {"type": "ein", "value": "593573936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 375.0, "providers": [{"billed_charge": 375.0, "npi": [1477661825]}]}]}, {"tin": {"type": "ein", "value": "593597846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 1957.0, "npi": [1861686123]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1983.98, "providers": [{"billed_charge": 5881.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.05, "providers": [{"billed_charge": 886.0, "npi": [1417264532, 1841369410, 1679088868, 1699120485]}]}, {"allowed_amount": 437.72, "providers": [{"billed_charge": 886.0, "npi": [1417264532, 1679088868]}]}]}, {"tin": {"type": "ein", "value": "600099763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.91, "providers": [{"billed_charge": 900.0, "npi": [1710990908]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 900.0, "npi": [1710990908]}]}]}, {"tin": {"type": "ein", "value": "611276245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 920.0, "npi": [1871869073]}]}]}, {"tin": {"type": "ein", "value": "611401114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.38, "providers": [{"billed_charge": 1193.0, "npi": [1043452311]}]}]}, {"tin": {"type": "ein", "value": "611956307"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 304.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 624.0, "npi": [1417061607]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 775.05, "providers": [{"billed_charge": 2066.0, "npi": [1295317386]}]}]}, {"tin": {"type": "ein", "value": "621179254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 521.42, "providers": [{"billed_charge": 2014.0, "npi": [1285377267]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 757.28, "providers": [{"billed_charge": 2039.0, "npi": [1548792153, 1033747332]}, {"billed_charge": 2064.0, "npi": [1881086668]}]}]}, {"tin": {"type": "ein", "value": "621453389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 770.82, "providers": [{"billed_charge": 1836.0, "npi": [1184727166]}]}]}, {"tin": {"type": "ein", "value": "621766956"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 323.01, "providers": [{"billed_charge": 657.0, "npi": [1588620488]}]}]}, {"tin": {"type": "ein", "value": "631104510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 304.93, "providers": [{"billed_charge": 1289.0, "npi": [1174978415]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 233.11, "providers": [{"billed_charge": 1980.0, "npi": [1558381699, 1528557097, 1255642831, 1598179285, 1013076470, 1790131613]}]}, {"allowed_amount": 254.3, "providers": [{"billed_charge": 1980.0, "npi": [1619918232]}]}, {"allowed_amount": 256.42, "providers": [{"billed_charge": 1980.0, "npi": [1457593832, 1316213895]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1980.0, "npi": [1386030849, 1558381699, 1316213895, 1265485577, 1689195406, 1447889423, 1619918232, 1790131613, 1699065763, 1528557097, 1255437109, 1437360187, 1861810236, 1043290430, 1154756039, 1477873230, 1255642831, 1952557779, 1598179285, 1831167576, 1407205214, 1457593832, 1134109044, 1013076470, 1578508024, 1568953339]}]}, {"allowed_amount": 580.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1980.0, "npi": [1265485577, 1578508024, 1952557779, 1255437109, 1154542967, 1831167576, 1023406105, 1568953339, 1861810236, 1043290430]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 292.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1980.0, "npi": [1568673630, 1255600607]}]}, {"allowed_amount": 334.83, "providers": [{"billed_charge": 1980.0, "npi": [1770593097]}]}, {"allowed_amount": 353.91, "providers": [{"billed_charge": 1980.0, "npi": [1740338060]}]}, {"allowed_amount": 489.96, "providers": [{"billed_charge": 1980.0, "npi": [1962455055]}]}, {"allowed_amount": 495.89, "providers": [{"billed_charge": 1980.0, "npi": [1699345850]}]}]}, {"tin": {"type": "ein", "value": "650203499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 802.2, "providers": [{"billed_charge": 2135.0, "npi": [1447879150]}]}]}, {"tin": {"type": "ein", "value": "650236284"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 447.86, "providers": [{"billed_charge": 1500.0, "npi": [1710047121]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 161.01, "providers": [{"billed_charge": 2763.0, "npi": [1558598383]}]}, {"allowed_amount": 207.68, "providers": [{"billed_charge": 2993.0, "npi": [1265819593]}]}, {"allowed_amount": 686.62, "providers": [{"billed_charge": 2993.0, "npi": [1194790055]}]}, {"allowed_amount": 779.83, "providers": [{"billed_charge": 2763.0, "npi": [1659250868, 1740972751]}]}, {"allowed_amount": 820.97, "providers": [{"billed_charge": 2384.0, "npi": [1114642345]}, {"billed_charge": 2431.0, "npi": [1598363764, 1205850070, 1235814310]}]}, {"allowed_amount": 917.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1803.0, "npi": [1396199360, 1346744281, 1164983086]}, {"billed_charge": 1857.0, "npi": [1417278177, 1407039522, 1295001667, 1588046999, 1578190278, 1700464039, 1801359559, 1871572586, 1346772076, 1982054029, 1225569742, 1467816272, 1942797972, 1922275221, 1457320822, 1366742678, 1487956728, 1508391228]}, {"billed_charge": 2311.0, "npi": [1235440017, 1316109473]}, {"billed_charge": 2473.0, "npi": [1568038784, 1639149859, 1003880774, 1124093703, 1346220811, 1891894838]}, {"billed_charge": 2763.0, "npi": [1972130318, 1235440017, 1437724051, 1811488158, 1316109473, 1992790950, 1194083881, 1093212458, 1376511147, 1437248432, 1932858289, 1174055479, 1831103423, 1518946367, 1457512642, 1073719621, 1043439318, 1922206168, 1760743512, 1255697504, 1023751138, 1659663334, 1740528231, 1336725225, 1457556714, 1558598383, 1467794545, 1205451135]}, {"billed_charge": 2993.0, "npi": [1023004553, 1851742217, 1932527884, 1275950479, 1952983439, 1073824785, 1184998676, 1699208470, 1861067670, 1841373719, 1457580441, 1982232732, 1801475751, 1750587572, 1659498939, 1205490372, 1538692306, 1073720405, 1659756120, 1093721961, 1255768313, 1477578623]}]}, {"allowed_amount": 965.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2384.0, "npi": [1376522144, 1871948836, 1841876349, 1770538662, 1154062727, 1346560364, 1508494733, 1124657085, 1801092465, 1275799827, 1518927193, 1558011197, 1770223166]}, {"billed_charge": 2425.0, "npi": [1215108832, 1831533603, 1871859652, 1013357508, 1710372230, 1508039595, 1760061931, 1558725358, 1912561648, 1780983569, 1033143698, 1902080468, 1083034581, 1114509270, 1437649175, 1598029274]}, {"billed_charge": 2431.0, "npi": [1144482951, 1639424906, 1154786192, 1013171354, 1639109150, 1538148127, 1265883433, 1255869483, 1457812273, 1255735221, 1366431546, 1699208637, 1902866494, 1851354559, 1225394240, 1912648767, 1487232450, 1639495245, 1336497890, 1801245675, 1053690479, 1073762043]}, {"billed_charge": 2438.0, "npi": [1669608618, 1326579566, 1134625049, 1659951358, 1538148127]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 779.83, "providers": [{"billed_charge": 2843.0, "npi": [1073995726]}]}, {"allowed_amount": 885.04, "providers": [{"billed_charge": 2352.0, "npi": [1487804886]}, {"billed_charge": 2726.0, "npi": [1114288123]}]}, {"allowed_amount": 917.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2843.0, "npi": [1164468492, 1467716241, 1073843090, 1548898323, 1609518356, 1598749335, 1689669400, 1629465497, 1851618227, 1295001667, 1366684615, 1679742027, 1619945169, 1922206168, 1619232089, 1528687837, 1457556714, 1598393589, 1578025979, 1942350079]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1514.0, "npi": [1043639297, 1811060130, 1699270819, 1134108996, 1396781027, 1467449033, 1023038346, 1871562413, 1750756755, 1013364660, 1558358069, 1588600217, 1801120027]}]}, {"allowed_amount": 489.96, "providers": [{"billed_charge": 1514.0, "npi": [1205879624, 1750756755]}]}, {"allowed_amount": 580.66, "providers": [{"billed_charge": 1514.0, "npi": [1912388224, 1568880961, 1043639297, 1699270819, 1720068224, 1912439910, 1023038346, 1114151313, 1013364660, 1215925045, 1619992153, 1801120027]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 268.9, "providers": [{"billed_charge": 1047.1, "npi": [1700104874]}]}, {"allowed_amount": 275.5, "providers": [{"billed_charge": 1047.1, "npi": [1588988000, 1700104874, 1003839309, 1821317264, 1548528342, 1558637272]}]}, {"allowed_amount": 353.91, "providers": [{"billed_charge": 1047.1, "npi": [1851500847]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1047.1, "npi": [1851500847, 1699234864, 1215956115, 1548528342, 1558637272]}]}, {"allowed_amount": 829.24, "providers": [{"billed_charge": 1047.1, "npi": [1700104874]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.91, "providers": [{"billed_charge": 1047.1, "npi": [1699207241]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 1047.1, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.5, "providers": [{"billed_charge": 1047.1, "npi": [1770679771]}]}, {"allowed_amount": 344.04, "providers": [{"billed_charge": 1047.1, "npi": [1225109440]}]}, {"allowed_amount": 353.91, "providers": [{"billed_charge": 1047.1, "npi": [1225109440, 1053407205]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 1047.1, "npi": [1225109440, 1053407205]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 207.68, "providers": [{"billed_charge": 2327.0, "npi": [1780612028, 1417930678]}]}, {"allowed_amount": 331.85, "providers": [{"billed_charge": 2327.0, "npi": [1881678290]}]}, {"allowed_amount": 779.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2327.0, "npi": [1225432768, 1700894144, 1346768066, 1295704930, 1669845285, 1518131465, 1669783213, 1831691666, 1396296729, 1801594809]}]}, {"allowed_amount": 917.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2327.0, "npi": [1194074112, 1629126149, 1447375878, 1457830408, 1811510282, 1285684753, 1518412311, 1841225752, 1962498071, 1922376730, 1043322399, 1922684448, 1992791586, 1295296549, 1477589034, 1720389679, 1174815799, 1831237692, 1740578368, 1619543105, 1780628560, 1801139290, 1477130334, 1629657184, 1275013732, 1013307495, 1265606784, 1740711563, 1942837901, 1871719567, 1598976656, 1891081881, 1861772964, 1619149481, 1629509302, 1114953916, 1386094274, 1245260488, 1871750349, 1407238363, 1033303771, 1235167453, 1467947242, 1699754218, 1548708597, 1952714487, 1396206843, 1003802877, 1467740423, 1518909704, 1407282445, 1073715470, 1518184225, 1336382241, 1801525027, 1033146162, 1831413558, 1619910973, 1528367422, 1083871552, 1639585607, 1538144597, 1922189653, 1093247330, 1013993831, 1407344492, 1316261233, 1679816565, 1811933062, 1336339852, 1306499470, 1023645074, 1124055959, 1275100059, 1326074790, 1679518120, 1689014185, 1417930678, 1912403387, 1760419774, 1790944205, 1427078096, 1689642449, 1427554773, 1639520752, 1891073524, 1083642870, 1730121211, 1598098428]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.5, "providers": [{"billed_charge": 465.0, "npi": [1699773341]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 465.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650784345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 336.74, "providers": [{"billed_charge": 419.0, "npi": [1114258167]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 422.91, "providers": [{"billed_charge": 1655.0, "npi": [1801875554, 1578669412, 1801474630, 1063154904, 1760452957, 1306800446]}]}, {"allowed_amount": 611.33, "providers": [{"billed_charge": 1655.0, "npi": [1801474630, 1376589002, 1598706764, 1760452957, 1306800446]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1595.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7268.0, "npi": [1083644033]}]}, {"allowed_amount": 5052.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7268.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.82, "providers": [{"billed_charge": 2235.0, "npi": [1285608828]}]}, {"allowed_amount": 422.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2235.0, "npi": [1104815117, 1780983569, 1871116061, 1659326494, 1134665508, 1487685798, 1649375783, 1881210920, 1780796086, 1861901753, 1326400698, 1821733312, 1568491082, 1518234319, 1518927193, 1881704807, 1811991656, 1548609258, 1235591660, 1235766767, 1114156783, 1245436021, 1285608828]}]}, {"allowed_amount": 611.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2235.0, "npi": [1730169475, 1780983569, 1871116061, 1659326494, 1134665508, 1487685798, 1649375783, 1881210920, 1780796086, 1861901753, 1326400698, 1659951358, 1326668864, 1821733312, 1801474630, 1568491082, 1518234319, 1518927193, 1881704807, 1548609258, 1235591660, 1235766767, 1114156783, 1245436021, 1285608828, 1538113790]}]}]}, {"tin": {"type": "ein", "value": "651002459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.21, "providers": [{"billed_charge": 600.0, "npi": [1649278458]}]}]}, {"tin": {"type": "ein", "value": "651020460"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 422.91, "providers": [{"billed_charge": 1500.0, "npi": [1831256809]}]}, {"allowed_amount": 447.86, "providers": [{"billed_charge": 1500.0, "npi": [1831256809]}]}]}, {"tin": {"type": "ein", "value": "651040252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.11, "providers": [{"billed_charge": 500.0, "npi": [1750438974]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 500.0, "npi": [1750438974]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 422.91, "providers": [{"billed_charge": 800.0, "npi": [1811345978]}, {"billed_charge": 1500.0, "npi": [1811345978]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.88, "providers": [{"billed_charge": 430.0, "npi": [1972686327]}]}]}, {"tin": {"type": "ein", "value": "651086616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.05, "providers": [{"billed_charge": 1500.0, "npi": [1649498635]}]}]}, {"tin": {"type": "ein", "value": "651102146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1164482782]}]}]}, {"tin": {"type": "ein", "value": "710678160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 302.79, "providers": [{"billed_charge": 782.0, "npi": [1689783706]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 302.79, "providers": [{"billed_charge": 782.0, "npi": [1457303224]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2157.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6960.0, "npi": [1619115383]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.44, "providers": [{"billed_charge": 1902.79, "npi": [1881645497]}]}, {"allowed_amount": 303.03, "providers": [{"billed_charge": 1902.79, "npi": [1023774403]}]}, {"allowed_amount": 534.75, "providers": [{"billed_charge": 1902.79, "npi": [1245812635]}]}]}, {"tin": {"type": "ein", "value": "752684562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 607.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1754.0, "npi": [1336176064]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 318.39, "providers": [{"billed_charge": 2134.0, "npi": [1841222809, 1821044629]}]}]}, {"tin": {"type": "ein", "value": "800132834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 332.82, "providers": [{"billed_charge": 332.82, "npi": [1649324682, 1356669196]}]}]}, {"tin": {"type": "ein", "value": "800212487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 334.01, "providers": [{"billed_charge": 1919.53, "npi": [1083904940]}]}]}, {"tin": {"type": "ein", "value": "800756169"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 798.0, "providers": [{"billed_charge": 798.0, "npi": [1013034180]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 752.29, "providers": [{"billed_charge": 1641.0, "npi": [1548756893]}, {"billed_charge": 2765.0, "npi": [1306960216]}]}, {"allowed_amount": 885.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1641.0, "npi": [1063469724, 1720035181, 1871056879, 1558329458, 1922494962, 1386141620, 1447205653, 1114275641, 1366559932]}, {"billed_charge": 1791.0, "npi": [1992332365]}, {"billed_charge": 2195.0, "npi": [1558660373]}, {"billed_charge": 2220.0, "npi": [1972025310]}, {"billed_charge": 2336.0, "npi": [1346746203, 1730717570, 1538441316, 1306334594, 1245492487, 1851356265, 1265704332, 1841396660, 1336880533, 1659734804, 1841871191, 1447713979, 1629606108, 1083142525]}, {"billed_charge": 2501.0, "npi": [1073834123]}, {"billed_charge": 2765.0, "npi": [1699135160, 1093393746]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.96, "providers": [{"billed_charge": 762.0, "npi": [1467773978]}]}]}, {"tin": {"type": "ein", "value": "811422897"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 420.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1147.0, "npi": [1326308255]}]}]}, {"tin": {"type": "ein", "value": "811855329"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2280.0, "npi": [1992731210]}]}]}, {"tin": {"type": "ein", "value": "812611928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.09, "providers": [{"billed_charge": 400.0, "npi": [1932548880]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.76, "providers": [{"billed_charge": 941.0, "npi": [1831643170, 1437896198]}]}, {"allowed_amount": 359.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 941.0, "npi": [1154523397]}]}, {"allowed_amount": 387.98, "providers": [{"billed_charge": 941.0, "npi": [1275077893]}]}, {"allowed_amount": 474.72, "providers": [{"billed_charge": 941.0, "npi": [1255220919]}]}, {"allowed_amount": 482.53, "providers": [{"billed_charge": 805.0, "npi": [1003548116]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.45, "providers": [{"billed_charge": 523.0, "npi": [1134325004]}]}, {"allowed_amount": 387.98, "providers": [{"billed_charge": 523.0, "npi": [1063640126]}]}, {"allowed_amount": 480.47, "providers": [{"billed_charge": 523.0, "npi": [1063640126]}]}]}, {"tin": {"type": "ein", "value": "812875670"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 1630.0, "npi": [1720294556]}]}]}, {"tin": {"type": "ein", "value": "813562771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 396.3, "providers": [{"billed_charge": 991.0, "npi": [1982053039]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1190.0, "npi": [1730567280, 1750365938, 1447608286]}]}, {"allowed_amount": 558.5, "providers": [{"billed_charge": 1190.0, "npi": [1457811457, 1770225054, 1144516675, 1154818599, 1003178856, 1487654521, 1689931289, 1659012763, 1265505374]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1715.0, "npi": [1437145992, 1205851565]}]}, {"allowed_amount": 580.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1715.0, "npi": [1205851565, 1174866263, 1881825461]}]}]}, {"tin": {"type": "ein", "value": "823270200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 750.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3214.0, "npi": [1528690997]}]}]}, {"tin": {"type": "ein", "value": "823352623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.17, "providers": [{"billed_charge": 762.0, "npi": [1407432487]}]}]}, {"tin": {"type": "ein", "value": "823518817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 574.18, "npi": [1053758805]}]}, {"allowed_amount": 420.93, "providers": [{"billed_charge": 574.18, "npi": [1053758805]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 422.91, "providers": [{"billed_charge": 1125.0, "npi": [1730329798, 1114156783]}]}, {"allowed_amount": 611.33, "providers": [{"billed_charge": 1125.0, "npi": [1679776330, 1730329798, 1487273967]}]}]}, {"tin": {"type": "ein", "value": "831283936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 310.0, "providers": [{"billed_charge": 310.0, "npi": [1134421407]}]}]}, {"tin": {"type": "ein", "value": "834594332"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.11, "providers": [{"billed_charge": 650.0, "npi": [1457801441]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1978.45, "providers": [{"billed_charge": 17431.97, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840974982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 323.43, "providers": [{"billed_charge": 454.0, "npi": [1265419659, 1144682253]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 274.92, "providers": [{"billed_charge": 2027.28, "npi": [1487942546]}]}, {"allowed_amount": 323.43, "providers": [{"billed_charge": 2027.28, "npi": [1437361524, 1831726207]}]}]}, {"tin": {"type": "ein", "value": "841108735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 274.92, "providers": [{"billed_charge": 2027.28, "npi": [1194834457]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 550.0, "npi": [1548413024, 1871881797, 1801116231, 1104314889, 1952920779, 1629657135, 1588957328, 1699017681, 1386065142, 1154792059, 1619532124]}, {"billed_charge": 1293.0, "npi": [1548413024, 1972243970, 1871881797, 1235542507, 1689975310, 1386118511, 1588957328, 1699017681, 1508506163, 1386065142, 1801158969, 1184236473]}]}, {"allowed_amount": 286.09, "providers": [{"billed_charge": 550.0, "npi": [1174792899, 1801116231, 1033640743, 1083677322, 1245693597, 1619471935]}, {"billed_charge": 1293.0, "npi": [1972677664, 1750958179, 1033640743, 1477752137, 1619471935, 1801121306, 1316180060, 1245693597, 1124006879]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1293.0, "npi": [1821157504, 1053744771, 1235534215, 1104314889, 1114999695, 1588957328, 1699962639, 1366420754, 1831350933, 1801121306, 1245693597, 1033640743, 1134625064, 1497495345, 1508506163, 1154645430, 1801158969, 1184236473, 1619471935, 1730429762, 1871881797, 1891114823, 1952920779, 1699017681, 1619532124, 1124006879, 1548413024, 1750958179, 1659663078, 1235542507, 1386118511, 1386065142]}]}, {"allowed_amount": 440.79, "providers": [{"billed_charge": 550.0, "npi": [1821157504]}, {"billed_charge": 1293.0, "npi": [1821157504]}]}, {"allowed_amount": 447.15, "providers": [{"billed_charge": 550.0, "npi": [1013180843]}, {"billed_charge": 1293.0, "npi": [1013180843]}]}, {"allowed_amount": 580.66, "providers": [{"billed_charge": 1293.0, "npi": [1134625064]}]}]}, {"tin": {"type": "ein", "value": "843393326"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.15, "providers": [{"billed_charge": 2280.0, "npi": [1972966273]}]}]}, {"tin": {"type": "ein", "value": "844504483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.73, "providers": [{"billed_charge": 1455.0, "npi": [1316443229]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 422.91, "providers": [{"billed_charge": 1125.0, "npi": [1841876315]}]}, {"allowed_amount": 611.33, "providers": [{"billed_charge": 1125.0, "npi": [1861838823, 1790944205, 1154650943]}]}]}, {"tin": {"type": "ein", "value": "850548129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 268.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 620.76, "npi": [1962558171]}]}, {"allowed_amount": 310.38, "providers": [{"billed_charge": 310.38, "npi": [1962558171]}]}, {"allowed_amount": 387.98, "providers": [{"billed_charge": 620.76, "npi": [1962558171]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 422.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1125.0, "npi": [1336536440, 1184944357, 1386385862, 1407484074, 1114156783, 1225618192, 1124096946, 1437688215, 1588098040]}]}, {"allowed_amount": 611.33, "providers": [{"billed_charge": 1125.0, "npi": [1336536440, 1841876315, 1437688215]}]}]}, {"tin": {"type": "ein", "value": "850808438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.42, "providers": [{"billed_charge": 581.0, "npi": [1932548542]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 581.0, "npi": [1932548542]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 303.05, "providers": [{"billed_charge": 1762.0, "npi": [1861044166]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.65, "providers": [{"billed_charge": 2333.0, "npi": [1396196622]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.09, "providers": [{"billed_charge": 2716.0, "npi": [1851753909]}]}, {"allowed_amount": 293.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2716.0, "npi": [1417339284]}]}, {"allowed_amount": 353.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2716.0, "npi": [1225520901, 1215279625, 1427233006, 1174886386, 1972745438]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2716.0, "npi": [1063807170, 1942445895, 1215279625, 1346403052, 1427233006, 1174886386, 1972822963, 1417339284, 1851753909, 1568803096, 1174809594, 1063549723, 1780831164, 1972745438]}, {"billed_charge": 3512.49, "npi": [1063807170, 1225520901, 1942445895, 1346403052, 1427233006, 1174886386, 1972822963, 1417191891, 1851753909, 1568803096, 1063549723, 1780831164, 1437600285, 1972745438]}]}, {"allowed_amount": 447.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2716.0, "npi": [1063807170, 1346403052, 1164833489, 1417191891, 1780831164]}]}, {"allowed_amount": 489.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2716.0, "npi": [1437600285]}]}, {"allowed_amount": 1038.41, "providers": [{"billed_charge": 2716.0, "npi": [1063549723]}]}]}, {"tin": {"type": "ein", "value": "853646513"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 2280.0, "npi": [1821449414]}]}, {"allowed_amount": 484.58, "providers": [{"billed_charge": 2280.0, "npi": [1730521147]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 611.33, "providers": [{"billed_charge": 2324.0, "npi": [1518969468]}]}]}, {"tin": {"type": "ein", "value": "853957957"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 387.98, "providers": [{"billed_charge": 620.76, "npi": [1821244039]}]}]}, {"tin": {"type": "ein", "value": "854106709"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.42, "providers": [{"billed_charge": 1204.0, "npi": [1275030678]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 1204.0, "npi": [1275030678]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 365.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 832.0, "npi": [1760800015]}]}, {"allowed_amount": 428.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 832.0, "npi": [1992934384, 1831584085]}]}]}, {"tin": {"type": "ein", "value": "872389975"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 277.35, "providers": [{"billed_charge": 398.18, "npi": [1003122441]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 339.07, "providers": [{"billed_charge": 3421.0, "npi": [1225081532]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 3421.0, "npi": [1225081532]}]}]}, {"tin": {"type": "ein", "value": "874573881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 395.72, "providers": [{"billed_charge": 1863.0, "npi": [1043742570, 1518902014]}]}, {"allowed_amount": 1863.0, "providers": [{"billed_charge": 1863.0, "npi": [1073761565]}]}]}, {"tin": {"type": "ein", "value": "880262438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 806.92, "providers": [{"billed_charge": 2126.0, "npi": [1407506645]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 287.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1730494741]}]}]}, {"tin": {"type": "ein", "value": "880770500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.05, "providers": [{"billed_charge": 589.0, "npi": [1346771912]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.75, "providers": [{"billed_charge": 567.0, "npi": [1548202062]}]}]}, {"tin": {"type": "ein", "value": "881963120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 540.0, "npi": [1679912117]}]}, {"allowed_amount": 422.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 540.0, "npi": [1679912117]}]}]}, {"tin": {"type": "ein", "value": "882940752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 326.69, "providers": [{"billed_charge": 392.0, "npi": [1144632944]}]}]}, {"tin": {"type": "ein", "value": "883895171"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 341.74, "providers": [{"billed_charge": 1322.0, "npi": [1710419650]}]}]}, {"tin": {"type": "ein", "value": "900950252"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 329.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1214.0, "npi": [1982101234]}]}]}, {"tin": {"type": "ein", "value": "911220843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.3, "providers": [{"billed_charge": 699.6, "npi": [1265894869]}]}]}, {"tin": {"type": "ein", "value": "911740659"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.57, "providers": [{"billed_charge": 1054.48, "npi": [1952862484]}]}]}, {"tin": {"type": "ein", "value": "911939739"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 219.69, "providers": [{"billed_charge": 617.0, "npi": [1164008207]}]}]}, {"tin": {"type": "ein", "value": "920902509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.09, "providers": [{"billed_charge": 484.85, "npi": [1255747507]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.88, "providers": [{"billed_charge": 863.0, "npi": [1902158934]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 863.0, "npi": [1902158934]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 391.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3150.0, "npi": [1821331612]}]}, {"allowed_amount": 422.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3150.0, "npi": [1700374915, 1255080073, 1184853004, 1083191092, 1841754678, 1306473624, 1063964666, 1821331612]}]}, {"allowed_amount": 611.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3150.0, "npi": [1063964666, 1255080073, 1184853004, 1881994770, 1841754678, 1881125722]}]}]}, {"tin": {"type": "ein", "value": "921846432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 329.01, "providers": [{"billed_charge": 1515.0, "npi": [1861487969]}]}]}, {"tin": {"type": "ein", "value": "921934530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1326482092]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 600.0, "npi": [1326482092]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 154.82, "providers": [{"billed_charge": 1217.0, "npi": [1427686336]}]}, {"allowed_amount": 256.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1215517537]}]}, {"allowed_amount": 268.38, "providers": [{"billed_charge": 1217.0, "npi": [1275586315]}]}, {"allowed_amount": 291.57, "providers": [{"billed_charge": 1217.0, "npi": [1790032530]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1982282992, 1366563249, 1811740657]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1427686336, 1215517537, 1063158533, 1548899271, 1851633226, 1396107538, 1659012052, 1205465077, 1841754678, 1871176149, 1477133114, 1548919707, 1215739164, 1285089789, 1477294270, 1376122879]}]}, {"allowed_amount": 422.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1952988131, 1457092710, 1245639624, 1669608618, 1225665003, 1043956022, 1306473624, 1164476313, 1538113790]}]}, {"allowed_amount": 472.98, "providers": [{"billed_charge": 1217.0, "npi": [1023884491]}]}, {"allowed_amount": 474.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1912470196]}]}, {"allowed_amount": 484.86, "providers": [{"billed_charge": 1217.0, "npi": [1285089789]}]}, {"allowed_amount": 558.5, "providers": [{"billed_charge": 1217.0, "npi": [1508442005]}]}, {"allowed_amount": 580.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1063158533, 1205407624, 1396107538, 1760122774, 1548919707, 1841754678, 1427686336, 1548899271, 1265061840, 1487282257, 1659012052, 1871176149, 1043830235, 1215517537, 1700177508, 1760061931, 1205465077, 1285089789, 1376122879]}]}, {"allowed_amount": 611.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1952988131, 1619585510, 1407484074, 1225665003, 1902484330, 1902435027, 1144960758, 1750842902, 1306473624, 1164476313, 1881125722, 1386799039]}]}, {"allowed_amount": 687.86, "providers": [{"billed_charge": 1217.0, "npi": [1932621778, 1730542549, 1578191466]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.42, "providers": [{"billed_charge": 1217.0, "npi": [1578152484, 1306586151]}]}, {"allowed_amount": 291.57, "providers": [{"billed_charge": 1217.0, "npi": [1790837086]}]}, {"allowed_amount": 391.88, "providers": [{"billed_charge": 1217.0, "npi": [1023647732, 1679100317]}]}, {"allowed_amount": 392.05, "providers": [{"billed_charge": 1217.0, "npi": [1053994855]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 1217.0, "npi": [1295475697, 1053994855]}]}, {"allowed_amount": 422.91, "providers": [{"billed_charge": 1217.0, "npi": [1023647732]}]}, {"allowed_amount": 495.89, "providers": [{"billed_charge": 1217.0, "npi": [1609516426]}]}]}, {"tin": {"type": "ein", "value": "922136981"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 482.53, "providers": [{"billed_charge": 1217.0, "npi": [1033520812]}]}]}, {"tin": {"type": "ein", "value": "922369623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.91, "providers": [{"billed_charge": 646.48, "npi": [1801197447]}]}]}, {"tin": {"type": "ein", "value": "931044853"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.88, "providers": [{"billed_charge": 1219.0, "npi": [1427097187]}]}]}, {"tin": {"type": "ein", "value": "931357152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.42, "providers": [{"billed_charge": 9500.0, "npi": [1508285941]}]}, {"allowed_amount": 404.05, "providers": [{"billed_charge": 9500.0, "npi": [1508285941]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.92, "providers": [{"billed_charge": 1655.0, "npi": [1649202961]}]}, {"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1655.0, "npi": [1962864181]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1655.0, "npi": [1215982657, 1083649602, 1619408739, 1336725225, 1518163658, 1467794545, 1649202961, 1801221619, 1750382420, 1003076183, 1962441048]}]}, {"allowed_amount": 484.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1655.0, "npi": [1003076183]}]}, {"allowed_amount": 558.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1655.0, "npi": [1417417965, 1962447599, 1962864181, 1700465333, 1124070875]}]}, {"allowed_amount": 580.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1655.0, "npi": [1215982657, 1083649602, 1619408739, 1518163658, 1801221619, 1750382420, 1629099411, 1003076183, 1962441048, 1184975039]}]}]}, {"tin": {"type": "ein", "value": "932759167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1792.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9026.0, "npi": [1396600151]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 358.18, "providers": [{"billed_charge": 1863.0, "npi": [1821109190]}]}]}, {"tin": {"type": "ein", "value": "943192446"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 358.18, "providers": [{"billed_charge": 1321.0, "npi": [1992717953, 1770844474, 1558540427]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 309.17, "providers": [{"billed_charge": 1863.0, "npi": [1144783465]}]}, {"allowed_amount": 387.98, "providers": [{"billed_charge": 1863.0, "npi": [1043954654, 1588222814, 1194385351]}]}, {"allowed_amount": 482.53, "providers": [{"billed_charge": 1863.0, "npi": [1578531513]}]}, {"allowed_amount": 484.58, "providers": [{"billed_charge": 1863.0, "npi": [1013463785, 1083291330, 1942825070]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11665.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12598.8, "npi": [1659359446]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7876.84, "npi": [1356766554, 1699081117]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7876.84, "npi": [1356766554, 1699081117]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 305.74, "providers": [{"billed_charge": 532.0, "npi": [1922663012]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1239.27, "providers": [{"billed_charge": 5389.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5356.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8516.0, "npi": [1427806025]}]}, {"allowed_amount": 16961.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8516.0, "npi": [1780429076]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 339.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 834.0, "npi": [1750470241, 1548248115, 1659688125, 1780241927]}]}, {"allowed_amount": 347.55, "providers": [{"billed_charge": 834.0, "npi": [1699725051, 1174186548]}]}, {"allowed_amount": 404.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 834.0, "npi": [1740632520, 1265842512]}]}, {"allowed_amount": 447.15, "providers": [{"billed_charge": 834.0, "npi": [1972532497, 1528375276]}]}, {"allowed_amount": 498.01, "providers": [{"billed_charge": 834.0, "npi": [1205248440, 1457745622, 1023172087]}]}]}, {"tin": {"type": "ein", "value": "993514276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 387.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1643.0, "npi": [1508286030]}]}]}]}, {"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": "410991680"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 90.0, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 90.0, "npi": [1972500940]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.35, "providers": [{"billed_charge": 60.0, "npi": [1558182824]}]}]}, {"tin": {"type": "ein", "value": "522165554"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 53.12, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 53.12, "npi": [1497731533]}]}]}, {"tin": {"type": "ein", "value": "593279715"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 56.38, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 85.25, "npi": [1932159621]}, {"billed_charge": 89.03, "npi": [1932159621]}]}, {"allowed_amount": 59.35, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 89.03, "npi": [1932159621]}]}]}, {"tin": {"type": "ein", "value": "752963548"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 58.16, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 85.0, "npi": [1639150600]}]}, {"allowed_amount": 59.35, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 85.0, "npi": [1639150600]}]}]}, {"tin": {"type": "ein", "value": "815006911"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 68.56, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 73.82, "npi": [1851837686]}]}]}, {"tin": {"type": "ein", "value": "824301751"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 97.19, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 107.0, "npi": [1407481492]}]}]}, {"tin": {"type": "ein", "value": "930823489"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 82.43, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 82.43, "npi": [1831289826]}]}]}]}, {"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": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.98, "providers": [{"billed_charge": 134.0, "npi": [1023732609]}]}]}, {"tin": {"type": "ein", "value": "272207464"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.66, "providers": [{"billed_charge": 12.0, "npi": [1194099762]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.15, "providers": [{"billed_charge": 89.47, "npi": [1508885633]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.78, "providers": [{"billed_charge": 186.19, "npi": [1912964768]}]}, {"allowed_amount": 83.79, "providers": [{"billed_charge": 186.19, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.08, "providers": [{"billed_charge": 58.0, "npi": [1568402485]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.0, "providers": [{"billed_charge": 26.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.31, "providers": [{"billed_charge": 208.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.08, "providers": [{"billed_charge": 233.12, "npi": [1265916266]}]}, {"allowed_amount": 21.98, "providers": [{"billed_charge": 233.12, "npi": [1427286715]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.7, "providers": [{"billed_charge": 124.63, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.38, "providers": [{"billed_charge": 20.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.71, "providers": [{"billed_charge": 56.25, "npi": [1487657573]}]}, {"allowed_amount": 8.08, "providers": [{"billed_charge": 56.25, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.05, "providers": [{"billed_charge": 403.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.87, "providers": [{"billed_charge": 74.46, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.09, "providers": [{"billed_charge": 17.0, "npi": [1982804340, 1952362949, 1770545519]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.09, "providers": [{"billed_charge": 97.0, "npi": [1982606992]}]}]}]}, {"name": "Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates", "billing_code_type": "CPT", "billing_code": "87070", "billing_code_type_version": "2022", "description": "CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.78, "providers": [{"billed_charge": 690.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.07, "providers": [{"billed_charge": 50.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.87, "providers": [{"billed_charge": 77.14, "npi": [1508885633]}]}]}, {"tin": {"type": "ein", "value": "521022572"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.96, "providers": [{"billed_charge": 25.0, "npi": [1164420568]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.41, "providers": [{"billed_charge": 283.14, "npi": [1912964768]}]}, {"allowed_amount": 127.42, "providers": [{"billed_charge": 283.14, "npi": [1912964768]}]}, {"allowed_amount": 232.82, "providers": [{"billed_charge": 517.38, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 422.58, "providers": [{"billed_charge": 152.5, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.36, "providers": [{"billed_charge": 27.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.81, "providers": [{"billed_charge": 22.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.15, "providers": [{"billed_charge": 71.16, "npi": [1487657573]}]}, {"allowed_amount": 8.62, "providers": [{"billed_charge": 71.16, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 340.55, "providers": [{"billed_charge": 973.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.72, "providers": [{"billed_charge": 420.0, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.62, "providers": [{"billed_charge": 340.0, "npi": [1164973442, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.96, "providers": [{"billed_charge": 104.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.46, "providers": [{"billed_charge": 105.0, "npi": [1780429076]}]}]}]}, {"name": "Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates", "billing_code_type": "CPT", "billing_code": "87075", "billing_code_type_version": "2022", "description": "CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO&ID", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "521022572"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.34, "providers": [{"billed_charge": 25.0, "npi": [1164420568]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.48, "providers": [{"billed_charge": 558.84, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.48, "providers": [{"billed_charge": 24.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.86, "providers": [{"billed_charge": 71.16, "npi": [1487657573]}]}, {"allowed_amount": 9.47, "providers": [{"billed_charge": 71.16, "npi": [1487657573]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.22, "providers": [{"billed_charge": 97.78, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.02, "providers": [{"billed_charge": 19.02, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 59.7, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.91, "providers": [{"billed_charge": 165.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.0, "providers": [{"billed_charge": 142.0, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.94, "providers": [{"billed_charge": 584.3, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 335.77, "providers": [{"billed_charge": 799.47, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 941.0, "npi": [1184709057]}]}, {"allowed_amount": 254.73, "providers": [{"billed_charge": 941.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.32, "providers": [{"billed_charge": 232.01, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.06, "providers": [{"billed_charge": 46.44, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 25.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.22, "providers": [{"billed_charge": 10.32, "npi": [1831228709]}]}, {"allowed_amount": 10.32, "providers": [{"billed_charge": 10.32, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.3, "providers": [{"billed_charge": 1158.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 339.56, "providers": [{"billed_charge": 970.17, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.3, "providers": [{"billed_charge": 15.3, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.71, "providers": [{"billed_charge": 195.84, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 124.0, "npi": [1982606992]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.95, "providers": [{"billed_charge": 243.0, "npi": [1023732609]}]}]}, {"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.65, "providers": [{"billed_charge": 16.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "272207464"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.65, "providers": [{"billed_charge": 12.0, "npi": [1194099762]}]}]}, {"tin": {"type": "ein", "value": "311479038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.64, "providers": [{"billed_charge": 128.0, "npi": [1033154026]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.07, "providers": [{"billed_charge": 33.0, "npi": [1447735030]}]}, {"allowed_amount": 10.01, "providers": [{"billed_charge": 60.0, "npi": [1164803078]}]}, {"allowed_amount": 19.61, "providers": [{"billed_charge": 60.0, "npi": [1215675988]}]}]}, {"tin": {"type": "ein", "value": "540889154"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.95, "providers": [{"billed_charge": 397.0, "npi": [1275570376]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.29, "providers": [{"billed_charge": 120.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582328865"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.33, "providers": [{"billed_charge": 42.0, "npi": [1760579825]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 376.42, "providers": [{"billed_charge": 303.0, "npi": [1245520386]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.83, "providers": [{"billed_charge": 142.0, "npi": [1194790055]}]}, {"allowed_amount": 758.8, "providers": [{"billed_charge": 142.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.07, "providers": [{"billed_charge": 58.0, "npi": [1568402485]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.71, "providers": [{"billed_charge": 227.88, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.65, "providers": [{"billed_charge": 363.0, "npi": [1184709057]}]}, {"allowed_amount": 98.26, "providers": [{"billed_charge": 363.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.07, "providers": [{"billed_charge": 259.38, "npi": [1265916266, 1942567375]}]}, {"allowed_amount": 21.95, "providers": [{"billed_charge": 259.38, "npi": [1427286715]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.36, "providers": [{"billed_charge": 181.5, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.51, "providers": [{"billed_charge": 36.32, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1096.45, "providers": [{"billed_charge": 290.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.7, "providers": [{"billed_charge": 17.05, "npi": [1487657573]}]}, {"allowed_amount": 8.07, "providers": [{"billed_charge": 17.05, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 142.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.65, "providers": [{"billed_charge": 8.07, "npi": [1831228709]}]}, {"allowed_amount": 8.07, "providers": [{"billed_charge": 8.07, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "661031927"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.07, "providers": [{"billed_charge": 16.14, "npi": [1285497743]}]}, {"allowed_amount": 11.7, "providers": [{"billed_charge": 16.14, "npi": [1285497743]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.7, "providers": [{"billed_charge": 142.12, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.26, "providers": [{"billed_charge": 363.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.93, "providers": [{"billed_charge": 127.5, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 17.0, "npi": [1952362949, 1770545519]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.07, "providers": [{"billed_charge": 58.48, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.07, "providers": [{"billed_charge": 16.0, "npi": [1306332333]}]}]}, {"tin": {"type": "ein", "value": "994492179"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.07, "providers": [{"billed_charge": 21.0, "npi": [1154962645]}]}]}]}, {"name": "Culture, bacterial; with isolation and presumptive identification of each isolate, urine", "billing_code_type": "CPT", "billing_code": "87088", "billing_code_type_version": "2022", "description": "CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.99, "providers": [{"billed_charge": 10.99, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.66, "providers": [{"billed_charge": 16.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.53, "providers": [{"billed_charge": 416.99, "npi": [1912964768]}]}, {"allowed_amount": 187.65, "providers": [{"billed_charge": 416.99, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 489.06, "providers": [{"billed_charge": 95.0, "npi": [1578620449]}]}, {"allowed_amount": 492.22, "providers": [{"billed_charge": 95.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.09, "providers": [{"billed_charge": 196.74, "npi": [1942567375]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.66, "providers": [{"billed_charge": 8.09, "npi": [1831228709]}]}, {"allowed_amount": 8.09, "providers": [{"billed_charge": 8.09, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "661031927"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.09, "providers": [{"billed_charge": 16.18, "npi": [1285497743]}]}, {"allowed_amount": 11.73, "providers": [{"billed_charge": 16.18, "npi": [1285497743]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.0, "providers": [{"billed_charge": 224.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.0, "providers": [{"billed_charge": 88.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "994492179"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.09, "providers": [{"billed_charge": 17.0, "npi": [1154962645]}]}]}]}, {"name": "Culture, presumptive, pathogenic organisms, screening only;", "billing_code_type": "CPT", "billing_code": "87081", "billing_code_type_version": "2022", "description": "CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.5, "providers": [{"billed_charge": 112.85, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.32, "providers": [{"billed_charge": 13.0, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.98, "providers": [{"billed_charge": 297.73, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.5, "providers": [{"billed_charge": 53.18, "npi": [1487657573]}]}, {"allowed_amount": 6.63, "providers": [{"billed_charge": 53.18, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.74, "providers": [{"billed_charge": 80.0, "npi": [1982606992]}]}]}]}, {"name": "Cyanocobalamin (Vitamin B-12);", "billing_code_type": "CPT", "billing_code": "82607", "billing_code_type_version": "2022", "description": "CYANOCOBALAMIN VITAMIN B-12", "allowed_amounts": [{"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.28, "providers": [{"billed_charge": 219.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.48, "providers": [{"billed_charge": 249.96, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.0, "providers": [{"billed_charge": 117.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 338.68, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.28, "providers": [{"billed_charge": 219.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.52, "providers": [{"billed_charge": 89.82, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.56, "providers": [{"billed_charge": 15.08, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.52, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 138.75, "npi": [1366150773]}]}, {"allowed_amount": 15.08, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 138.75, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.52, "providers": [{"billed_charge": 83.2, "npi": [1609596907]}]}, {"allowed_amount": 15.08, "providers": [{"billed_charge": 15.08, "npi": [1609596907]}, {"billed_charge": 83.2, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.43, "providers": [{"billed_charge": 181.0, "npi": [1982606992]}]}]}]}, {"name": "Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)", "billing_code_type": "CPT", "billing_code": "52332", "billing_code_type_version": "2022", "description": "CYSTO W/INSERT URETERAL STENT", "allowed_amounts": [{"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 246.6, "providers": [{"billed_charge": 1626.0, "npi": [1124016225]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 234.0, "providers": [{"billed_charge": 520.0, "npi": [1316391105, 1326272873, 1811106321, 1447494901, 1962701599]}]}]}, {"tin": {"type": "ein", "value": "270330374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.08, "providers": [{"billed_charge": 918.0, "npi": [1609075241]}]}]}, {"tin": {"type": "ein", "value": "463595436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 374.5, "npi": [1598822090]}]}]}, {"tin": {"type": "ein", "value": "542129332"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 91.7, "providers": [{"billed_charge": 2244.0, "npi": [1871084970]}, {"billed_charge": 2750.0, "npi": [1871084970]}]}, {"allowed_amount": 183.39, "providers": [{"billed_charge": 2244.0, "npi": [1801022421]}]}, {"allowed_amount": 275.09, "providers": [{"billed_charge": 2244.0, "npi": [1871084970]}]}, {"allowed_amount": 563.02, "providers": [{"billed_charge": 2244.0, "npi": [1871084970, 1568433308]}]}, {"allowed_amount": 844.54, "providers": [{"billed_charge": 2244.0, "npi": [1871084970]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.43, "providers": [{"billed_charge": 2148.0, "npi": [1659319200]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4050.0, "providers": [{"billed_charge": 9000.0, "npi": [1912964768]}]}, {"allowed_amount": 8100.0, "providers": [{"billed_charge": 18000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 513.76, "providers": [{"billed_charge": 627.0, "npi": [1952697559]}]}]}, {"tin": {"type": "ein", "value": "650057755"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 563.02, "providers": [{"billed_charge": 1792.4, "npi": [1780721837]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 540.36, "providers": [{"billed_charge": 688.0, "npi": [1326570466]}]}]}]}, {"name": "Cytogenetics and molecular cytogenetics, interpretation and report", "billing_code_type": "CPT", "billing_code": "88291", "billing_code_type_version": "2022", "description": "CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP", "allowed_amounts": [{"tin": {"type": "ein", "value": "113576061"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 37.63, "providers": [{"billed_charge": 382.66, "npi": [1740353853]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.64, "providers": [{"billed_charge": 85.0, "npi": [1659039287]}]}, {"allowed_amount": 27.35, "providers": [{"billed_charge": 85.0, "npi": [1003245317]}]}, {"allowed_amount": 28.06, "providers": [{"billed_charge": 85.0, "npi": [1396408829]}]}, {"allowed_amount": 33.81, "providers": [{"billed_charge": 85.0, "npi": [1396408829]}]}, {"allowed_amount": 58.77, "providers": [{"billed_charge": 85.0, "npi": [1740240753]}]}, {"allowed_amount": 58.89, "providers": [{"billed_charge": 85.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "911789357"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.26, "providers": [{"billed_charge": 122.18, "npi": [1841375094]}]}]}]}, {"name": "Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)", "billing_code_type": "CPT", "billing_code": "88108", "billing_code_type_version": "2022", "description": "CYTP CONCENTRATION SMEARS & INTERPRETATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 21.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1083622427, 1326270125]}]}, {"allowed_amount": 32.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1083622427, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "333691586"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1255321584, 1548258833]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 21.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 28.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1154393221]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 21.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1689646465, 1194797985, 1609161892, 1114999091, 1518900315]}]}, {"allowed_amount": 28.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1821258211]}]}, {"allowed_amount": 32.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1114999091, 1689646465, 1518900315, 1194797985]}]}, {"allowed_amount": 32.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1689646465]}]}, {"allowed_amount": 32.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1689646465, 1518900315, 1194797985]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1144221417]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1093985103]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.1, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 89.8, "npi": [1487657573]}]}, {"allowed_amount": 48.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 89.8, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1285755132]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1639571698]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 21.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1538115852]}]}, {"allowed_amount": 32.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 32.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1326402371]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 21.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1659573715, 1144292855]}]}]}]}, {"name": "Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site", "billing_code_type": "CPT", "billing_code": "88172", "billing_code_type_version": "2022", "description": "CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 33.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1427080951, 1659337251, 1477608628, 1457870719]}]}, {"allowed_amount": 62.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1427080951, 1659337251, 1457870719]}]}, {"allowed_amount": 62.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1427080951]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 33.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 227.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 43.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 227.0, "npi": [1154393221]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1821258211]}]}, {"allowed_amount": 49.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1114999091]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.58, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 46.4, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1326402371, 1538115852]}]}]}]}, {"name": "Cytopathology, evaluation of fine needle aspirate; interpretation and report", "billing_code_type": "CPT", "billing_code": "88173", "billing_code_type_version": "2022", "description": "CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 66.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 673.0, "npi": [1326270125]}]}, {"allowed_amount": 97.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 673.0, "npi": [1760454516]}]}]}, {"tin": {"type": "ein", "value": "201422009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1962480608]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 66.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1659337251, 1427080951, 1477608628, 1457870719]}]}, {"allowed_amount": 123.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1427080951, 1659337251, 1457870719]}]}, {"allowed_amount": 123.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1427080951]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 66.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 439.0, "npi": [1760781132, 1154393221, 1568615078]}]}, {"allowed_amount": 86.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 439.0, "npi": [1154393221, 1568615078]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 64.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1386616779]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 66.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 473.0, "npi": [1689646465, 1194797985, 1821258211, 1114999091, 1851529945, 1518900315, 1902096894, 1700994431]}]}, {"allowed_amount": 86.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 473.0, "npi": [1669675153, 1821258211]}]}, {"allowed_amount": 97.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 473.0, "npi": [1194797985, 1518900315, 1114999091, 1396044574]}]}, {"allowed_amount": 99.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 473.0, "npi": [1114999091]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 338.0, "npi": [1154462380]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 85.75, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 128.7, "npi": [1487657573]}]}, {"allowed_amount": 85.76, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 128.7, "npi": [1487657573]}]}, {"allowed_amount": 103.32, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 128.7, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 445.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 66.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1326402371, 1538115852]}]}, {"allowed_amount": 97.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1326402371, 1538115852]}]}, {"allowed_amount": 99.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1326402371, 1538115852]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 66.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 424.0, "npi": [1619949641]}]}, {"allowed_amount": 97.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 424.0, "npi": [1619949641]}]}]}]}, {"name": "Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation", "billing_code_type": "CPT", "billing_code": "88106", "billing_code_type_version": "2022", "description": "CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ", "allowed_amounts": [{"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1689646465, 1609161892, 1114999091, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 20.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1700994431]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1689646465, 1114999091, 1609161892, 1396044574]}]}, {"allowed_amount": 27.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1518900315, 1396044574]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1922070259]}]}]}]}, {"name": "Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal", "billing_code_type": "CPT", "billing_code": "88112", "billing_code_type_version": "2022", "description": "CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 5.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1457870719]}]}, {"allowed_amount": 26.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1659337251, 1750664132, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 39.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1427080951]}]}, {"allowed_amount": 49.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1659337251, 1750664132, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 26.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1023032190]}]}, {"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1023032190]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 99.17, "providers": [{"billed_charge": 118.0, "npi": [1023032190]}]}]}, {"tin": {"type": "ein", "value": "270512334"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1457798407]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 292.0, "npi": [1013145424, 1245445949, 1780949222]}]}, {"allowed_amount": 34.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 292.0, "npi": [1780949222]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.02, "providers": [{"billed_charge": 104.48, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 26.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1811962194, 1316191083, 1407886757, 1982920823]}]}, {"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1811962194, 1316191083, 1407886757, 1215902143]}]}, {"allowed_amount": 40.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1962585463]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 26.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1851529945, 1669675153, 1821258211, 1437126612]}]}, {"allowed_amount": 34.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1164402152, 1669675153, 1821258211, 1902096894]}]}, {"allowed_amount": 39.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1669675153, 1821258211]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 26.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1144205188, 1225291495]}]}, {"allowed_amount": 34.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1144205188, 1225291495]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 47.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1568968097, 1306911706, 1861696353]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1659475275]}]}, {"allowed_amount": 81.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1659475275]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1154462380, 1548294630]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1083690168, 1750349593, 1881026078, 1043200967]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 33.36, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 110.4, "npi": [1487657573]}]}, {"allowed_amount": 40.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 110.4, "npi": [1487657573]}, {"billed_charge": 145.6, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1285755132]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1639571698]}]}]}, {"tin": {"type": "ein", "value": "710747490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1609229145]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.97, "providers": [{"billed_charge": 103.0, "npi": [1427535616]}]}]}, {"tin": {"type": "ein", "value": "883107953"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1841272820]}]}]}]}, {"name": "Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less", "billing_code_type": "CPT", "billing_code": "11043", "billing_code_type_version": "2022", "description": "DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "205158516"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 177.34, "providers": [{"billed_charge": 2192.02, "npi": [1225094188]}]}, {"allowed_amount": 373.21, "providers": [{"billed_charge": 2192.02, "npi": [1225094188]}]}]}, {"tin": {"type": "ein", "value": "270628350"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 181.61, "providers": [{"billed_charge": 300.0, "npi": [1346488558]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1346488558]}]}]}, {"tin": {"type": "ein", "value": "394362698"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.1, "providers": [{"billed_charge": 500.0, "npi": [1447887773]}]}]}, {"tin": {"type": "ein", "value": "421902969"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.22, "billing_code_modifier": ["78"], "providers": [{"billed_charge": 17922.45, "npi": [1568493641]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.4, "providers": [{"billed_charge": 552.0, "npi": [1356574651]}]}]}, {"tin": {"type": "ein", "value": "462842081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.11, "billing_code_modifier": ["78"], "providers": [{"billed_charge": 2593.0, "npi": [1780708909]}]}]}, {"tin": {"type": "ein", "value": "463962672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.83, "providers": [{"billed_charge": 8358.0, "npi": [1497719819]}]}, {"allowed_amount": 180.11, "providers": [{"billed_charge": 4776.0, "npi": [1497719819]}]}]}, {"tin": {"type": "ein", "value": "473033715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.83, "providers": [{"billed_charge": 2778.71, "npi": [1679546402]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 252.67, "providers": [{"billed_charge": 601.0, "npi": [1790946762]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.48, "providers": [{"billed_charge": 674.39, "npi": [1912964768]}]}, {"allowed_amount": 553.8, "providers": [{"billed_charge": 1230.66, "npi": [1912964768]}]}, {"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591083502"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.82, "providers": [{"billed_charge": 933.0, "npi": [1649313925]}]}]}, {"tin": {"type": "ein", "value": "593379430"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 336.69, "providers": [{"billed_charge": 745.0, "npi": [1265589774]}]}]}, {"tin": {"type": "ein", "value": "593433619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.29, "providers": [{"billed_charge": 275.0, "npi": [1063500692]}]}]}, {"tin": {"type": "ein", "value": "593730470"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 201.22, "providers": [{"billed_charge": 642.0, "npi": [1063407567]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.65, "providers": [{"billed_charge": 666.18, "npi": [1225520901]}]}]}, {"tin": {"type": "ein", "value": "881463522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.65, "providers": [{"billed_charge": 707.01, "npi": [1699304956]}]}]}]}, {"name": "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less", "billing_code_type": "CPT", "billing_code": "11042", "billing_code_type_version": "2022", "description": "DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1283.89, "providers": [{"billed_charge": 1387.2, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "264252537"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.15, "providers": [{"billed_charge": 159.45, "npi": [1114050648]}]}]}, {"tin": {"type": "ein", "value": "264395318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.6, "providers": [{"billed_charge": 200.0, "npi": [1700044914]}]}]}, {"tin": {"type": "ein", "value": "270628350"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.02, "providers": [{"billed_charge": 155.0, "npi": [1346488558]}]}, {"allowed_amount": 72.03, "providers": [{"billed_charge": 155.0, "npi": [1346488558]}]}]}, {"tin": {"type": "ein", "value": "271552947"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.44, "providers": [{"billed_charge": 169.02, "npi": [1497759138]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 95.85, "providers": [{"billed_charge": 213.0, "npi": [1568802304, 1356574651]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.42, "providers": [{"billed_charge": 1284.18, "npi": [1295702728]}]}, {"allowed_amount": 53.44, "providers": [{"billed_charge": 1212.11, "npi": [1295702728]}, {"billed_charge": 1212.15, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 553.8, "providers": [{"billed_charge": 1230.66, "npi": [1912964768]}]}, {"allowed_amount": 1350.0, "providers": [{"billed_charge": 3000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591083502"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.29, "billing_code_modifier": ["78"], "providers": [{"billed_charge": 280.0, "npi": [1649313925]}]}]}, {"tin": {"type": "ein", "value": "593433619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.85, "providers": [{"billed_charge": 135.0, "npi": [1063500692]}]}]}, {"tin": {"type": "ein", "value": "593730470"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 57.14, "providers": [{"billed_charge": 254.0, "npi": [1225328016]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.55, "providers": [{"billed_charge": 2053.0, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 96.15, "providers": [{"billed_charge": 1607.0, "npi": [1801835418]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.15, "providers": [{"billed_charge": 343.14, "npi": [1225520901]}]}]}, {"tin": {"type": "ein", "value": "863499113"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 110.58, "providers": [{"billed_charge": 175.0, "npi": [1053808113]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.29, "providers": [{"billed_charge": 3703.14, "npi": [1356766554, 1699081117, 1194258350]}]}]}]}, {"name": "Decalcification procedure (List separately in addition to code for surgical pathology examination)", "billing_code_type": "CPT", "billing_code": "88311", "billing_code_type_version": "2022", "description": "DECALCIFICATION PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 120.0, "npi": [1083622427, 1326270125]}]}, {"allowed_amount": 17.4, "providers": [{"billed_charge": 120.0, "npi": [1083622427, 1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 48.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 17.5, "providers": [{"billed_charge": 48.0, "npi": [1750664132]}]}, {"allowed_amount": 21.7, "providers": [{"billed_charge": 48.0, "npi": [1457870719]}]}, {"allowed_amount": 21.71, "providers": [{"billed_charge": 48.0, "npi": [1346336674, 1659337251, 1750664132, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203139459"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 75.0, "npi": [1093745341]}]}, {"allowed_amount": 22.87, "providers": [{"billed_charge": 75.0, "npi": [1023334976]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 75.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 17.4, "providers": [{"billed_charge": 75.0, "npi": [1134107857, 1356313548]}]}, {"allowed_amount": 17.51, "providers": [{"billed_charge": 75.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 30.73, "providers": [{"billed_charge": 40.0, "npi": [1023032190]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 100.0, "npi": [1740422872, 1497162978, 1417310871]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.56, "providers": [{"billed_charge": 106.0, "npi": [1316974009]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 80.0, "npi": [1154393221]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 80.0, "npi": [1154393221, 1568615078]}]}]}, {"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.38, "providers": [{"billed_charge": 35.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 94.0, "npi": [1154596468, 1679794671]}]}, {"allowed_amount": 17.4, "providers": [{"billed_charge": 94.0, "npi": [1215902143, 1811962194, 1679794671]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 94.0, "npi": [1538572128]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.96, "providers": [{"billed_charge": 60.0, "npi": [1790170819]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 123.0, "npi": [1689646465, 1467617506, 1821258211, 1609161892, 1386964815, 1669675153, 1386140663, 1851529945, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 13.56, "providers": [{"billed_charge": 123.0, "npi": [1700994431]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 123.0, "npi": [1164402152, 1669675153, 1821258211]}]}, {"allowed_amount": 17.4, "providers": [{"billed_charge": 123.0, "npi": [1194797985, 1689646465, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 17.51, "providers": [{"billed_charge": 123.0, "npi": [1821258211, 1609161892, 1396044574, 1386964815, 1902096894]}]}, {"allowed_amount": 21.0, "providers": [{"billed_charge": 123.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 73.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 73.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.87, "providers": [{"billed_charge": 42.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.24, "providers": [{"billed_charge": 22.0, "npi": [1487657573]}]}, {"allowed_amount": 8.72, "providers": [{"billed_charge": 22.0, "npi": [1487657573]}, {"billed_charge": 38.2, "npi": [1487657573]}]}, {"allowed_amount": 16.92, "providers": [{"billed_charge": 38.2, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650026153"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 50.0, "npi": [1235592957]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 116.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 17.4, "providers": [{"billed_charge": 116.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 100.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 17.4, "providers": [{"billed_charge": 100.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}]}, {"tin": {"type": "ein", "value": "800294054"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 11.67, "providers": [{"billed_charge": 80.0, "npi": [1972582146, 1245242700]}]}]}, {"tin": {"type": "ein", "value": "811294016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 272.52, "npi": [1295092583]}]}, {"allowed_amount": 17.4, "providers": [{"billed_charge": 272.52, "npi": [1295092583]}]}]}, {"tin": {"type": "ein", "value": "821927787"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.5, "providers": [{"billed_charge": 88.0, "npi": [1134157043]}]}]}]}, {"name": "Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output", "billing_code_type": "CPT", "billing_code": "99465", "billing_code_type_version": "2022", "description": "DELIVERY/BIRTHING ROOM RESUSCITATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.96, "providers": [{"billed_charge": 480.0, "npi": [1912579988]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.73, "providers": [{"billed_charge": 1266.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 166.98, "providers": [{"billed_charge": 1266.0, "npi": [1932340155, 1295056380, 1700164670]}]}, {"allowed_amount": 173.75, "providers": [{"billed_charge": 1266.0, "npi": [1154708550, 1417210527, 1245506161, 1598439218, 1760821235, 1417501503, 1215228374, 1902439607, 1689213944, 1437326972, 1497186365, 1427408863]}]}, {"allowed_amount": 178.31, "providers": [{"billed_charge": 1266.0, "npi": [1710649355]}]}, {"allowed_amount": 180.33, "providers": [{"billed_charge": 1266.0, "npi": [1932340155]}]}, {"allowed_amount": 212.3, "providers": [{"billed_charge": 1266.0, "npi": [1245506161]}]}, {"allowed_amount": 265.83, "providers": [{"billed_charge": 1266.0, "npi": [1821058587, 1497186365, 1417501503]}]}]}]}, {"name": "Dexamethasone, oral, 0.25 mg", "billing_code_type": "CPT", "billing_code": "J8540", "billing_code_type_version": "2022", "description": "Dexamethasone, oral, 0.25 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 1.0, "npi": [1184959744]}]}, {"allowed_amount": 0.04, "providers": [{"billed_charge": 1.0, "npi": [1144637539]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.04, "providers": [{"billed_charge": 4.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 0.19, "npi": [1912964768]}]}, {"allowed_amount": 0.2, "providers": [{"billed_charge": 0.44, "npi": [1912964768]}]}, {"allowed_amount": 0.39, "providers": [{"billed_charge": 0.88, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.45, "npi": [1073001673]}]}, {"allowed_amount": 0.07, "providers": [{"billed_charge": 0.45, "npi": [1073001673]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 1.0, "npi": [1093555849]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 1.0, "npi": [1336613603, 1205908068, 1629776232, 1407079817, 1093315947, 1093291916, 1659389229, 1871681999, 1255388815, 1386324051, 1659617686, 1700405818, 1639600414]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 1.0, "npi": [1871681999, 1700405818, 1134101710, 1639600414]}]}, {"allowed_amount": 0.04, "providers": [{"billed_charge": 1.0, "npi": [1700405818, 1205908068]}]}, {"allowed_amount": 0.07, "providers": [{"billed_charge": 1.0, "npi": [1093315947, 1902253073, 1851799282, 1386324051, 1578949491]}]}, {"allowed_amount": 0.34, "providers": [{"billed_charge": 1.0, "npi": [1386324051, 1093291916, 1659389229]}]}]}]}, {"name": "Diagnostic digital breast tomosynthesis; bilateral", "billing_code_type": "CPT", "billing_code": "77062", "billing_code_type_version": "2022", "description": "DIGITAL BREAST TOMOSYNTHESIS BILATERAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 39.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1225069776]}]}, {"allowed_amount": 42.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "205589716"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 62.0, "providers": [{"billed_charge": 227.0, "npi": [1205063039]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 40.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1770646457, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1801002324]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 32.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.0, "npi": [1710179676]}]}, {"allowed_amount": 37.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.0, "npi": [1215164348]}]}, {"allowed_amount": 87.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.0, "npi": [1306135777, 1033608922, 1447372131]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 34.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1841723434]}]}, {"allowed_amount": 42.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1356393086]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 38.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 65.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1083693352, 1477754349]}]}]}]}, {"name": "Diagnostic digital breast tomosynthesis; unilateral", "billing_code_type": "CPT", "billing_code": "77061", "billing_code_type_version": "2022", "description": "DIGITAL BREAST TOMOSYNTHESIS UNILATERAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 39.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776]}]}, {"allowed_amount": 42.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "204722218"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 44.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1871598474]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1891996047]}]}, {"allowed_amount": 40.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1306135777, 1447372131, 1861726952, 1750516720, 1710179676]}]}, {"allowed_amount": 87.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1588610026, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 34.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1841723434]}]}, {"allowed_amount": 42.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1437146172]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 38.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 42.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1083693352]}]}, {"allowed_amount": 65.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1083693352, 1477754349]}]}]}]}, {"name": "Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral", "billing_code_type": "CPT", "billing_code": "77066", "billing_code_type_version": "2022", "description": "DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1225069776]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1508186131]}]}]}, {"tin": {"type": "ein", "value": "205589716"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 240.77, "providers": [{"billed_charge": 649.0, "npi": [1205063039]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1225089428, 1013969294]}]}, {"allowed_amount": 88.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 68.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1770646457, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1801002324]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 53.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1710179676]}]}, {"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1215164348]}]}, {"allowed_amount": 147.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1306135777, 1033608922, 1447372131]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 58.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1841723434]}]}, {"allowed_amount": 72.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 63.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1356393086]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1083693352, 1477754349]}]}]}]}, {"name": "Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral", "billing_code_type": "CPT", "billing_code": "77065", "billing_code_type_version": "2022", "description": "DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 54.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1225069776]}]}, {"allowed_amount": 59.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "204722218"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1871598474]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1013969294]}]}, {"allowed_amount": 71.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1891996047]}]}, {"allowed_amount": 55.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1306135777, 1447372131, 1861726952, 1750516720, 1710179676]}]}, {"allowed_amount": 119.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1588610026, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 47.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1841723434]}]}, {"allowed_amount": 59.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 71.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1437146172]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 52.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 58.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1083693352]}]}, {"allowed_amount": 90.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1083693352, 1477754349]}]}]}]}, {"name": "Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "94729", "billing_code_type_version": "2022", "description": "DIFFUSING CAPACITY", "allowed_amounts": [{"tin": {"type": "ein", "value": "202823061"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 8.69, "providers": [{"billed_charge": 30.0, "npi": [1043272115]}]}, {"allowed_amount": 12.08, "providers": [{"billed_charge": 30.0, "npi": [1043272115]}]}]}, {"tin": {"type": "ein", "value": "263082994"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.46, "providers": [{"billed_charge": 150.0, "npi": [1003894692]}]}, {"allowed_amount": 17.45, "providers": [{"billed_charge": 150.0, "npi": [1003894692]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 31.0, "npi": [1770969859, 1679137731, 1669992046, 1922000314, 1639732191]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.12, "providers": [{"billed_charge": 762.48, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.08, "providers": [{"billed_charge": 113.0, "npi": [1760700348]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.93, "providers": [{"billed_charge": 110.0, "npi": [1598743791]}]}]}, {"tin": {"type": "ein", "value": "650196781"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.46, "providers": [{"billed_charge": 50.0, "npi": [1003874561]}]}, {"allowed_amount": 17.45, "providers": [{"billed_charge": 50.0, "npi": [1003874561]}]}]}, {"tin": {"type": "ein", "value": "650507012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.46, "providers": [{"billed_charge": 65.0, "npi": [1720131998]}]}]}, {"tin": {"type": "ein", "value": "651040252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.63, "providers": [{"billed_charge": 100.0, "npi": [1750438974]}]}, {"allowed_amount": 12.08, "providers": [{"billed_charge": 100.0, "npi": [1750438974]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.08, "providers": [{"billed_charge": 30.0, "npi": [1669596201]}]}, {"allowed_amount": 20.38, "providers": [{"billed_charge": 30.0, "npi": [1669596201]}]}]}, {"tin": {"type": "ein", "value": "811831574"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.97, "providers": [{"billed_charge": 146.9, "npi": [1356667430]}]}, {"allowed_amount": 12.46, "providers": [{"billed_charge": 146.9, "npi": [1356667430]}]}]}]}, {"name": "Diseases & Disorders of the Circulatory System", "billing_code_type": "MS-DRG", "billing_code": "291", "billing_code_type_version": "39.1", "description": "HEART FAILURE AND SHOCK WITH MCC", "allowed_amounts": [{"tin": {"type": "ein", "value": "341567805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 395.0, "providers": [{"billed_charge": 7863.75, "npi": [1043397292]}]}]}, {"tin": {"type": "ein", "value": "580566256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34430.49, "providers": [{"billed_charge": 26968.24, "npi": [1588640692]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6400.78, "providers": [{"billed_charge": 14223.92, "npi": [1912964768]}]}, {"allowed_amount": 7322.01, "providers": [{"billed_charge": 16271.13, "npi": [1912964768]}]}, {"allowed_amount": 8478.13, "providers": [{"billed_charge": 18840.28, "npi": [1912964768]}]}, {"allowed_amount": 8924.07, "providers": [{"billed_charge": 19831.28, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10431.21, "providers": [{"billed_charge": 19212.67, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4783.86, "providers": [{"billed_charge": 8370.2, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9922.6, "providers": [{"billed_charge": 15947.07, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2622.23, "providers": [{"billed_charge": 15686.96, "npi": [1578620449]}]}, {"allowed_amount": 4497.86, "providers": [{"billed_charge": 22852.7, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2257.86, "providers": [{"billed_charge": 10029.75, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27683.22, "providers": [{"billed_charge": 65912.44, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4111.16, "providers": [{"billed_charge": 35096.25, "npi": [1184709057]}]}, {"allowed_amount": 5310.12, "providers": [{"billed_charge": 19616.27, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3148.53, "providers": [{"billed_charge": 9275.49, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5646.25, "providers": [{"billed_charge": 22357.29, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4340.0, "providers": [{"billed_charge": 31000.22, "npi": [1689629941]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3429.46, "providers": [{"billed_charge": 3429.46, "npi": [1144096553]}]}, {"allowed_amount": 5477.25, "providers": [{"billed_charge": 5477.25, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6563.01, "providers": [{"billed_charge": 59778.37, "npi": [1215969787]}]}]}]}, {"name": "Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)", "billing_code_type": "CPT", "billing_code": "93325", "billing_code_type_version": "2022", "description": "DOPPLER ECHO COLOR FLOW VELOCITY MAPPING", "allowed_amounts": [{"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.43, "providers": [{"billed_charge": 100.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1881.53, "npi": [1114344108]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 5.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1902023211]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.55, "npi": [1043476807]}]}]}, {"tin": {"type": "ein", "value": "263715180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1881665461]}]}, {"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1881665461]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 5.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1033451877, 1831481894, 1508357831, 1639601958, 1538253711, 1548757040, 1710432083, 1619366259, 1952668725, 1598113367]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 5.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.0, "npi": [1558821652, 1386644813, 1174512958]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1588111538]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.0, "npi": [1083844278]}]}, {"allowed_amount": 4.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.0, "npi": [1710902416]}]}, {"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.0, "npi": [1710902416, 1083844278, 1487115382]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1952310476]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 9.0, "npi": [1356654339]}]}, {"allowed_amount": 5.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 9.0, "npi": [1013221282, 1760770291]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1346702263]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.0, "npi": [1619382397]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 4.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.25, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1679969851, 1801231311]}]}, {"allowed_amount": 4.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1457526311]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1477059004]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1952301830]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.73, "providers": [{"billed_charge": 830.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1255837191]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1376653881]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1023434834]}]}, {"allowed_amount": 16.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1023434834]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1760961312]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 34.43, "providers": [{"billed_charge": 846.0, "npi": [1194754689]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.66, "providers": [{"billed_charge": 1155.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1538964341]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.62, "npi": [1205064029]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1851616783]}]}, {"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1851616783]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1679919724]}]}]}, {"tin": {"type": "ein", "value": "592487572"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 4.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1396768552, 1225079668, 1255393294, 1386975175]}]}, {"allowed_amount": 5.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1386975175]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1265427561, 1902394257]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 5.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1265737126, 1780930719]}]}, {"allowed_amount": 5.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1689630626]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1861473225]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1184704223]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1235190414]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1205097904]}]}]}, {"tin": {"type": "ein", "value": "650917227"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 4.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1174606529, 1356570626, 1659714921, 1568563401, 1356304554, 1598147340, 1841751245, 1841253044, 1659572022]}]}, {"allowed_amount": 4.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1427082114, 1659714921, 1114989837, 1639495534, 1093815508, 1841253044, 1659572022, 1477515161, 1942566526]}]}, {"allowed_amount": 5.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1639515398, 1053590471]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1881012060]}]}, {"allowed_amount": 5.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1932155512, 1417925967]}]}]}]}, {"name": "Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete", "billing_code_type": "CPT", "billing_code": "93320", "billing_code_type_version": "2022", "description": "DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY", "allowed_amounts": [{"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.64, "providers": [{"billed_charge": 175.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 31.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 332.19, "npi": [1114344108]}]}]}, {"tin": {"type": "ein", "value": "263715180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1881665461]}]}, {"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1881665461]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1831481894, 1639601958, 1508357831, 1548757040, 1952668725]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1588111538]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1083844278]}]}, {"allowed_amount": 21.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1710902416]}]}, {"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1710902416, 1083844278, 1487115382]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1952310476]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 24.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1356654339]}]}, {"allowed_amount": 27.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1013221282]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1619382397]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 24.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.33, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1679969851, 1801231311]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1609215771]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 31.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1952301830]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1538722160]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2033.1, "providers": [{"billed_charge": 4518.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1023434834]}]}, {"allowed_amount": 86.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1023434834]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1760961312]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 75.64, "providers": [{"billed_charge": 1246.0, "npi": [1194754689]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.38, "npi": [1205064029]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1851616783]}]}, {"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1851616783]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1538312483]}]}, {"allowed_amount": 86.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1902394257, 1114212859, 1265427561]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1427094168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1780930719]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1861473225, 1427074681]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1184704223]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1205097904]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1881012060]}]}]}]}, {"name": "Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)", "billing_code_type": "CPT", "billing_code": "93321", "billing_code_type_version": "2022", "description": "DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD", "allowed_amounts": [{"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1902023211]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.25, "npi": [1043476807]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1033451877, 1831481894, 1639601958, 1538253711, 1548757040, 1710432083, 1619366259, 1952668725, 1598113367]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1558821652, 1386644813, 1174512958]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1760770291]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1457526311]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1881071587]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1538964341]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1679919724]}]}]}, {"tin": {"type": "ein", "value": "592487572"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1396768552, 1255393294]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1265737126]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1427074681]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1215496534]}]}]}, {"tin": {"type": "ein", "value": "650917227"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1174606529, 1356570626, 1568563401, 1659714921, 1356304554, 1598147340, 1841751245, 1841253044, 1659572022]}]}, {"allowed_amount": 11.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1427082114, 1659714921, 1114989837, 1639495534, 1093815508, 1841253044, 1659572022, 1477515161, 1942566526]}]}, {"allowed_amount": 13.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1639515398, 1053590471]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1932155512, 1417925967]}]}]}]}, {"name": "Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)", "billing_code_type": "CPT", "billing_code": "16020", "billing_code_type_version": "2022", "description": "DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL", "allowed_amounts": [{"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.35, "providers": [{"billed_charge": 185.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 35.12, "providers": [{"billed_charge": 360.0, "npi": [1578805248, 1568496909]}]}, {"allowed_amount": 53.98, "providers": [{"billed_charge": 360.0, "npi": [1053645457, 1245352491]}]}, {"allowed_amount": 79.52, "providers": [{"billed_charge": 360.0, "npi": [1538144597]}]}, {"allowed_amount": 135.73, "providers": [{"billed_charge": 360.0, "npi": [1578805248, 1497920474, 1164418323]}]}, {"allowed_amount": 142.35, "providers": [{"billed_charge": 360.0, "npi": [1952921025, 1023052644, 1639134661, 1245352491, 1780062414, 1598111924]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1558724377]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.35, "providers": [{"billed_charge": 144.0, "npi": [1912961293]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.35, "providers": [{"billed_charge": 144.0, "npi": [1194822353, 1508108390]}]}, {"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1396774956]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1639994510]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.35, "providers": [{"billed_charge": 144.0, "npi": [1073833653, 1508108390]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.35, "providers": [{"billed_charge": 144.0, "npi": [1073833653]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.49, "providers": [{"billed_charge": 596.0, "npi": [1508857905]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 863.07, "providers": [{"billed_charge": 2054.92, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.94, "providers": [{"billed_charge": 535.0, "npi": [1598363764]}, {"billed_charge": 567.0, "npi": [1629885736]}, {"billed_charge": 640.0, "npi": [1568409985]}]}, {"allowed_amount": 120.49, "providers": [{"billed_charge": 593.0, "npi": [1568038784]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.14, "providers": [{"billed_charge": 570.0, "npi": [1700536984]}]}, {"allowed_amount": 120.49, "providers": [{"billed_charge": 563.0, "npi": [1942350079]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.42, "providers": [{"billed_charge": 492.0, "npi": [1225149594, 1740541515]}, {"billed_charge": 502.0, "npi": [1669845285]}, {"billed_charge": 526.0, "npi": [1477824126]}, {"billed_charge": 542.0, "npi": [1588643357, 1609956119]}]}, {"allowed_amount": 120.49, "providers": [{"billed_charge": 433.0, "npi": [1619269024]}, {"billed_charge": 492.0, "npi": [1831176130, 1093247330]}, {"billed_charge": 531.0, "npi": [1922376730]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.02, "providers": [{"billed_charge": 434.0, "npi": [1437281185]}]}, {"allowed_amount": 114.14, "providers": [{"billed_charge": 462.0, "npi": [1982021846]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.85, "providers": [{"billed_charge": 1351.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.44, "providers": [{"billed_charge": 300.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.52, "providers": [{"billed_charge": 321.0, "npi": [1205407624]}]}, {"allowed_amount": 84.21, "providers": [{"billed_charge": 321.0, "npi": [1750022976]}]}, {"allowed_amount": 128.77, "providers": [{"billed_charge": 321.0, "npi": [1255960076]}]}]}]}, {"name": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed", "billing_code_type": "CPT", "billing_code": "G0483", "billing_code_type_version": "2022", "description": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed", "allowed_amounts": [{"tin": {"type": "ein", "value": "261565558"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 400.01, "providers": [{"billed_charge": 499.0, "npi": [1497933162]}]}]}, {"tin": {"type": "ein", "value": "413969573"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1871443465]}]}]}, {"tin": {"type": "ein", "value": "811799691"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1215390422]}]}, {"allowed_amount": 296.3, "providers": [{"billed_charge": 750.0, "npi": [1821199571]}]}, {"allowed_amount": 333.34, "providers": [{"billed_charge": 864.22, "npi": [1821199571, 1215390422]}]}, {"allowed_amount": 800.02, "providers": [{"billed_charge": 864.22, "npi": [1215390422]}]}]}, {"tin": {"type": "ein", "value": "823268636"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 286.43, "providers": [{"billed_charge": 2700.0, "npi": [1457863391]}]}, {"allowed_amount": 333.34, "providers": [{"billed_charge": 2700.0, "npi": [1457863391]}]}]}, {"tin": {"type": "ein", "value": "880241758"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 516.06, "providers": [{"billed_charge": 926.0, "npi": [1699782722]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 204.94, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 5500.0, "npi": [1366150773]}]}, {"allowed_amount": 333.34, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 5500.0, "npi": [1366150773]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 39.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1427080951, 1053521823]}]}, {"allowed_amount": 45.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1477966984]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.16, "providers": [{"billed_charge": 1179.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "223620531"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 43.5, "providers": [{"billed_charge": 155.35, "npi": [1447314513]}]}]}, {"tin": {"type": "ein", "value": "232786651"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.0, "providers": [{"billed_charge": 54.0, "npi": [1922072636]}]}]}, {"tin": {"type": "ein", "value": "237133975"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.28, "providers": [{"billed_charge": 204.28, "npi": [1700896354]}]}]}, {"tin": {"type": "ein", "value": "261565558"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 124.0, "npi": [1497933162]}]}]}, {"tin": {"type": "ein", "value": "352445106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1124374079]}]}]}, {"tin": {"type": "ein", "value": "411346366"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 83.15, "providers": [{"billed_charge": 209.5, "npi": [1093792350]}]}]}, {"tin": {"type": "ein", "value": "413969573"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1871443465]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.64, "providers": [{"billed_charge": 671.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.0, "providers": [{"billed_charge": 313.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "463105871"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 107.75, "npi": [1700280971]}]}]}, {"tin": {"type": "ein", "value": "464163620"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 200.0, "npi": [1265854855]}]}]}, {"tin": {"type": "ein", "value": "464946470"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 43.5, "providers": [{"billed_charge": 150.0, "npi": [1598161846]}]}, {"allowed_amount": 62.14, "providers": [{"billed_charge": 150.0, "npi": [1598161846]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.65, "providers": [{"billed_charge": 149.65, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.46, "providers": [{"billed_charge": 164.46, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 345.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.5, "providers": [{"billed_charge": 750.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1962403865]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.38, "providers": [{"billed_charge": 207.51, "npi": [1912964768]}]}, {"allowed_amount": 114.67, "providers": [{"billed_charge": 254.83, "npi": [1912964768]}]}, {"allowed_amount": 197.69, "providers": [{"billed_charge": 439.3, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 2000.0, "npi": [1700979465]}]}, {"allowed_amount": 496.41, "providers": [{"billed_charge": 2000.0, "npi": [1700979465]}]}, {"allowed_amount": 758.8, "providers": [{"billed_charge": 2000.0, "npi": [1700979465]}]}, {"allowed_amount": 979.57, "providers": [{"billed_charge": 2000.0, "npi": [1700979465]}]}, {"allowed_amount": 1013.72, "providers": [{"billed_charge": 2000.0, "npi": [1700979465]}]}, {"allowed_amount": 1020.86, "providers": [{"billed_charge": 2000.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2065.15, "providers": [{"billed_charge": 4917.02, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.6, "providers": [{"billed_charge": 407.0, "npi": [1649340415]}]}, {"allowed_amount": 498.86, "providers": [{"billed_charge": 407.0, "npi": [1649340415]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.16, "providers": [{"billed_charge": 1179.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.09, "providers": [{"billed_charge": 346.08, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.3, "providers": [{"billed_charge": 906.58, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.16, "providers": [{"billed_charge": 1179.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.39, "providers": [{"billed_charge": 329.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "811799691"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 62.14, "providers": [{"billed_charge": 217.49, "npi": [1215390422]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.45, "providers": [{"billed_charge": 427.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "823268636"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 62.14, "providers": [{"billed_charge": 1950.0, "npi": [1457863391]}]}, {"allowed_amount": 72.08, "providers": [{"billed_charge": 1950.0, "npi": [1457863391]}]}]}, {"tin": {"type": "ein", "value": "880241758"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 129.87, "providers": [{"billed_charge": 242.0, "npi": [1699782722]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 528.0, "providers": [{"billed_charge": 528.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 972.0, "providers": [{"billed_charge": 972.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.0, "providers": [{"billed_charge": 257.0, "npi": [1508859323]}]}]}]}, {"name": "Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)", "billing_code_type": "CPT", "billing_code": "77080", "billing_code_type_version": "2022", "description": "DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 167.0, "npi": [1225069776, 1780864033, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "205589716"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 60.54, "providers": [{"billed_charge": 265.0, "npi": [1205063039]}]}]}, {"tin": {"type": "ein", "value": "221904530"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 14.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1144285057]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1225089428, 1013969294]}]}, {"allowed_amount": 17.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1225089428, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 13.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1104288836]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1801002324]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1588610026, 1447372131]}]}, {"allowed_amount": 29.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1447372131, 1932182219]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1841723434]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1841305851]}]}, {"allowed_amount": 13.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1841305851]}]}]}]}, {"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": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.21, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1000.0, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.4, "providers": [{"billed_charge": 1265.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060775886"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1699709758]}]}]}, {"tin": {"type": "ein", "value": "141338413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.61, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 541.0, "npi": [1871606764]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2248.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 621.0, "npi": [1225069776]}]}, {"allowed_amount": 84.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 621.0, "npi": [1225069776, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1508186131, 1528098555]}]}, {"allowed_amount": 75.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1528098555]}]}, {"allowed_amount": 169.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1568663680, 1346235801, 1962451237, 1215983085]}]}]}, {"tin": {"type": "ein", "value": "221899118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 306.0, "npi": [1861455271]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1407353568]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.19, "providers": [{"billed_charge": 2563.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "261956698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1326256678]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1272.0, "npi": [1447216924, 1447243878]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1750126017]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1084.0, "npi": [1942757349]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1669415022]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 101.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1437125077]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1992054829]}]}]}, {"tin": {"type": "ein", "value": "362379649"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 357.97, "providers": [{"billed_charge": 1995.0, "npi": [1831170232]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 487.0, "npi": [1992913263]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1952450025]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 229.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1578079562]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1024.0, "npi": [1063578995]}]}]}, {"tin": {"type": "ein", "value": "470376604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 901.85, "providers": [{"billed_charge": 1350.0, "npi": [1336470558]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1851826440, 1770646457, 1053585380, 1538588207]}]}, {"allowed_amount": 84.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1770646457, 1104288836, 1619497567, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.44, "providers": [{"billed_charge": 2285.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 297.0, "npi": [1821557141]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 533.68, "providers": [{"billed_charge": 2285.0, "npi": [1962403865]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.66, "providers": [{"billed_charge": 1991.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582144788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 369.39, "providers": [{"billed_charge": 1991.0, "npi": [1437135902]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 480.0, "npi": [1144297326]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 528.24, "providers": [{"billed_charge": 1201.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 845.1, "providers": [{"billed_charge": 1878.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1495.02, "providers": [{"billed_charge": 1738.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 1071.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 2971.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 75.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 606.0, "npi": [1023570827]}]}, {"allowed_amount": 88.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 606.0, "npi": [1023570827]}]}, {"allowed_amount": 169.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 606.0, "npi": [1457334732]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 77.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1084.0, "npi": [1043287311]}]}, {"allowed_amount": 101.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1084.0, "npi": [1962021774]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 332.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 75.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1558822890, 1174994636]}]}, {"allowed_amount": 101.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1114187457]}]}, {"allowed_amount": 169.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1245728591]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.8, "providers": [{"billed_charge": 601.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 384.62, "providers": [{"billed_charge": 1640.0, "npi": [1154332120]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 343.0, "npi": [1235104969]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 1916.4, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 115.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1561.0, "npi": [1184680852]}]}, {"allowed_amount": 169.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1561.0, "npi": [1982854527]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 573.09, "providers": [{"billed_charge": 1890.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 528.24, "providers": [{"billed_charge": 1716.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "621801359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 2504.63, "npi": [1174576698]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 77.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1770890147, 1306334404, 1457579559]}]}, {"allowed_amount": 128.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1063533412, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 77.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1235578980, 1083693352, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 83.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1235578980]}]}, {"allowed_amount": 128.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1235578980, 1083693352, 1477754349, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.96, "providers": [{"billed_charge": 1738.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 178.0, "npi": [1588079693]}]}, {"allowed_amount": 83.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 178.0, "npi": [1538243555]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 3807.25, "npi": [1982666111]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 1625.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.22, "providers": [{"billed_charge": 2226.0, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 77.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1417190323, 1508204348]}, {"billed_charge": 2248.0, "npi": [1306307525]}]}, {"allowed_amount": 101.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2248.0, "npi": [1457589699]}]}, {"allowed_amount": 128.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1508204348, 1093957037]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 807.68, "providers": [{"billed_charge": 2307.65, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "854354835"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.74, "providers": [{"billed_charge": 2649.0, "npi": [1942895081]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1962409953]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1547.35, "providers": [{"billed_charge": 2108.0, "npi": [1427806025]}]}]}]}, {"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": "043320571"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.0, "npi": [1225560329]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 665.0, "npi": [1093972101]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 56.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.5, "npi": [1538196977, 1801899042]}]}, {"allowed_amount": 58.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.5, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.68, "providers": [{"billed_charge": 1471.0, "npi": [1457456279]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1356546048]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 379.83, "providers": [{"billed_charge": 1144.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "262824776"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1124092986]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 999.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1093748840]}]}, {"allowed_amount": 70.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1386694040, 1053383786]}]}, {"allowed_amount": 193.0, "providers": [{"billed_charge": 193.0, "npi": [1093748840, 1225089428]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.49, "providers": [{"billed_charge": 1890.0, "npi": [1851833230]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1457619017, 1821148743]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 50.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1053585380]}]}, {"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1851826440, 1619497567, 1538588207]}]}, {"allowed_amount": 54.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1538588207, 1619497567]}]}, {"allowed_amount": 56.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1215024971, 1891996047, 1538588207, 1700315025, 1073017174, 1235767062, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 58.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1215024971, 1538588207, 1073017174, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1669458246, 1861443327]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1073033858]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 746.33, "providers": [{"billed_charge": 1658.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 1679.66, "npi": [1598657298]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 404.0, "npi": [1033608922, 1023570827, 1457334732]}]}, {"allowed_amount": 117.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 404.0, "npi": [1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 757.0, "npi": [1043287311]}]}, {"allowed_amount": 88.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 757.0, "npi": [1043287311]}]}, {"allowed_amount": 117.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 757.0, "npi": [1578824181]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1093701161, 1770800062, 1285051441]}]}, {"allowed_amount": 70.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1447815089, 1023052990]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1801281605]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 230.71, "providers": [{"billed_charge": 588.0, "npi": [1518229046]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1942769286, 1043839814]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.16, "providers": [{"billed_charge": 1800.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.1, "providers": [{"billed_charge": 1028.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1013177120]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1659665016]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.69, "providers": [{"billed_charge": 1460.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621682210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3835.03, "npi": [1255384533]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 53.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1235578980, 1477754349, 1962834671]}]}, {"allowed_amount": 88.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1205815289, 1477754349, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "711045290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.0, "providers": [{"billed_charge": 610.0, "npi": [1962435792]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 1124.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.42, "providers": [{"billed_charge": 989.0, "npi": [1982799375]}]}]}, {"tin": {"type": "ein", "value": "900054201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 1141.0, "npi": [1720011810]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1437268695]}]}, {"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1437268695]}]}]}]}, {"name": "Duplex scan of extracranial arteries; complete bilateral study", "billing_code_type": "CPT", "billing_code": "93880", "billing_code_type_version": "2022", "description": "DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 47.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1851569701]}]}, {"allowed_amount": 57.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1851569701, 1265428908, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 59.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1225069776]}]}, {"allowed_amount": 59.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 72.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1851569701]}]}, {"allowed_amount": 90.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1225069776, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.71, "providers": [{"billed_charge": 1580.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "208112143"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1851590186]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 915.9, "npi": [1497762801]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 69.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.58, "npi": [1902831779]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 55.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1093748840, 1053383786, 1265457485, 1013969294, 1386694040]}]}, {"allowed_amount": 72.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 76.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1336347335, 1578079562, 1841675642, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "460552280"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1396914321]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 51.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1053585380]}]}, {"allowed_amount": 53.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1538588207, 1619497567, 1891996047]}]}, {"allowed_amount": 55.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 55.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1851826440, 1770646457, 1013063908, 1891996047]}]}, {"allowed_amount": 57.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1104288836, 1053585380, 1013063908, 1891996047, 1235517558, 1619497567]}]}, {"allowed_amount": 59.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1104288836, 1851826440, 1538588207, 1891996047, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 867.15, "providers": [{"billed_charge": 1927.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 53.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1780846204]}]}, {"allowed_amount": 119.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1750516720, 1306135777]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 751.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1831180124]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 55.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 90.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 51.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1497049563]}]}, {"allowed_amount": 55.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1447815089, 1306263751]}]}, {"allowed_amount": 72.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1811151996]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 225.21, "providers": [{"billed_charge": 1571.0, "npi": [1073995544]}]}, {"allowed_amount": 280.98, "providers": [{"billed_charge": 1571.0, "npi": [1588283352]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 53.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 86.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1336136076]}]}]}, {"tin": {"type": "ein", "value": "650003436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1811976459]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 55.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1205815289, 1235578980, 1477754349, 1962834671]}]}, {"allowed_amount": 90.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1124293568, 1649764531, 1235578980, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1033163142]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1225533433]}]}, {"allowed_amount": 59.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "853059482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1538149943]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1306158191]}]}, {"allowed_amount": 57.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1306158191]}]}]}]}, {"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": "043218267"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1376589390]}]}]}, {"tin": {"type": "ein", "value": "112050523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1096.05, "providers": [{"billed_charge": 2714.0, "npi": [1043279565]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 604.0, "npi": [1558756528]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.61, "providers": [{"billed_charge": 2149.6, "npi": [1043224355]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1992052005]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.61, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2400.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.71, "npi": [1265723969]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1790164671]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 49.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1801899042, 1851569701, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 51.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1225069776, 1780864033, 1598913980, 1538196977]}]}, {"allowed_amount": 62.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1851569701]}]}, {"allowed_amount": 77.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1962405852]}]}, {"allowed_amount": 102.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1932150760]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1912969130]}]}]}, {"tin": {"type": "ein", "value": "221487307"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.19, "providers": [{"billed_charge": 1280.0, "npi": [1013912633]}]}]}, {"tin": {"type": "ein", "value": "221487330"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 998.57, "providers": [{"billed_charge": 4560.0, "npi": [1114924834]}]}]}, {"tin": {"type": "ein", "value": "223148496"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1558664599]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1841557188]}]}]}, {"tin": {"type": "ein", "value": "233001904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "providers": [{"billed_charge": 3005.0, "npi": [1396731105]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 53.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 355.0, "npi": [1326197393, 1477720092]}]}]}, {"tin": {"type": "ein", "value": "261512163"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 8181.71, "npi": [1740450121]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.45, "npi": [1447216924, 1447243878]}]}, {"allowed_amount": 61.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.45, "npi": [1578756524]}]}]}, {"tin": {"type": "ein", "value": "310621866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.44, "providers": [{"billed_charge": 3648.0, "npi": [1043233984]}]}]}, {"tin": {"type": "ein", "value": "310874388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1275532111]}]}]}, {"tin": {"type": "ein", "value": "319684518"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1093707457]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1922088392]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1093748840, 1053383786, 1013969294, 1225089428, 1386694040]}]}, {"allowed_amount": 61.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1558450023, 1053383786, 1265457485, 1225089428, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1679890305]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1215965090]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 995.68, "providers": [{"billed_charge": 1956.91, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "390907740"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 503.84, "providers": [{"billed_charge": 2027.0, "npi": [1225087190]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1851394944]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1609828003]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 90.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1093122277, 1336347335, 1578079562, 1043474190, 1841675642, 1043438898, 1396852851, 1952593170, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1285196451, 1144278508]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 755.0, "npi": [1639161847, 1669708715, 1265432215]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1013063908]}]}, {"allowed_amount": 8.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.86, "npi": [1851826440]}]}, {"allowed_amount": 25.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1851826440]}]}, {"allowed_amount": 35.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1851826440]}]}, {"allowed_amount": 40.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1053585380]}]}, {"allowed_amount": 44.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1053585380]}]}, {"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1053585380, 1851569701, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1851826440, 1053585380, 1891996047]}]}, {"allowed_amount": 47.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1104288836, 1013063908, 1851826440, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 49.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1104288836, 1053585380, 1013063908, 1851826440, 1891996047, 1538588207, 1700315025, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 51.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1104288836, 1013063908, 1851826440, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.7, "providers": [{"billed_charge": 2303.08, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "581075840"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1255511267]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1750670154]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 972.54, "providers": [{"billed_charge": 2161.19, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1972361756]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1495.02, "providers": [{"billed_charge": 1738.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 1839.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1982832572]}]}, {"allowed_amount": 102.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1427580331, 1932182219, 1023570827, 1023212214, 1679006555, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 24.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1962492074]}]}, {"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1962763250]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 653.0, "npi": [1043287311]}]}, {"allowed_amount": 61.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 653.0, "npi": [1609220300, 1750445086]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1285923292]}]}, {"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1508245424, 1184940330]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1497929954]}]}, {"allowed_amount": 77.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1275840720]}, {"billed_charge": 203.0, "npi": [1700010923]}]}, {"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1447815089, 1023052990]}]}, {"allowed_amount": 61.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1568953065, 1376705665, 1033307137]}]}, {"allowed_amount": 102.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1558822890]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 44.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1003027376]}]}, {"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1023468709]}]}, {"allowed_amount": 67.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1487151536]}]}, {"allowed_amount": 75.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1134509284]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.8, "providers": [{"billed_charge": 901.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 217.29, "providers": [{"billed_charge": 1391.0, "npi": [1073995544]}]}, {"allowed_amount": 273.18, "providers": [{"billed_charge": 1391.0, "npi": [1538325188]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 74.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1891857611]}]}, {"allowed_amount": 102.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1477085504, 1235172529, 1942769286]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.74, "npi": [1669482725]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 2272.27, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 45.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1235194168, 1093827214, 1528333887]}]}, {"allowed_amount": 69.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1134115959]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1467081380]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 631.57, "providers": [{"billed_charge": 975.41, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1063533412, 1457579559, 1962444620, 1275530198, 1043419351]}]}, {"allowed_amount": 77.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1164461372, 1275530198, 1457579559]}]}]}, {"tin": {"type": "ein", "value": "650003436"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 38.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1811976459]}]}, {"allowed_amount": 49.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1811976459]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1235578980, 1083693352, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 50.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1649764531]}]}, {"allowed_amount": 77.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1235578980, 1083693352, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.96, "providers": [{"billed_charge": 1738.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 653.0, "npi": [1003343492]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1891226114]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1689897977]}]}, {"allowed_amount": 35.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1508209495]}]}]}, {"tin": {"type": "ein", "value": "800886397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1366977092]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.22, "providers": [{"billed_charge": 1754.0, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 49.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 51.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1225533433]}]}, {"allowed_amount": 71.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "813935393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.29, "providers": [{"billed_charge": 2076.45, "npi": [1861994808]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1508204348]}]}, {"allowed_amount": 77.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1417190323, 1508204348, 1194847038, 1619938743]}]}]}, {"tin": {"type": "ein", "value": "833180104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 583.0, "npi": [1104245208]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1720168172]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 653.0, "npi": [1902016082]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1598782492]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 364.5, "providers": [{"billed_charge": 810.0, "npi": [1538424007]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 552.92, "providers": [{"billed_charge": 4146.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1417102021]}]}]}, {"tin": {"type": "ein", "value": "994491180"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.21, "providers": [{"billed_charge": 630.6, "npi": [1871329110]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1306158191]}]}, {"allowed_amount": 49.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1306158191]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.65, "providers": [{"billed_charge": 633.35, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "010510040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1699769315]}]}]}, {"tin": {"type": "ein", "value": "042103604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.61, "providers": [{"billed_charge": 621.0, "npi": [1174618953]}]}]}, {"tin": {"type": "ein", "value": "133964321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 1920.0, "npi": [1932280666]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 25.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 524.0, "npi": [1851569701]}]}, {"allowed_amount": 30.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 524.0, "npi": [1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 32.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 524.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 38.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 524.0, "npi": [1851569701]}]}, {"allowed_amount": 48.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 524.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3391.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "223148496"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1275976946]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 237.0, "npi": [1003404096, 1700225711]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 306.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1730716721]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.8, "providers": [{"billed_charge": 2118.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 576.25, "npi": [1982650842, 1578756524, 1710211701, 1447243878]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.44, "providers": [{"billed_charge": 887.0, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "264709927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1689641136]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1720617590]}]}]}, {"tin": {"type": "ein", "value": "273645560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1407484512]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1871527770]}]}]}, {"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.04, "providers": [{"billed_charge": 2156.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1790199107]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.87, "providers": [{"billed_charge": 653.5, "npi": [1538164090]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1417070103]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1841452968]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1922088392, 1508819970, 1619268182]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1386694040]}]}, {"allowed_amount": 38.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1356502538]}]}, {"allowed_amount": 50.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1548436132]}]}]}, {"tin": {"type": "ein", "value": "341996544"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1508024217]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1881666170]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 58.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1326343716, 1336347335, 1578079562, 1841675642, 1043474190, 1952593170, 1396852851, 1043438898, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 478.0, "npi": [1205079506, 1972767556, 1265432215]}]}, {"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 478.0, "npi": [1720177207]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.42, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "470785575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1558742486]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 25.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1053585380]}]}, {"allowed_amount": 27.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1053585380]}]}, {"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1770646457, 1053585380, 1891996047]}]}, {"allowed_amount": 29.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1700315025, 1073017174, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 30.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1013063908, 1104288836, 1053585380, 1851569701, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 32.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1073017174, 1770646457]}]}, {"allowed_amount": 38.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "485236852"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1457688731]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1417994757]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 30.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1235442963]}]}, {"allowed_amount": 32.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1770665796]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1528557139, 1528684875]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.42, "providers": [{"billed_charge": 2154.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 287.99, "providers": [{"billed_charge": 1239.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1528006525]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1801109368]}]}]}, {"tin": {"type": "ein", "value": "582144788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.85, "providers": [{"billed_charge": 1624.0, "npi": [1437135902]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.78, "providers": [{"billed_charge": 1526.17, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 764.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.24, "providers": [{"billed_charge": 1573.0, "npi": [1578620449]}]}, {"allowed_amount": 398.47, "providers": [{"billed_charge": 1573.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 23.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1023570827]}]}, {"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1306135777, 1497190946, 1457334732, 1033608922, 1710179676]}]}, {"allowed_amount": 64.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1861726952, 1497190946, 1497131734]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1174513253]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1013178953, 1285923292, 1811191661, 1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 48.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 23.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1083656706]}]}, {"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1578507588]}]}, {"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1447815089, 1568953065]}]}, {"allowed_amount": 38.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1578704342]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 27.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1003027376]}]}, {"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1427317882, 1811903867]}]}, {"allowed_amount": 37.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1851404107]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 770.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1467689232, 1699394486]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.9, "providers": [{"billed_charge": 1348.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1013123447]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.16, "providers": [{"billed_charge": 1669.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.72, "npi": [1316990328, 1265886626]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.1, "providers": [{"billed_charge": 1116.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1357.67, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592219482"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 27.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1639145774]}]}, {"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1639145774]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 764.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1730376922]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1730323213]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1184678369, 1538180963]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1184680852]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.09, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1685.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1306334404, 1457579559, 1417410507, 1962444620, 1275530198, 1346696663, 1053376822, 1043419351]}]}, {"allowed_amount": 48.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1528070521, 1255593885]}]}]}, {"tin": {"type": "ein", "value": "650003436"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 24.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1811976459]}]}, {"allowed_amount": 30.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1811976459]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1124293568, 1235578980, 1083693352, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 48.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1235578980, 1083693352, 1780662700, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 764.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 344.94, "providers": [{"billed_charge": 1881.6, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "660227304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 125.0, "npi": [1366484594]}]}]}, {"tin": {"type": "ein", "value": "660227304"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.94, "npi": [1871799478]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 417.0, "npi": [1386030021]}]}, {"allowed_amount": 76.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 417.0, "npi": [1013128073, 1730123191]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1386080604]}]}, {"allowed_amount": 22.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1740303429]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 334.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 30.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 32.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1225533433]}]}, {"allowed_amount": 44.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 29.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1609997121, 1700229523, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 45.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1447785480]}]}]}, {"tin": {"type": "ein", "value": "840563230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.39, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1286.0, "npi": [1992812333]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225650401]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.16, "providers": [{"billed_charge": 1020.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "910652651"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.37, "providers": [{"billed_charge": 748.0, "npi": [1861432726]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.8, "npi": [1821103714]}]}]}, {"tin": {"type": "ein", "value": "911858433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 395.16, "providers": [{"billed_charge": 805.0, "npi": [1356307581]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1649684051]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1417102021, 1326059551]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1386096535]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 1460.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1306158191]}]}, {"allowed_amount": 30.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1306158191]}]}]}]}, {"name": "Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study", "billing_code_type": "CPT", "billing_code": "93925", "billing_code_type_version": "2022", "description": "DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 56.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 480.0, "npi": [1225069776, 1538196977, 1851569701]}]}, {"allowed_amount": 58.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 480.0, "npi": [1225069776, 1538196977, 1598913980]}]}, {"allowed_amount": 71.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 480.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "260593928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1013546126]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1152.8, "npi": [1851675276]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1396769717]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1053383786, 1437125077]}]}]}, {"tin": {"type": "ein", "value": "415046638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 72.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1578079562, 1841675642, 1396852851, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1053585380]}]}, {"allowed_amount": 7.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1619497567]}]}, {"allowed_amount": 46.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1053585380]}]}, {"allowed_amount": 50.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1053585380]}]}, {"allowed_amount": 52.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1104288836, 1053585380, 1215024971, 1538588207, 1891996047, 1700315025]}]}, {"allowed_amount": 54.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1104288836, 1013063908, 1538588207, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 56.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1053585380, 1104288836, 1851826440, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 58.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1104288836, 1851826440, 1891996047, 1538588207, 1700315025, 1235517558, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 883.87, "providers": [{"billed_charge": 1964.16, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1780846204]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1497929954]}]}, {"allowed_amount": 89.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 352.27, "providers": [{"billed_charge": 1491.0, "npi": [1154332120, 1073995544, 1275599953, 1134320880]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 50.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1013177120]}]}, {"allowed_amount": 52.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1235194168]}]}, {"allowed_amount": 77.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "650003436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1811976459]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 54.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1962834671]}]}, {"allowed_amount": 89.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1205815289, 1477754349, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650784345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1316433881]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1306158191]}]}]}]}, {"name": "Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study", "billing_code_type": "CPT", "billing_code": "93926", "billing_code_type_version": "2022", "description": "DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 35.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 309.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 309.0, "npi": [1225069776, 1780864033, 1598913980]}]}, {"allowed_amount": 43.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 309.0, "npi": [1851569701]}]}, {"allowed_amount": 54.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 309.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1770532012, 1912980079]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1053383786, 1265457485]}]}, {"allowed_amount": 43.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1225089428]}]}]}, {"tin": {"type": "ein", "value": "451259671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1760712889]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 53.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1326343716, 1578079562, 1043474190, 1952593170, 1841675642]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 31.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1053585380]}]}, {"allowed_amount": 32.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770646457, 1053585380]}]}, {"allowed_amount": 35.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770646457]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.43, "providers": [{"billed_charge": 1196.51, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1508319815]}]}, {"allowed_amount": 43.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1508319815]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1265438287]}]}]}, {"tin": {"type": "ein", "value": "650003436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1811976459]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1780662700, 1235578980]}]}, {"allowed_amount": 54.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1962834671]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1225533433]}]}, {"allowed_amount": 50.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1417416371]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1205217619]}]}]}]}, {"name": "Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report", "billing_code_type": "CPT", "billing_code": "93312", "billing_code_type_version": "2022", "description": "ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 362.7, "npi": [1285652016]}]}, {"allowed_amount": 351.69, "providers": [{"billed_charge": 362.7, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4310.78, "npi": [1114344108]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1130.45, "npi": [1235302803]}]}]}, {"tin": {"type": "ein", "value": "263715180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1881665461]}]}, {"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1881665461]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 158.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 352.0, "npi": [1831481894]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1558821652]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 316.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1055.0, "npi": [1588111538, 1174187207]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1083844278]}]}, {"allowed_amount": 130.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1710902416]}]}, {"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1710902416, 1487115382, 1083844278]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1952310476]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 147.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1356654339]}]}, {"allowed_amount": 167.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1013221282]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1750743183]}]}, {"allowed_amount": 162.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1750743183]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1346702263]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 436.0, "npi": [1619382397]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.88, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1679969851, 1801231311]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 625.0, "npi": [1609215771]}]}, {"allowed_amount": 153.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 625.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 711.0, "npi": [1477059004]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 600.0, "npi": [1952301830]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 470.0, "npi": [1538722160]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2033.1, "providers": [{"billed_charge": 4518.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1023434834, 1922341437]}]}, {"allowed_amount": 526.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1023434834, 1922341437]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 618.0, "npi": [1881071587]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 436.2, "npi": [1205064029]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1851616783]}]}, {"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1851616783]}]}]}, {"tin": {"type": "ein", "value": "592487572"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 153.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1225079668, 1255393294, 1386975175]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1320.0, "npi": [1538312483]}]}, {"allowed_amount": 522.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1320.0, "npi": [1265427561, 1902394257]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1427094168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 316.0, "npi": [1780930719]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 309.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 713.0, "npi": [1861473225, 1427074681]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1012.0, "npi": [1215496534]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 670.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 635.0, "npi": [1205097904]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 351.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1094.0, "npi": [1154854404, 1982967535]}]}]}, {"tin": {"type": "ein", "value": "873722274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1023329992]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 403.0, "npi": [1881012060]}]}]}]}, {"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": "030446664"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1144307786]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 132.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1215997267]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1630.0, "npi": [1023054202]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5283.6, "providers": [{"billed_charge": 5283.6, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "201847488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1821416405]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1187.56, "providers": [{"billed_charge": 4387.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 237.0, "npi": [1194715607]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 237.0, "npi": [1215425319]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1447267463]}, {"billed_charge": 585.0, "npi": [1720034861, 1447267463]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 585.0, "npi": [1720034861]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1053462150]}]}]}, {"tin": {"type": "ein", "value": "205778734"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 111.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1922007541]}]}]}, {"tin": {"type": "ein", "value": "208411663"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1902808298]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1902808298]}]}, {"allowed_amount": 103.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1902808298]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1014.3, "npi": [1114344108]}]}]}, {"tin": {"type": "ein", "value": "223316007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1992295349]}]}, {"allowed_amount": 125.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1821447145]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 428.0, "npi": [1114003613]}]}, {"allowed_amount": 125.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 428.0, "npi": [1043249832]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 387.0, "npi": [1730673799]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1266.21, "providers": [{"billed_charge": 11656.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "260593928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1346410594]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 942.05, "npi": [1144298829]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 942.05, "npi": [1467872481, 1679848766]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 70.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1619366259]}]}, {"allowed_amount": 97.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1033451877, 1831481894, 1508357831, 1639601958, 1538253711, 1548757040, 1619366259, 1386038388, 1952668725, 1174066005, 1598113367]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1134127962, 1700886108, 1386644813]}]}, {"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1952608119, 1124343231]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1487115382, 1083844278]}]}, {"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1710902416, 1487115382]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1710902416, 1487115382]}]}]}, {"tin": {"type": "ein", "value": "270863723"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 70.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1649291113]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1649291113]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["19", "21"], "payments": [{"allowed_amount": 141.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1902898760, 1235621178]}]}]}, {"tin": {"type": "ein", "value": "272039417"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1548294929]}]}]}, {"tin": {"type": "ein", "value": "272058589"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 575.0, "npi": [1912996729, 1508855339]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 575.0, "npi": [1508855339]}]}]}, {"tin": {"type": "ein", "value": "272182082"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1427491364]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1427491364]}]}]}, {"tin": {"type": "ein", "value": "273469583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1659876431]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1942798376]}]}]}, {"tin": {"type": "ein", "value": "306113839"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1760447270]}]}]}, {"tin": {"type": "ein", "value": "311118087"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1063863439]}]}]}, {"tin": {"type": "ein", "value": "311351965"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 55.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 148.0, "npi": [1699902122]}]}]}, {"tin": {"type": "ein", "value": "331105310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1114372273]}]}, {"allowed_amount": 121.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1245768886]}]}]}, {"tin": {"type": "ein", "value": "331159527"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1568653384]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1457779878]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1225.59, "providers": [{"billed_charge": 2651.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 64.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1669903613, 1346771342]}]}, {"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1356654339, 1780680678, 1346771342, 1215157136, 1093151888, 1629030325, 1033141692, 1083666366]}]}, {"allowed_amount": 103.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1659696136]}]}, {"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1215399456, 1356654339, 1063724326, 1376741736, 1215157136, 1689874166, 1780640953, 1033141692, 1922075134]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 90.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.84, "npi": [1437682176]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1145.94, "providers": [{"billed_charge": 2252.24, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 105.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1891177127]}]}]}, {"tin": {"type": "ein", "value": "380833014"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 89.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1801150602]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1992899702]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1750743183]}]}, {"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1750743183]}]}, {"allowed_amount": 114.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1316926421]}]}]}, {"tin": {"type": "ein", "value": "431664107"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1326488594]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1346276631]}]}, {"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1346276631]}, {"billed_charge": 136.0, "npi": [1346276631]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1720342777]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 365.76, "npi": [1992048474]}]}]}, {"tin": {"type": "ein", "value": "454448055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.1, "npi": [1326685975]}]}]}, {"tin": {"type": "ein", "value": "455367757"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1346788155]}]}, {"allowed_amount": 105.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1598106841, 1346788155]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1710385414]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1679559199]}]}, {"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1710227954, 1306899026, 1679559199]}]}]}, {"tin": {"type": "ein", "value": "464387189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1598720039]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 64.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1730506866, 1619382397]}]}, {"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1730506866, 1306804687, 1588754055]}, {"billed_charge": 362.0, "npi": [1679679781]}]}, {"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1104277888, 1669869152, 1679679781, 1588754055]}]}]}, {"tin": {"type": "ein", "value": "472619488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1992987770]}]}, {"allowed_amount": 107.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1992987770]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1679969851, 1801231311]}]}, {"allowed_amount": 93.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1457526311]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1679969851, 1801231311]}]}, {"allowed_amount": 103.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1679969851]}]}]}, {"tin": {"type": "ein", "value": "473259914"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 445.0, "npi": [1144362245]}]}]}, {"tin": {"type": "ein", "value": "475142345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 611.0, "npi": [1801919014]}]}]}, {"tin": {"type": "ein", "value": "475143607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1487646501]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 601.0, "npi": [1477059004]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 880.81, "providers": [{"billed_charge": 3742.0, "npi": [1992703540]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1538328679]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1679991632]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1902844863]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 373.0, "npi": [1053331215]}]}, {"allowed_amount": 121.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 373.0, "npi": [1679733026, 1467566174]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1346326287]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1684.91, "providers": [{"billed_charge": 3744.25, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 876.0, "npi": [1952348120]}]}]}, {"tin": {"type": "ein", "value": "590634434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 301.4, "npi": [1922236447]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3423.66, "providers": [{"billed_charge": 3941.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1174583975, 1710943071]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1255837191, 1326047432, 1366443657, 1174583975, 1548529662]}]}, {"allowed_amount": 109.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1760442560, 1174583975, 1326047432, 1033170410, 1487064283]}]}, {"allowed_amount": 116.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1982718409]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1376653881, 1952380594]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1141.22, "providers": [{"billed_charge": 3262.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591536350"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 574.86, "npi": [1669764437]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1942087457]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 241.96, "providers": [{"billed_charge": 2708.0, "npi": [1588283352, 1073995544, 1154332120]}]}, {"allowed_amount": 289.56, "providers": [{"billed_charge": 2708.0, "npi": [1063460384, 1194754689, 1396163119, 1588283352, 1073995544]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 64.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 505.0, "npi": [1821978834, 1063944346, 1568014884]}]}, {"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 505.0, "npi": [1821282401, 1720024508, 1659788545]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.36, "npi": [1205241478]}]}, {"allowed_amount": 158.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.36, "npi": [1700194966]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1326011545]}]}, {"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1851616783]}, {"billed_charge": 375.0, "npi": [1851616783]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1326011545, 1851616783]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1871856492, 1679919724, 1235227133, 1457333742]}]}, {"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1922027515, 1295984748, 1457333742]}]}]}, {"tin": {"type": "ein", "value": "592051198"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.18, "npi": [1174502397]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.18, "npi": [1639158850]}]}, {"allowed_amount": 103.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.18, "npi": [1639158850]}]}]}, {"tin": {"type": "ein", "value": "592247828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1407801673]}]}, {"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1346454915, 1164425005, 1386845774, 1790741783, 1285659995]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1346454915, 1477553063, 1073744520, 1407801673, 1164425005, 1386845774, 1649442740, 1790741783, 1285659995, 1518956572]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1477553063, 1073744520, 1972503019, 1285652016, 1518956572]}]}]}, {"tin": {"type": "ein", "value": "592291897"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 112.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1659570851]}]}]}, {"tin": {"type": "ein", "value": "592292041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1780188904]}]}]}, {"tin": {"type": "ein", "value": "592305035"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 73.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1699870394]}]}, {"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1760808505, 1700806106, 1174525778, 1134229198]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1598736969, 1760808505, 1700806106, 1174525778]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1174511216, 1760808505, 1598736969, 1194794438]}]}, {"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1174525778]}]}]}, {"tin": {"type": "ein", "value": "592487572"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1760808505, 1255393294, 1386975175]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1386975175, 1396768552, 1255393294, 1225079668, 1760808505]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1396768552, 1225079668, 1386975175]}]}]}, {"tin": {"type": "ein", "value": "592577628"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 411.0, "npi": [1992782577]}]}, {"allowed_amount": 109.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 411.0, "npi": [1992782577]}]}]}, {"tin": {"type": "ein", "value": "592623821"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 790.0, "npi": [1457629586, 1497758692, 1346290863]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 790.0, "npi": [1497758692, 1356304455, 1881685931, 1346290863, 1457629586]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 790.0, "npi": [1346290863, 1881685931, 1356304455]}]}, {"allowed_amount": 289.56, "providers": [{"billed_charge": 790.0, "npi": [1346290863]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1598711889, 1861954836]}, {"billed_charge": 480.0, "npi": [1649326232, 1558706135]}]}, {"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1427094168]}]}, {"allowed_amount": 118.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1144517335]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1073967907, 1629292875, 1164842415, 1760707988, 1780930719]}]}, {"allowed_amount": 95.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1245627660]}]}, {"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1669554689, 1629292875, 1831225036]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 947.0, "npi": [1053768614]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1043524176, 1548555956]}]}, {"allowed_amount": 104.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1043524176]}]}, {"allowed_amount": 118.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1548555956]}]}]}, {"tin": {"type": "ein", "value": "593687416"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1396713491]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.2, "providers": [{"billed_charge": 772.5, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1770579427]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 689.13, "providers": [{"billed_charge": 3070.0, "npi": [1033112230]}]}]}, {"tin": {"type": "ein", "value": "630889615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1831142264]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1962638437, 1609974476, 1235190414, 1578522801, 1396762258, 1639272628]}]}, {"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1215496534]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1962638437, 1790247195, 1578522801, 1699883538, 1215496534, 1689877243, 1891182879]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1164710661]}]}]}, {"tin": {"type": "ein", "value": "650041647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 526.0, "npi": [1215933189]}]}]}, {"tin": {"type": "ein", "value": "650496711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1154323871]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1154323871]}]}]}, {"tin": {"type": "ein", "value": "650503198"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1902967144, 1619084456, 1215012844, 1235102476, 1386845774, 1275504847, 1083844278, 1235373143, 1790860310, 1194799387, 1962472829, 1790758910]}]}, {"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1326482092, 1942254164, 1881665461, 1851616783]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1144322181, 1982631750, 1235102476, 1386937613, 1558302638, 1942254164, 1083844278, 1790860310, 1326011545, 1194799387, 1790758910]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 969.25, "providers": [{"billed_charge": 2566.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650672369"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 75.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 642.0, "npi": [1801805734]}]}]}, {"tin": {"type": "ein", "value": "650672834"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1760687842]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.68, "npi": [1760687842]}, {"billed_charge": 100.0, "npi": [1760687842]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 575.0, "npi": [1205097904]}]}, {"allowed_amount": 116.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 575.0, "npi": [1952515116]}]}]}, {"tin": {"type": "ein", "value": "650784628"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 602.0, "npi": [1952311789]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1055.63, "providers": [{"billed_charge": 3941.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1760477269]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1760477269, 1629235247]}]}, {"allowed_amount": 109.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1710091426, 1760477269, 1629235247]}]}, {"allowed_amount": 161.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1457598088]}]}]}, {"tin": {"type": "ein", "value": "650917227"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1174606529, 1427082114, 1356570626, 1497758692, 1568563401, 1356304554, 1598147340, 1114989837, 1639495534, 1841751245, 1841253044, 1659572022, 1295787927, 1598926966, 1477515161, 1083622906, 1942566526]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1427082114, 1356570626, 1639515398, 1598147340, 1114989837, 1295787927, 1356304554, 1942697776, 1841253044, 1659572022, 1174606529, 1053590471, 1568563401, 1841751245, 1659714921, 1639495534, 1598926966, 1760411003, 1942566526]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1639515398, 1053590471]}]}, {"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1659714921]}]}]}, {"tin": {"type": "ein", "value": "650962951"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1104929025]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1588896120, 1104929025, 1871041210]}]}, {"allowed_amount": 106.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1588896120, 1871041210]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1588896120, 1104929025, 1871041210]}]}]}, {"tin": {"type": "ein", "value": "650987963"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 50.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1780632208]}]}, {"allowed_amount": 52.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1780632208]}]}, {"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1780632208, 1811958945, 1871041210]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1588896120, 1871041210, 1780632208, 1427017797]}]}]}, {"tin": {"type": "ein", "value": "651092014"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.75, "npi": [1205043536]}]}]}, {"tin": {"type": "ein", "value": "651206443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1922505866]}]}, {"allowed_amount": 138.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1922505866]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1104919182]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1780613257]}]}]}, {"tin": {"type": "ein", "value": "800841009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1659652816]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1548496813]}]}, {"allowed_amount": 106.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1609872647]}]}]}, {"tin": {"type": "ein", "value": "811481152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1881665693]}]}]}, {"tin": {"type": "ein", "value": "812694121"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1689814493]}]}]}, {"tin": {"type": "ein", "value": "812971996"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1922414440]}]}]}, {"tin": {"type": "ein", "value": "813456462"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.13, "npi": [1881778405]}]}]}, {"tin": {"type": "ein", "value": "815124973"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 99.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.97, "npi": [1992016497]}, {"billed_charge": 510.0, "npi": [1992016497]}]}, {"allowed_amount": 123.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.97, "npi": [1992016497]}, {"billed_charge": 510.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "823235514"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1841491503]}]}]}, {"tin": {"type": "ein", "value": "830382654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 396.08, "npi": [1558522268]}]}]}, {"tin": {"type": "ein", "value": "831848483"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 62.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.32, "npi": [1366460974]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1881919660]}]}]}, {"tin": {"type": "ein", "value": "842704187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1225294168]}]}]}, {"tin": {"type": "ein", "value": "850988160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1134168941]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 124.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1831282094]}]}, {"allowed_amount": 125.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1104022987]}]}]}, {"tin": {"type": "ein", "value": "870322019"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2452.6, "providers": [{"billed_charge": 7007.43, "npi": [1528010451]}]}]}, {"tin": {"type": "ein", "value": "870492272"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1922290915]}]}]}, {"tin": {"type": "ein", "value": "873722274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1023329992]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1710227954]}]}]}, {"tin": {"type": "ein", "value": "880161856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1639168982]}]}]}, {"tin": {"type": "ein", "value": "901116753"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1174751978]}]}]}, {"tin": {"type": "ein", "value": "911220843"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.2, "npi": [1790948974]}]}]}, {"tin": {"type": "ein", "value": "920504952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.66, "npi": [1376898122]}]}]}, {"tin": {"type": "ein", "value": "920902509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 301.19, "npi": [1518953850, 1255747507]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 301.19, "npi": [1518953850]}]}]}, {"tin": {"type": "ein", "value": "921934530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1326482092]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1326482092]}]}]}, {"tin": {"type": "ein", "value": "923502678"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 402.0, "npi": [1396758074]}]}, {"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 402.0, "npi": [1396758074]}]}]}, {"tin": {"type": "ein", "value": "941156581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 352.0, "npi": [1811975113]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 287.0, "npi": [1609032986]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1346455110]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1881012060]}]}, {"allowed_amount": 107.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1821350539, 1417925967]}]}, {"allowed_amount": 162.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1962515924, 1841643772]}]}]}]}, {"name": "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography", "billing_code_type": "CPT", "billing_code": "93307", "billing_code_type_version": "2022", "description": "ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP", "allowed_amounts": [{"tin": {"type": "ein", "value": "270765771"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 63.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1588896120]}]}, {"allowed_amount": 78.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1588896120]}]}]}, {"tin": {"type": "ein", "value": "592247828"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 45.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1407801673]}]}, {"allowed_amount": 56.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1386845774]}]}, {"allowed_amount": 63.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1407801673, 1477553063]}]}]}, {"tin": {"type": "ein", "value": "592305035"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 56.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1760808505, 1174525778, 1700806106]}]}, {"allowed_amount": 63.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1598736969, 1760808505, 1700806106, 1174525778]}]}, {"allowed_amount": 78.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1598736969, 1194794438]}]}]}, {"tin": {"type": "ein", "value": "650962951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1588896120]}]}]}]}, {"name": "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study", "billing_code_type": "CPT", "billing_code": "93308", "billing_code_type_version": "2022", "description": "ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD", "allowed_amounts": [{"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.21, "providers": [{"billed_charge": 1123.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "060646844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.4, "providers": [{"billed_charge": 1158.0, "npi": [1760426969]}]}]}, {"tin": {"type": "ein", "value": "061744704"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 31.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1720313901]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1427553742]}]}]}, {"tin": {"type": "ein", "value": "203294411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1265467716]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1447267463]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1902023211]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1962815563]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 42.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1326197393]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 27.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1265999585]}]}, {"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1962083642, 1245783117, 1104846773]}]}, {"allowed_amount": 71.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1720002272, 1407895402, 1437968971, 1376561100, 1245783117, 1164447371, 1730716721, 1174741078, 1548207863, 1942242649, 1962083642, 1487738654, 1033796255]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 474.7, "npi": [1740336908]}]}, {"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 474.7, "npi": [1740336908, 1043476807]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 38.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1033451877, 1639601958, 1831481894, 1538253711, 1548757040, 1619366259, 1710432083, 1952668725, 1598113367]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 38.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1386644813, 1174512958]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1487115382]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1972992824, 1154711547]}]}, {"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1578906624, 1730152646, 1184120008, 1912249962, 1942267182, 1720617590, 1558757880]}]}, {"allowed_amount": 69.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1912249962, 1912103060, 1730152646]}]}]}, {"tin": {"type": "ein", "value": "272182082"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1427491364]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 535.17, "providers": [{"billed_charge": 1446.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1174595763]}]}, {"allowed_amount": 39.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1760770291]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 529.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 734.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1477086593, 1710306857]}]}]}, {"tin": {"type": "ein", "value": "463490058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.75, "npi": [1548910334]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1457526311]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 303.0, "npi": [1598407918]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 697.86, "providers": [{"billed_charge": 2482.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1811389380]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 587.48, "providers": [{"billed_charge": 1305.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1255837191]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1376653881]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 148.08, "npi": [1205358645]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1538964341]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1679919724]}]}]}, {"tin": {"type": "ein", "value": "592305035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1174525778]}]}, {"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1700806106]}]}]}, {"tin": {"type": "ein", "value": "592487572"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1396768552, 1255393294]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1265737126]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 869.0, "npi": [1730528753, 1659328995]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1023406105, 1235190414, 1447889423]}]}, {"allowed_amount": 69.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1023406105]}]}]}, {"tin": {"type": "ein", "value": "650496711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.7, "providers": [{"billed_charge": 150.0, "npi": [1154323871]}]}]}, {"tin": {"type": "ein", "value": "650503198"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1902967144]}]}]}, {"tin": {"type": "ein", "value": "650917227"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 32.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1174606529, 1356570626, 1659714921, 1356304554, 1568563401, 1598147340, 1841751245, 1841253044, 1659572022]}]}, {"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1427082114, 1659714921, 1114989837, 1639495534, 1841253044, 1093815508, 1659572022, 1295787927, 1477515161, 1942566526]}]}, {"allowed_amount": 45.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1639515398, 1053590471]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 285.0, "npi": [1730717570, 1659734804]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1447608286]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2756.35, "npi": [1427233006]}]}]}, {"tin": {"type": "ein", "value": "860415065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1750960597]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1831584085]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.49, "providers": [{"billed_charge": 80.0, "npi": [1902186166]}]}]}, {"tin": {"type": "ein", "value": "911911869"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1215252705]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1841754678, 1104311174]}]}, {"allowed_amount": 71.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1891324778]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1215517537]}]}, {"allowed_amount": 34.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1982282992]}]}, {"allowed_amount": 36.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1043956022]}]}, {"allowed_amount": 71.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1962631648, 1902435027]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 555.0, "npi": [1083649602]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2768.02, "npi": [1356766554, 1699081117]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1457221533]}]}, {"allowed_amount": 39.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1932155512, 1417925967]}]}]}]}, {"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": "010238552"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.3, "providers": [{"billed_charge": 27.0, "npi": [1538571997, 1801832589]}]}]}, {"tin": {"type": "ein", "value": "010658404"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.46, "providers": [{"billed_charge": 18.66, "npi": [1699750158]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.61, "providers": [{"billed_charge": 29.0, "npi": [1871758060]}]}]}, {"tin": {"type": "ein", "value": "020777195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 32.0, "npi": [1518920271]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.22, "providers": [{"billed_charge": 35.0, "npi": [1972845584, 1265850499]}]}]}, {"tin": {"type": "ein", "value": "030446664"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 30.0, "npi": [1144307786]}]}]}, {"tin": {"type": "ein", "value": "030526533"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 91.0, "npi": [1083640916, 1437369543]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 91.0, "npi": [1609077767]}]}]}, {"tin": {"type": "ein", "value": "042888373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.77, "providers": [{"billed_charge": 23.0, "npi": [1366481459]}]}]}, {"tin": {"type": "ein", "value": "043220651"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.77, "providers": [{"billed_charge": 44.0, "npi": [1487235560]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.58, "providers": [{"billed_charge": 25.0, "npi": [1982621611]}]}]}, {"tin": {"type": "ein", "value": "043466314"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.58, "providers": [{"billed_charge": 40.0, "npi": [1780248708]}]}]}, {"tin": {"type": "ein", "value": "043722374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.46, "providers": [{"billed_charge": 61.0, "npi": [1790702678]}]}]}, {"tin": {"type": "ein", "value": "046625316"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.12, "providers": [{"billed_charge": 51.0, "npi": [1851391429]}]}]}, {"tin": {"type": "ein", "value": "050389801"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.77, "providers": [{"billed_charge": 21.0, "npi": [1164538070]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "providers": [{"billed_charge": 55.0, "npi": [1184914343]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.11, "providers": [{"billed_charge": 50.0, "npi": [1619159050]}]}]}, {"tin": {"type": "ein", "value": "061137531"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "providers": [{"billed_charge": 33.0, "npi": [1831536275, 1396849964]}]}]}, {"tin": {"type": "ein", "value": "061450168"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "providers": [{"billed_charge": 34.0, "npi": [1255747994]}]}]}, {"tin": {"type": "ein", "value": "061744704"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 32.0, "npi": [1164425443]}]}, {"allowed_amount": 13.04, "providers": [{"billed_charge": 32.0, "npi": [1831310606]}]}]}, {"tin": {"type": "ein", "value": "076481711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.29, "providers": [{"billed_charge": 51.0, "npi": [1982603239]}]}]}, {"tin": {"type": "ein", "value": "079466356"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.58, "providers": [{"billed_charge": 55.0, "npi": [1447283940]}]}]}, {"tin": {"type": "ein", "value": "109701675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.58, "providers": [{"billed_charge": 28.0, "npi": [1346200383]}]}]}, {"tin": {"type": "ein", "value": "112924518"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.14, "providers": [{"billed_charge": 29.0, "npi": [1801861398]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.54, "providers": [{"billed_charge": 28.0, "npi": [1922144302, 1215997267, 1558866905, 1497141790, 1346200383]}]}]}, {"tin": {"type": "ein", "value": "113386789"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 28.0, "npi": [1215997267]}]}]}, {"tin": {"type": "ein", "value": "114626416"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.58, "providers": [{"billed_charge": 23.0, "npi": [1366537656]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.61, "providers": [{"billed_charge": 40.0, "npi": [1275621542]}]}, {"allowed_amount": 16.54, "providers": [{"billed_charge": 40.0, "npi": [1083008155, 1164984779, 1366784423]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 72.0, "npi": [1669828075, 1013014836, 1013007814]}]}, {"allowed_amount": 37.38, "providers": [{"billed_charge": 72.0, "npi": [1780002808]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.61, "providers": [{"billed_charge": 23.0, "npi": [1366537656]}]}]}, {"tin": {"type": "ein", "value": "133481834"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 22.0, "npi": [1639165996]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.54, "providers": [{"billed_charge": 55.0, "npi": [1588806269]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.61, "providers": [{"billed_charge": 70.0, "npi": [1578600177]}]}, {"allowed_amount": 16.54, "providers": [{"billed_charge": 70.0, "npi": [1730206814]}]}, {"allowed_amount": 16.8, "providers": [{"billed_charge": 70.0, "npi": [1023054202]}]}]}, {"tin": {"type": "ein", "value": "139787606"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.74, "providers": [{"billed_charge": 51.0, "npi": [1639499023]}]}]}, {"tin": {"type": "ein", "value": "141338547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.19, "providers": [{"billed_charge": 48.0, "npi": [1164467684]}]}]}, {"tin": {"type": "ein", "value": "147542927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.58, "providers": [{"billed_charge": 48.0, "npi": [1164467684]}]}]}, {"tin": {"type": "ein", "value": "147661317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.65, "providers": [{"billed_charge": 128.0, "npi": [1619908878]}]}]}, {"tin": {"type": "ein", "value": "160743187"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.47, "providers": [{"billed_charge": 34.5, "npi": [1811423684]}]}]}, {"tin": {"type": "ein", "value": "160743905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.47, "providers": [{"billed_charge": 22.05, "npi": [1588767453]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.73, "providers": [{"billed_charge": 31.53, "npi": [1609184480, 1003120338]}]}]}, {"tin": {"type": "ein", "value": "200244662"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 18.0, "npi": [1215104526]}]}]}, {"tin": {"type": "ein", "value": "200562668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 30.0, "npi": [1164502225]}]}]}, {"tin": {"type": "ein", "value": "201117568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 100.0, "npi": [1720067168]}]}]}, {"tin": {"type": "ein", "value": "201508867"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.35, "providers": [{"billed_charge": 25.0, "npi": [1699038216, 1508250028, 1699773648, 1841467347, 1851788921]}]}]}, {"tin": {"type": "ein", "value": "202024648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 278.63, "providers": [{"billed_charge": 73.0, "npi": [1205451739]}]}]}, {"tin": {"type": "ein", "value": "202199074"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 120.0, "npi": [1578859120]}]}]}, {"tin": {"type": "ein", "value": "202319275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 78.0, "npi": [1134194905]}]}]}, {"tin": {"type": "ein", "value": "202968915"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1326021197]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1346256526, 1093896722, 1740221845, 1235177882, 1922047398, 1861424939, 1659312684, 1558302638, 1437390382, 1669572400, 1366407868, 1245277011, 1235373143, 1730163544, 1770579427, 1124243563, 1104822261, 1255342333]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 75.0, "npi": [1326070319]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1346256526, 1093896722, 1740221845, 1235177882, 1922047398, 1861424939, 1659312684, 1437390382, 1326070319, 1558302638, 1669572400, 1366407868, 1326021197, 1245277011, 1235373143, 1730163544, 1770579427, 1124243563, 1104822261, 1255342333]}]}, {"allowed_amount": 28.03, "providers": [{"billed_charge": 75.0, "npi": [1326021197]}]}]}, {"tin": {"type": "ein", "value": "203294411"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 28.0, "npi": [1265467716]}]}]}, {"tin": {"type": "ein", "value": "203317868"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 17.3, "npi": [1447219316]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.81, "providers": [{"billed_charge": 71.0, "npi": [1578548442]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.45, "providers": [{"billed_charge": 71.0, "npi": [1457790438]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 36.0, "npi": [1467699926]}]}]}, {"tin": {"type": "ein", "value": "204881619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.06, "providers": [{"billed_charge": 23.0, "npi": [1992064307]}]}]}, {"tin": {"type": "ein", "value": "204923281"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 16.0, "npi": [1982895850]}]}, {"allowed_amount": 10.12, "providers": [{"billed_charge": 16.0, "npi": [1497733018]}]}, {"allowed_amount": 10.2, "providers": [{"billed_charge": 16.0, "npi": [1902024987]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 9.44, "providers": [{"billed_charge": 63.0, "npi": [1316571672]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 63.0, "npi": [1245291426]}]}, {"allowed_amount": 10.38, "providers": [{"billed_charge": 63.0, "npi": [1720236003, 1144354390]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 63.0, "npi": [1578805248, 1265665145, 1205417474, 1639134661, 1467692236, 1568496909, 1659566545, 1053645457, 1164418323, 1518986132, 1811483829, 1235796277, 1659623601, 1255893657, 1952822652, 1649436734]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 63.0, "npi": [1346206257]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 63.0, "npi": [1578805248, 1205417474, 1568496909, 1104182799, 1053645457, 1518986132, 1255893657, 1245291426, 1225353766, 1821067943, 1821284910, 1659623601, 1811483829, 1033615414, 1235796277, 1639134661, 1467692236, 1659566545, 1538144597, 1144354390, 1952822652]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 63.0, "npi": [1376579714, 1053645457, 1255893657, 1245352491, 1598111924, 1821246133, 1033615414, 1235796277, 1245755958, 1538139324, 1437544384, 1952921025, 1780062414, 1942457692, 1417905886, 1174586465, 1023052644, 1124239207, 1144595307, 1235189358, 1265993075, 1730112244, 1265665145, 1952822652]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 63.0, "npi": [1942573316, 1104182799, 1053645457, 1225353766, 1245352491, 1821284910, 1598111924, 1235796277, 1033615414, 1821246133, 1649436734, 1437544384, 1952921025, 1639134661, 1780062414, 1417905886, 1023052644, 1124239207, 1144595307, 1235189358, 1265993075, 1730112244, 1265665145, 1952822652]}]}, {"allowed_amount": 17.87, "providers": [{"billed_charge": 63.0, "npi": [1003365461]}]}, {"allowed_amount": 17.92, "providers": [{"billed_charge": 63.0, "npi": [1538139324]}]}, {"allowed_amount": 23.7, "providers": [{"billed_charge": 63.0, "npi": [1982648705, 1538144597]}]}]}, {"tin": {"type": "ein", "value": "205036495"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 46.0, "npi": [1174757959]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 25.0, "npi": [1720034861, 1447267463]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 25.0, "npi": [1720034861]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.06, "providers": [{"billed_charge": 23.0, "npi": [1720283187]}]}]}, {"tin": {"type": "ein", "value": "205615996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 114.0, "npi": [1093392839, 1831131531, 1689244402, 1356751317, 1033996855]}]}, {"allowed_amount": 12.13, "providers": [{"billed_charge": 114.0, "npi": [1831786953]}]}, {"allowed_amount": 13.84, "providers": [{"billed_charge": 114.0, "npi": [1457393738, 1831131531, 1649310541, 1689244402, 1396323770]}]}]}, {"tin": {"type": "ein", "value": "208032568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.48, "providers": [{"billed_charge": 24.06, "npi": [1376785410]}]}, {"allowed_amount": 17.8, "providers": [{"billed_charge": 24.06, "npi": [1003470469]}]}]}, {"tin": {"type": "ein", "value": "208255024"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.23, "providers": [{"billed_charge": 17.0, "npi": [1912904855]}]}]}, {"tin": {"type": "ein", "value": "217116835"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.29, "providers": [{"billed_charge": 51.0, "npi": [1164606034]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.83, "providers": [{"billed_charge": 27.9, "npi": [1841406097]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.83, "providers": [{"billed_charge": 128.0, "npi": [1326219577]}]}, {"allowed_amount": 15.29, "providers": [{"billed_charge": 128.0, "npi": [1760681530, 1619908878]}]}]}, {"tin": {"type": "ein", "value": "222972317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.38, "providers": [{"billed_charge": 41.0, "npi": [1013087469]}]}]}, {"tin": {"type": "ein", "value": "223266219"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.46, "providers": [{"billed_charge": 40.0, "npi": [1164502878]}]}]}, {"tin": {"type": "ein", "value": "223338925"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.83, "providers": [{"billed_charge": 40.0, "npi": [1679770366]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.83, "providers": [{"billed_charge": 51.0, "npi": [1518452564, 1932444940, 1922203439]}]}, {"allowed_amount": 15.56, "providers": [{"billed_charge": 51.0, "npi": [1760675847]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.92, "providers": [{"billed_charge": 30.0, "npi": [1164491346, 1356357420]}]}]}, {"tin": {"type": "ein", "value": "223436121"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.02, "providers": [{"billed_charge": 96.0, "npi": [1346537784]}]}]}, {"tin": {"type": "ein", "value": "223586506"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.28, "providers": [{"billed_charge": 88.0, "npi": [1467035386]}]}]}, {"tin": {"type": "ein", "value": "223586664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.11, "providers": [{"billed_charge": 89.0, "npi": [1457970931, 1982647038]}, {"billed_charge": 90.0, "npi": [1639461239]}]}]}, {"tin": {"type": "ein", "value": "223849199"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.67, "providers": [{"billed_charge": 32.0, "npi": [1174917165]}]}, {"allowed_amount": 13.07, "providers": [{"billed_charge": 32.0, "npi": [1558348227, 1801050067]}]}]}, {"tin": {"type": "ein", "value": "232076152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 53.0, "npi": [1679707137]}]}]}, {"tin": {"type": "ein", "value": "232213739"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 60.0, "npi": [1457349433, 1992864474]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.86, "providers": [{"billed_charge": 52.0, "npi": [1902023211, 1831328871]}]}]}, {"tin": {"type": "ein", "value": "232449454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.21, "providers": [{"billed_charge": 31.0, "npi": [1578942777]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 30.0, "npi": [1578636072, 1083806780, 1427194166]}]}, {"allowed_amount": 13.6, "providers": [{"billed_charge": 30.0, "npi": [1700085214]}]}]}, {"tin": {"type": "ein", "value": "232798290"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 136.0, "npi": [1346788155]}, {"billed_charge": 144.0, "npi": [1841441474, 1437135621, 1811973001, 1891087979, 1760640114, 1093791287, 1013201946]}]}, {"allowed_amount": 13.13, "providers": [{"billed_charge": 144.0, "npi": [1891087979]}]}, {"allowed_amount": 13.14, "providers": [{"billed_charge": 144.0, "npi": [1811973001, 1366633042, 1891087979, 1013201946]}]}, {"allowed_amount": 13.72, "providers": [{"billed_charge": 144.0, "npi": [1760640114]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 144.0, "npi": [1023472057, 1437135621]}]}]}, {"tin": {"type": "ein", "value": "232865181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.16, "providers": [{"billed_charge": 30.0, "npi": [1497926497, 1134579873, 1053343368, 1073000659, 1093832404, 1861618043]}]}]}, {"tin": {"type": "ein", "value": "236291113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.86, "providers": [{"billed_charge": 100.0, "npi": [1306058128, 1821103946]}]}]}, {"tin": {"type": "ein", "value": "251363372"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.21, "providers": [{"billed_charge": 21.0, "npi": [1477518777]}]}]}, {"tin": {"type": "ein", "value": "251534212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.28, "providers": [{"billed_charge": 48.0, "npi": [1285652065]}]}]}, {"tin": {"type": "ein", "value": "251709054"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.21, "providers": [{"billed_charge": 39.0, "npi": [1609038298]}]}]}, {"tin": {"type": "ein", "value": "251996566"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.65, "providers": [{"billed_charge": 128.0, "npi": [1760681530]}]}]}, {"tin": {"type": "ein", "value": "260593928"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 14.52, "providers": [{"billed_charge": 35.0, "npi": [1043506272]}]}, {"allowed_amount": 15.08, "providers": [{"billed_charge": 35.0, "npi": [1346410594, 1740289446, 1356789200, 1831551126, 1821452954, 1699160408, 1427199546]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.64, "providers": [{"billed_charge": 39.0, "npi": [1124360953]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1942044037, 1659734341, 1528004165, 1538232236, 1720106669, 1871015248, 1316912157, 1760040307, 1417586132, 1609278969, 1558301978, 1619384187, 1881980829]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 50.0, "npi": [1730893496]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 50.0, "npi": [1578226411, 1639994510]}]}]}, {"tin": {"type": "ein", "value": "263058548"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.87, "providers": [{"billed_charge": 50.0, "npi": [1639158850]}]}, {"allowed_amount": 7.79, "providers": [{"billed_charge": 50.0, "npi": [1639158850, 1518941012, 1508048158]}]}, {"allowed_amount": 8.65, "providers": [{"billed_charge": 50.0, "npi": [1649291113]}]}, {"allowed_amount": 11.68, "providers": [{"billed_charge": 50.0, "npi": [1932262698, 1518009331, 1932334935, 1326333246, 1023053279]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 50.0, "npi": [1649291113, 1942259148, 1932334935, 1194799502, 1225036304, 1518009331, 1346409463]}]}, {"allowed_amount": 12.98, "providers": [{"billed_charge": 50.0, "npi": [1225036304, 1346409463]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 39.45, "npi": [1235302803]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 39.45, "npi": [1235302803]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 71.0, "npi": [1013593938]}]}]}, {"tin": {"type": "ein", "value": "263792403"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.63, "providers": [{"billed_charge": 36.0, "npi": [1063633576, 1679535975]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.79, "providers": [{"billed_charge": 29.0, "npi": [1932159043]}]}, {"allowed_amount": 1.88, "providers": [{"billed_charge": 29.0, "npi": [1184658866]}]}, {"allowed_amount": 2.04, "providers": [{"billed_charge": 29.0, "npi": [1184658866]}]}, {"allowed_amount": 5.45, "providers": [{"billed_charge": 29.0, "npi": [1932159043]}]}, {"allowed_amount": 13.05, "providers": [{"billed_charge": 29.0, "npi": [1932159043, 1033451877, 1538253711, 1184658866, 1386038388]}]}]}, {"tin": {"type": "ein", "value": "264709927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "providers": [{"billed_charge": 33.0, "npi": [1811935653]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.05, "providers": [{"billed_charge": 30.0, "npi": [1700886108, 1952608119]}]}, {"allowed_amount": 19.87, "providers": [{"billed_charge": 30.0, "npi": [1881890457]}]}]}, {"tin": {"type": "ein", "value": "270036756"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 50.0, "npi": [1366477440, 1639158850, 1548270739]}]}, {"allowed_amount": 8.82, "providers": [{"billed_charge": 50.0, "npi": [1619130291]}]}, {"allowed_amount": 11.68, "providers": [{"billed_charge": 50.0, "npi": [1932262698, 1295735660, 1932334935]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 50.0, "npi": [1366477440, 1639158850, 1932204518, 1518009331, 1174502397, 1265405823]}]}, {"allowed_amount": 12.98, "providers": [{"billed_charge": 50.0, "npi": [1366477440]}]}]}, {"tin": {"type": "ein", "value": "270316031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 42.0, "npi": [1801185210]}]}]}, {"tin": {"type": "ein", "value": "270444414"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.46, "providers": [{"billed_charge": 42.0, "npi": [1922274190]}]}]}, {"tin": {"type": "ein", "value": "270765771"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.54, "providers": [{"billed_charge": 100.0, "npi": [1588896120]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 100.0, "npi": [1588896120]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.46, "providers": [{"billed_charge": 25.0, "npi": [1376510594, 1245219989, 1306292966]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 71.0, "npi": [1760904056]}]}, {"allowed_amount": 10.51, "providers": [{"billed_charge": 71.0, "npi": [1114664224, 1346954088, 1124683404, 1306486196, 1518612407, 1972992824, 1154711547, 1457496572, 1730343070]}]}, {"allowed_amount": 11.18, "providers": [{"billed_charge": 71.0, "npi": [1790532489]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 71.0, "npi": [1568090116, 1083936413, 1306280268]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 71.0, "npi": [1578906624, 1225562762, 1194798090, 1912103060, 1114664224, 1942401062, 1942267182, 1598724403, 1154900660, 1306486196, 1518612407, 1972992824, 1720433725, 1730152646, 1184120008, 1922427368, 1346954088, 1912249962, 1114504305, 1881055986, 1760904056, 1720617590, 1558757880, 1154711547, 1457496572]}]}, {"allowed_amount": 12.98, "providers": [{"billed_charge": 71.0, "npi": [1194798090, 1629295019, 1558701987]}]}, {"allowed_amount": 16.75, "providers": [{"billed_charge": 71.0, "npi": [1467666560]}]}, {"allowed_amount": 19.4, "providers": [{"billed_charge": 71.0, "npi": [1952064826, 1053894170]}]}, {"allowed_amount": 19.47, "providers": [{"billed_charge": 71.0, "npi": [1710648597, 1174254247]}]}, {"allowed_amount": 19.87, "providers": [{"billed_charge": 71.0, "npi": [1366488017, 1841263365, 1386531911]}]}, {"allowed_amount": 20.5, "providers": [{"billed_charge": 71.0, "npi": [1487224119, 1730594714, 1548897333, 1922567999]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 71.0, "npi": [1699877472, 1306280268, 1982230629, 1346700374]}]}, {"allowed_amount": 23.7, "providers": [{"billed_charge": 71.0, "npi": [1578906624, 1942401062, 1730152646, 1184120008, 1922427368, 1194798090, 1912249962, 1942267182, 1114504305, 1598724403, 1912103060, 1154900660, 1720617590, 1558757880, 1720433725]}, {"billed_charge": 1415.0, "npi": [1184120008]}]}]}, {"tin": {"type": "ein", "value": "271791166"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.06, "providers": [{"billed_charge": 25.0, "npi": [1356370944]}]}]}, {"tin": {"type": "ein", "value": "272097600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.34, "providers": [{"billed_charge": 21.0, "npi": [1265656672, 1760824627, 1225340557]}]}, {"allowed_amount": 15.96, "providers": [{"billed_charge": 21.0, "npi": [1841843166]}]}]}, {"tin": {"type": "ein", "value": "272268928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 117.0, "npi": [1407105232, 1710965207]}]}, {"allowed_amount": 22.11, "providers": [{"billed_charge": 117.0, "npi": [1568048973]}]}]}, {"tin": {"type": "ein", "value": "272409240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.36, "providers": [{"billed_charge": 80.0, "npi": [1215910682]}]}]}, {"tin": {"type": "ein", "value": "272479599"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 86.0, "npi": [1881125912]}]}, {"allowed_amount": 28.21, "providers": [{"billed_charge": 86.0, "npi": [1932556560]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 22.0, "npi": [1801214705]}]}]}, {"tin": {"type": "ein", "value": "273185309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.12, "providers": [{"billed_charge": 20.0, "npi": [1790217537]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.44, "providers": [{"billed_charge": 31.0, "npi": [1811921471]}]}, {"allowed_amount": 13.87, "providers": [{"billed_charge": 31.0, "npi": [1265467492]}]}, {"allowed_amount": 15.67, "providers": [{"billed_charge": 31.0, "npi": [1164448098, 1700854213]}]}]}, {"tin": {"type": "ein", "value": "273957752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.92, "providers": [{"billed_charge": 44.0, "npi": [1942470794]}]}]}, {"tin": {"type": "ein", "value": "274026658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 21.0, "npi": [1639469851]}]}]}, {"tin": {"type": "ein", "value": "274384326"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 44.0, "npi": [1629058458, 1922077510]}]}]}, {"tin": {"type": "ein", "value": "300855204"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.26, "providers": [{"billed_charge": 47.36, "npi": [1821288085]}]}]}, {"tin": {"type": "ein", "value": "310062068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.45, "providers": [{"billed_charge": 35.0, "npi": [1063868545]}]}]}, {"tin": {"type": "ein", "value": "310823056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.73, "providers": [{"billed_charge": 68.0, "npi": [1821658386, 1437391091]}]}]}, {"tin": {"type": "ein", "value": "311009777"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "providers": [{"billed_charge": 49.0, "npi": [1497971717, 1295713725, 1992202246]}]}]}, {"tin": {"type": "ein", "value": "311118087"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 25.0, "npi": [1326231622]}]}]}, {"tin": {"type": "ein", "value": "311351965"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.41, "providers": [{"billed_charge": 18.0, "npi": [1922120732, 1760618060]}]}]}, {"tin": {"type": "ein", "value": "311603722"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.92, "providers": [{"billed_charge": 89.0, "npi": [1164648408]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.48, "providers": [{"billed_charge": 20.0, "npi": [1083848733]}]}]}, {"tin": {"type": "ein", "value": "312928006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 299.81, "providers": [{"billed_charge": 60.0, "npi": [1649200395]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.49, "providers": [{"billed_charge": 20.65, "npi": [1104323815, 1457663791]}]}]}, {"tin": {"type": "ein", "value": "330847507"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 55.07, "npi": [1457360950]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 60.0, "npi": [1134524721]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 60.0, "npi": [1023002003, 1700876612, 1528333861]}]}]}, {"tin": {"type": "ein", "value": "331105310"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 25.0, "npi": [1114372273, 1821359019, 1356358741]}]}]}, {"tin": {"type": "ein", "value": "331159527"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 28.0, "npi": [1205022258]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.81, "providers": [{"billed_charge": 85.75, "npi": [1790859221]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.2, "providers": [{"billed_charge": 50.0, "npi": [1609067560]}]}]}, {"tin": {"type": "ein", "value": "340714581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.94, "providers": [{"billed_charge": 24.0, "npi": [1851394076]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.01, "providers": [{"billed_charge": 75.0, "npi": [1699761544, 1760436687]}]}]}, {"tin": {"type": "ein", "value": "341565327"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.01, "providers": [{"billed_charge": 85.75, "npi": [1588193825]}]}]}, {"tin": {"type": "ein", "value": "341822821"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.02, "providers": [{"billed_charge": 85.75, "npi": [1063714608]}]}]}, {"tin": {"type": "ein", "value": "351166081"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 44.0, "npi": [1902876196]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 22.0, "npi": [1669903613]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 22.0, "npi": [1386804565, 1063724326, 1508178567]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 22.0, "npi": [1215399456, 1780640953, 1629118740, 1063724326]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.25, "providers": [{"billed_charge": 16.66, "npi": [1477754190]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 19.0, "npi": [1063868545, 1205061918]}]}]}, {"tin": {"type": "ein", "value": "356061776"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 68.0, "npi": [1326453937]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 31.0, "npi": [1932412509]}]}, {"allowed_amount": 11.48, "providers": [{"billed_charge": 31.0, "npi": [1740644400]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.88, "providers": [{"billed_charge": 75.0, "npi": [1346290863]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 57.0, "npi": [1497770762]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.45, "providers": [{"billed_charge": 32.0, "npi": [1578189924]}]}, {"allowed_amount": 10.6, "providers": [{"billed_charge": 32.0, "npi": [1609119932, 1578940797]}]}]}, {"tin": {"type": "ein", "value": "363884882"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.45, "providers": [{"billed_charge": 30.0, "npi": [1730320235]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 86.0, "npi": [1134381205]}]}]}, {"tin": {"type": "ein", "value": "367135270"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.35, "providers": [{"billed_charge": 61.0, "npi": [1710446653]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.48, "providers": [{"billed_charge": 34.2, "npi": [1104266881, 1588657076]}]}]}, {"tin": {"type": "ein", "value": "382537427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 46.0, "npi": [1083827612]}]}]}, {"tin": {"type": "ein", "value": "382791823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.48, "providers": [{"billed_charge": 27.0, "npi": [1437415874]}]}]}, {"tin": {"type": "ein", "value": "383165248"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.06, "providers": [{"billed_charge": 84.0, "npi": [1457309569]}]}]}, {"tin": {"type": "ein", "value": "383176550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.06, "providers": [{"billed_charge": 18.0, "npi": [1790048528, 1003839218]}]}]}, {"tin": {"type": "ein", "value": "383334020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.33, "providers": [{"billed_charge": 59.0, "npi": [1811150881]}]}]}, {"tin": {"type": "ein", "value": "383345124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 64.0, "npi": [1922362185, 1952325961]}]}, {"allowed_amount": 81.36, "providers": [{"billed_charge": 64.0, "npi": [1669748091]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.06, "providers": [{"billed_charge": 34.2, "npi": [1750501367]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.99, "providers": [{"billed_charge": 54.0, "npi": [1407962855]}]}]}, {"tin": {"type": "ein", "value": "390964813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.99, "providers": [{"billed_charge": 108.0, "npi": [1508845090]}]}]}, {"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.99, "providers": [{"billed_charge": 70.0, "npi": [1003935925]}]}]}, {"tin": {"type": "ein", "value": "394656216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.43, "providers": [{"billed_charge": 82.62, "npi": [1669919577]}]}]}, {"tin": {"type": "ein", "value": "412175615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 26.0, "npi": [1538302567]}]}, {"allowed_amount": 11.7, "providers": [{"billed_charge": 26.0, "npi": [1265439400]}]}]}, {"tin": {"type": "ein", "value": "420504780"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.03, "providers": [{"billed_charge": 25.0, "npi": [1811429178]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.03, "providers": [{"billed_charge": 26.0, "npi": [1760464077]}]}]}, {"tin": {"type": "ein", "value": "421629846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.62, "providers": [{"billed_charge": 34.0, "npi": [1942234208]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "providers": [{"billed_charge": 30.0, "npi": [1477086593]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.15, "providers": [{"billed_charge": 75.0, "npi": [1770591539]}]}, {"allowed_amount": 15.03, "providers": [{"billed_charge": 75.0, "npi": [1699755777, 1114907292]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 35.0, "npi": [1891826269]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 28.0, "npi": [1285803353]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.66, "providers": [{"billed_charge": 56.0, "npi": [1265164214, 1336133750]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 58.0, "npi": [1659318996]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.2, "providers": [{"billed_charge": 36.0, "npi": [1700449899]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.25, "providers": [{"billed_charge": 30.0, "npi": [1083657035]}]}]}, {"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 22.28, "npi": [1306937784]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.82, "providers": [{"billed_charge": 67.0, "npi": [1487073680, 1508826066]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.94, "providers": [{"billed_charge": 18.0, "npi": [1083147128, 1871080754]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 92.0, "npi": [1952754368, 1982612214, 1386689719]}]}, {"allowed_amount": 28.21, "providers": [{"billed_charge": 92.0, "npi": [1932138146, 1144422379, 1639733165, 1417112723, 1689235764, 1235137274, 1629129531, 1821273053, 1467401406]}]}]}, {"tin": {"type": "ein", "value": "452867352"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.44, "providers": [{"billed_charge": 23.0, "npi": [1265698716]}]}, {"allowed_amount": 11.96, "providers": [{"billed_charge": 23.0, "npi": [1558619338]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "providers": [{"billed_charge": 44.0, "npi": [1922530559]}]}, {"allowed_amount": 16.14, "providers": [{"billed_charge": 44.0, "npi": [1477550135]}]}, {"allowed_amount": 16.54, "providers": [{"billed_charge": 44.0, "npi": [1619054723]}]}, {"allowed_amount": 16.8, "providers": [{"billed_charge": 44.0, "npi": [1730599754]}]}]}, {"tin": {"type": "ein", "value": "453967414"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.83, "providers": [{"billed_charge": 51.0, "npi": [1851363360, 1750776027, 1043478118, 1639499023]}]}]}, {"tin": {"type": "ein", "value": "454832340"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.83, "providers": [{"billed_charge": 51.0, "npi": [1710080114]}]}, {"allowed_amount": 15.29, "providers": [{"billed_charge": 51.0, "npi": [1164606034, 1982603239]}]}]}, {"tin": {"type": "ein", "value": "455440305"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.25, "providers": [{"billed_charge": 46.0, "npi": [1467077040, 1114501566]}]}]}, {"tin": {"type": "ein", "value": "455591555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.16, "providers": [{"billed_charge": 30.0, "npi": [1902048291]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 25.0, "npi": [1104168673]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 25.0, "npi": [1104168673]}]}]}, {"tin": {"type": "ein", "value": "460928982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 35.0, "npi": [1316977945]}]}]}, {"tin": {"type": "ein", "value": "461120780"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.24, "providers": [{"billed_charge": 84.0, "npi": [1821678947]}]}]}, {"tin": {"type": "ein", "value": "461177336"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.66, "providers": [{"billed_charge": 21.0, "npi": [1073700480]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 18.0, "npi": [1639278427, 1679559199]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.08, "providers": [{"billed_charge": 33.0, "npi": [1508010349]}]}, {"allowed_amount": 14.76, "providers": [{"billed_charge": 33.0, "npi": [1497762330]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.03, "providers": [{"billed_charge": 78.0, "npi": [1710961792]}, {"billed_charge": 85.0, "npi": [1225294887]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.84, "providers": [{"billed_charge": 34.0, "npi": [1518960772]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 34.0, "npi": [1750499653]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 52.0, "npi": [1063432896, 1538656608, 1962842880, 1154744068, 1407937733, 1720286917, 1104013226, 1992807150, 1740419282, 1881252468, 1063482073, 1942950969]}]}, {"allowed_amount": 21.47, "providers": [{"billed_charge": 52.0, "npi": [1962842880, 1043249568, 1871173633, 1992807150, 1154300432, 1740419282, 1841346194, 1881252468, 1942950969, 1003251422]}]}]}, {"tin": {"type": "ein", "value": "462531047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.11, "providers": [{"billed_charge": 56.0, "npi": [1417945593]}]}]}, {"tin": {"type": "ein", "value": "463490058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.98, "providers": [{"billed_charge": 82.62, "npi": [1558715573]}]}]}, {"tin": {"type": "ein", "value": "463756713"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.84, "providers": [{"billed_charge": 57.0, "npi": [1770557308]}]}]}, {"tin": {"type": "ein", "value": "464249321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.01, "providers": [{"billed_charge": 85.75, "npi": [1598159055]}]}]}, {"tin": {"type": "ein", "value": "464319695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 56.0, "npi": [1417983636]}]}]}, {"tin": {"type": "ein", "value": "464354068"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.52, "providers": [{"billed_charge": 32.0, "npi": [1104206424, 1215251897, 1093036089]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.77, "providers": [{"billed_charge": 215.0, "npi": [1629076351]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 86.0, "npi": [1356320808, 1811928666, 1154333987, 1083642524]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 86.0, "npi": [1316254493, 1023219763, 1104271725]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 86.0, "npi": [1316254493]}]}, {"allowed_amount": 19.79, "providers": [{"billed_charge": 86.0, "npi": [1811928666, 1316254493, 1912993114]}]}, {"allowed_amount": 22.82, "providers": [{"billed_charge": 86.0, "npi": [1356320808]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 86.0, "npi": [1427391465]}]}, {"allowed_amount": 24.46, "providers": [{"billed_charge": 86.0, "npi": [1104110386, 1023219763]}]}]}, {"tin": {"type": "ein", "value": "465477125"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 56.0, "npi": [1801214432]}]}]}, {"tin": {"type": "ein", "value": "470785575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.62, "providers": [{"billed_charge": 30.0, "npi": [1356585590]}]}]}, {"tin": {"type": "ein", "value": "470844961"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.64, "providers": [{"billed_charge": 28.0, "npi": [1003058173]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.37, "providers": [{"billed_charge": 16.0, "npi": [1245433952]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 16.0, "npi": [1730506866, 1871793604, 1710964671]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 16.0, "npi": [1871793604, 1710964671]}]}]}, {"tin": {"type": "ein", "value": "471709904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.6, "providers": [{"billed_charge": 25.0, "npi": [1053385575]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1.6, "providers": [{"billed_charge": 21.05, "npi": [1043480361]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 21.05, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "471988466"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "providers": [{"billed_charge": 83.0, "npi": [1295960581]}]}]}, {"tin": {"type": "ein", "value": "473119145"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 75.0, "npi": [1376611681, 1255579397, 1154530988, 1649698861, 1285705004, 1962578591]}]}, {"allowed_amount": 12.46, "providers": [{"billed_charge": 75.0, "npi": [1386810091]}]}, {"allowed_amount": 12.96, "providers": [{"billed_charge": 75.0, "npi": [1154530988]}]}, {"allowed_amount": 13.05, "providers": [{"billed_charge": 75.0, "npi": [1376611681, 1528131562, 1154530988, 1831643923, 1801239454, 1962578591]}]}, {"allowed_amount": 13.97, "providers": [{"billed_charge": 75.0, "npi": [1407894132]}]}]}, {"tin": {"type": "ein", "value": "473141246"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 80.0, "npi": [1467449017, 1205823838, 1619969359]}]}, {"allowed_amount": 13.14, "providers": [{"billed_charge": 80.0, "npi": [1467449017, 1619969359]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 80.0, "npi": [1205823838]}]}]}, {"tin": {"type": "ein", "value": "473718543"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.55, "providers": [{"billed_charge": 71.0, "npi": [1760619027, 1184832701]}]}]}, {"tin": {"type": "ein", "value": "475040973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 96.0, "npi": [1336536440, 1063964666, 1528495587, 1558314435]}]}, {"allowed_amount": 13.84, "providers": [{"billed_charge": 96.0, "npi": [1043875032, 1063964666, 1285613067, 1063496727]}]}]}, {"tin": {"type": "ein", "value": "475234611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.05, "providers": [{"billed_charge": 20.0, "npi": [1265432611]}]}]}, {"tin": {"type": "ein", "value": "475339746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.83, "providers": [{"billed_charge": 30.0, "npi": [1801294368]}]}, {"allowed_amount": 19.14, "providers": [{"billed_charge": 30.0, "npi": [1104207125]}]}]}, {"tin": {"type": "ein", "value": "475419443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.52, "providers": [{"billed_charge": 25.85, "npi": [1255303897]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.35, "providers": [{"billed_charge": 21.0, "npi": [1144242538, 1891805933]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.35, "providers": [{"billed_charge": 21.0, "npi": [1922117951]}]}]}, {"tin": {"type": "ein", "value": "510172171"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.58, "providers": [{"billed_charge": 23.0, "npi": [1073541256]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.08, "providers": [{"billed_charge": 34.0, "npi": [1053366013]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.76, "providers": [{"billed_charge": 85.75, "npi": [1649568692]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.58, "providers": [{"billed_charge": 24.0, "npi": [1902293210, 1245419159]}]}]}, {"tin": {"type": "ein", "value": "540793767"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.75, "providers": [{"billed_charge": 28.0, "npi": [1184845760]}]}]}, {"tin": {"type": "ein", "value": "541141362"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.24, "providers": [{"billed_charge": 37.0, "npi": [1447514229]}]}]}, {"tin": {"type": "ein", "value": "550492006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.27, "providers": [{"billed_charge": 46.0, "npi": [1588627459]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 31.0, "npi": [1922503721]}]}]}, {"tin": {"type": "ein", "value": "561667838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.99, "providers": [{"billed_charge": 31.0, "npi": [1487158523]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 1.62, "providers": [{"billed_charge": 32.0, "npi": [1831400860]}]}, {"allowed_amount": 15.41, "providers": [{"billed_charge": 32.0, "npi": [1285894774]}]}]}, {"tin": {"type": "ein", "value": "561763695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.17, "providers": [{"billed_charge": 49.0, "npi": [1629887765]}]}]}, {"tin": {"type": "ein", "value": "561903275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 61.0, "npi": [1013371426, 1669907051, 1952643884, 1205330875]}]}, {"allowed_amount": 15.57, "providers": [{"billed_charge": 61.0, "npi": [1689330466]}]}]}, {"tin": {"type": "ein", "value": "562066152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 75.0, "npi": [1386105930]}]}, {"allowed_amount": 15.57, "providers": [{"billed_charge": 75.0, "npi": [1295308591]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 16.0, "npi": [1467403832, 1992817126]}]}, {"allowed_amount": 15.57, "providers": [{"billed_charge": 16.0, "npi": [1770206898]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.15, "providers": [{"billed_charge": 78.0, "npi": [1174574297, 1831725852, 1568889582, 1558628164]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["20", "22", "23"], "payments": [{"allowed_amount": 13.15, "providers": [{"billed_charge": 34.0, "npi": [1609972603, 1588640643]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.15, "providers": [{"billed_charge": 68.0, "npi": [1194068684]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.06, "providers": [{"billed_charge": 25.0, "npi": [1447291216]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 20.5, "providers": [{"billed_charge": 30.0, "npi": [1114101417, 1821403890, 1699161703]}]}]}, {"tin": {"type": "ein", "value": "581634752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 70.0, "npi": [1396403325, 1881651503]}]}]}, {"tin": {"type": "ein", "value": "581920755"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "providers": [{"billed_charge": 111.0, "npi": [1184019101]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "providers": [{"billed_charge": 111.0, "npi": [1356087555]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.44, "providers": [{"billed_charge": 46.0, "npi": [1417121187]}]}, {"allowed_amount": 15.08, "providers": [{"billed_charge": 46.0, "npi": [1013924760, 1265828339, 1235315029]}]}, {"allowed_amount": 20.5, "providers": [{"billed_charge": 46.0, "npi": [1578184875, 1518981364, 1922635861]}]}]}, {"tin": {"type": "ein", "value": "582102607"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.87, "providers": [{"billed_charge": 68.0, "npi": [1447664974]}]}]}, {"tin": {"type": "ein", "value": "582228258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 78.0, "npi": [1306208558, 1346478542, 1669406260, 1700248788, 1477999126, 1851662936]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.63, "providers": [{"billed_charge": 38.0, "npi": [1922217926, 1104879782, 1346326287]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 115.0, "npi": [1316027675, 1891073110]}]}, {"allowed_amount": 13.72, "providers": [{"billed_charge": 115.0, "npi": [1568430783]}]}]}, {"tin": {"type": "ein", "value": "590634434"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.03, "providers": [{"billed_charge": 71.5, "npi": [1922236447]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 71.5, "npi": [1730176744, 1922236447]}]}, {"allowed_amount": 13.05, "providers": [{"billed_charge": 71.5, "npi": [1730176744]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 75.0, "npi": [1326047432, 1174583975, 1710091426, 1710943071]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1114138815, 1710091426, 1891957445, 1174583975, 1639535784, 1366443657, 1326047432, 1396905493, 1487064283, 1710943071]}]}, {"allowed_amount": 13.75, "providers": [{"billed_charge": 75.0, "npi": [1710091426, 1174583975, 1326047432, 1487064283, 1710943071]}]}, {"allowed_amount": 14.53, "providers": [{"billed_charge": 75.0, "npi": [1366443657, 1396905493]}]}, {"allowed_amount": 20.24, "providers": [{"billed_charge": 75.0, "npi": [1639535784, 1891957445, 1114138815]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 22.0, "npi": [1396713491, 1811159015]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 22.0, "npi": [1932480688, 1811159015]}]}]}, {"tin": {"type": "ein", "value": "591218357"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1639197395]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1508855339]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 75.0, "npi": [1275511289, 1396758074]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.1, "providers": [{"billed_charge": 89.0, "npi": [1912733767]}]}, {"allowed_amount": 34.23, "providers": [{"billed_charge": 89.0, "npi": [1821109216, 1942835145, 1750601035, 1245895952, 1932183696, 1427541333]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.22, "providers": [{"billed_charge": 65.0, "npi": [1043218464, 1730620097, 1861400160, 1699066019, 1376123307, 1205822004, 1275160731]}, {"billed_charge": 67.0, "npi": [1760060917, 1376005207]}, {"billed_charge": 78.0, "npi": [1073509618, 1205320942, 1952981870]}, {"billed_charge": 80.0, "npi": [1851320386, 1912132010, 1568048395, 1467681007, 1972966778]}, {"billed_charge": 82.0, "npi": [1881652808]}, {"billed_charge": 87.0, "npi": [1396031233, 1063032449, 1255951364, 1932542347, 1861874828, 1326669581, 1780316307, 1487992343, 1275160731, 1326036765, 1740848159, 1558758821, 1720422694, 1902366503, 1083146278, 1639602345, 1912132010, 1962817965, 1861791535, 1699354423, 1982348348, 1558341180, 1730743998, 1124467394, 1326570060, 1255919569, 1376117077, 1154060374, 1760913495, 1225490014, 1700172772, 1043440100, 1215341540, 1427637867, 1073824108, 1417417197, 1578925038, 1205320942, 1003498353, 1003299314, 1821007220, 1407144314, 1093177982]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 48.0, "npi": [1457858995]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 48.0, "npi": [1487016929, 1114933082, 1033316948]}]}, {"allowed_amount": 17.26, "providers": [{"billed_charge": 48.0, "npi": [1487016929, 1033316948, 1992124549]}]}]}, {"tin": {"type": "ein", "value": "591707138"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.39, "providers": [{"billed_charge": 16.0, "npi": [1871793604]}]}]}, {"tin": {"type": "ein", "value": "591760995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 20.0, "npi": [1861428260]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.73, "providers": [{"billed_charge": 71.4, "npi": [1609847292]}]}, {"allowed_amount": 7.16, "providers": [{"billed_charge": 71.4, "npi": [1457248452]}]}, {"allowed_amount": 8.0, "providers": [{"billed_charge": 71.4, "npi": [1801174073]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 71.4, "npi": [1518171776, 1356630529, 1811960578, 1790384642, 1013596808, 1013146505, 1699765131, 1043897101, 1902256142, 1942836879, 1861079824, 1730694290, 1780662676, 1568852630, 1427013143, 1952833816, 1225062813, 1578901021, 1396970398, 1639303456, 1467713057, 1952389538, 1942406822, 1487605671, 1437577004, 1033348784, 1023169968, 1154781748, 1205358645, 1801472568, 1578023354, 1598074429, 1902127293, 1528506433, 1427685189, 1588604870, 1679192140, 1104453455, 1457871824, 1912224593, 1952668626, 1508824657, 1164793428, 1093919573, 1033421011, 1407437528, 1790041689, 1265591002, 1336889948, 1457333858, 1083294821, 1144413675, 1093795437, 1912094574, 1033869680, 1386394997, 1386803062, 1356318711, 1609847292]}]}, {"allowed_amount": 12.63, "providers": [{"billed_charge": 71.4, "npi": [1871673053, 1891920989, 1558557637]}]}, {"allowed_amount": 13.87, "providers": [{"billed_charge": 71.4, "npi": [1548723257]}]}, {"allowed_amount": 22.82, "providers": [{"billed_charge": 71.4, "npi": [1104453802]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 71.4, "npi": [1518171776, 1356630529, 1215434626, 1013596808, 1013146505, 1043897101, 1902256142, 1942836879, 1861703696, 1922208016, 1235636754, 1427013143, 1053383448, 1407344153, 1487674776, 1487187233, 1821433889, 1568099109, 1225324205, 1033348784, 1154781748, 1952041782, 1518544568, 1801472568, 1578023354, 1598074429, 1053992511, 1427685189, 1588604870, 1063945541, 1639512650, 1679192140, 1750517199, 1457871824, 1104453455, 1033421011, 1164793428, 1407437528, 1790041689, 1265591002, 1164963419, 1225667801, 1598225245, 1669114856, 1144413675, 1093795437, 1033869680, 1851914097, 1275283830, 1356318711, 1386803062]}]}, {"allowed_amount": 33.51, "providers": [{"billed_charge": 71.4, "npi": [1639303456, 1952389538, 1457662058, 1255776076, 1982021838, 1851914097, 1053383448, 1235636754, 1922326834, 1649427352, 1134324056, 1275859225, 1902127293]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 35.0, "npi": [1578687844, 1205135381, 1538892245, 1538964341, 1821080029]}, {"billed_charge": 52.0, "npi": [1821080029, 1578687844, 1538892245, 1538964341]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 35.0, "npi": [1578687844, 1144240490, 1538892245, 1538964341, 1366856221]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 15.6, "npi": [1780689356, 1538346796, 1760794192, 1669534897, 1598752412]}]}, {"allowed_amount": 13.05, "providers": [{"billed_charge": 15.6, "npi": [1023013661, 1124147467, 1669534897, 1992966360, 1356760763, 1598752412, 1205064029]}, {"billed_charge": 44.8, "npi": [1023013661, 1477559623]}]}, {"allowed_amount": 15.6, "providers": [{"billed_charge": 15.6, "npi": [1538346796]}]}]}, {"tin": {"type": "ein", "value": "592155537"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 15.0, "npi": [1275763757]}]}, {"allowed_amount": 14.74, "providers": [{"billed_charge": 15.0, "npi": [1275763757]}]}]}, {"tin": {"type": "ein", "value": "592226121"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.27, "providers": [{"billed_charge": 75.0, "npi": [1407801673]}]}, {"allowed_amount": 8.96, "providers": [{"billed_charge": 75.0, "npi": [1407801673]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 75.0, "npi": [1346454915, 1164425005, 1386845774, 1790741783, 1285659995]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 75.0, "npi": [1063445351, 1407801673, 1972503019, 1164425005, 1285652016, 1649442740, 1518956572]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 75.0, "npi": [1972503019, 1518956572, 1477553063]}]}]}, {"tin": {"type": "ein", "value": "592305035"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.49, "providers": [{"billed_charge": 18.0, "npi": [1699870394, 1801022165]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 18.0, "npi": [1801022165, 1134229198]}, {"billed_charge": 21.0, "npi": [1801022165, 1134229198]}, {"billed_charge": 22.0, "npi": [1801022165]}, {"billed_charge": 23.0, "npi": [1801022165, 1134229198]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 18.0, "npi": [1174511216, 1598736969, 1801022165, 1134229198]}, {"billed_charge": 21.0, "npi": [1801022165]}, {"billed_charge": 22.0, "npi": [1801022165]}, {"billed_charge": 23.0, "npi": [1134229198]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 18.0, "npi": [1174511216]}, {"billed_charge": 21.0, "npi": [1174511216]}, {"billed_charge": 23.0, "npi": [1174511216]}]}]}, {"tin": {"type": "ein", "value": "592307508"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1780667923]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1023061249, 1780173708, 1346256526, 1093896722, 1740221845, 1235177882, 1467986463, 1811156128, 1154360485, 1922047398, 1043743529, 1861424939, 1659312684, 1437390382, 1558302638, 1669572400, 1134187701, 1013118405, 1841247558, 1861448532, 1235373143, 1730163544, 1770579427, 1942206057, 1427542257, 1184185969, 1255342333]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 75.0, "npi": [1417919499, 1326070319]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1023061249, 1417919499, 1780173708, 1346256526, 1093896722, 1780667923, 1740221845, 1235177882, 1467986463, 1811156128, 1154360485, 1922047398, 1043743529, 1861424939, 1659312684, 1437390382, 1558302638, 1669572400, 1326070319, 1134187701, 1013118405, 1841247558, 1861448532, 1235373143, 1730163544, 1770579427, 1942206057, 1184185969, 1427542257, 1255342333]}]}]}, {"tin": {"type": "ein", "value": "592324519"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 18.0, "npi": [1285659995]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 18.0, "npi": [1285659995, 1689780926]}, {"billed_charge": 23.0, "npi": [1285659995]}, {"billed_charge": 91.14, "npi": [1285659995]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 18.0, "npi": [1689780926]}, {"billed_charge": 21.0, "npi": [1689780926]}]}]}, {"tin": {"type": "ein", "value": "592401624"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 17.3, "npi": [1669576104]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 17.3, "npi": [1669576104]}]}]}, {"tin": {"type": "ein", "value": "592487572"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.47, "providers": [{"billed_charge": 18.0, "npi": [1710956958]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 18.0, "npi": [1255393294, 1386975175]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 18.0, "npi": [1386975175, 1396768552, 1255393294, 1225079668, 1710956958]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 18.0, "npi": [1396768552, 1225079668, 1710956958, 1386975175]}]}]}, {"tin": {"type": "ein", "value": "592577628"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 16.0, "npi": [1992782577]}]}, {"allowed_amount": 13.75, "providers": [{"billed_charge": 16.0, "npi": [1992782577]}]}]}, {"tin": {"type": "ein", "value": "592623821"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 75.0, "npi": [1457629586, 1497758692, 1124053061, 1346290863]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 75.0, "npi": [1497758692, 1124053061, 1356304455, 1881685931, 1346290863, 1457629586]}]}, {"allowed_amount": 13.44, "providers": [{"billed_charge": 75.0, "npi": [1457629586, 1497758692]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 75.0, "npi": [1881685931, 1356304455, 1346290863]}]}]}, {"tin": {"type": "ein", "value": "592723634"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1063495836]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1932155264, 1346288768, 1346256526, 1043266703, 1730126095, 1093896722, 1740221845, 1235177882, 1821434267, 1922054170, 1154476836, 1922047398, 1861424939, 1437390382, 1669572400, 1306885314, 1245277011, 1235373143, 1730163544, 1770579427, 1386816874, 1124243563, 1053680496, 1104822261, 1255342333, 1225446271]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1932155264, 1346256526, 1043266703, 1730126095, 1093896722, 1740221845, 1235177882, 1821434267, 1063495836, 1922054170, 1154476836, 1922047398, 1861424939, 1437390382, 1669572400, 1306885314, 1245277011, 1235373143, 1730163544, 1770579427, 1386816874, 1124243563, 1053680496, 1104822261, 1255342333, 1225446271]}]}]}, {"tin": {"type": "ein", "value": "592766165"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.98, "providers": [{"billed_charge": 20.0, "npi": [1659570851, 1689667974, 1508828591]}]}]}, {"tin": {"type": "ein", "value": "592800669"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1073543799]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1023061249, 1780173708, 1093896722, 1740221845, 1235177882, 1467986463, 1811156128, 1154360485, 1922047398, 1043743529, 1861424939, 1659312684, 1437390382, 1669572400, 1134187701, 1013118405, 1245277011, 1861448532, 1235373143, 1730163544, 1770579427, 1942206057, 1184185969, 1427542257]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 75.0, "npi": [1417919499, 1326070319]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1023061249, 1417919499, 1780173708, 1093896722, 1740221845, 1235177882, 1467986463, 1811156128, 1154360485, 1922047398, 1043743529, 1659312684, 1437390382, 1326070319, 1669572400, 1134187701, 1013118405, 1245277011, 1861448532, 1235373143, 1730163544, 1770579427, 1942206057, 1184185969, 1427542257, 1073543799]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.37, "providers": [{"billed_charge": 40.0, "npi": [1669430732, 1851309629, 1013995406]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 22.0, "npi": [1962504456, 1114989134, 1215598545, 1609309715, 1235343997]}]}, {"allowed_amount": 13.05, "providers": [{"billed_charge": 22.0, "npi": [1962504456]}]}, {"allowed_amount": 13.98, "providers": [{"billed_charge": 22.0, "npi": [1083749642]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 30.0, "npi": [1790099265, 1588911333, 1629292875, 1881041358, 1295113298, 1710185335, 1912184730, 1487646717, 1184887903]}]}, {"allowed_amount": 11.96, "providers": [{"billed_charge": 30.0, "npi": [1245627660]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 30.0, "npi": [1013165141]}]}, {"allowed_amount": 12.63, "providers": [{"billed_charge": 30.0, "npi": [1043473531]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 30.0, "npi": [1245593987, 1528248234, 1912901968, 1396948980, 1194771188, 1912184730, 1144466111]}]}, {"allowed_amount": 13.72, "providers": [{"billed_charge": 30.0, "npi": [1376509166]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 122.0, "npi": [1134448020]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 122.0, "npi": [1144535097, 1265429427, 1174596324]}]}, {"allowed_amount": 12.63, "providers": [{"billed_charge": 122.0, "npi": [1265429427]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 122.0, "npi": [1710974977, 1720043441, 1174596324, 1649708157]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 22.0, "npi": [1972658292, 1902951213]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 43.0, "npi": [1144519034]}]}, {"allowed_amount": 13.72, "providers": [{"billed_charge": 43.0, "npi": [1144519034]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.43, "providers": [{"billed_charge": 167.0, "npi": [1245646587]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 167.0, "npi": [1740388354, 1174962179, 1780316802, 1427491976, 1174561930, 1063663508, 1497307797, 1023424660, 1326302100, 1689613721, 1346762788, 1851734321, 1720239411, 1043240377, 1679893960, 1689244105, 1417925199, 1801047519, 1558628578, 1114255718, 1366533226, 1346686573, 1730528753, 1245646587, 1326035197, 1437598463]}]}, {"allowed_amount": 11.96, "providers": [{"billed_charge": 167.0, "npi": [1205276789]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 167.0, "npi": [1679964464]}]}, {"allowed_amount": 21.47, "providers": [{"billed_charge": 167.0, "npi": [1346686573]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 167.0, "npi": [1538423330, 1992934434, 1346762788, 1073568614, 1538628615, 1427431782, 1851541130, 1578714093, 1730528753, 1669968178, 1851734321, 1811217268, 1023424660, 1861431926, 1437300951, 1952665747, 1063663516, 1790748671]}]}, {"allowed_amount": 25.43, "providers": [{"billed_charge": 167.0, "npi": [1841221777]}]}]}, {"tin": {"type": "ein", "value": "593597846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 69.0, "npi": [1437378577, 1861686123, 1790711133]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 69.0, "npi": [1033640818]}]}]}, {"tin": {"type": "ein", "value": "593730782"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.05, "providers": [{"billed_charge": 18.0, "npi": [1922093921]}]}, {"allowed_amount": 14.74, "providers": [{"billed_charge": 18.0, "npi": [1487811931]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.06, "providers": [{"billed_charge": 21.0, "npi": [1255891537]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.06, "providers": [{"billed_charge": 30.0, "npi": [1548298433, 1356780142, 1912943218, 1346284437, 1184042681]}]}]}, {"tin": {"type": "ein", "value": "611401114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.06, "providers": [{"billed_charge": 45.0, "npi": [1417290081]}]}]}, {"tin": {"type": "ein", "value": "611442402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 73.0, "npi": [1609189620]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.54, "providers": [{"billed_charge": 40.0, "npi": [1164659603]}]}, {"allowed_amount": 36.79, "providers": [{"billed_charge": 58.0, "npi": [1669457792, 1265991491, 1336215516]}]}]}, {"tin": {"type": "ein", "value": "611871948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1588737167]}]}]}, {"tin": {"type": "ein", "value": "611956307"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 33.0, "npi": [1417061607]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.62, "providers": [{"billed_charge": 78.0, "npi": [1316441504, 1912438540, 1871989541]}]}]}, {"tin": {"type": "ein", "value": "621179254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.02, "providers": [{"billed_charge": 53.0, "npi": [1962493676, 1285377267, 1013370022, 1568807758]}]}]}, {"tin": {"type": "ein", "value": "621181235"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.1, "providers": [{"billed_charge": 30.0, "npi": [1609308840]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.7, "providers": [{"billed_charge": 82.0, "npi": [1922565282]}]}, {"allowed_amount": 28.98, "providers": [{"billed_charge": 75.0, "npi": [1669050928]}]}, {"allowed_amount": 125.56, "providers": [{"billed_charge": 79.0, "npi": [1952982274]}]}]}, {"tin": {"type": "ein", "value": "630889615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 20.0, "npi": [1669567954]}]}]}, {"tin": {"type": "ein", "value": "631104510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 50.0, "npi": [1174978415]}]}]}, {"tin": {"type": "ein", "value": "636000090"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 124.65, "npi": [1518923465]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 32.0, "npi": [1225525561, 1073738167]}]}]}, {"tin": {"type": "ein", "value": "636004476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 30.0, "npi": [1326027491, 1811916414]}]}]}, {"tin": {"type": "ein", "value": "640895480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.86, "providers": [{"billed_charge": 21.0, "npi": [1366487365]}]}]}, {"tin": {"type": "ein", "value": "646008520"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.86, "providers": [{"billed_charge": 90.0, "npi": [1093760175]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1760799050, 1598725558]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1386030849, 1235494402, 1265485577, 1689195406, 1447889423, 1023406105, 1629472923, 1811488158, 1699065763, 1255437109, 1598725558, 1376508341, 1861810236, 1043290430, 1154756039, 1760799050, 1508305111, 1831167576, 1356321632, 1578508024, 1568953339]}]}, {"allowed_amount": 23.7, "providers": [{"billed_charge": 75.0, "npi": [1356321632, 1386030849, 1699065763, 1154756039, 1265485577, 1689195406, 1275997199, 1376863803, 1952557779, 1255437109, 1154542967, 1831167576, 1023406105, 1568953339, 1043290430]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.75, "providers": [{"billed_charge": 75.0, "npi": [1306384839]}]}]}, {"tin": {"type": "ein", "value": "650131243"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 40.0, "npi": [1144242066]}, {"billed_charge": 40.2, "npi": [1144242066]}, {"billed_charge": 400.0, "npi": [1144242066]}, {"billed_charge": 402.0, "npi": [1144242066]}]}]}, {"tin": {"type": "ein", "value": "650131843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 40.0, "npi": [1144242066]}]}]}, {"tin": {"type": "ein", "value": "650156931"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 80.0, "npi": [1588851265, 1437388006, 1851553481, 1013987791, 1013914001, 1568472983, 1124010335]}]}, {"allowed_amount": 13.14, "providers": [{"billed_charge": 80.0, "npi": [1336339811, 1275899080, 1720089204, 1023009909, 1841282076]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 80.0, "npi": [1649262882]}]}]}, {"tin": {"type": "ein", "value": "650167495"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 80.0, "npi": [1316923147, 1841282076, 1124010335]}]}, {"allowed_amount": 13.14, "providers": [{"billed_charge": 80.0, "npi": [1316923147, 1245203389]}]}]}, {"tin": {"type": "ein", "value": "650320253"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 40.0, "npi": [1043453475]}]}]}, {"tin": {"type": "ein", "value": "650351492"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1134102080]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1932155264, 1346454915, 1023470085, 1346256526, 1043266703, 1730126095, 1114199056, 1093896722, 1740221845, 1922054170, 1235177882, 1821434267, 1215466271, 1154476836, 1922047398, 1861424939, 1659312684, 1437390382, 1558302638, 1669572400, 1134187701, 1366407868, 1306885314, 1386845774, 1245277011, 1548498389, 1235373143, 1730163544, 1770579427, 1386816874, 1124243563, 1053680496, 1104822261, 1255342333, 1225446271]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1346288768, 1932155264, 1346454915, 1346256526, 1730126095, 1043266703, 1114199056, 1093896722, 1740221845, 1922054170, 1821434267, 1235177882, 1215466271, 1154476836, 1922047398, 1861424939, 1659312684, 1437390382, 1558302638, 1669572400, 1134187701, 1366407868, 1134102080, 1306885314, 1386845774, 1245277011, 1548498389, 1235373143, 1730163544, 1770579427, 1386816874, 1124243563, 1053680496, 1104822261, 1255342333, 1225446271]}]}]}, {"tin": {"type": "ein", "value": "650503198"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.81, "providers": [{"billed_charge": 34.0, "npi": [1427013523]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 18.0, "npi": [1144322181, 1982631750, 1902967144, 1619084456, 1215012844, 1235102476, 1386845774, 1275504847, 1790860310, 1235373143, 1326011545, 1962472829, 1790758910]}]}, {"allowed_amount": 10.46, "providers": [{"billed_charge": 18.0, "npi": [1386937613]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 18.0, "npi": [1326482092, 1942254164, 1386937613, 1881665461]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 18.0, "npi": [1326011545, 1982964870, 1215012844, 1558302638, 1851616783, 1942254164, 1881665461, 1790860310, 1083844278, 1730103961, 1194799387, 1790758910]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.87, "providers": [{"billed_charge": 128.0, "npi": [1437142320]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.22, "providers": [{"billed_charge": 71.0, "npi": [1255782348]}, {"billed_charge": 81.0, "npi": [1053385070, 1487804886]}, {"billed_charge": 83.0, "npi": [1891731386, 1023334018, 1871020420, 1588960900, 1891223624, 1528599081, 1891227625, 1255782348, 1275768145, 1740644822, 1639707607, 1427708890, 1366546301]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.82, "providers": [{"billed_charge": 64.0, "npi": [1639830532]}]}, {"allowed_amount": 10.51, "providers": [{"billed_charge": 64.0, "npi": [1831147743]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 64.0, "npi": [1720068224, 1043639297, 1912388224, 1205577988, 1255342341, 1023038346, 1114151313, 1588600217, 1083864987, 1801120027, 1811060130, 1407039522, 1699270819, 1740784933, 1871562413, 1013364660, 1215925045, 1558358069, 1255735221, 1841287356, 1568880961, 1316917321, 1467449033, 1013904457, 1619992153, 1801875554, 1396781027, 1275812067, 1730529124, 1912439910, 1326209255, 1114915949, 1326467580]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 64.0, "npi": [1205879624, 1356589964, 1013494798, 1245304310, 1972936698]}]}, {"allowed_amount": 23.7, "providers": [{"billed_charge": 64.0, "npi": [1720068224, 1043639297, 1912388224, 1255342341, 1023038346, 1114151313, 1588600217, 1801120027, 1811060130, 1699270819, 1871562413, 1013364660, 1215925045, 1841287356, 1568880961, 1467449033, 1013904457, 1316917321, 1821444563, 1619992153, 1275812067, 1730529124, 1396781027, 1912439910, 1326209255, 1871572586, 1114915949, 1326467580]}]}]}, {"tin": {"type": "ein", "value": "650874445"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.87, "providers": [{"billed_charge": 42.0, "npi": [1427031848, 1518123264, 1861652356, 1902923550]}]}, {"allowed_amount": 7.79, "providers": [{"billed_charge": 42.0, "npi": [1518123264, 1659499424, 1861652356, 1356398184, 1790969137, 1043255292, 1902923550]}]}, {"allowed_amount": 11.68, "providers": [{"billed_charge": 42.0, "npi": [1427031848]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 42.0, "npi": [1659499424, 1518123264, 1861652356, 1356398184, 1427031848, 1790969137, 1043255292, 1902923550]}]}, {"allowed_amount": 12.98, "providers": [{"billed_charge": 42.0, "npi": [1790969137]}]}]}, {"tin": {"type": "ein", "value": "650917227"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 18.0, "npi": [1427082114, 1356570626, 1881031045, 1598147340, 1114989837, 1295787927, 1477515161, 1356304554, 1942566526, 1841253044, 1659572022, 1740242361, 1669415741, 1174606529, 1124053061, 1568563401, 1841751245, 1093815508, 1851333975, 1518067032, 1568857696, 1497758692, 1225090921, 1659714921, 1639495534, 1164412276, 1598926966, 1124063094, 1083622906, 1043236862]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 18.0, "npi": [1356570626, 1427082114, 1881031045, 1639515398, 1598147340, 1114989837, 1295787927, 1477515161, 1356304554, 1942697776, 1841253044, 1659572022, 1740242361, 1669415741, 1174606529, 1891775300, 1124053061, 1053590471, 1568563401, 1841751245, 1093815508, 1851333975, 1518067032, 1568857696, 1497758692, 1659714921, 1225090921, 1639495534, 1013111921, 1164412276, 1598926966, 1124063094, 1083622906, 1043236862]}, {"billed_charge": 22.0, "npi": [1427082114, 1497758692, 1891775300, 1053590471, 1225090921, 1568563401, 1598926966, 1851333975]}, {"billed_charge": 23.0, "npi": [1497758692]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 18.0, "npi": [1891775300, 1639515398, 1053590471, 1881685931, 1013111921]}]}]}, {"tin": {"type": "ein", "value": "650962951"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 18.0, "npi": [1104929025]}, {"billed_charge": 21.0, "npi": [1104929025]}, {"billed_charge": 23.0, "npi": [1104929025]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 18.0, "npi": [1104929025]}, {"billed_charge": 21.0, "npi": [1104929025]}, {"billed_charge": 22.0, "npi": [1104929025]}]}, {"allowed_amount": 13.44, "providers": [{"billed_charge": 18.0, "npi": [1104929025]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 18.0, "npi": [1104929025, 1871041210]}, {"billed_charge": 21.0, "npi": [1104929025]}, {"billed_charge": 22.0, "npi": [1104929025]}]}]}, {"tin": {"type": "ein", "value": "650977368"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1063466563]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1902808298]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 75.0, "npi": [1760687842, 1902293475, 1114911948, 1952311789, 1174932495, 1851670897]}]}]}, {"tin": {"type": "ein", "value": "650987963"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.49, "providers": [{"billed_charge": 18.0, "npi": [1780632208]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 18.0, "npi": [1780632208, 1811958945, 1871041210, 1588896120]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 18.0, "npi": [1811958945, 1427017797, 1780632208, 1588896120, 1871041210]}, {"billed_charge": 23.0, "npi": [1871041210, 1427017797]}]}]}, {"tin": {"type": "ein", "value": "650989157"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1730153644, 1275504847, 1336112564, 1326011545, 1962472829]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 75.0, "npi": [1760687842, 1366456311, 1326482092, 1851616783]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 75.0, "npi": [1538133442, 1982631750, 1326482092, 1275504847, 1174932495, 1336112564, 1366456311, 1922010008, 1326092313, 1962472829]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 75.0, "npi": [1326092313]}]}]}, {"tin": {"type": "ein", "value": "651089494"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 32.0, "npi": [1003808544, 1497791537, 1184729170, 1821416405]}, {"billed_charge": 75.0, "npi": [1003808544, 1427491364, 1508008806, 1497791537, 1679969851]}]}, {"allowed_amount": 8.65, "providers": [{"billed_charge": 75.0, "npi": [1902826779]}]}, {"allowed_amount": 11.68, "providers": [{"billed_charge": 32.0, "npi": [1235390535]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 32.0, "npi": [1356546881, 1427491364, 1740265610, 1184729170, 1245222355, 1588078265, 1871513754]}]}]}, {"tin": {"type": "ein", "value": "651092014"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.12, "providers": [{"billed_charge": 9.12, "npi": [1205043536]}]}]}, {"tin": {"type": "ein", "value": "651145436"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 42.0, "npi": [1508155144, 1427011444, 1508803222, 1235232216]}, {"billed_charge": 43.0, "npi": [1235232216, 1508155144, 1427011444, 1508803222]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 42.0, "npi": [1235232216, 1508155144, 1427011444, 1508803222]}, {"billed_charge": 43.0, "npi": [1235232216, 1508155144, 1427011444, 1508803222]}]}]}, {"tin": {"type": "ein", "value": "680360801"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.6, "providers": [{"billed_charge": 29.0, "npi": [1407240096]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.73, "providers": [{"billed_charge": 34.0, "npi": [1528227667, 1548674583]}]}]}, {"tin": {"type": "ein", "value": "720276883"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.38, "providers": [{"billed_charge": 43.0, "npi": [1598889388]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.38, "providers": [{"billed_charge": 19.0, "npi": [1326094996]}]}]}, {"tin": {"type": "ein", "value": "730579285"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.44, "providers": [{"billed_charge": 34.0, "npi": [1447694252]}]}]}, {"tin": {"type": "ein", "value": "731310891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.44, "providers": [{"billed_charge": 26.0, "npi": [1265889489]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.12, "providers": [{"billed_charge": 45.0, "npi": [1295811099]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.75, "providers": [{"billed_charge": 43.0, "npi": [1952493843]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.75, "providers": [{"billed_charge": 72.25, "npi": [1013406503]}]}, {"allowed_amount": 11.07, "providers": [{"billed_charge": 72.25, "npi": [1124068234, 1972823581]}]}, {"allowed_amount": 12.75, "providers": [{"billed_charge": 72.25, "npi": [1134700578]}]}, {"allowed_amount": 23.1, "providers": [{"billed_charge": 72.25, "npi": [1386088045]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.43, "providers": [{"billed_charge": 30.0, "npi": [1104825090]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.36, "providers": [{"billed_charge": 78.0, "npi": [1841518412, 1639523335]}]}, {"allowed_amount": 33.01, "providers": [{"billed_charge": 78.0, "npi": [1174985147]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 83.0, "npi": [1407273766, 1487608618, 1558999888, 1821044629, 1932605755, 1780211805]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 11.26, "providers": [{"billed_charge": 36.0, "npi": [1366782856, 1760430458, 1467613067]}]}]}, {"tin": {"type": "ein", "value": "752903508"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 75.0, "npi": [1902025653]}]}]}, {"tin": {"type": "ein", "value": "760324613"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.12, "providers": [{"billed_charge": 34.0, "npi": [1487948436]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.12, "providers": [{"billed_charge": 44.0, "npi": [1265840334]}]}, {"allowed_amount": 10.2, "providers": [{"billed_charge": 44.0, "npi": [1366457921, 1881946739, 1407048549]}]}]}, {"tin": {"type": "ein", "value": "760565432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 30.0, "npi": [1497782858]}]}]}, {"tin": {"type": "ein", "value": "760841500"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 17.8, "providers": [{"billed_charge": 28.0, "npi": [1790084929, 1417131715, 1396046694, 1053725911]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.85, "providers": [{"billed_charge": 40.0, "npi": [1396784500]}]}]}, {"tin": {"type": "ein", "value": "770520285"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.89, "providers": [{"billed_charge": 61.0, "npi": [1659799799]}]}]}, {"tin": {"type": "ein", "value": "800212487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 72.89, "npi": [1083904940]}]}]}, {"tin": {"type": "ein", "value": "800841009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.35, "providers": [{"billed_charge": 28.0, "npi": [1083664015]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.12, "providers": [{"billed_charge": 86.0, "npi": [1841871191]}]}, {"allowed_amount": 28.23, "providers": [{"billed_charge": 61.0, "npi": [1437281185, 1568193217, 1396463972, 1730130725, 1306848973, 1477005239, 1366054611, 1750723060, 1003405077, 1639587702, 1326772823, 1861909236, 1548756893, 1346824703]}, {"billed_charge": 67.0, "npi": [1467932152]}, {"billed_charge": 83.0, "npi": [1326393182, 1184353666, 1598497398]}, {"billed_charge": 86.0, "npi": [1750421632, 1396092532, 1821593252, 1598497398]}]}, {"allowed_amount": 33.22, "providers": [{"billed_charge": 61.0, "npi": [1285275784, 1073711248, 1871121939, 1447205653, 1164443925, 1578905881, 1063469724, 1588196265, 1528696879, 1730136755, 1114275641, 1245264829, 1265631808, 1801852868, 1023232600, 1720035181, 1316255854, 1871056879, 1922494962, 1558329458, 1821392630, 1306080759, 1356904312, 1457748733]}, {"billed_charge": 64.0, "npi": [1851356265, 1235117771, 1427291954, 1972882454, 1467724054, 1326624859, 1063153021]}, {"billed_charge": 67.0, "npi": [1629174917, 1992332365, 1508917105, 1801781042, 1669609046, 1982021846, 1972025310]}, {"billed_charge": 73.0, "npi": [1730717570, 1407432941, 1376030445, 1023391026, 1699753459, 1740260538, 1083142525]}, {"billed_charge": 83.0, "npi": [1073834123, 1043234768, 1437252657, 1619354578, 1033260831]}, {"billed_charge": 86.0, "npi": [1306334594, 1730717570, 1053791749, 1730169863, 1245492487, 1265704332, 1861470353, 1659734804, 1336880533, 1972882454, 1407344153, 1033260831, 1073072930, 1295199784, 1699302570, 1073045175, 1225423429, 1235117771, 1053677138, 1619354578, 1346746203, 1629606108, 1326624859, 1538441316, 1194993766, 1912932583, 1851356265, 1407432941, 1699753459, 1124232822, 1417105404, 1083142525]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 39.0, "npi": [1275150385, 1386908010, 1710474713]}]}]}, {"tin": {"type": "ein", "value": "810889110"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.41, "providers": [{"billed_charge": 72.0, "npi": [1467434571]}]}]}, {"tin": {"type": "ein", "value": "811075984"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.47, "providers": [{"billed_charge": 68.75, "npi": [1790722429]}]}]}, {"tin": {"type": "ein", "value": "811422897"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.26, "providers": [{"billed_charge": 44.0, "npi": [1326308255]}]}]}, {"tin": {"type": "ein", "value": "811855329"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 56.0, "npi": [1992731210]}]}]}, {"tin": {"type": "ein", "value": "812455970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 18.0, "npi": [1518970086]}]}]}, {"tin": {"type": "ein", "value": "812875670"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 64.8, "npi": [1558001024, 1720294556, 1982723383]}]}]}, {"tin": {"type": "ein", "value": "813477527"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.33, "providers": [{"billed_charge": 59.0, "npi": [1477599587]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.81, "providers": [{"billed_charge": 51.0, "npi": [1538177092]}]}]}, {"tin": {"type": "ein", "value": "814475074"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 36.25, "npi": [1134170517]}]}]}, {"tin": {"type": "ein", "value": "815136898"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.49, "providers": [{"billed_charge": 71.0, "npi": [1275945016]}]}]}, {"tin": {"type": "ein", "value": "815256430"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.8, "providers": [{"billed_charge": 117.0, "npi": [1053375386]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 61.0, "npi": [1578142337, 1518220557, 1154900116, 1689931289, 1659012763, 1407868060, 1770225054, 1427212067, 1558941732, 1942534565, 1861629354, 1457914426, 1194986331, 1972157535, 1356605281, 1194288613, 1740843754, 1730567280, 1487654521, 1013599356, 1457748733]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 61.0, "npi": [1194793026]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 61.0, "npi": [1457811457, 1770225054, 1558941732, 1194288613, 1144516675, 1154818599, 1003178856, 1487654521, 1659012763, 1265505374, 1972157535]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 65.0, "npi": [1437145992, 1205851565, 1881825461, 1174866263, 1154370807]}]}, {"allowed_amount": 23.7, "providers": [{"billed_charge": 65.0, "npi": [1437145992, 1205851565, 1881825461, 1265826614, 1700068566, 1154370807, 1942889308, 1174866263]}]}]}, {"tin": {"type": "ein", "value": "823235514"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 13.0, "npi": [1841491503]}]}]}, {"tin": {"type": "ein", "value": "823238430"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.41, "providers": [{"billed_charge": 125.0, "npi": [1255605952, 1154403665]}]}]}, {"tin": {"type": "ein", "value": "823270200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.41, "providers": [{"billed_charge": 125.0, "npi": [1255998076, 1528690997, 1194253997]}]}]}, {"tin": {"type": "ein", "value": "823315703"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.58, "providers": [{"billed_charge": 28.0, "npi": [1912984592, 1225144058, 1679066591]}]}]}, {"tin": {"type": "ein", "value": "823370086"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.52, "providers": [{"billed_charge": 35.0, "npi": [1407892326, 1265400014, 1215057559]}]}]}, {"tin": {"type": "ein", "value": "823909867"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.0, "providers": [{"billed_charge": 42.0, "npi": [1922274190]}]}]}, {"tin": {"type": "ein", "value": "824486211"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.87, "providers": [{"billed_charge": 174.0, "npi": [1295096923, 1841427374]}]}]}, {"tin": {"type": "ein", "value": "825362420"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.89, "providers": [{"billed_charge": 69.0, "npi": [1467443234]}]}]}, {"tin": {"type": "ein", "value": "830382654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.66, "providers": [{"billed_charge": 32.67, "npi": [1558522268]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 34.13, "npi": [1326482555]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.25, "providers": [{"billed_charge": 30.0, "npi": [1437446085]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.75, "providers": [{"billed_charge": 34.0, "npi": [1134146053]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.69, "providers": [{"billed_charge": 76.98, "npi": [1487942546]}]}, {"allowed_amount": 13.75, "providers": [{"billed_charge": 76.98, "npi": [1437361524, 1831726207]}]}]}, {"tin": {"type": "ein", "value": "843393326"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 56.0, "npi": [1972966273]}]}]}, {"tin": {"type": "ein", "value": "843491493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.3, "providers": [{"billed_charge": 35.0, "npi": [1609187004]}]}]}, {"tin": {"type": "ein", "value": "843707279"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.63, "providers": [{"billed_charge": 30.0, "npi": [1588074140]}]}, {"allowed_amount": 13.87, "providers": [{"billed_charge": 30.0, "npi": [1588074140]}]}]}, {"tin": {"type": "ein", "value": "843905120"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.87, "providers": [{"billed_charge": 50.0, "npi": [1760687842, 1336112564]}]}, {"allowed_amount": 6.49, "providers": [{"billed_charge": 50.0, "npi": [1336112564]}]}, {"allowed_amount": 9.52, "providers": [{"billed_charge": 50.0, "npi": [1902808298, 1336112564, 1982631750]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 50.0, "npi": [1922010008, 1760687842, 1366456311]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 50.0, "npi": [1760687842, 1336112564, 1952311789, 1982631750]}]}]}, {"tin": {"type": "ein", "value": "844302859"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 24.9, "npi": [1346206778]}]}]}, {"tin": {"type": "ein", "value": "844504483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "providers": [{"billed_charge": 56.0, "npi": [1033596689, 1164926143]}]}, {"allowed_amount": 12.75, "providers": [{"billed_charge": 56.0, "npi": [1679688048]}]}]}, {"tin": {"type": "ein", "value": "850988160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.15, "providers": [{"billed_charge": 20.0, "npi": [1134111727]}]}]}, {"tin": {"type": "ein", "value": "851040784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1679501068, 1629332606]}]}]}, {"tin": {"type": "ein", "value": "851277546"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 25.0, "npi": [1235480369, 1407821002]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.54, "providers": [{"billed_charge": 86.0, "npi": [1962151092]}]}, {"allowed_amount": 24.46, "providers": [{"billed_charge": 86.0, "npi": [1598706764]}]}]}, {"tin": {"type": "ein", "value": "860415065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.81, "providers": [{"billed_charge": 92.0, "npi": [1962965525, 1316237795, 1750960597]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.81, "providers": [{"billed_charge": 51.0, "npi": [1356720056]}]}]}, {"tin": {"type": "ein", "value": "861183738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.49, "providers": [{"billed_charge": 53.0, "npi": [1356901441]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.25, "providers": [{"billed_charge": 28.0, "npi": [1154404317, 1295819167]}]}, {"allowed_amount": 15.41, "providers": [{"billed_charge": 28.0, "npi": [1952457178]}]}]}, {"tin": {"type": "ein", "value": "862752298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.02, "providers": [{"billed_charge": 96.0, "npi": [1861837965]}]}]}, {"tin": {"type": "ein", "value": "870492357"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "providers": [{"billed_charge": 54.0, "npi": [1992191324]}]}]}, {"tin": {"type": "ein", "value": "872457837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.35, "providers": [{"billed_charge": 63.0, "npi": [1952374373]}]}, {"allowed_amount": 22.39, "providers": [{"billed_charge": 63.0, "npi": [1306596697, 1255781498]}]}]}, {"tin": {"type": "ein", "value": "872485529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 20.0, "npi": [1750372660]}]}]}, {"tin": {"type": "ein", "value": "873722274"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1023329992]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 83.0, "npi": [1225081532]}]}, {"allowed_amount": 13.84, "providers": [{"billed_charge": 83.0, "npi": [1225081532]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.63, "providers": [{"billed_charge": 30.0, "npi": [1326250036]}]}, {"allowed_amount": 13.87, "providers": [{"billed_charge": 30.0, "npi": [1548297195, 1316947484]}]}]}, {"tin": {"type": "ein", "value": "880161856"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 20.0, "npi": [1114159738, 1396734653]}]}]}, {"tin": {"type": "ein", "value": "880307849"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.04, "providers": [{"billed_charge": 78.0, "npi": [1972873198]}]}, {"allowed_amount": 30.63, "providers": [{"billed_charge": 78.0, "npi": [1962764712, 1861842064]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 36.0, "npi": [1346654308]}]}, {"allowed_amount": 10.79, "providers": [{"billed_charge": 36.0, "npi": [1891016515]}]}, {"allowed_amount": 11.7, "providers": [{"billed_charge": 36.0, "npi": [1902186166]}]}]}, {"tin": {"type": "ein", "value": "883185534"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.92, "providers": [{"billed_charge": 950.0, "npi": [1558507178]}]}]}, {"tin": {"type": "ein", "value": "900387443"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.6, "providers": [{"billed_charge": 48.0, "npi": [1659390581, 1376070789]}]}]}, {"tin": {"type": "ein", "value": "900733283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.38, "providers": [{"billed_charge": 21.0, "npi": [1811124480]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.72, "providers": [{"billed_charge": 28.0, "npi": [1538221221]}]}]}, {"tin": {"type": "ein", "value": "911828806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 39.0, "npi": [1942619283]}]}, {"allowed_amount": 13.96, "providers": [{"billed_charge": 39.0, "npi": [1881742898]}]}]}, {"tin": {"type": "ein", "value": "911911869"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.74, "providers": [{"billed_charge": 38.0, "npi": [1164490892, 1023123023]}]}]}, {"tin": {"type": "ein", "value": "911939739"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 5.37, "providers": [{"billed_charge": 24.0, "npi": [1871728220]}]}, {"allowed_amount": 13.72, "providers": [{"billed_charge": 24.0, "npi": [1043337439]}]}]}, {"tin": {"type": "ein", "value": "920192097"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.4, "providers": [{"billed_charge": 22.0, "npi": [1861784399]}]}]}, {"tin": {"type": "ein", "value": "920872236"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 83.0, "npi": [1295477271]}]}]}, {"tin": {"type": "ein", "value": "921582601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "providers": [{"billed_charge": 74.0, "npi": [1093769648]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.54, "providers": [{"billed_charge": 117.0, "npi": [1710400353, 1700374915, 1104311174, 1255080073, 1184853004, 1740226190, 1841754678, 1306473624, 1063964666, 1821331612]}]}, {"allowed_amount": 13.44, "providers": [{"billed_charge": 117.0, "npi": [1184853004]}]}, {"allowed_amount": 15.68, "providers": [{"billed_charge": 117.0, "npi": [1821331612]}]}, {"allowed_amount": 24.46, "providers": [{"billed_charge": 117.0, "npi": [1063964666, 1700374915, 1104311174, 1255080073, 1891324778, 1184853004, 1740226190, 1881994770, 1841754678, 1881125722]}]}]}, {"tin": {"type": "ein", "value": "921786783"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 71.0, "npi": [1255351573]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 284.06, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "922826272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.63, "providers": [{"billed_charge": 71.0, "npi": [1275021032]}]}, {"allowed_amount": 35.24, "providers": [{"billed_charge": 71.0, "npi": [1609066901]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.7, "providers": [{"billed_charge": 63.0, "npi": [1003540550]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 64.16, "npi": [1073532404]}]}, {"allowed_amount": 22.82, "providers": [{"billed_charge": 64.16, "npi": [1396797155]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 64.0, "npi": [1417417965, 1558590638, 1962447599, 1417925876, 1962864181, 1952339103]}]}, {"allowed_amount": 12.11, "providers": [{"billed_charge": 64.0, "npi": [1215982657, 1083649602, 1619408739, 1659663334, 1003076183, 1336725225, 1518163658, 1962616367, 1952352239, 1467794545, 1699744177, 1801221619, 1750382420, 1649202961, 1629099411, 1174055479, 1962441048, 1184975039]}]}, {"allowed_amount": 12.98, "providers": [{"billed_charge": 64.0, "npi": [1649202961, 1003076183, 1174055479]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 64.0, "npi": [1407802473]}]}, {"allowed_amount": 22.9, "providers": [{"billed_charge": 64.0, "npi": [1487712808, 1417417965, 1962447599, 1215371349, 1700465333, 1124070875]}]}, {"allowed_amount": 23.7, "providers": [{"billed_charge": 64.0, "npi": [1215982657, 1083649602, 1619408739, 1114918117, 1659663334, 1679922629, 1518163658, 1962616367, 1699744177, 1649202961, 1801221619, 1750382420, 1003076183, 1962441048, 1184975039]}]}, {"allowed_amount": 41.85, "providers": [{"billed_charge": 64.0, "npi": [1659313708]}]}, {"allowed_amount": 139.75, "providers": [{"billed_charge": 64.0, "npi": [1215982657, 1407802473]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.32, "providers": [{"billed_charge": 40.0, "npi": [1659363513]}]}]}, {"tin": {"type": "ein", "value": "933162823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.8, "providers": [{"billed_charge": 28.0, "npi": [1760801526]}]}]}, {"tin": {"type": "ein", "value": "933829214"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.97, "providers": [{"billed_charge": 56.0, "npi": [1023247566]}]}]}, {"tin": {"type": "ein", "value": "933854910"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.97, "providers": [{"billed_charge": 56.0, "npi": [1316152598]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.98, "providers": [{"billed_charge": 71.0, "npi": [1427491968]}]}, {"allowed_amount": 15.89, "providers": [{"billed_charge": 71.0, "npi": [1821109190]}]}, {"allowed_amount": 172.15, "providers": [{"billed_charge": 71.0, "npi": [1831129725]}]}]}, {"tin": {"type": "ein", "value": "943159355"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1457391039]}]}]}, {"tin": {"type": "ein", "value": "943226120"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.5, "providers": [{"billed_charge": 60.0, "npi": [1568091528]}]}]}, {"tin": {"type": "ein", "value": "954373071"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 48.0, "npi": [1750316402]}]}]}, {"tin": {"type": "ein", "value": "954873894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.53, "providers": [{"billed_charge": 82.62, "npi": [1578190864]}]}]}, {"tin": {"type": "ein", "value": "991799354"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "providers": [{"billed_charge": 117.0, "npi": [1962602599]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 35.0, "npi": [1952569121]}]}]}, {"tin": {"type": "ein", "value": "992530371"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 71.0, "npi": [1386179364]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.11, "providers": [{"billed_charge": 32.0, "npi": [1558520320, 1083664932, 1427497445, 1144840232, 1740632520, 1699137422, 1225480015, 1225552912, 1770584310, 1669732541, 1942429725]}]}, {"allowed_amount": 12.13, "providers": [{"billed_charge": 32.0, "npi": [1528378445, 1902672983]}]}, {"allowed_amount": 13.49, "providers": [{"billed_charge": 32.0, "npi": [1760613673, 1548523236, 1003865502, 1881012060]}]}, {"allowed_amount": 13.84, "providers": [{"billed_charge": 32.0, "npi": [1558520320, 1053570820, 1801448741, 1922008390, 1780241927, 1740632520, 1104211051, 1386007664, 1548248115, 1548548563, 1659688125]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 32.0, "npi": [1962515924, 1841643772, 1699137422]}]}]}, {"tin": {"type": "ein", "value": "993514276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "providers": [{"billed_charge": 67.0, "npi": [1508286030]}]}]}, {"tin": {"type": "ein", "value": "993694300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 158.4, "npi": [1336109818]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.53, "providers": [{"billed_charge": 515.81, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "200817213"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.09, "providers": [{"billed_charge": 363.0, "npi": [1285630459]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 715.51, "providers": [{"billed_charge": 715.51, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.95, "providers": [{"billed_charge": 698.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 679.44, "providers": [{"billed_charge": 1941.25, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.25, "providers": [{"billed_charge": 149.0, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.76, "providers": [{"billed_charge": 281.2, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 309.0, "providers": [{"billed_charge": 309.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.22, "providers": [{"billed_charge": 205.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.28, "providers": [{"billed_charge": 277.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.46, "providers": [{"billed_charge": 152.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.36, "providers": [{"billed_charge": 136.36, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.85, "providers": [{"billed_charge": 375.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.24, "providers": [{"billed_charge": 87.24, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520608007"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.87, "providers": [{"billed_charge": 26.87, "npi": [1184712085]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.21, "providers": [{"billed_charge": 48.21, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.24, "providers": [{"billed_charge": 36.24, "npi": [1669417838]}]}, {"allowed_amount": 45.31, "providers": [{"billed_charge": 45.31, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.32, "providers": [{"billed_charge": 40.0, "npi": [1699063750]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.52, "providers": [{"billed_charge": 141.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 604.42, "providers": [{"billed_charge": 1726.92, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "581608892"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.48, "providers": [{"billed_charge": 125.0, "npi": [1538211081]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.0, "providers": [{"billed_charge": 270.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.38, "providers": [{"billed_charge": 247.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 561.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.62, "providers": [{"billed_charge": 37.85, "npi": [1255668331]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 536.0, "providers": [{"billed_charge": 536.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.06, "providers": [{"billed_charge": 219.19, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.79, "providers": [{"billed_charge": 698.0, "npi": [1184709057]}]}, {"allowed_amount": 188.95, "providers": [{"billed_charge": 698.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.65, "providers": [{"billed_charge": 584.03, "npi": [1336644400]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.95, "providers": [{"billed_charge": 698.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.0, "providers": [{"billed_charge": 179.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.18, "providers": [{"billed_charge": 130.0, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596031176"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.0, "providers": [{"billed_charge": 393.0, "npi": [1366431702]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.37, "providers": [{"billed_charge": 477.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 715.4, "providers": [{"billed_charge": 2044.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.55, "providers": [{"billed_charge": 793.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.45, "providers": [{"billed_charge": 188.0, "npi": [1487699047]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.06, "providers": [{"billed_charge": 51.06, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 330.78, "providers": [{"billed_charge": 945.08, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.7, "providers": [{"billed_charge": 382.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.0, "providers": [{"billed_charge": 280.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.95, "providers": [{"billed_charge": 698.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.73, "providers": [{"billed_charge": 784.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.37, "providers": [{"billed_charge": 775.34, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.85, "providers": [{"billed_charge": 491.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 330.0, "providers": [{"billed_charge": 330.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 206.46, "providers": [{"billed_charge": 408.47, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.52, "providers": [{"billed_charge": 270.0, "npi": [1376175687]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.65, "providers": [{"billed_charge": 194.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 581.0, "providers": [{"billed_charge": 581.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.0, "providers": [{"billed_charge": 614.0, "npi": [1366896300]}]}]}, {"tin": {"type": "ein", "value": "946000533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.0, "providers": [{"billed_charge": 524.0, "npi": [1063406551]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 885.0, "providers": [{"billed_charge": 885.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1192.0, "providers": [{"billed_charge": 1192.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 575.83, "providers": [{"billed_charge": 575.83, "npi": [1811099674]}]}]}]}, {"name": "Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report", "billing_code_type": "CPT", "billing_code": "93000", "billing_code_type_version": "2022", "description": "ECG ROUTINE ECG W/LEAST 12 LDS W/I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "141628237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1447541271]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.42, "providers": [{"billed_charge": 40.0, "npi": [1497371538, 1982309795]}]}, {"allowed_amount": 23.8, "providers": [{"billed_charge": 40.0, "npi": [1801608138]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.01, "providers": [{"billed_charge": 45.9, "npi": [1568792893]}]}, {"allowed_amount": 21.42, "providers": [{"billed_charge": 45.9, "npi": [1013211937, 1942418579]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.46, "providers": [{"billed_charge": 95.0, "npi": [1902003635]}]}, {"allowed_amount": 45.75, "providers": [{"billed_charge": 95.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 29.0, "npi": [1174114680]}]}]}, {"tin": {"type": "ein", "value": "205708226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.37, "providers": [{"billed_charge": 42.0, "npi": [1275125262]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.08, "providers": [{"billed_charge": 47.0, "npi": [1023715398]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.42, "providers": [{"billed_charge": 60.0, "npi": [1427436229, 1821372772, 1669422341]}]}, {"allowed_amount": 35.37, "providers": [{"billed_charge": 60.0, "npi": [1417547233, 1952884074, 1821649021, 1427436229]}]}, {"allowed_amount": 51.26, "providers": [{"billed_charge": 60.0, "npi": [1497707327]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 110.0, "npi": [1801321104]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 34.9, "providers": [{"billed_charge": 123.0, "npi": [1710687686]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.2, "providers": [{"billed_charge": 60.0, "npi": [1194298331, 1770053407]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 29.7, "providers": [{"billed_charge": 66.0, "npi": [1932159043, 1528350543]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.09, "providers": [{"billed_charge": 45.9, "npi": [1134518673]}]}]}, {"tin": {"type": "ein", "value": "271880312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 37.49, "providers": [{"billed_charge": 190.0, "npi": [1770590168]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 50.0, "npi": [1457705618]}]}, {"allowed_amount": 37.49, "providers": [{"billed_charge": 50.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.67, "providers": [{"billed_charge": 80.0, "npi": [1164803078]}, {"billed_charge": 85.0, "npi": [1164803078]}]}, {"allowed_amount": 22.2, "providers": [{"billed_charge": 85.0, "npi": [1780373209, 1588533509]}]}, {"allowed_amount": 22.43, "providers": [{"billed_charge": 85.0, "npi": [1215675988, 1588533509, 1447735030]}]}, {"allowed_amount": 23.46, "providers": [{"billed_charge": 85.0, "npi": [1386334928, 1164803078]}]}, {"allowed_amount": 33.09, "providers": [{"billed_charge": 85.0, "npi": [1194518241]}]}]}, {"tin": {"type": "ein", "value": "460570398"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.95, "providers": [{"billed_charge": 55.0, "npi": [1225990575]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 49.62, "npi": [1326017468]}]}, {"allowed_amount": 43.89, "providers": [{"billed_charge": 49.62, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 36.16, "npi": [1093700346]}]}, {"allowed_amount": 28.04, "providers": [{"billed_charge": 36.16, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "473019167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.6, "providers": [{"billed_charge": 41.0, "npi": [1932590601]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.42, "providers": [{"billed_charge": 45.0, "npi": [1932602406]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.23, "providers": [{"billed_charge": 75.0, "npi": [1154962918]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.5, "providers": [{"billed_charge": 27.5, "npi": [1619015955]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 84.0, "npi": [1801452693]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 594.0, "npi": [1306206040]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 45.5, "npi": [1902994908]}, {"billed_charge": 60.0, "npi": [1902994908]}, {"billed_charge": 90.0, "npi": [1902994908]}]}, {"allowed_amount": 51.9, "providers": [{"billed_charge": 70.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.46, "providers": [{"billed_charge": 37.73, "npi": [1891735544, 1508115825, 1568500445, 1902912454]}]}, {"allowed_amount": 29.33, "providers": [{"billed_charge": 37.73, "npi": [1023759875, 1902912454, 1225176209, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 30.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 38.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 22.43, "providers": [{"billed_charge": 38.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 33.09, "providers": [{"billed_charge": 38.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 60.0, "npi": [1255499943]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 30.0, "npi": [1245813708]}, {"billed_charge": 60.0, "npi": [1245813708]}, {"billed_charge": 70.0, "npi": [1245813708]}]}, {"allowed_amount": 23.23, "providers": [{"billed_charge": 60.0, "npi": [1245813708]}, {"billed_charge": 80.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.38, "providers": [{"billed_charge": 32.04, "npi": [1942281142]}]}, {"allowed_amount": 22.43, "providers": [{"billed_charge": 32.04, "npi": [1457057671]}]}, {"allowed_amount": 32.04, "providers": [{"billed_charge": 32.04, "npi": [1366828089, 1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 60.0, "npi": [1336613603]}]}]}, {"tin": {"type": "ein", "value": "844261523"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.42, "providers": [{"billed_charge": 75.0, "npi": [1891386314]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.46, "providers": [{"billed_charge": 75.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 24.3, "providers": [{"billed_charge": 75.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.34, "providers": [{"billed_charge": 155.0, "npi": [1205061744]}]}, {"allowed_amount": 22.2, "providers": [{"billed_charge": 155.0, "npi": [1154054260]}]}, {"allowed_amount": 22.43, "providers": [{"billed_charge": 155.0, "npi": [1205061744]}]}, {"allowed_amount": 37.04, "providers": [{"billed_charge": 155.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.38, "providers": [{"billed_charge": 62.0, "npi": [1205156643]}]}, {"allowed_amount": 19.47, "providers": [{"billed_charge": 62.0, "npi": [1922436922]}]}, {"allowed_amount": 22.43, "providers": [{"billed_charge": 62.0, "npi": [1114696176, 1922436922]}]}]}, {"tin": {"type": "ein", "value": "863566062"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.7, "providers": [{"billed_charge": 45.0, "npi": [1790342335]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.2, "providers": [{"billed_charge": 50.0, "npi": [1669156121]}]}, {"allowed_amount": 22.43, "providers": [{"billed_charge": 50.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 75.0, "npi": [1740036516]}]}, {"allowed_amount": 37.04, "providers": [{"billed_charge": 45.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.33, "providers": [{"billed_charge": 30.18, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.0, "providers": [{"billed_charge": 26.0, "npi": [1952040552]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.75, "providers": [{"billed_charge": 68.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.2, "providers": [{"billed_charge": 53.0, "npi": [1386487593]}]}, {"allowed_amount": 22.43, "providers": [{"billed_charge": 53.0, "npi": [1386487593]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.46, "providers": [{"billed_charge": 110.0, "npi": [1457007478]}]}, {"allowed_amount": 29.33, "providers": [{"billed_charge": 110.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 50.0, "npi": [1922506583]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.43, "providers": [{"billed_charge": 63.0, "npi": [1962745224]}]}]}]}, {"name": "Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater than 12 hours, up to 26 hours of EEG recording, interpretation and report after each 24-hour period; with video (VEEG)", "billing_code_type": "CPT", "billing_code": "95720", "billing_code_type_version": "2022", "description": "EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG", "allowed_amounts": [{"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 290.09, "providers": [{"billed_charge": 1180.0, "npi": [1053639773]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.3, "providers": [{"billed_charge": 542.0, "npi": [1558998849, 1427348978]}]}, {"allowed_amount": 288.19, "providers": [{"billed_charge": 542.0, "npi": [1558998849, 1427348978, 1154559045]}]}, {"allowed_amount": 376.96, "providers": [{"billed_charge": 542.0, "npi": [1154559045]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.38, "providers": [{"billed_charge": 1322.0, "npi": [1992110316, 1831455005, 1801003199]}]}, {"allowed_amount": 297.68, "providers": [{"billed_charge": 1322.0, "npi": [1053678672]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 236.43, "providers": [{"billed_charge": 438.0, "npi": [1689834459]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.49, "providers": [{"billed_charge": 1698.0, "npi": [1093743718]}]}, {"allowed_amount": 345.67, "providers": [{"billed_charge": 1698.0, "npi": [1255860292]}]}]}, {"tin": {"type": "ein", "value": "462964946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.49, "providers": [{"billed_charge": 450.0, "npi": [1073761789]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.3, "providers": [{"billed_charge": 936.0, "npi": [1154643120, 1083241020, 1487093654]}]}, {"allowed_amount": 288.19, "providers": [{"billed_charge": 936.0, "npi": [1154643120]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.49, "providers": [{"billed_charge": 1698.0, "npi": [1417247032]}]}, {"allowed_amount": 301.02, "providers": [{"billed_charge": 1698.0, "npi": [1417247032]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 267.21, "providers": [{"billed_charge": 626.0, "npi": [1265741698, 1437590247]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.28, "providers": [{"billed_charge": 1698.0, "npi": [1730573718, 1972091262]}]}, {"allowed_amount": 276.49, "providers": [{"billed_charge": 1698.0, "npi": [1255860292, 1972091262]}]}]}, {"tin": {"type": "ein", "value": "650532318"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 273.3, "providers": [{"billed_charge": 352.0, "npi": [1063434371]}, {"billed_charge": 662.0, "npi": [1063434371]}]}]}, {"tin": {"type": "ein", "value": "650683662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.49, "providers": [{"billed_charge": 400.0, "npi": [1134263163]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 268.35, "providers": [{"billed_charge": 831.0, "npi": [1497837595]}]}]}]}, {"name": "Electroencephalogram (EEG); including recording awake and asleep", "billing_code_type": "CPT", "billing_code": "95819", "billing_code_type_version": "2022", "description": "ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP", "allowed_amounts": [{"tin": {"type": "ein", "value": "262987027"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1568660090]}]}, {"allowed_amount": 72.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1568660090]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1141.0, "npi": [1750557450]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 111.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1336314855]}]}]}, {"tin": {"type": "ein", "value": "462964946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.0, "npi": [1306373915, 1750557450, 1750313110, 1205104411, 1073761789]}]}, {"allowed_amount": 108.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.0, "npi": [1316037898]}]}, {"allowed_amount": 121.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.0, "npi": [1750557450, 1750313110]}]}]}, {"tin": {"type": "ein", "value": "472079770"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1962699892]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1154643120, 1912586090, 1760402820, 1700853884]}]}, {"allowed_amount": 87.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1154643120, 1912586090, 1487093654]}]}, {"allowed_amount": 632.64, "providers": [{"billed_charge": 1914.0, "npi": [1083241020]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1386658383]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1352.88, "providers": [{"billed_charge": 2686.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1407899560]}]}, {"allowed_amount": 112.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1306392634]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 87.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1326061862]}]}]}, {"tin": {"type": "ein", "value": "650217209"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1831154319]}]}, {"allowed_amount": 72.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1831154319]}]}]}, {"tin": {"type": "ein", "value": "650532000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1679612055]}]}, {"allowed_amount": 72.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1679612055]}, {"billed_charge": 175.0, "npi": [1679612055]}]}]}, {"tin": {"type": "ein", "value": "650532318"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1063434371]}]}, {"allowed_amount": 87.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1063434371]}]}, {"allowed_amount": 90.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1063434371]}]}]}, {"tin": {"type": "ein", "value": "651045187"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1649325051]}]}]}, {"tin": {"type": "ein", "value": "651180239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1518976729]}]}]}, {"tin": {"type": "ein", "value": "811178868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1467626127]}]}]}, {"tin": {"type": "ein", "value": "832309162"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1861435026]}]}]}]}, {"name": "Electroencephalogram (EEG); including recording awake and drowsy", "billing_code_type": "CPT", "billing_code": "95816", "billing_code_type_version": "2022", "description": "ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201544786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 760.0, "npi": [1215063839]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 74.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 972.0, "npi": [1558998849, 1427348978, 1154559045, 1548623606]}]}, {"allowed_amount": 86.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 972.0, "npi": [1558998849, 1427348978, 1548623606]}]}, {"allowed_amount": 119.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 972.0, "npi": [1154559045]}]}]}, {"tin": {"type": "ein", "value": "260341143"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 63.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1548483761]}]}, {"allowed_amount": 72.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1548483761]}]}]}, {"tin": {"type": "ein", "value": "262987027"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1568660090]}]}, {"allowed_amount": 72.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1568660090]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.15, "npi": [1972794014]}]}]}, {"tin": {"type": "ein", "value": "270550151"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1437167129]}]}]}, {"tin": {"type": "ein", "value": "300137567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1104043652]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 104.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "451259435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1336582329]}]}]}, {"tin": {"type": "ein", "value": "462718719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 648.48, "npi": [1528348281]}]}]}, {"tin": {"type": "ein", "value": "471182996"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1184062267]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 63.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1952351694, 1659494854]}]}, {"allowed_amount": 72.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1952351694]}]}, {"allowed_amount": 74.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1912586090]}]}, {"allowed_amount": 86.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1912586090]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 112.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1902367121]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 450.96, "providers": [{"billed_charge": 1553.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.98, "npi": [1922199843, 1790096972, 1629150123, 1336468198]}]}, {"allowed_amount": 72.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.98, "npi": [1629150123, 1336468198]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 78.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1871887406]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 87.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1326061862]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 63.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 475.0, "npi": [1730573718]}]}]}, {"tin": {"type": "ein", "value": "650683662"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1134263163]}]}]}, {"tin": {"type": "ein", "value": "651045187"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1649325051]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1144541541]}]}]}, {"tin": {"type": "ein", "value": "880770500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 791.0, "npi": [1346771912]}]}]}, {"tin": {"type": "ein", "value": "884029739"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1760489397]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1912414426]}]}]}]}, {"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": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2522.96, "providers": [{"billed_charge": 316.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.01, "providers": [{"billed_charge": 157.66, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.01, "providers": [{"billed_charge": 69.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.0, "providers": [{"billed_charge": 162.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.36, "providers": [{"billed_charge": 85.0, "npi": [1982606992]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional", "billing_code_type": "CPT", "billing_code": "99281", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP", "allowed_amounts": [{"tin": {"type": "ein", "value": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.29, "providers": [{"billed_charge": 458.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "042103881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.25, "providers": [{"billed_charge": 471.0, "npi": [1548202641]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 165.26, "providers": [{"billed_charge": 424.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "200214051"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.45, "providers": [{"billed_charge": 694.63, "npi": [1568413573]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.66, "providers": [{"billed_charge": 708.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.31, "providers": [{"billed_charge": 762.96, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.4, "providers": [{"billed_charge": 1595.0, "npi": [1770150914]}]}]}, {"tin": {"type": "ein", "value": "240795682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 499.0, "npi": [1730173154]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.78, "providers": [{"billed_charge": 26.0, "npi": [1780117937]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.0, "providers": [{"billed_charge": 861.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 656.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "340714755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.98, "providers": [{"billed_charge": 634.75, "npi": [1396765681]}]}]}, {"tin": {"type": "ein", "value": "352445106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 121.94, "npi": [1124374079]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.43, "providers": [{"billed_charge": 188.74, "npi": [1568468221]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.29, "providers": [{"billed_charge": 246.0, "npi": [1831132133]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 420.0, "npi": [1700827896]}]}]}, {"tin": {"type": "ein", "value": "460796114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.19, "providers": [{"billed_charge": 671.0, "npi": [1124518113]}]}, {"allowed_amount": 188.57, "providers": [{"billed_charge": 671.0, "npi": [1144397134]}]}]}, {"tin": {"type": "ein", "value": "470533373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1841204500]}]}]}, {"tin": {"type": "ein", "value": "480637331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.7, "providers": [{"billed_charge": 544.08, "npi": [1023171634]}]}]}, {"tin": {"type": "ein", "value": "510064318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.36, "providers": [{"billed_charge": 518.0, "npi": [1467546135]}]}]}, {"tin": {"type": "ein", "value": "520608007"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.44, "providers": [{"billed_charge": 123.44, "npi": [1184712085]}]}]}, {"tin": {"type": "ein", "value": "521253920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.99, "providers": [{"billed_charge": 174.99, "npi": [1598761355]}]}]}, {"tin": {"type": "ein", "value": "550675666"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.49, "providers": [{"billed_charge": 193.94, "npi": [1073518007]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 670.0, "npi": [1346297892]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 670.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "580566223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.05, "providers": [{"billed_charge": 442.0, "npi": [1871556621]}]}]}, {"tin": {"type": "ein", "value": "582175978"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.06, "npi": [1700851649]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.61, "providers": [{"billed_charge": 999.9, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 330.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 735.48, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.21, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}, {"allowed_amount": 528.36, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.91, "providers": [{"billed_charge": 807.42, "npi": [1598657298]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.02, "providers": [{"billed_charge": 800.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.42, "providers": [{"billed_charge": 870.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.35, "providers": [{"billed_charge": 1011.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 286.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 549.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.8, "providers": [{"billed_charge": 554.0, "npi": [1437177664]}]}, {"allowed_amount": 385.7, "providers": [{"billed_charge": 554.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.42, "providers": [{"billed_charge": 904.05, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 113.3, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.82, "providers": [{"billed_charge": 466.0, "npi": [1043293608]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 110.0, "npi": [1265991491]}]}]}, {"tin": {"type": "ein", "value": "620840204"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.16, "providers": [{"billed_charge": 583.31, "npi": [1104874684]}]}]}, {"tin": {"type": "ein", "value": "621682202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "providers": [{"billed_charge": 848.55, "npi": [1659323772]}]}]}, {"tin": {"type": "ein", "value": "636000090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.42, "providers": [{"billed_charge": 310.44, "npi": [1003996000]}]}]}, {"tin": {"type": "ein", "value": "636004476"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.21, "providers": [{"billed_charge": 255.58, "npi": [1164403861]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.76, "providers": [{"billed_charge": 266.0, "npi": [1639149859]}, {"billed_charge": 322.0, "npi": [1538692306]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.35, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}, {"allowed_amount": 162.91, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.01, "providers": [{"billed_charge": 216.0, "npi": [1487699047]}]}]}, {"tin": {"type": "ein", "value": "660677706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1467417865]}]}]}, {"tin": {"type": "ein", "value": "661068496"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1538917877]}]}]}, {"tin": {"type": "ein", "value": "720535375"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.86, "providers": [{"billed_charge": 391.0, "npi": [1275536799]}]}]}, {"tin": {"type": "ein", "value": "742225672"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.25, "providers": [{"billed_charge": 470.91, "npi": [1629089966]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.25, "providers": [{"billed_charge": 529.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 478.23, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "770465765"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1361.85, "providers": [{"billed_charge": 1598.0, "npi": [1871543215]}]}]}, {"tin": {"type": "ein", "value": "814322087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.67, "providers": [{"billed_charge": 766.0, "npi": [1386188837]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.7, "providers": [{"billed_charge": 1042.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "823962056"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.22, "providers": [{"billed_charge": 486.95, "npi": [1578058137]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.57, "providers": [{"billed_charge": 660.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "956001880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 199.5, "npi": [1194711952]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 808.0, "npi": [1427806025, 1780429076]}]}]}]}, {"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": "009703983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.51, "providers": [{"billed_charge": 1225.0, "npi": [1346539848]}]}]}, {"tin": {"type": "ein", "value": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 904.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2659.7, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "010238552"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 267.69, "providers": [{"billed_charge": 1048.1, "npi": [1275038192]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3308.0, "npi": [1093787384]}]}, {"allowed_amount": 966.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3308.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020759583"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "providers": [{"billed_charge": 1870.0, "npi": [1386728731]}]}]}, {"tin": {"type": "ein", "value": "020785510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 210.12, "providers": [{"billed_charge": 1191.0, "npi": [1336438027]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 975.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2388.0, "npi": [1568419976]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.4, "providers": [{"billed_charge": 515.0, "npi": [1639598659, 1922348655]}]}]}, {"tin": {"type": "ein", "value": "030526533"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 977.0, "npi": [1083640916, 1437369543]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 977.0, "npi": [1093745838, 1609077767]}]}]}, {"tin": {"type": "ein", "value": "042103604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1513.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1719.0, "npi": [1174618953]}]}]}, {"tin": {"type": "ein", "value": "042103881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2853.0, "npi": [1548202641]}]}]}, {"tin": {"type": "ein", "value": "042312909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1513.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3691.0, "npi": [1790717650]}]}]}, {"tin": {"type": "ein", "value": "042769210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1513.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1804.0, "npi": [1134227606]}]}]}, {"tin": {"type": "ein", "value": "042790311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1513.07, "providers": [{"billed_charge": 2062.0, "npi": [1487655064]}]}]}, {"tin": {"type": "ein", "value": "042807148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 742.0, "npi": [1376991901]}]}]}, {"tin": {"type": "ein", "value": "043170333"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.42, "providers": [{"billed_charge": 560.0, "npi": [1225096274]}]}]}, {"tin": {"type": "ein", "value": "043220651"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 235.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1252.0, "npi": [1134806698]}]}]}, {"tin": {"type": "ein", "value": "043314093"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2494.0, "npi": [1346218294]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1513.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3000.0, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "043369653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.95, "providers": [{"billed_charge": 507.0, "npi": [1083876155, 1649764341]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2345.0, "npi": [1730132515]}]}, {"allowed_amount": 1513.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2345.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "043466314"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 742.0, "npi": [1124085444]}]}]}, {"tin": {"type": "ein", "value": "050258954"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1419.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1588659528]}]}]}, {"tin": {"type": "ein", "value": "050486254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.05, "providers": [{"billed_charge": 1469.56, "npi": [1265660294]}]}]}, {"tin": {"type": "ein", "value": "060250773"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.08, "providers": [{"billed_charge": 759.0, "npi": [1790774073]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5277.0, "npi": [1770696643]}]}, {"allowed_amount": 6647.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5277.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.08, "providers": [{"billed_charge": 735.0, "npi": [1356874481]}]}]}, {"tin": {"type": "ein", "value": "060646678"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.08, "providers": [{"billed_charge": 735.0, "npi": [1376836205]}]}]}, {"tin": {"type": "ein", "value": "060646715"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4646.0, "npi": [1427007848]}]}, {"allowed_amount": 6647.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4646.0, "npi": [1427007848]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.08, "providers": [{"billed_charge": 655.0, "npi": [1871973818]}]}]}, {"tin": {"type": "ein", "value": "061665203"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.18, "providers": [{"billed_charge": 1070.0, "npi": [1225534027]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1513.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2106.0, "npi": [1427041581]}, {"billed_charge": 4904.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "096720462"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.13, "providers": [{"billed_charge": 528.0, "npi": [1528403698]}]}]}, {"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1916.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4800.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "111631746"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "providers": [{"billed_charge": 1320.0, "npi": [1346380870]}]}]}, {"tin": {"type": "ein", "value": "111667761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2735.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4800.0, "npi": [1457369381]}]}]}, {"tin": {"type": "ein", "value": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4800.0, "npi": [1285641514]}]}, {"allowed_amount": 2690.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4800.0, "npi": [1346603107]}]}]}, {"tin": {"type": "ein", "value": "112868878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2768.5, "npi": [1407877137]}]}]}, {"tin": {"type": "ein", "value": "113495935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 521.0, "providers": [{"billed_charge": 521.0, "npi": [1992385660]}]}]}, {"tin": {"type": "ein", "value": "113537613"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.13, "providers": [{"billed_charge": 1750.88, "npi": [1811730278]}]}, {"allowed_amount": 234.93, "providers": [{"billed_charge": 1750.88, "npi": [1932695905, 1568135374]}]}]}, {"tin": {"type": "ein", "value": "131441269"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.6, "providers": [{"billed_charge": 836.0, "npi": [1275586422]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 343.2, "providers": [{"billed_charge": 625.0, "npi": [1386925832]}]}, {"allowed_amount": 620.0, "providers": [{"billed_charge": 620.0, "npi": [1154615730, 1730683491]}]}, {"allowed_amount": 625.0, "providers": [{"billed_charge": 625.0, "npi": [1437249604]}]}]}, {"tin": {"type": "ein", "value": "131624070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2984.0, "npi": [1477616571]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "131725076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5125.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6785.0, "npi": [1720185267]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "providers": [{"billed_charge": 5620.0, "npi": [1952476988]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 783.05, "providers": [{"billed_charge": 1092.0, "npi": [1780002808]}]}]}, {"tin": {"type": "ein", "value": "131740126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2044.0, "npi": [1578526695]}]}]}, {"tin": {"type": "ein", "value": "131740130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5024.0, "npi": [1447255153]}]}]}, {"tin": {"type": "ein", "value": "131974191"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "providers": [{"billed_charge": 1487.0, "npi": [1417027558]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1832.24, "npi": [1073535027]}]}, {"allowed_amount": 5125.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1832.24, "npi": [1801803903]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.0, "providers": [{"billed_charge": 480.0, "npi": [1962080234]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1104982917]}]}, {"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4657.0, "npi": [1952332801, 1194832477]}]}, {"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4657.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "133964321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8288.0, "npi": [1598181091]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2066.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5904.1, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.69, "providers": [{"billed_charge": 750.0, "npi": [1992238711]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1043847809]}]}]}, {"tin": {"type": "ein", "value": "136847867"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.69, "providers": [{"billed_charge": 759.0, "npi": [1467714907]}]}]}, {"tin": {"type": "ein", "value": "141338310"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 528.0, "providers": [{"billed_charge": 528.0, "npi": [1669571584, 1477840973]}]}]}, {"tin": {"type": "ein", "value": "141338547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2102.0, "npi": [1073569331]}]}]}, {"tin": {"type": "ein", "value": "141338547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 528.0, "providers": [{"billed_charge": 528.0, "npi": [1528403698]}]}]}, {"tin": {"type": "ein", "value": "141348692"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1997.0, "npi": [1497701106]}]}]}, {"tin": {"type": "ein", "value": "145406556"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.14, "providers": [{"billed_charge": 735.0, "npi": [1184605198]}]}]}, {"tin": {"type": "ein", "value": "148703519"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.6, "providers": [{"billed_charge": 836.0, "npi": [1730321084]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5125.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2202.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "150884547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.38, "providers": [{"billed_charge": 1737.0, "npi": [1871056762]}]}]}, {"tin": {"type": "ein", "value": "150948898"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.78, "providers": [{"billed_charge": 1176.0, "npi": [1689234031]}]}]}, {"tin": {"type": "ein", "value": "155901804"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.64, "providers": [{"billed_charge": 1176.0, "npi": [1285138990]}]}]}, {"tin": {"type": "ein", "value": "160743029"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 398.56, "providers": [{"billed_charge": 398.56, "npi": [1710628540]}]}]}, {"tin": {"type": "ein", "value": "160743187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2300.0, "npi": [1790727543]}]}]}, {"tin": {"type": "ein", "value": "160743905"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5125.88, "providers": [{"billed_charge": 1553.82, "npi": [1083605661]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2090.0, "npi": [1518998699]}]}, {"allowed_amount": 5125.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2090.0, "npi": [1518998699]}]}]}, {"tin": {"type": "ein", "value": "161494924"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.13, "providers": [{"billed_charge": 1247.0, "npi": [1164686234]}]}, {"allowed_amount": 655.38, "providers": [{"billed_charge": 1247.0, "npi": [1366005431]}]}]}, {"tin": {"type": "ein", "value": "161581332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 643.38, "providers": [{"billed_charge": 1440.0, "npi": [1063459006]}]}]}, {"tin": {"type": "ein", "value": "200287387"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 254.14, "providers": [{"billed_charge": 1456.0, "npi": [1154529881]}]}]}, {"tin": {"type": "ein", "value": "200292246"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 234.64, "providers": [{"billed_charge": 1761.0, "npi": [1003208612]}]}]}, {"tin": {"type": "ein", "value": "200323858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 625.01, "providers": [{"billed_charge": 1430.0, "npi": [1124512058]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1380.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4391.0, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "200492277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "providers": [{"billed_charge": 1708.0, "npi": [1447140264, 1821321266]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1609036649, 1659950541, 1497079255]}]}]}, {"tin": {"type": "ein", "value": "200835576"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 254.14, "providers": [{"billed_charge": 629.0, "npi": [1598865271]}]}, {"allowed_amount": 629.0, "providers": [{"billed_charge": 629.0, "npi": [1396103743]}]}]}, {"tin": {"type": "ein", "value": "201500104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.89, "providers": [{"billed_charge": 1750.88, "npi": [1801391057]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4928.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4928.4, "npi": [1942269725]}]}, {"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4928.4, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202028539"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1878.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4674.0, "npi": [1154419737]}]}]}, {"tin": {"type": "ein", "value": "202199074"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2235.0, "npi": [1578859120]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 285.29, "providers": [{"billed_charge": 476.0, "npi": [1811300536, 1811450505, 1578040093]}]}]}, {"tin": {"type": "ein", "value": "203623609"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1722.27, "npi": [1316100597]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2114.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7811.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "providers": [{"billed_charge": 1415.0, "npi": [1578548442, 1134667157]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1415.0, "providers": [{"billed_charge": 1415.0, "npi": [1457790438]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3862.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5385.27, "npi": [1215003348]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "205168942"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 723.85, "providers": [{"billed_charge": 1516.0, "npi": [1023379195]}]}]}, {"tin": {"type": "ein", "value": "205615996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2026.0, "npi": [1538057153, 1093392839, 1386245033, 1831786953, 1831131531, 1689865834, 1649310541, 1891521399, 1952684912, 1689244402, 1023039443, 1356751317, 1033996855]}]}, {"allowed_amount": 258.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2026.0, "npi": [1831786953, 1063301901, 1952684912, 1023039443, 1053199380, 1033996855]}]}, {"allowed_amount": 295.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2026.0, "npi": [1457393738, 1831131531, 1649310541, 1356751317, 1396323770]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4554.0, "npi": [1851390967]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4554.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 650.5, "providers": [{"billed_charge": 1668.0, "npi": [1952456816]}]}]}, {"tin": {"type": "ein", "value": "208227448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "providers": [{"billed_charge": 2496.0, "npi": [1013920875]}]}]}, {"tin": {"type": "ein", "value": "208489105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1880.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3938.0, "npi": [1982720249]}]}]}, {"tin": {"type": "ein", "value": "210634549"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2412.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3365.0, "npi": [1013919315]}]}]}, {"tin": {"type": "ein", "value": "210635009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1746.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7730.0, "npi": [1689714255]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1283.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2735.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221487243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2458.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5117.0, "npi": [1003236878]}]}, {"allowed_amount": 2547.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5168.0, "npi": [1346243375]}]}]}, {"tin": {"type": "ein", "value": "221487307"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1832.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3063.0, "npi": [1013912633]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4125.0, "npi": [1457456279]}]}, {"allowed_amount": 2458.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4125.0, "npi": [1831601590]}]}, {"allowed_amount": 10945.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4125.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 994.0, "providers": [{"billed_charge": 4564.0, "npi": [1396857488]}]}, {"allowed_amount": 1317.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4564.0, "npi": [1396857488]}]}, {"allowed_amount": 1880.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4564.0, "npi": [1396857488]}]}, {"allowed_amount": 8260.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4564.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5501.88, "npi": [1215998323]}]}, {"allowed_amount": 1880.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5501.88, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 446.08, "providers": [{"billed_charge": 836.0, "npi": [1689107658, 1275586422, 1336528827, 1730321084, 1447410493]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1249.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1638.0, "npi": [1962422733]}]}, {"allowed_amount": 5489.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1638.0, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "222668179"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.08, "providers": [{"billed_charge": 1306.0, "npi": [1376033415]}]}]}, {"tin": {"type": "ein", "value": "222775331"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 254.14, "providers": [{"billed_charge": 1889.9, "npi": [1942447073]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1163.67, "providers": [{"billed_charge": 4357.0, "npi": [1689744856]}]}, {"allowed_amount": 1283.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4357.0, "npi": [1689744856]}]}, {"allowed_amount": 1832.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4357.0, "npi": [1689744856]}]}, {"allowed_amount": 8047.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4357.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "222972317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 783.05, "providers": [{"billed_charge": 818.0, "npi": [1013087469]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.08, "providers": [{"billed_charge": 575.0, "npi": [1730597907, 1407437999]}]}]}, {"tin": {"type": "ein", "value": "223436121"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 446.08, "providers": [{"billed_charge": 1467.0, "npi": [1346537784]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4564.0, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "223452412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1038.0, "providers": [{"billed_charge": 4357.0, "npi": [1609983790]}]}, {"allowed_amount": 1784.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4357.0, "npi": [1609983790]}]}]}, {"tin": {"type": "ein", "value": "223548695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1849.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 16459.0, "npi": [1073516183]}]}]}, {"tin": {"type": "ein", "value": "223586506"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 590.72, "providers": [{"billed_charge": 1838.0, "npi": [1326095480, 1982488961]}]}, {"allowed_amount": 694.97, "providers": [{"billed_charge": 1838.0, "npi": [1467035386]}]}]}, {"tin": {"type": "ein", "value": "223586664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 708.88, "providers": [{"billed_charge": 1775.0, "npi": [1982647038, 1558948679, 1811936503]}, {"billed_charge": 1838.0, "npi": [1639461239]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1272.21, "providers": [{"billed_charge": 4357.0, "npi": [1770583999]}]}, {"allowed_amount": 1815.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4357.0, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "223849199"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 316.63, "providers": [{"billed_charge": 493.0, "npi": [1275383796]}]}, {"allowed_amount": 372.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 493.0, "npi": [1154688349, 1881223741, 1467496422]}]}]}, {"tin": {"type": "ein", "value": "224888743"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.87, "providers": [{"billed_charge": 1870.0, "npi": [1093750093]}]}]}, {"tin": {"type": "ein", "value": "228518399"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.04, "providers": [{"billed_charge": 598.0, "npi": [1124656863]}]}]}, {"tin": {"type": "ein", "value": "230794160"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5453.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2306.0, "npi": [1407928500]}]}]}, {"tin": {"type": "ein", "value": "230794160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.0, "providers": [{"billed_charge": 317.0, "npi": [1760830269]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8649.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3754.0, "npi": [1811992084]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1478.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6331.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "231529076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1254.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3312.0, "npi": [1407856099]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1515.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2612.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "231996150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 449.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5283.0, "npi": [1174822068]}]}, {"allowed_amount": 993.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5283.0, "npi": [1275620585]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 266.51, "providers": [{"billed_charge": 416.0, "npi": [1760862981]}]}]}, {"tin": {"type": "ein", "value": "232624943"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 257.72, "providers": [{"billed_charge": 879.0, "npi": [1265006282, 1639674054]}]}, {"allowed_amount": 879.0, "providers": [{"billed_charge": 879.0, "npi": [1093943995]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 257.72, "providers": [{"billed_charge": 365.0, "npi": [1962815563]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.08, "providers": [{"billed_charge": 510.0, "npi": [1114139573]}]}, {"allowed_amount": 257.72, "providers": [{"billed_charge": 510.0, "npi": [1588839112]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.92, "providers": [{"billed_charge": 365.0, "npi": [1770780116]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.61, "providers": [{"billed_charge": 446.0, "npi": [1841249786]}]}, {"allowed_amount": 266.51, "providers": [{"billed_charge": 446.0, "npi": [1205333754]}]}, {"allowed_amount": 337.36, "providers": [{"billed_charge": 446.0, "npi": [1104357417, 1922687748]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7095.0, "npi": [1770150914]}]}, {"allowed_amount": 1380.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7095.0, "npi": [1770150914, 1417947490]}]}, {"allowed_amount": 20594.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7095.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "233001904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7744.0, "npi": [1396731105]}]}, {"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7744.0, "npi": [1396731105]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1249.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9918.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "236291113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 266.51, "providers": [{"billed_charge": 1070.0, "npi": [1912389172]}]}]}, {"tin": {"type": "ein", "value": "237134386"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1717.0, "npi": [1508823741]}]}]}, {"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4695.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "240795508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 980.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2146.0, "npi": [1609801976]}]}]}, {"tin": {"type": "ein", "value": "240795682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 813.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2767.0, "npi": [1730173154]}]}]}, {"tin": {"type": "ein", "value": "241710079"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.87, "providers": [{"billed_charge": 1870.0, "npi": [1447724430]}]}]}, {"tin": {"type": "ein", "value": "250965600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1189.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1609984889]}]}]}, {"tin": {"type": "ein", "value": "251534212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 337.36, "providers": [{"billed_charge": 1041.0, "npi": [1285652065, 1548641780]}]}]}, {"tin": {"type": "ein", "value": "260341143"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.04, "providers": [{"billed_charge": 1500.0, "npi": [1548483761]}]}, {"allowed_amount": 258.41, "providers": [{"billed_charge": 1500.0, "npi": [1548483761]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.74, "providers": [{"billed_charge": 446.0, "npi": [1477085033]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "providers": [{"billed_charge": 455.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "261467290"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 206.73, "providers": [{"billed_charge": 1750.88, "npi": [1154660694]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.4, "providers": [{"billed_charge": 267.0, "npi": [1164542809, 1609212372]}]}, {"allowed_amount": 118.0, "providers": [{"billed_charge": 590.0, "npi": [1881058170]}]}, {"allowed_amount": 133.26, "providers": [{"billed_charge": 590.0, "npi": [1376561100]}]}, {"allowed_amount": 138.35, "providers": [{"billed_charge": 590.0, "npi": [1467564674]}]}, {"allowed_amount": 157.62, "providers": [{"billed_charge": 267.0, "npi": [1942218433]}]}, {"allowed_amount": 199.16, "providers": [{"billed_charge": 267.0, "npi": [1629248539]}]}, {"allowed_amount": 207.37, "providers": [{"billed_charge": 267.0, "npi": [1265999585, 1942044037, 1124420229, 1447396023, 1538232236, 1104996461, 1447014063, 1740145903, 1780117937, 1538525423, 1760040307, 1972467728, 1992170773, 1730190869, 1740172279, 1629472923]}, {"billed_charge": 590.0, "npi": [1124420229, 1942044037, 1568343721, 1437529997, 1538525423, 1740145903, 1447014063, 1780117937, 1730190869, 1740008374, 1740172279, 1992170773]}]}, {"allowed_amount": 216.43, "providers": [{"billed_charge": 267.0, "npi": [1811432719]}, {"billed_charge": 590.0, "npi": [1811432719]}]}, {"allowed_amount": 235.8, "providers": [{"billed_charge": 267.0, "npi": [1477701498, 1124118138]}, {"billed_charge": 590.0, "npi": [1508134008, 1477701498, 1396133237, 1124118138]}]}, {"allowed_amount": 245.94, "providers": [{"billed_charge": 267.0, "npi": [1619464716]}, {"billed_charge": 590.0, "npi": [1619464716]}]}, {"allowed_amount": 267.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 267.0, "npi": [1699904011, 1619464716, 1407835150, 1972467728, 1881816593, 1730190869, 1952185878, 1942731799, 1902246424, 1629248539, 1316912157, 1144519711, 1699079202, 1265539621, 1730716721, 1235698234, 1528004165, 1295316040, 1598179400, 1437968971, 1245783117, 1174741078, 1316437080, 1851854939, 1124353123, 1104996461, 1124118138, 1467564674, 1124420229, 1609403013, 1528515210, 1912103060, 1942940309, 1487971479, 1629472923, 1033796255, 1093247140, 1659769511, 1275941544, 1720106669, 1447014063, 1124465331, 1447396023, 1487115960, 1942218433, 1194138313, 1396132569, 1043648736, 1861785313, 1720002272, 1265999585, 1386632933, 1538525423, 1740145903, 1073856241, 1548207863, 1578956025, 1023633153, 1487090437, 1235574021, 1578054920, 1578686218, 1942598925, 1811432719, 1992170773, 1487281432, 1558301978, 1730618653, 1487738654, 1487674149, 1528646957, 1740172279, 1538652979, 1962083642, 1962422592, 1497376065, 1659734341, 1205486917, 1871015248, 1942242649, 1164542809, 1013150044, 1437491040, 1407895402, 1790003051, 1144412016, 1083642227, 1760040307, 1396133237, 1477701498, 1881058170, 1619384187, 1508216706, 1942044037, 1477574028, 1508044686, 1487473047, 1205332889, 1548919707, 1881980829, 1700981156, 1659867562, 1194931626, 1538232236, 1548622764, 1780117937, 1104846773, 1740008374, 1952864696, 1437460409, 1275794885, 1235301318, 1376561100, 1821077967, 1255801296, 1417586132, 1609212372, 1083041750, 1356879829, 1336236009, 1912561648, 1366409716, 1790216695, 1609278969, 1639305212, 1629462015]}]}, {"allowed_amount": 344.31, "providers": [{"billed_charge": 590.0, "npi": [1073856241, 1699079202, 1629248539]}]}, {"allowed_amount": 393.5, "providers": [{"billed_charge": 590.0, "npi": [1124353123]}]}, {"allowed_amount": 442.64, "providers": [{"billed_charge": 590.0, "npi": [1104846773]}]}, {"allowed_amount": 456.56, "providers": [{"billed_charge": 590.0, "npi": [1528515210]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 590.0, "npi": [1467564674, 1508216706, 1609403013, 1487090437, 1235574021, 1578054920, 1578686218, 1164447371, 1477574028, 1609278969, 1407835150, 1508044686, 1942598925, 1699904011, 1881816593, 1942940309, 1942731799, 1902246424, 1205332889, 1558301978, 1487971479, 1548919707, 1881980829, 1487738654, 1144519711, 1033796255, 1730618653, 1316912157, 1790216695, 1093247140, 1265539621, 1700981156, 1275941544, 1194931626, 1720106669, 1730716721, 1104846773, 1487115960, 1437460409, 1235698234, 1952864696, 1962083642, 1962422592, 1942218433, 1497376065, 1528004165, 1275794885, 1295316040, 1437968971, 1376561100, 1245783117, 1871015248, 1609212372, 1356879829, 1083041750, 1417586132, 1174741078, 1942242649, 1164542809, 1396132569, 1013150044, 1437491040, 1861785313, 1720002272, 1336236009, 1407895402, 1801245675, 1790003051, 1144412016, 1427078385, 1548207863, 1578956025, 1881058170, 1619384187, 1639305212, 1629462015]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.31, "providers": [{"billed_charge": 267.0, "npi": [1558821488, 1750791281, 1508890153]}]}, {"allowed_amount": 267.0, "providers": [{"billed_charge": 267.0, "npi": [1790245223, 1134384423, 1508890153, 1558821488, 1245790971]}]}, {"allowed_amount": 383.0, "providers": [{"billed_charge": 383.0, "npi": [1558821488, 1508890153, 1750791281, 1245790971]}]}]}, {"tin": {"type": "ein", "value": "261871008"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1408.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4386.0, "npi": [1083888515]}]}, {"allowed_amount": 6186.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4386.0, "npi": [1083888515]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6238.0, "npi": [1992799050]}]}, {"allowed_amount": 1348.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6238.0, "npi": [1992799050]}]}, {"allowed_amount": 5924.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6238.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "262304089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "providers": [{"billed_charge": 2496.0, "npi": [1710568514]}]}]}, {"tin": {"type": "ein", "value": "262525968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3130.0, "npi": [1124272547]}]}]}, {"tin": {"type": "ein", "value": "262945073"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.69, "providers": [{"billed_charge": 1556.34, "npi": [1992860530]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "providers": [{"billed_charge": 553.74, "npi": [1053675207]}]}]}, {"tin": {"type": "ein", "value": "263557648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.42, "providers": [{"billed_charge": 954.0, "npi": [1508824004]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.25, "providers": [{"billed_charge": 1415.0, "npi": [1174950661]}]}, {"allowed_amount": 195.37, "providers": [{"billed_charge": 1415.0, "npi": [1104313667]}]}, {"allowed_amount": 203.58, "providers": [{"billed_charge": 1415.0, "npi": [1295356152, 1114418910, 1730061623]}]}, {"allowed_amount": 214.18, "providers": [{"billed_charge": 1415.0, "npi": [1205567823]}]}, {"allowed_amount": 231.78, "providers": [{"billed_charge": 1415.0, "npi": [1013593938]}]}]}, {"tin": {"type": "ein", "value": "263978727"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 485.41, "providers": [{"billed_charge": 491.4, "npi": [1629655501]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1318.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.49, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "264094289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.22, "providers": [{"billed_charge": 540.0, "npi": [1578982393]}]}]}, {"tin": {"type": "ein", "value": "264252537"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.99, "npi": [1114050648]}]}, {"allowed_amount": 220.99, "providers": [{"billed_charge": 220.99, "npi": [1114050648]}]}]}, {"tin": {"type": "ein", "value": "264467460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 446.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1109.0, "npi": [1154748994]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2675.0, "npi": [1841224870]}]}, {"allowed_amount": 1048.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2675.0, "npi": [1841224870]}]}, {"allowed_amount": 4605.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2675.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "270316031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 254.27, "providers": [{"billed_charge": 2374.0, "npi": [1801185210]}]}]}, {"tin": {"type": "ein", "value": "270549437"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 953.0, "npi": [1053522433]}]}]}, {"tin": {"type": "ein", "value": "270712680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 968.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4745.0, "npi": [1760764849]}]}]}, {"tin": {"type": "ein", "value": "270781655"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1870.0, "npi": [1225205313, 1689144198, 1326139304, 1831108083, 1356002547, 1407873177, 1326526682, 1841258654, 1205888062]}]}, {"allowed_amount": 411.08, "providers": [{"billed_charge": 1870.0, "npi": [1689144198, 1982939070, 1831108083]}]}, {"allowed_amount": 412.6, "providers": [{"billed_charge": 1870.0, "npi": [1477944122, 1881061190]}]}, {"allowed_amount": 421.17, "providers": [{"billed_charge": 1870.0, "npi": [1326139304]}]}, {"allowed_amount": 483.63, "providers": [{"billed_charge": 1870.0, "npi": [1407873177, 1841258654]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.65, "providers": [{"billed_charge": 1415.0, "npi": [1942401062]}]}, {"allowed_amount": 38.84, "providers": [{"billed_charge": 1415.0, "npi": [1558757880]}]}, {"allowed_amount": 125.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1578906624]}]}, {"allowed_amount": 133.26, "providers": [{"billed_charge": 1415.0, "npi": [1376170746]}]}, {"allowed_amount": 144.11, "providers": [{"billed_charge": 1415.0, "npi": [1629645973]}]}, {"allowed_amount": 151.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1346918786, 1902426851, 1972169951, 1982869178, 1396519369, 1336746668, 1710775341, 1124663182, 1467693358, 1639709199, 1184218612, 1326515701, 1851761142, 1245950773, 1235852856, 1225410426, 1366422396, 1891492831]}]}, {"allowed_amount": 169.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1710070578]}]}, {"allowed_amount": 203.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1760904056]}]}, {"allowed_amount": 205.6, "providers": [{"billed_charge": 1415.0, "npi": [1952145948]}]}, {"allowed_amount": 212.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1639810377]}]}, {"allowed_amount": 222.41, "providers": [{"billed_charge": 1415.0, "npi": [1154671790]}]}, {"allowed_amount": 224.36, "providers": [{"billed_charge": 1415.0, "npi": [1114664224, 1346954088, 1124683404, 1306486196, 1518612407, 1972992824, 1154711547, 1457496572, 1730343070]}]}, {"allowed_amount": 226.62, "providers": [{"billed_charge": 1415.0, "npi": [1104248772]}]}, {"allowed_amount": 230.36, "providers": [{"billed_charge": 1415.0, "npi": [1790532489, 1033820915]}]}, {"allowed_amount": 241.88, "providers": [{"billed_charge": 1415.0, "npi": [1063943124]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1295305217, 1801475074, 1306356357, 1487911178, 1013294859, 1003133836, 1639709199, 1891255568, 1801363601, 1043443351, 1104203801, 1386018075, 1467193243, 1083936413, 1659878304, 1356690721, 1174254247, 1649774761, 1639819691, 1336746668, 1710775341, 1710070578, 1437739570, 1356601652, 1730966581, 1245950773, 1063596856, 1235852856, 1952064826, 1578502076, 1841828670, 1144263104, 1629152194, 1508233156, 1700413895, 1023232840, 1396519369, 1730349770, 1124093257, 1306280268, 1629771977, 1528170958, 1275074510, 1558715854, 1124255310, 1790952018, 1982446035, 1649380437, 1942881750, 1386179927, 1831147354, 1437740123, 1497326300, 1205040862, 1972169951, 1366079840, 1891492831, 1134620131, 1306263140, 1982230629, 1063971943, 1891942504, 1629813993, 1699415786, 1033340906, 1417213166, 1689178097, 1184218612, 1851761142, 1972600054, 1023849080, 1376170746, 1699186171, 1962429308, 1790416766, 1154765055]}]}, {"allowed_amount": 253.7, "providers": [{"billed_charge": 1415.0, "npi": [1790226181]}]}, {"allowed_amount": 257.72, "providers": [{"billed_charge": 1415.0, "npi": [1770519787]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1578906624, 1194798090, 1225562762, 1124683404, 1063506830, 1912103060, 1730343070, 1114664224, 1942401062, 1942267182, 1598724403, 1609537588, 1154900660, 1306486196, 1518612407, 1972992824, 1720433725, 1730152646, 1184120008, 1346954088, 1922427368, 1912249962, 1558757880, 1114504305, 1881055986, 1720617590, 1760904056, 1154711547, 1457496572]}]}, {"allowed_amount": 261.66, "providers": [{"billed_charge": 1415.0, "npi": [1558701987, 1932259694]}]}, {"allowed_amount": 271.01, "providers": [{"billed_charge": 1415.0, "npi": [1407485584]}]}, {"allowed_amount": 365.84, "providers": [{"billed_charge": 1415.0, "npi": [1972600054]}]}, {"allowed_amount": 398.17, "providers": [{"billed_charge": 1415.0, "npi": [1467928408, 1356068894]}]}, {"allowed_amount": 411.08, "providers": [{"billed_charge": 1415.0, "npi": [1275074510, 1619469426, 1053894170, 1215286711, 1952064826]}]}, {"allowed_amount": 411.3, "providers": [{"billed_charge": 1415.0, "npi": [1841263365, 1386531911, 1366488017, 1639058068, 1851766844]}]}, {"allowed_amount": 412.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1144263104, 1992432769, 1306356357, 1174254247, 1265208458, 1275143760, 1801363601, 1710648597, 1730966581]}]}, {"allowed_amount": 424.27, "providers": [{"billed_charge": 1415.0, "npi": [1275981839, 1164798385, 1891971578, 1487224119, 1730594714, 1205360476, 1922567999]}]}, {"allowed_amount": 483.63, "providers": [{"billed_charge": 1415.0, "npi": [1265727200, 1235870049, 1083358626, 1710929732, 1649299207, 1386223816, 1811575384, 1558715854, 1104356880, 1578950994, 1639517972, 1245764182, 1942881750, 1811524440, 1063020121, 1962429308, 1558569533]}]}, {"allowed_amount": 485.41, "providers": [{"billed_charge": 1415.0, "npi": [1265403141, 1225424518, 1487911178, 1144435215, 1891255568, 1659554194, 1467193243, 1053549212, 1013959709, 1457365793, 1871913251, 1639819691, 1699917625, 1114067014, 1124093257, 1306280268, 1376003152, 1790952018, 1649380437, 1346700374, 1386179927, 1831147354, 1497326300, 1205040862, 1366079840, 1699877472, 1659900512, 1982230629, 1609526375, 1063971943, 1699415786, 1417213166, 1689178097, 1376170746, 1154765055]}]}, {"allowed_amount": 505.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1578906624, 1730152646, 1942401062, 1184120008, 1922427368, 1912249962, 1194798090, 1942267182, 1114504305, 1598724403, 1154900660, 1912103060, 1720617590, 1558757880, 1720433725]}]}, {"allowed_amount": 597.66, "providers": [{"billed_charge": 1415.0, "npi": [1437679685]}]}, {"allowed_amount": 710.27, "providers": [{"billed_charge": 1415.0, "npi": [1699917625, 1063971943]}]}, {"allowed_amount": 825.2, "providers": [{"billed_charge": 1415.0, "npi": [1629813993]}]}, {"allowed_amount": 886.95, "providers": [{"billed_charge": 1415.0, "npi": [1033340906]}]}, {"allowed_amount": 1415.0, "providers": [{"billed_charge": 1415.0, "npi": [1356068894, 1477992527]}]}]}, {"tin": {"type": "ein", "value": "271561941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1488.24, "npi": [1942332515]}]}, {"allowed_amount": 284.16, "providers": [{"billed_charge": 1488.24, "npi": [1023247467]}]}]}, {"tin": {"type": "ein", "value": "271907985"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.64, "providers": [{"billed_charge": 629.0, "npi": [1396103743]}]}]}, {"tin": {"type": "ein", "value": "272200283"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4164.74, "npi": [1013233741]}]}]}, {"tin": {"type": "ein", "value": "272268928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2331.0, "npi": [1407105232, 1710965207]}]}]}, {"tin": {"type": "ein", "value": "272289671"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.05, "providers": [{"billed_charge": 2496.0, "npi": [1609931591]}]}]}, {"tin": {"type": "ein", "value": "272409240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 639.74, "providers": [{"billed_charge": 1465.0, "npi": [1346746088, 1104263425]}, {"billed_charge": 1637.0, "npi": [1215910682]}]}]}, {"tin": {"type": "ein", "value": "272479599"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1881125912]}]}, {"allowed_amount": 597.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1932556560]}]}]}, {"tin": {"type": "ein", "value": "272844632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 759.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5159.0, "npi": [1760794044]}]}]}, {"tin": {"type": "ein", "value": "272844767"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5813.0, "npi": [1427360700]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 487.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 487.6, "npi": [1164059416]}]}]}, {"tin": {"type": "ein", "value": "273815440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4924.9, "npi": [1851632616]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 292.54, "providers": [{"billed_charge": 519.0, "npi": [1154431500, 1821226341]}]}]}, {"tin": {"type": "ein", "value": "273969969"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 639.74, "providers": [{"billed_charge": 1740.0, "npi": [1447454541]}]}]}, {"tin": {"type": "ein", "value": "274096788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1488.24, "npi": [1316300643]}]}]}, {"tin": {"type": "ein", "value": "274546606"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.08, "providers": [{"billed_charge": 1750.88, "npi": [1962999482]}]}]}, {"tin": {"type": "ein", "value": "274602380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.89, "providers": [{"billed_charge": 250.0, "npi": [1033351184, 1902831605]}]}]}, {"tin": {"type": "ein", "value": "274658935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7660.0, "npi": [1114367497]}]}]}, {"tin": {"type": "ein", "value": "278862552"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.27, "providers": [{"billed_charge": 1225.0, "npi": [1750514386]}]}]}, {"tin": {"type": "ein", "value": "300754305"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3651.0, "npi": [1407191984]}]}]}, {"tin": {"type": "ein", "value": "300811171"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2200.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4044.12, "npi": [1023435898]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5850.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3598.62, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 867.75, "npi": [1992022776]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 867.75, "npi": [1487141958, 1871082768, 1013150549, 1407350325, 1992022776, 1174064380]}]}, {"allowed_amount": 267.69, "providers": [{"billed_charge": 867.75, "npi": [1568752434, 1013150549]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 867.75, "npi": [1255561866, 1295297422, 1871082768, 1013150549, 1992022776, 1942838974]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1306355680]}]}, {"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "310537122"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 777.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3250.0, "npi": [1396714663]}]}]}, {"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 814.79, "providers": [{"billed_charge": 6078.0, "npi": [1073688354]}]}, {"allowed_amount": 3578.49, "providers": [{"billed_charge": 6078.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "310823056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 299.7, "providers": [{"billed_charge": 1406.0, "npi": [1437391091]}]}, {"allowed_amount": 322.22, "providers": [{"billed_charge": 1406.0, "npi": [1558756890]}]}]}, {"tin": {"type": "ein", "value": "310867547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.46, "providers": [{"billed_charge": 843.0, "npi": [1518127307]}]}]}, {"tin": {"type": "ein", "value": "311009777"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.34, "providers": [{"billed_charge": 1191.0, "npi": [1295713725, 1992202246]}]}]}, {"tin": {"type": "ein", "value": "311116049"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.76, "providers": [{"billed_charge": 1268.0, "npi": [1225594658, 1508138108]}]}]}, {"tin": {"type": "ein", "value": "311229292"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.22, "providers": [{"billed_charge": 740.0, "npi": [1548823669]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 663.84, "providers": [{"billed_charge": 4648.0, "npi": [1417037045]}]}, {"allowed_amount": 929.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4648.0, "npi": [1982784534]}]}, {"allowed_amount": 4161.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4648.0, "npi": [1417037045]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1004.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2664.0, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "311538725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9219.11, "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": [1164648408, 1598150690, 1326780453]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1377.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1143.0, "npi": [1538164090]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2795.76, "npi": [1215936927]}]}, {"allowed_amount": 4082.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2795.76, "npi": [1215936927]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.22, "providers": [{"billed_charge": 550.37, "npi": [1457663791]}]}]}, {"tin": {"type": "ein", "value": "314379519"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 663.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1252.4, "npi": [1568446755]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 947.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4144.0, "npi": [1801937008, 1467484972, 1255377149]}]}]}, {"tin": {"type": "ein", "value": "320073719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.5, "providers": [{"billed_charge": 1082.0, "npi": [1346447588]}]}]}, {"tin": {"type": "ein", "value": "320443777"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1966.16, "providers": [{"billed_charge": 1966.16, "npi": [1174660120]}]}]}, {"tin": {"type": "ein", "value": "320579508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7553.32, "npi": [1790250959]}]}]}, {"tin": {"type": "ein", "value": "320595156"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.08, "providers": [{"billed_charge": 548.0, "npi": [1750969614]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.05, "providers": [{"billed_charge": 1165.0, "npi": [1043685969]}]}]}, {"tin": {"type": "ein", "value": "330516944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 281.04, "providers": [{"billed_charge": 1128.0, "npi": [1700809233, 1194266189]}]}]}, {"tin": {"type": "ein", "value": "330729128"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1488.24, "npi": [1699113852]}]}]}, {"tin": {"type": "ein", "value": "331216751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 976.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2982.77, "npi": [1407082308]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.02, "providers": [{"billed_charge": 886.0, "npi": [1821599309]}]}, {"allowed_amount": 207.37, "providers": [{"billed_charge": 886.0, "npi": [1366603334]}]}, {"allowed_amount": 235.8, "providers": [{"billed_charge": 886.0, "npi": [1588098040, 1972936698, 1053587493]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1174732705, 1730169475, 1053587493, 1366603334, 1659867562, 1821599309, 1275986861, 1487273967, 1376125104, 1467627729, 1437739570, 1912154865, 1588098040, 1972936698, 1841876349]}]}, {"allowed_amount": 344.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1437739570]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1174732705, 1730169475, 1821441254, 1659867562, 1912249962, 1821599309, 1790944205, 1487273967, 1376125104, 1467627729, 1912154865, 1619339454, 1033796255]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 235.8, "providers": [{"billed_charge": 886.0, "npi": [1629140801, 1598917833, 1477387371]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1043648736, 1629140801, 1700161700, 1184944357, 1821441254, 1861838823, 1306074604, 1467627729, 1124559828, 1164252052, 1588098040, 1417419706, 1841876315, 1538113790]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1043648736, 1174732705, 1700161700, 1184944357, 1821441254, 1861838823, 1922427368, 1407484074, 1306074604, 1275986861, 1467627729, 1841876315, 1124559828, 1073141115, 1538113790]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "providers": [{"billed_charge": 1750.88, "npi": [1790859221]}]}]}, {"tin": {"type": "ein", "value": "333995572"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 852.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4350.5, "npi": [1457146250]}]}]}, {"tin": {"type": "ein", "value": "340505560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1216.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2622.0, "npi": [1790868982]}]}, {"allowed_amount": 5464.67, "providers": [{"billed_charge": 2622.0, "npi": [1548296106]}]}]}, {"tin": {"type": "ein", "value": "340714538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.96, "providers": [{"billed_charge": 3332.0, "npi": [1356366991]}]}]}, {"tin": {"type": "ein", "value": "340714581"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1216.99, "providers": [{"billed_charge": 1504.0, "npi": [1942385794]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 852.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1679525919]}]}, {"allowed_amount": 1183.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1679525919]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.89, "providers": [{"billed_charge": 1760.0, "npi": [1548456262, 1336700871, 1558724294, 1437441359, 1205070869, 1760446934, 1093278079]}]}]}, {"tin": {"type": "ein", "value": "340714593"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1902858152]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 852.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "341105619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 682.59, "providers": [{"billed_charge": 2646.0, "npi": [1811939887]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 557.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1366433195]}]}, {"allowed_amount": 852.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3230.0, "npi": [1700828852]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 426.0, "providers": [{"billed_charge": 426.0, "npi": [1578983649, 1043664394, 1356960470]}]}]}, {"tin": {"type": "ein", "value": "350593390"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.41, "providers": [{"billed_charge": 469.0, "npi": [1578849758]}]}]}, {"tin": {"type": "ein", "value": "350868130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1002.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.0, "npi": [1770679201]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5506.0, "npi": [1306898960, 1851833230]}]}]}, {"tin": {"type": "ein", "value": "351088640"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1335.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5434.0, "npi": [1235109778]}]}]}, {"tin": {"type": "ein", "value": "351166081"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1335.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3051.0, "npi": [1346248986]}]}]}, {"tin": {"type": "ein", "value": "351720796"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5366.0, "npi": [1205860335]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5846.0, "npi": [1144266024]}]}, {"allowed_amount": 1335.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5846.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 926.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1390.0, "npi": [1801885413]}]}, {"allowed_amount": 1416.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1390.0, "npi": [1801885413]}]}, {"allowed_amount": 2021.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1390.0, "npi": [1801885413]}]}, {"allowed_amount": 8876.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1390.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "352435687"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.87, "providers": [{"billed_charge": 984.0, "npi": [1477828291]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5866.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5136.04, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "356061776"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.69, "providers": [{"billed_charge": 1198.0, "npi": [1437736899]}]}, {"allowed_amount": 261.66, "providers": [{"billed_charge": 1198.0, "npi": [1326453937]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 834.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1639.63, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "361509000"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 893.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3606.1, "npi": [1871581314]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2970.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.78, "providers": [{"billed_charge": 610.0, "npi": [1851386361, 1568690378]}]}]}, {"tin": {"type": "ein", "value": "362170133"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3606.1, "npi": [1962425611]}]}, {"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3606.1, "npi": [1962425611]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3923.95, "providers": [{"billed_charge": 3115.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362379649"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3800.0, "npi": [1831170232]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2912.0, "npi": [1982688230]}]}, {"allowed_amount": 172.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 16140.0, "npi": [1710931522]}]}, {"allowed_amount": 178.9, "providers": [{"billed_charge": 16140.0, "npi": [1710931522]}]}, {"allowed_amount": 543.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.0, "npi": [1013382860]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.61, "providers": [{"billed_charge": 267.0, "npi": [1124118138]}]}, {"allowed_amount": 133.26, "providers": [{"billed_charge": 2032.0, "npi": [1811991656]}]}, {"allowed_amount": 219.21, "providers": [{"billed_charge": 510.0, "npi": [1609195684]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.3, "providers": [{"billed_charge": 539.0, "npi": [1598818395, 1518283431]}]}]}, {"tin": {"type": "ein", "value": "363279680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 868.0, "npi": [1518193309]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.3, "providers": [{"billed_charge": 394.0, "npi": [1720439839, 1700866167]}]}, {"allowed_amount": 231.78, "providers": [{"billed_charge": 394.0, "npi": [1518264688, 1770169864, 1790988343]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3800.0, "npi": [1376521575]}]}]}, {"tin": {"type": "ein", "value": "364323723"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.18, "providers": [{"billed_charge": 1129.0, "npi": [1245496462]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.78, "providers": [{"billed_charge": 483.0, "npi": [1316156524]}]}]}, {"tin": {"type": "ein", "value": "371119538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "providers": [{"billed_charge": 2877.0, "npi": [1013071653]}]}]}, {"tin": {"type": "ein", "value": "380833014"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3572.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1570.0, "npi": [1902841414]}]}]}, {"tin": {"type": "ein", "value": "380833014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.6, "providers": [{"billed_charge": 386.0, "npi": [1235646308]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 759.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2639.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "381426919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 759.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2998.0, "npi": [1336183367]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 759.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1518.0, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "381976271"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 759.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1199.0, "npi": [1528031226]}]}]}, {"tin": {"type": "ein", "value": "382537427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.16, "providers": [{"billed_charge": 922.0, "npi": [1083827612]}]}]}, {"tin": {"type": "ein", "value": "382791823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2639.0, "npi": [1992725352]}]}]}, {"tin": {"type": "ein", "value": "383176536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 759.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3023.0, "npi": [1053356352]}]}]}, {"tin": {"type": "ein", "value": "383345124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.19, "providers": [{"billed_charge": 1409.0, "npi": [1255081360]}]}, {"allowed_amount": 363.16, "providers": [{"billed_charge": 1409.0, "npi": [1952325961, 1922362185]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1416.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1785.0, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "383521763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3337.24, "providers": [{"billed_charge": 3023.0, "npi": [1790706901]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1048.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384006569"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 270.83, "providers": [{"billed_charge": 1566.0, "npi": [1043836992]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3335.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3333.0, "npi": [1003878539]}]}]}, {"tin": {"type": "ein", "value": "388923381"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.69, "providers": [{"billed_charge": 412.0, "npi": [1386938702]}]}]}, {"tin": {"type": "ein", "value": "390816857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1257.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3434.0, "npi": [1427007384]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1753.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2585.0, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.13, "providers": [{"billed_charge": 1016.5, "npi": [1841226800]}]}]}, {"tin": {"type": "ein", "value": "390964813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 219.41, "providers": [{"billed_charge": 949.0, "npi": [1275988289]}]}]}, {"tin": {"type": "ein", "value": "390985579"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.07, "providers": [{"billed_charge": 578.0, "npi": [1184122376]}]}]}, {"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.13, "providers": [{"billed_charge": 1061.0, "npi": [1902217284]}]}]}, {"tin": {"type": "ein", "value": "391499986"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 219.41, "providers": [{"billed_charge": 1203.0, "npi": [1588612956]}]}]}, {"tin": {"type": "ein", "value": "392851212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 210.12, "providers": [{"billed_charge": 2779.0, "npi": [1356786651]}]}]}, {"tin": {"type": "ein", "value": "394656216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.29, "providers": [{"billed_charge": 1722.27, "npi": [1700035896, 1669919577]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1182.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2066.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "411722554"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.32, "providers": [{"billed_charge": 857.0, "npi": [1770875387]}]}]}, {"tin": {"type": "ein", "value": "412806612"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 466.97, "providers": [{"billed_charge": 2760.0, "npi": [1720039811]}]}]}, {"tin": {"type": "ein", "value": "420504780"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2369.85, "npi": [1083708226]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3545.29, "providers": [{"billed_charge": 1866.77, "npi": [1336231091]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.5, "providers": [{"billed_charge": 399.0, "npi": [1447559893]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1664.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1664.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3545.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2244.0, "npi": [1700827896]}]}]}, {"tin": {"type": "ein", "value": "421672810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5171.0, "npi": [1902844988]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1322.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1893.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 677.0, "npi": [1710306857]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3997.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4208.0, "npi": [1376544320]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.5, "providers": [{"billed_charge": 872.0, "npi": [1932588225, 1447240874, 1255954004, 1710509781]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.88, "providers": [{"billed_charge": 1156.0, "npi": [1891226775]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3641.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1749.0, "npi": [1568481984]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.64, "providers": [{"billed_charge": 503.0, "npi": [1942597992, 1629497268]}]}, {"allowed_amount": 241.88, "providers": [{"billed_charge": 503.0, "npi": [1225478704, 1629497268, 1164874822]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3341.0, "npi": [1871665380, 1962572396]}]}, {"allowed_amount": 3641.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3341.0, "npi": [1962572396]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 220.55, "providers": [{"billed_charge": 1144.0, "npi": [1265164214]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "providers": [{"billed_charge": 1870.0, "npi": [1932786373, 1922311430, 1972164200, 1063542249, 1649603929, 1053502187, 1699491498, 1811048689, 1083858674, 1538397302, 1558723577, 1851584346, 1598407421]}]}, {"allowed_amount": 301.6, "providers": [{"billed_charge": 1870.0, "npi": [1679223614]}]}, {"allowed_amount": 412.6, "providers": [{"billed_charge": 1870.0, "npi": [1699491498, 1427312198]}]}, {"allowed_amount": 483.63, "providers": [{"billed_charge": 1870.0, "npi": [1932786373, 1922311430, 1912263526, 1063542249, 1689170029, 1811048689, 1083858674, 1558723577, 1851584346, 1144320540, 1598407421]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3200.0, "npi": [1437259694]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.31, "providers": [{"billed_charge": 679.32, "npi": [1730567165]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1044.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2180.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1584.0, "npi": [1831115641]}]}]}, {"tin": {"type": "ein", "value": "446900677"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.02, "providers": [{"billed_charge": 1838.0, "npi": [1700129301]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1683.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1805.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1590.76, "providers": [{"billed_charge": 2028.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.32, "providers": [{"billed_charge": 543.0, "npi": [1487189312]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.56, "providers": [{"billed_charge": 1364.0, "npi": [1093334401, 1477057123, 1457970766, 1487073680, 1508826066]}]}]}, {"tin": {"type": "ein", "value": "452528314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1377.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3966.68, "npi": [1972576247]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.08, "providers": [{"billed_charge": 378.0, "npi": [1538516471]}]}]}, {"tin": {"type": "ein", "value": "452743520"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 922.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3176.82, "npi": [1164707725]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1691.0, "npi": [1952754368, 1609196864, 1629497730, 1912995085, 1780078253, 1417112723, 1841619764, 1982612214, 1386689719]}]}, {"allowed_amount": 597.84, "providers": [{"billed_charge": 1691.0, "npi": [1932138146, 1265965347, 1639733165, 1548231376, 1821273053, 1689235764, 1154973469, 1467401406]}]}]}, {"tin": {"type": "ein", "value": "452914664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 625.87, "providers": [{"billed_charge": 1431.0, "npi": [1992782122, 1063833366]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 346.05, "providers": [{"billed_charge": 1211.0, "npi": [1821675968, 1164647145, 1164982906]}]}, {"allowed_amount": 763.53, "providers": [{"billed_charge": 1211.0, "npi": [1740332337]}]}, {"allowed_amount": 783.05, "providers": [{"billed_charge": 1211.0, "npi": [1861717753, 1447535174, 1265649495]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 714.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1221.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "453725269"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1562.0, "npi": [1114010279]}]}]}, {"tin": {"type": "ein", "value": "454006393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 709.0, "npi": [1013594688, 1316265390]}]}]}, {"tin": {"type": "ein", "value": "454376008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.43, "providers": [{"billed_charge": 1109.0, "npi": [1932397916]}]}]}, {"tin": {"type": "ein", "value": "454492354"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.59, "providers": [{"billed_charge": 984.0, "npi": [1891189965]}]}]}, {"tin": {"type": "ein", "value": "454738666"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.59, "providers": [{"billed_charge": 984.0, "npi": [1740771724]}, {"billed_charge": 2266.0, "npi": [1992790950]}]}]}, {"tin": {"type": "ein", "value": "454749911"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 984.0, "npi": [1649418427]}]}]}, {"tin": {"type": "ein", "value": "455205723"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2331.0, "npi": [1457881260]}]}]}, {"tin": {"type": "ein", "value": "455440305"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.61, "providers": [{"billed_charge": 479.0, "npi": [1114501566]}]}]}, {"tin": {"type": "ein", "value": "455604076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.08, "providers": [{"billed_charge": 920.0, "npi": [1124402078]}]}]}, {"tin": {"type": "ein", "value": "460320177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.33, "providers": [{"billed_charge": 1042.0, "npi": [1528718434]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 870.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 870.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "460671713"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.91, "providers": [{"billed_charge": 618.0, "npi": [1487649497]}]}]}, {"tin": {"type": "ein", "value": "461120780"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 636.25, "providers": [{"billed_charge": 2035.0, "npi": [1104182674]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 289.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 444.0, "npi": [1417489220]}]}, {"allowed_amount": 298.47, "providers": [{"billed_charge": 444.0, "npi": [1407242977]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 713.18, "providers": [{"billed_charge": 1673.0, "npi": [1346604352]}]}]}, {"tin": {"type": "ein", "value": "461707288"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.17, "providers": [{"billed_charge": 1556.34, "npi": [1124065784]}]}, {"allowed_amount": 375.85, "providers": [{"billed_charge": 1750.88, "npi": [1215676218, 1477291342, 1629462999]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 650.5, "providers": [{"billed_charge": 1213.0, "npi": [1710961792]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.88, "providers": [{"billed_charge": 1300.0, "npi": [1063174142]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1300.0, "npi": [1962842880, 1609070978, 1154744068, 1457466385, 1841346194, 1104013226, 1427674928, 1770135089, 1558093757, 1013321280, 1063432896, 1720286917, 1407937733, 1952715336, 1912074188, 1740419282, 1821404500, 1538656608, 1558777193, 1992807150, 1881252468, 1356317812, 1053727735, 1609081983]}]}, {"allowed_amount": 277.59, "providers": [{"billed_charge": 1300.0, "npi": [1679013510]}]}, {"allowed_amount": 312.48, "providers": [{"billed_charge": 1300.0, "npi": [1316912843]}]}, {"allowed_amount": 455.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1300.0, "npi": [1013321280, 1871173633, 1609070978, 1952930786, 1164878500, 1720286917, 1205568326, 1992807150, 1154300432, 1740419282, 1841346194, 1821404500, 1063482073, 1225458870, 1356317812, 1881252468, 1942950969]}]}]}, {"tin": {"type": "ein", "value": "462531047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 1870.0, "npi": [1992267892]}]}, {"allowed_amount": 466.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1870.0, "npi": [1417945593, 1154347151]}]}, {"allowed_amount": 475.12, "providers": [{"billed_charge": 1870.0, "npi": [1851680029]}]}]}, {"tin": {"type": "ein", "value": "462579194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.22, "providers": [{"billed_charge": 1750.88, "npi": [1891138103]}]}]}, {"tin": {"type": "ein", "value": "462593177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 592.35, "providers": [{"billed_charge": 1722.0, "npi": [1902668213]}]}]}, {"tin": {"type": "ein", "value": "462710304"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1105.0, "npi": [1285686592]}]}]}, {"tin": {"type": "ein", "value": "462911982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 602.55, "providers": [{"billed_charge": 1328.0, "npi": [1457823999]}]}, {"allowed_amount": 694.97, "providers": [{"billed_charge": 1838.0, "npi": [1235585050, 1407219868, 1992750293, 1538301676]}]}]}, {"tin": {"type": "ein", "value": "463316332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.42, "providers": [{"billed_charge": 1211.0, "npi": [1023638913]}]}]}, {"tin": {"type": "ein", "value": "463487442"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1880.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2874.67, "npi": [1568825545]}]}]}, {"tin": {"type": "ein", "value": "463490058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 281.04, "providers": [{"billed_charge": 1722.27, "npi": [1558715573]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 602.79, "npi": [1417401357]}]}, {"allowed_amount": 602.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 602.79, "npi": [1417401357, 1124049655]}]}]}, {"tin": {"type": "ein", "value": "464249321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.89, "providers": [{"billed_charge": 1750.88, "npi": [1598159055]}]}]}, {"tin": {"type": "ein", "value": "464319695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 403.7, "providers": [{"billed_charge": 1870.0, "npi": [1720407661]}]}]}, {"tin": {"type": "ein", "value": "464614946"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.05, "providers": [{"billed_charge": 2496.0, "npi": [1861889495, 1346828647]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1419.51, "providers": [{"billed_charge": 2383.0, "npi": [1013332014]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 376.0, "npi": [1417989468]}]}, {"allowed_amount": 212.27, "providers": [{"billed_charge": 343.0, "npi": [1144304197]}]}, {"allowed_amount": 216.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1003081472, 1114347655, 1285054536, 1215106216, 1942501739, 1669811667, 1114293172, 1639439896]}]}, {"allowed_amount": 221.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1184823825, 1417989468, 1578983847]}]}, {"allowed_amount": 245.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1619964228]}]}, {"allowed_amount": 255.74, "providers": [{"billed_charge": 343.0, "npi": [1316432784, 1447883756, 1821741216]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1821741216, 1447883756, 1316432784]}, {"billed_charge": 376.0, "npi": [1225244007, 1578983847, 1497786891, 1871273326, 1184823825, 1033538707, 1114445301, 1366080855, 1417989468]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1114347655, 1215106216, 1285054536, 1780739144, 1942501739, 1447781877, 1639439896, 1427140664]}]}, {"allowed_amount": 343.0, "providers": [{"billed_charge": 343.0, "npi": [1912102104]}]}, {"allowed_amount": 376.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1497786891, 1871273326, 1811048531, 1033538707, 1366080855]}]}]}, {"tin": {"type": "ein", "value": "464852005"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 337.36, "providers": [{"billed_charge": 1750.88, "npi": [1437133022]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.35, "providers": [{"billed_charge": 2113.0, "npi": [1154333987, 1316254493]}]}, {"allowed_amount": 245.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1427233006]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1154333987, 1356320808, 1912993114, 1811928666, 1659498939, 1083642524]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1154333987, 1104271725, 1427233006, 1104110386, 1023219763, 1700306164, 1316254493]}]}, {"allowed_amount": 295.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1154333987, 1023219763]}]}, {"allowed_amount": 344.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1700306164, 1316254493]}]}, {"allowed_amount": 419.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1912993114, 1811928666, 1316254493]}]}, {"allowed_amount": 475.12, "providers": [{"billed_charge": 2113.0, "npi": [1801050976]}]}, {"allowed_amount": 483.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1356320808, 1083642524]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1427391465]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1154333987, 1104271725, 1053690479, 1104110386, 1023219763]}]}]}, {"tin": {"type": "ein", "value": "465477125"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1870.0, "npi": [1801214432]}]}]}, {"tin": {"type": "ein", "value": "470379755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1031.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2470.0, "npi": [1336184019]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.82, "providers": [{"billed_charge": 491.0, "npi": [1083161889]}]}]}, {"tin": {"type": "ein", "value": "470785575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 412.03, "providers": [{"billed_charge": 500.0, "npi": [1679070304]}]}]}, {"tin": {"type": "ein", "value": "470796875"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2410.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2709.0, "npi": [1285676544]}]}]}, {"tin": {"type": "ein", "value": "470809403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 426.4, "providers": [{"billed_charge": 1229.0, "npi": [1174936769]}]}]}, {"tin": {"type": "ein", "value": "471320995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 223.04, "providers": [{"billed_charge": 2331.0, "npi": [1740675594]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 699.26, "providers": [{"billed_charge": 1715.0, "npi": [1417932948]}]}]}, {"tin": {"type": "ein", "value": "471384054"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 246.3, "providers": [{"billed_charge": 611.0, "npi": [1265156343]}]}, {"allowed_amount": 289.77, "providers": [{"billed_charge": 611.0, "npi": [1275761819]}]}]}, {"tin": {"type": "ein", "value": "471988466"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 1638.0, "npi": [1295960581]}]}]}, {"tin": {"type": "ein", "value": "472044374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 557.99, "providers": [{"billed_charge": 1559.0, "npi": [1902255169]}]}, {"allowed_amount": 656.46, "providers": [{"billed_charge": 1559.0, "npi": [1689740573]}]}]}, {"tin": {"type": "ein", "value": "472319983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1750.88, "npi": [1477717338]}]}]}, {"tin": {"type": "ein", "value": "472478680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 306.3, "providers": [{"billed_charge": 922.0, "npi": [1427146125]}]}]}, {"tin": {"type": "ein", "value": "472660438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.45, "providers": [{"billed_charge": 1646.0, "npi": [1295745529, 1336120690, 1598743130, 1396778510]}]}, {"allowed_amount": 344.31, "providers": [{"billed_charge": 1646.0, "npi": [1255747945, 1396778510]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 594.37, "providers": [{"billed_charge": 1444.0, "npi": [1033827647]}]}, {"allowed_amount": 708.66, "providers": [{"billed_charge": 1619.0, "npi": [1912931163]}]}]}, {"tin": {"type": "ein", "value": "473207494"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 559.87, "providers": [{"billed_charge": 1190.0, "npi": [1730702895]}]}, {"allowed_amount": 658.67, "providers": [{"billed_charge": 1133.0, "npi": [1912269119]}]}]}, {"tin": {"type": "ein", "value": "473668904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "providers": [{"billed_charge": 2496.0, "npi": [1255592788]}]}]}, {"tin": {"type": "ein", "value": "473718543"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 193.57, "providers": [{"billed_charge": 1415.0, "npi": [1760619027, 1184832701]}]}]}, {"tin": {"type": "ein", "value": "474131755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1048.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5707.0, "npi": [1265818488]}]}]}, {"tin": {"type": "ein", "value": "474196634"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 28602.0, "npi": [1942685920]}, {"billed_charge": 33958.0, "npi": [1942685920]}]}]}, {"tin": {"type": "ein", "value": "475040973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2234.0, "npi": [1336536440, 1063964666, 1558314435]}]}, {"allowed_amount": 295.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2234.0, "npi": [1639583594, 1285613067, 1063496727, 1043875032, 1063964666]}]}]}, {"tin": {"type": "ein", "value": "475339746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "providers": [{"billed_charge": 611.0, "npi": [1154387579, 1083971451]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 209.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 852.0, "npi": [1598407918]}]}]}, {"tin": {"type": "ein", "value": "510103684"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11640.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2610.33, "npi": [1134194038]}]}]}, {"tin": {"type": "ein", "value": "518131038"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.27, "providers": [{"billed_charge": 1225.0, "npi": [1164598629]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1591.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1591.77, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 298.47, "providers": [{"billed_charge": 578.0, "npi": [1366492977]}]}]}, {"tin": {"type": "ein", "value": "520635894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.13, "providers": [{"billed_charge": 524.5, "npi": [1912636390]}]}]}, {"tin": {"type": "ein", "value": "520936535"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 278.04, "providers": [{"billed_charge": 734.0, "npi": [1184079774]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.26, "providers": [{"billed_charge": 1750.88, "npi": [1326701335]}]}, {"allowed_amount": 253.7, "providers": [{"billed_charge": 1750.88, "npi": [1912316118]}]}, {"allowed_amount": 278.04, "providers": [{"billed_charge": 1750.88, "npi": [1306324892]}]}, {"allowed_amount": 288.29, "providers": [{"billed_charge": 1750.88, "npi": [1962185306, 1619759149]}]}, {"allowed_amount": 298.47, "providers": [{"billed_charge": 1750.88, "npi": [1649568692]}]}, {"allowed_amount": 339.17, "providers": [{"billed_charge": 1750.88, "npi": [1811558034]}]}, {"allowed_amount": 375.85, "providers": [{"billed_charge": 1750.88, "npi": [1730683012, 1588081509]}]}]}, {"tin": {"type": "ein", "value": "521272129"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1491.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4285.95, "npi": [1548378235]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1500.32, "providers": [{"billed_charge": 1500.32, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1349.58, "providers": [{"billed_charge": 1349.58, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "521403415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 246.3, "providers": [{"billed_charge": 615.0, "npi": [1689391468]}]}]}, {"tin": {"type": "ein", "value": "521958352"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3396.0, "npi": [1740254143]}]}]}, {"tin": {"type": "ein", "value": "522043450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.7, "providers": [{"billed_charge": 1750.88, "npi": [1194509125]}]}, {"allowed_amount": 289.77, "providers": [{"billed_charge": 1750.88, "npi": [1427417872]}]}, {"allowed_amount": 298.47, "providers": [{"billed_charge": 1750.88, "npi": [1255625836]}]}]}, {"tin": {"type": "ein", "value": "522254699"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 298.47, "providers": [{"billed_charge": 833.0, "npi": [1538371752]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1372.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3557.0, "npi": [1376564302]}]}, {"allowed_amount": 1438.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3557.0, "npi": [1255684460]}]}, {"allowed_amount": 2030.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3557.0, "npi": [1831220714]}]}]}, {"tin": {"type": "ein", "value": "540958905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.17, "providers": [{"billed_charge": 709.0, "npi": [1831777275, 1932463734]}]}]}, {"tin": {"type": "ein", "value": "541141362"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.17, "providers": [{"billed_charge": 704.0, "npi": [1295319515]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "providers": [{"billed_charge": 823.0, "npi": [1952351694]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1770.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3768.0, "npi": [1346297892]}]}]}, {"tin": {"type": "ein", "value": "560529976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1741.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3427.0, "npi": [1700860491]}]}]}, {"tin": {"type": "ein", "value": "560529994"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2985.0, "npi": [1326010273]}]}]}, {"tin": {"type": "ein", "value": "560552787"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3940.0, "npi": [1144211301]}]}, {"allowed_amount": 1524.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3940.0, "npi": [1144211301]}]}]}, {"tin": {"type": "ein", "value": "560619359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1240.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3289.0, "npi": [1013918960]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1220.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3768.0, "npi": [1376985135]}]}, {"allowed_amount": 1741.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3975.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "providers": [{"billed_charge": 650.0, "npi": [1114931425]}]}, {"allowed_amount": 316.63, "providers": [{"billed_charge": 650.0, "npi": [1811389380]}]}]}, {"tin": {"type": "ein", "value": "561509260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4293.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3167.0, "npi": [1497797088]}]}]}, {"tin": {"type": "ein", "value": "561614999"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 310.15, "providers": [{"billed_charge": 1029.0, "npi": [1316405723]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.98, "providers": [{"billed_charge": 513.0, "npi": [1386620136, 1740636448, 1316165251]}]}, {"allowed_amount": 367.58, "providers": [{"billed_charge": 513.0, "npi": [1225415367]}]}]}, {"tin": {"type": "ein", "value": "561763695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 267.81, "providers": [{"billed_charge": 1041.0, "npi": [1629887765]}]}, {"allowed_amount": 316.63, "providers": [{"billed_charge": 1041.0, "npi": [1184371783]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 991.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1099.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "561903275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "providers": [{"billed_charge": 1231.0, "npi": [1013371426, 1407351851, 1669907051, 1912427576, 1205330875]}]}, {"allowed_amount": 316.63, "providers": [{"billed_charge": 1231.0, "npi": [1588349112, 1689330466, 1750884383]}]}, {"allowed_amount": 367.58, "providers": [{"billed_charge": 1231.0, "npi": [1063092823]}]}]}, {"tin": {"type": "ein", "value": "562066152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "providers": [{"billed_charge": 1623.0, "npi": [1386105930]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 672.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3446.0, "npi": [1871592113]}]}, {"allowed_amount": 960.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3556.0, "npi": [1992703540]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 316.63, "providers": [{"billed_charge": 500.0, "npi": [1942909569]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 349.0, "npi": [1255913034]}]}, {"allowed_amount": 265.84, "providers": [{"billed_charge": 349.0, "npi": [1467403832, 1487008827]}]}, {"allowed_amount": 316.63, "providers": [{"billed_charge": 349.0, "npi": [1770206898]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1097.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1831.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "562143518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1249.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3778.22, "npi": [1881688976]}]}]}, {"tin": {"type": "ein", "value": "562398079"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "providers": [{"billed_charge": 2496.0, "npi": [1831401546]}]}]}, {"tin": {"type": "ein", "value": "570370242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3292.0, "npi": [1699756221]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1523.55, "providers": [{"billed_charge": 4353.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.01, "providers": [{"billed_charge": 919.0, "npi": [1831725852, 1740715655]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.01, "providers": [{"billed_charge": 552.0, "npi": [1003497637]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1174.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4156.0, "npi": [1659435840]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.01, "providers": [{"billed_charge": 793.0, "npi": [1255795910]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1144203563]}]}, {"allowed_amount": 1348.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1309.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "580566256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1588640692]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1679664395]}]}, {"allowed_amount": 1348.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "580568702"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 654.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2104.0, "npi": [1063406684]}]}]}, {"tin": {"type": "ein", "value": "580572465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2378.5, "npi": [1922178789]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2104.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "580625140"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 873.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1287.58, "npi": [1740272095]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 531.0, "npi": [1477970424, 1215919592, 1821403890, 1942406483, 1649540535, 1609001080, 1699978296]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 668.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2985.0, "npi": [1477591055]}]}]}, {"tin": {"type": "ein", "value": "581600356"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 1344.0, "npi": [1306417274, 1417919317]}]}, {"allowed_amount": 475.12, "providers": [{"billed_charge": 1344.0, "npi": [1386999225]}]}]}, {"tin": {"type": "ein", "value": "581634752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "providers": [{"billed_charge": 1426.0, "npi": [1396403325, 1881651503]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1306.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3507.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581795715"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "providers": [{"billed_charge": 1758.0, "npi": [1457091274, 1346422243, 1750363438]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.17, "providers": [{"billed_charge": 1307.0, "npi": [1194744326]}]}]}, {"tin": {"type": "ein", "value": "581920755"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 411.3, "providers": [{"billed_charge": 1450.0, "npi": [1871808931]}]}, {"allowed_amount": 424.27, "providers": [{"billed_charge": 1450.0, "npi": [1184019101]}]}, {"allowed_amount": 475.12, "providers": [{"billed_charge": 1450.0, "npi": [1720377237]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7204.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2223.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "providers": [{"billed_charge": 900.0, "npi": [1316526288, 1356388805, 1134153679]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 1450.0, "npi": [1003357864, 1356087555, 1285951632]}]}, {"allowed_amount": 475.12, "providers": [{"billed_charge": 1450.0, "npi": [1669867925]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3928.0, "npi": [1952340994]}]}, {"allowed_amount": 1348.9, "providers": [{"billed_charge": 3928.0, "npi": [1376574277]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1962403865, 1093716979]}]}, {"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1962403865, 1093716979]}]}, {"allowed_amount": 2522.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1093716979]}]}, {"allowed_amount": 5850.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1962403865]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 787.0, "npi": [1689088320, 1578184875, 1922635861, 1255355350, 1811239130]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1252.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3089.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582095884"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 877.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3089.0, "npi": [1457329435]}]}]}, {"tin": {"type": "ein", "value": "582102607"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 292.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1667.0, "npi": [1023247723, 1033278684, 1447664974]}]}]}, {"tin": {"type": "ein", "value": "582144788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 645.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3089.0, "npi": [1437135902]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 981.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4423.0, "npi": [1043270564]}]}, {"allowed_amount": 6151.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4033.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1760498588]}]}, {"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582179986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1306.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1437186111]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5424.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1225034333]}]}, {"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582228258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 292.54, "providers": [{"billed_charge": 1782.0, "npi": [1881612067]}]}, {"allowed_amount": 416.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1782.0, "npi": [1205331170, 1548554124, 1306208558, 1851662936, 1992169692]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "582433432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1467406132]}]}, {"allowed_amount": 5850.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1467406132]}]}]}, {"tin": {"type": "ein", "value": "582504530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5311.13, "providers": [{"billed_charge": 2523.0, "npi": [1730123175]}]}]}, {"tin": {"type": "ein", "value": "582548205"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1864.0, "npi": [1992744007]}]}]}, {"tin": {"type": "ein", "value": "582636306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.2, "providers": [{"billed_charge": 1870.0, "npi": [1477768513]}]}, {"allowed_amount": 320.4, "providers": [{"billed_charge": 1870.0, "npi": [1033964549, 1598413262]}]}, {"allowed_amount": 473.36, "providers": [{"billed_charge": 1870.0, "npi": [1508979097, 1629573290, 1366763732]}]}, {"allowed_amount": 475.12, "providers": [{"billed_charge": 1870.0, "npi": [1861636813]}]}]}, {"tin": {"type": "ein", "value": "586002659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 689.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 612.0, "npi": [1861615304]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 873.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1067.2, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.49, "npi": [1295702728]}]}, {"allowed_amount": 923.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.49, "npi": [1295702728, 1386940823]}]}, {"allowed_amount": 1318.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.49, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.83, "providers": [{"billed_charge": 3230.2, "npi": [1912964768]}]}, {"allowed_amount": 1453.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3230.2, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1243.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7038.0, "npi": [1437135811]}]}, {"allowed_amount": 1567.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7038.0, "npi": [1376529743]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1710.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1194790055]}]}, {"allowed_amount": 2614.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1194790055]}]}, {"allowed_amount": 3731.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1194790055]}]}, {"allowed_amount": 5288.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1194790055]}]}, {"allowed_amount": 16387.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 806.12, "providers": [{"billed_charge": 4673.73, "npi": [1033001748]}]}, {"allowed_amount": 1150.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4673.73, "npi": [1033001748]}]}, {"allowed_amount": 5052.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4673.73, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1276.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6300.0, "npi": [1700979465]}]}, {"allowed_amount": 1822.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6300.0, "npi": [1700979465, 1972664530]}]}, {"allowed_amount": 8002.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6300.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590683252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1567.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4874.0, "npi": [1427114099]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2705.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4254.0, "npi": [1720085137]}]}, {"allowed_amount": 3862.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4254.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1590.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3048.0, "npi": [1891782470]}]}, {"allowed_amount": 2269.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3048.0, "npi": [1891782470]}]}, {"allowed_amount": 9969.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3048.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 867.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4651.14, "npi": [1083692594]}]}, {"allowed_amount": 1237.58, "providers": [{"billed_charge": 4651.14, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1590.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4710.0, "npi": [1578620449]}]}, {"allowed_amount": 2269.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4710.0, "npi": [1578620449]}]}, {"allowed_amount": 4984.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4710.0, "npi": [1578620449]}]}, {"allowed_amount": 9969.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4710.0, "npi": [1578620449]}]}, {"allowed_amount": 19698.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4710.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1243.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7038.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1237.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4542.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 650.94, "providers": [{"billed_charge": 1983.0, "npi": [1710172465, 1912733767]}]}, {"allowed_amount": 765.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1983.0, "npi": [1821109216, 1558758912, 1083243109, 1316925605, 1184120008, 1942835145, 1750601035, 1548357437, 1245895952, 1427554930, 1427541333, 1346878006, 1639115801, 1669664892, 1639752157, 1124125471]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 627.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1451.0, "npi": [1972497923]}, {"billed_charge": 1495.0, "npi": [1932682432]}, {"billed_charge": 1667.0, "npi": [1053031773]}, {"billed_charge": 1748.0, "npi": [1922879113, 1235660861]}, {"billed_charge": 1769.0, "npi": [1932682432, 1841644556, 1881588838]}, {"billed_charge": 1835.0, "npi": [1811367105, 1457837957, 1497462246, 1437870342, 1720033962, 1013008044, 1942961180, 1356743900, 1205665940, 1154114932, 1326930330, 1326579996, 1922333244]}]}, {"allowed_amount": 668.44, "providers": [{"billed_charge": 1835.0, "npi": [1700172772]}]}, {"allowed_amount": 738.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1451.0, "npi": [1043218464, 1730620097, 1699066019, 1275946436, 1669857447, 1932737095, 1285124586, 1609364686, 1073509618, 1689346579, 1275160731]}, {"billed_charge": 1495.0, "npi": [1881004869, 1285124586, 1043890544, 1760060917, 1952691867]}, {"billed_charge": 1558.0, "npi": [1588651376, 1073509618]}, {"billed_charge": 1667.0, "npi": [1003278433, 1275162893, 1205320942]}, {"billed_charge": 1748.0, "npi": [1851320386, 1912132010, 1346709391, 1376170928, 1467681007, 1154060374, 1710448246, 1972966778]}, {"billed_charge": 1769.0, "npi": [1881652808, 1710448246]}, {"billed_charge": 1835.0, "npi": [1396031233, 1063032449, 1609214980, 1669001483, 1861874828, 1326669581, 1932542347, 1780316307, 1255328407, 1487992343, 1275160731, 1417309212, 1720330525, 1326036765, 1740848159, 1558758821, 1720422694, 1083146278, 1669857447, 1639602345, 1962817965, 1912160813, 1861791535, 1023227956, 1306425269, 1609526581, 1225532724, 1548526007, 1699354423, 1982348348, 1871052605, 1730743998, 1124467394, 1346970308, 1932590148, 1881652808, 1326570060, 1801359948, 1982692687, 1255919569, 1538747860, 1043943509, 1376117077, 1063733079, 1568894293, 1760913495, 1225490014, 1700091360, 1215341540, 1043440100, 1700172772, 1598262503, 1114487527, 1073824108, 1417417197, 1578925038, 1205320942, 1417278193, 1003299314, 1003498353, 1821007220, 1912214776, 1407144314, 1093177982]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1416.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2921.0, "npi": [1396992475]}]}, {"allowed_amount": 2021.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2921.0, "npi": [1396992475]}]}, {"allowed_amount": 2921.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2921.0, "npi": [1396992475]}]}, {"allowed_amount": 8876.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2921.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2330.71, "providers": [{"billed_charge": 5549.32, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.94, "providers": [{"billed_charge": 525.0, "npi": [1902244197]}]}, {"allowed_amount": 275.45, "providers": [{"billed_charge": 525.0, "npi": [1669498952, 1902244197]}]}, {"allowed_amount": 324.64, "providers": [{"billed_charge": 525.0, "npi": [1578797486]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 411.08, "providers": [{"billed_charge": 695.0, "npi": [1649005976]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 695.0, "npi": [1710620174, 1598393878, 1326545815, 1275549206, 1861913246, 1568106276, 1275062705, 1366503476, 1679526453, 1043874613, 1396242624, 1104085570, 1821475914, 1609331420, 1316688229, 1487143913, 1235346669, 1265016950, 1649769720]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 422.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7811.0, "npi": [1184709057]}]}, {"allowed_amount": 2114.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7811.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 1586.9, "npi": [1124361753]}]}, {"allowed_amount": 146.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1586.9, "npi": [1497288369]}]}, {"allowed_amount": 169.54, "providers": [{"billed_charge": 1586.9, "npi": [1538396064, 1801174073]}]}, {"allowed_amount": 205.23, "providers": [{"billed_charge": 1586.9, "npi": [1922394030]}]}, {"allowed_amount": 215.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1586.9, "npi": [1275684482, 1255594461]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1586.9, "npi": [1356630529, 1598080004, 1902256142, 1376832535, 1427013143, 1134650906, 1578901021, 1467713057, 1558332460, 1306596911, 1154781748, 1205358645, 1801472568, 1801174073, 1598074429, 1528506433, 1174840904, 1164861001, 1326200395, 1679192140, 1508824657, 1164963419, 1336889948, 1457333858, 1821450339, 1083294821, 1457662058, 1760659064, 1518171776, 1982625927, 1013596808, 1801978515, 1699301523, 1568852630, 1316096670, 1720006828, 1225324205, 1033348784, 1518544568, 1902127293, 1366419137, 1033421011, 1407437528, 1265591002, 1871673053, 1477872869, 1558316265, 1063701233, 1811960578, 1336726793, 1043897101, 1861079824, 1922208016, 1952833816, 1487187233, 1437577004, 1386943793, 1427685189, 1922252105, 1093919573, 1841638749, 1912094574, 1033869680, 1386394997, 1790059384, 1215434626, 1013146505, 1699765131, 1780662676, 1225062813, 1538396064, 1184005027, 1922394030, 1023169968, 1578023354, 1679004097, 1235160516, 1558557637, 1750517199, 1457871824, 1326247388, 1356318711, 1598105082, 1609847292]}]}, {"allowed_amount": 267.69, "providers": [{"billed_charge": 1586.9, "npi": [1639512650, 1699765131]}]}, {"allowed_amount": 290.89, "providers": [{"billed_charge": 1586.9, "npi": [1679682264]}]}, {"allowed_amount": 292.54, "providers": [{"billed_charge": 1586.9, "npi": [1154610640]}]}, {"allowed_amount": 355.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1586.9, "npi": [1982021838]}]}, {"allowed_amount": 483.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1586.9, "npi": [1922022177, 1922252105, 1104453802, 1245250513, 1215162524]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1586.9, "npi": [1518171776, 1356630529, 1215434626, 1790384642, 1932596228, 1811960578, 1699765131, 1043897101, 1902256142, 1942836879, 1861079824, 1922208016, 1235636754, 1699301523, 1467724054, 1427013143, 1952833816, 1407344153, 1225062813, 1639303456, 1467713057, 1821433889, 1568099109, 1225324205, 1033348784, 1154781748, 1952041782, 1518544568, 1578023354, 1598074429, 1669977534, 1053992511, 1063945541, 1588604870, 1427685189, 1225666886, 1174840904, 1679192140, 1104453455, 1508824657, 1033421011, 1164793428, 1225667801, 1265591002, 1790041689, 1326247388, 1598225245, 1871673053, 1740576735, 1336889948, 1053999201, 1821450339, 1083294821, 1477872869, 1669114856, 1457662058, 1144413675, 1093795437, 1033869680, 1851914097, 1386394997, 1386803062, 1356318711, 1598105082, 1265182844]}]}, {"allowed_amount": 710.27, "providers": [{"billed_charge": 1586.9, "npi": [1639303456, 1952389538, 1083294821, 1063480424, 1457662058, 1558332460, 1255776076, 1053383448, 1922326834, 1235636754, 1851914097, 1649427352, 1760659064, 1902127293]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.8, "providers": [{"billed_charge": 1098.0, "npi": [1740784966]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 665.0, "npi": [1871170951, 1013336718, 1962961938, 1609108505, 1033260955, 1073527586, 1528103843, 1881674026, 1760683825, 1720198450, 1417533902, 1942567375, 1780265942, 1740662360, 1760772958, 1578588000, 1205363686, 1255868279, 1609847292, 1821485822]}, {"billed_charge": 1098.0, "npi": [1720032048, 1033260955, 1760453765]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1908.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3406.0, "npi": [1437177664]}]}, {"allowed_amount": 2723.92, "providers": [{"billed_charge": 3406.0, "npi": [1437177664]}]}, {"allowed_amount": 11963.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3406.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1573.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4542.0, "npi": [1699874248]}]}, {"allowed_amount": 2245.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4542.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1722.0, "npi": [1629262126]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1567.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7038.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1590.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8373.36, "npi": [1821186313]}]}, {"allowed_amount": 2269.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8373.36, "npi": [1821186313]}]}, {"allowed_amount": 9969.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8373.36, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "providers": [{"billed_charge": 538.53, "npi": [1336468198]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 923.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.49, "npi": [1184691610]}]}, {"allowed_amount": 1318.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.49, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2614.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1376512988]}]}, {"allowed_amount": 3731.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 888.91, "providers": [{"billed_charge": 3645.0, "npi": [1144228446]}]}, {"allowed_amount": 1268.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3645.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 348.89, "providers": [{"billed_charge": 650.0, "npi": [1902622699]}]}, {"allowed_amount": 410.46, "providers": [{"billed_charge": 650.0, "npi": [1881058881, 1639707698, 1194899740]}]}]}, {"tin": {"type": "ein", "value": "593202547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1703.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3030.0, "npi": [1104926401]}]}]}, {"tin": {"type": "ein", "value": "593234721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9969.28, "providers": [{"billed_charge": 4710.0, "npi": [1518024462]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2114.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7811.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.69, "providers": [{"billed_charge": 2295.0, "npi": [1609218130]}]}, {"allowed_amount": 249.84, "providers": [{"billed_charge": 2295.0, "npi": [1972769198, 1053360685, 1881744662, 1508064759]}]}, {"allowed_amount": 267.69, "providers": [{"billed_charge": 2295.0, "npi": [1316670193, 1225328206]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2295.0, "npi": [1548765126, 1487008454, 1891845798, 1427477132, 1578724142, 1316670193, 1912559865]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.14, "providers": [{"billed_charge": 1861.0, "npi": [1831741107, 1659328995]}]}, {"allowed_amount": 199.88, "providers": [{"billed_charge": 1861.0, "npi": [1245646587]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1861.0, "npi": [1780316802, 1427491976, 1174561930, 1275150732, 1841221777, 1063663508, 1326302100, 1497307797, 1023424660, 1689613721, 1730706201, 1063663516, 1982855581, 1336390947, 1346762788, 1942932140, 1063483949, 1699345199, 1851734321, 1720239411, 1912524471, 1043240377, 1679893960, 1689244105, 1417925199, 1851730774, 1487940060, 1801047519, 1659328995, 1114255718, 1427431782, 1891365482, 1346686573, 1396972527, 1730528753, 1205276789, 1184678518, 1114995834, 1245646587, 1326035197, 1437598463]}]}, {"allowed_amount": 253.41, "providers": [{"billed_charge": 1861.0, "npi": [1205276789]}]}, {"allowed_amount": 258.41, "providers": [{"billed_charge": 1861.0, "npi": [1679964464, 1346826096]}]}, {"allowed_amount": 267.69, "providers": [{"billed_charge": 1861.0, "npi": [1740388354]}]}, {"allowed_amount": 455.07, "providers": [{"billed_charge": 1861.0, "npi": [1942261821, 1487940060, 1346686573]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1861.0, "npi": [1609027200, 1699720581, 1538628615, 1174561930, 1851541130, 1275150732, 1780911503, 1952665747, 1023424660, 1326302100, 1992756373, 1346972569, 1063663516, 1992934434, 1538423330, 1346762788, 1699345199, 1851734321, 1962502450, 1720239411, 1669968178, 1912648510, 1689244105, 1467491662, 1437300951, 1306416987, 1750481248, 1558628578, 1093397986, 1073568614, 1427431782, 1760778344, 1366706152, 1578714093, 1871553776, 1730528753, 1811217268, 1861431926, 1972899581, 1790748671]}]}, {"allowed_amount": 542.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1861.0, "npi": [1841221777]}]}, {"allowed_amount": 972.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1861.0, "npi": [1770621898]}]}]}, {"tin": {"type": "ein", "value": "593527036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1305.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4542.0, "npi": [1740276518]}]}]}, {"tin": {"type": "ein", "value": "593535333"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "providers": [{"billed_charge": 2100.0, "npi": [1922560960, 1326289042, 1073199675]}]}, {"allowed_amount": 485.41, "providers": [{"billed_charge": 2100.0, "npi": [1922560960, 1134344039, 1962864017, 1326289042, 1518209055]}]}]}, {"tin": {"type": "ein", "value": "593597846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "providers": [{"billed_charge": 1632.0, "npi": [1437378577, 1790711133, 1679734743]}]}, {"allowed_amount": 485.41, "providers": [{"billed_charge": 1632.0, "npi": [1184156010, 1437378577, 1033640818, 1679734743, 1467646554]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1430.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5320.0, "npi": [1811991227]}]}, {"allowed_amount": 6282.01, "providers": [{"billed_charge": 5320.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1720.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1720.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 605.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 935.24, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.04, "providers": [{"billed_charge": 573.0, "npi": [1346565736]}]}, {"allowed_amount": 258.41, "providers": [{"billed_charge": 573.0, "npi": [1356919914]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 923.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4166.0, "npi": [1053424648]}]}, {"allowed_amount": 1318.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4166.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "596031176"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 569.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 569.0, "npi": [1366431702]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3522.02, "npi": [1265539498]}]}, {"allowed_amount": 1335.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3522.02, "npi": [1497798847]}]}, {"allowed_amount": 5866.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3522.02, "npi": [1497798847]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1230.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.86, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610492356"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 831.0, "npi": [1821135963]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 877.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1972.0, "npi": [1952307027]}]}, {"allowed_amount": 1251.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1972.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1621.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2549.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "611185194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.46, "providers": [{"billed_charge": 1334.0, "npi": [1700265881]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.46, "providers": [{"billed_charge": 729.0, "npi": [1306102769, 1669050290, 1457795734, 1164919288, 1457306011]}]}]}, {"tin": {"type": "ein", "value": "611293786"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5202.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3452.0, "npi": [1861554438]}]}]}, {"tin": {"type": "ein", "value": "611401114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.46, "providers": [{"billed_charge": 987.0, "npi": [1417290081]}]}]}, {"tin": {"type": "ein", "value": "611442402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.16, "providers": [{"billed_charge": 1471.0, "npi": [1609189620]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 763.53, "providers": [{"billed_charge": 935.0, "npi": [1275110967]}]}]}, {"tin": {"type": "ein", "value": "611786722"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 943.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8721.0, "npi": [1154876985]}]}]}, {"tin": {"type": "ein", "value": "611871948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 655.38, "providers": [{"billed_charge": 672.0, "npi": [1588737167]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1456.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3200.0, "npi": [1629025648]}]}, {"allowed_amount": 6398.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3200.0, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "620475842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1456.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3200.0, "npi": [1164590386]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1558365890]}]}, {"allowed_amount": 653.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1558365890]}]}, {"allowed_amount": 932.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6398.61, "providers": [{"billed_charge": 5310.42, "npi": [1992776405]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 544.74, "providers": [{"billed_charge": 1660.0, "npi": [1619771888, 1073324554, 1952036261, 1427596550]}]}, {"allowed_amount": 553.91, "providers": [{"billed_charge": 1771.0, "npi": [1528890274, 1376924332]}]}, {"allowed_amount": 625.57, "providers": [{"billed_charge": 1616.0, "npi": [1043251606]}]}, {"allowed_amount": 640.87, "providers": [{"billed_charge": 1660.0, "npi": [1316441504, 1689940736, 1629564745, 1912438540, 1457630931, 1245524057, 1497332829]}]}, {"allowed_amount": 650.8, "providers": [{"billed_charge": 1659.0, "npi": [1144751637]}]}, {"allowed_amount": 651.66, "providers": [{"billed_charge": 1639.0, "npi": [1023692092]}, {"billed_charge": 1771.0, "npi": [1376126276, 1053312710]}]}]}, {"tin": {"type": "ein", "value": "621179254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.72, "providers": [{"billed_charge": 1689.0, "npi": [1619956539]}]}, {"allowed_amount": 446.98, "providers": [{"billed_charge": 1689.0, "npi": [1265645303]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 116.04, "providers": [{"billed_charge": 1597.0, "npi": [1356379382]}, {"billed_charge": 1752.0, "npi": [1356379382]}]}, {"allowed_amount": 531.73, "providers": [{"billed_charge": 1433.0, "npi": [1215210943]}, {"billed_charge": 1656.0, "npi": [1104107929]}, {"billed_charge": 1686.0, "npi": [1639416720]}, {"billed_charge": 1687.0, "npi": [1922565282]}]}, {"allowed_amount": 536.9, "providers": [{"billed_charge": 1712.0, "npi": [1427568229]}]}, {"allowed_amount": 545.92, "providers": [{"billed_charge": 1723.0, "npi": [1316740061]}]}, {"allowed_amount": 625.57, "providers": [{"billed_charge": 1391.0, "npi": [1972564466]}, {"billed_charge": 1656.0, "npi": [1922663350]}]}, {"allowed_amount": 631.64, "providers": [{"billed_charge": 1712.0, "npi": [1669050928]}]}, {"allowed_amount": 642.25, "providers": [{"billed_charge": 1723.0, "npi": [1043873672]}, {"billed_charge": 1763.0, "npi": [1346222429]}]}]}, {"tin": {"type": "ein", "value": "621560757"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1456.92, "providers": [{"billed_charge": 4807.54, "npi": [1295780476]}]}]}, {"tin": {"type": "ein", "value": "621586974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.73, "providers": [{"billed_charge": 1022.0, "npi": [1548259690]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1536.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "621619857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4203.87, "providers": [{"billed_charge": 5740.97, "npi": [1811942238]}]}]}, {"tin": {"type": "ein", "value": "621682210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4098.78, "providers": [{"billed_charge": 4194.81, "npi": [1255384533]}]}]}, {"tin": {"type": "ein", "value": "621696734"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "providers": [{"billed_charge": 1534.0, "npi": [1073650685]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2187.85, "providers": [{"billed_charge": 6251.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621801359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 8457.25, "npi": [1174576698]}]}]}, {"tin": {"type": "ein", "value": "621811285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1048.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8718.0, "npi": [1326022765]}]}]}, {"tin": {"type": "ein", "value": "621859672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 657.18, "providers": [{"billed_charge": 1402.0, "npi": [1841296258]}]}]}, {"tin": {"type": "ein", "value": "630891904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2573.21, "npi": [1447303227]}]}]}, {"tin": {"type": "ein", "value": "631034885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.91, "providers": [{"billed_charge": 1109.0, "npi": [1780125021]}]}]}, {"tin": {"type": "ein", "value": "631104510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.91, "providers": [{"billed_charge": 1069.0, "npi": [1407148737, 1346227709, 1063673325]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.91, "providers": [{"billed_charge": 388.0, "npi": [1073738167]}]}]}, {"tin": {"type": "ein", "value": "646008520"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 929.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2225.0, "npi": [1558798603]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.55, "providers": [{"billed_charge": 1760.0, "npi": [1699065763]}]}, {"allowed_amount": 224.36, "providers": [{"billed_charge": 1760.0, "npi": [1841279700, 1376508341]}]}, {"allowed_amount": 252.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1760.0, "npi": [1386030849]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1760.0, "npi": [1386030849, 1265485577, 1689195406, 1447889423, 1225373848, 1023406105, 1629472923, 1699065763, 1124045745, 1376508341, 1255437109, 1861810236, 1043290430, 1154756039, 1952557779, 1841279700, 1508305111, 1831167576, 1356321632, 1154542967, 1578508024, 1568953339]}]}, {"allowed_amount": 381.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1760.0, "npi": [1629472923, 1508305111]}]}, {"allowed_amount": 505.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1760.0, "npi": [1386030849, 1265485577, 1689195406, 1447889423, 1275997199, 1023406105, 1699065763, 1255437109, 1376863803, 1861810236, 1043290430, 1154756039, 1952557779, 1831167576, 1245374685, 1356321632, 1154542967, 1578508024, 1568953339]}]}]}, {"tin": {"type": "ein", "value": "650203499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 563.22, "providers": [{"billed_charge": 1687.0, "npi": [1558982496]}]}, {"allowed_amount": 650.8, "providers": [{"billed_charge": 1968.0, "npi": [1245525849, 1639307754]}]}, {"allowed_amount": 662.61, "providers": [{"billed_charge": 1687.0, "npi": [1366896409, 1922749290, 1902548241, 1003495623]}]}]}, {"tin": {"type": "ein", "value": "650515683"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.45, "providers": [{"billed_charge": 772.0, "npi": [1710056130, 1831320357, 1538595913, 1104110386, 1356311922, 1225088511]}]}, {"allowed_amount": 537.13, "providers": [{"billed_charge": 772.0, "npi": [1710056130, 1831320357, 1538595913, 1356311922, 1225088511]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1056.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 977.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 292.54, "providers": [{"billed_charge": 1592.0, "npi": [1972608982]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.92, "providers": [{"billed_charge": 1550.0, "npi": [1871572586, 1508391228]}]}, {"allowed_amount": 39.35, "providers": [{"billed_charge": 1993.0, "npi": [1376522144]}, {"billed_charge": 2050.0, "npi": [1851354559]}]}, {"allowed_amount": 133.26, "providers": [{"billed_charge": 2050.0, "npi": [1710568704, 1912648767]}]}, {"allowed_amount": 138.59, "providers": [{"billed_charge": 984.0, "npi": [1104013432]}, {"billed_charge": 1550.0, "npi": [1578190278]}, {"billed_charge": 2266.0, "npi": [1164409389, 1518946367]}]}, {"allowed_amount": 184.58, "providers": [{"billed_charge": 1550.0, "npi": [1417952748]}]}, {"allowed_amount": 191.0, "providers": [{"billed_charge": 2266.0, "npi": [1477928737]}]}, {"allowed_amount": 196.75, "providers": [{"billed_charge": 2050.0, "npi": [1396317137]}, {"billed_charge": 2064.0, "npi": [1083286801]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 1993.0, "npi": [1275799827]}]}, {"allowed_amount": 382.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2266.0, "npi": [1487690897, 1023751138, 1093212458, 1336725225]}]}, {"allowed_amount": 384.78, "providers": [{"billed_charge": 2064.0, "npi": [1669608618]}]}, {"allowed_amount": 406.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1993.0, "npi": [1801092465]}, {"billed_charge": 2050.0, "npi": [1255735221]}, {"billed_charge": 2064.0, "npi": [1326579566]}]}, {"allowed_amount": 636.25, "providers": [{"billed_charge": 1781.0, "npi": [1730394800, 1760422034]}]}, {"allowed_amount": 650.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1550.0, "npi": [1073935300, 1134108996, 1972756229, 1205685484, 1104551001, 1063967834]}, {"billed_charge": 2027.0, "npi": [1750845152, 1376199497, 1326637588, 1982273678]}, {"billed_charge": 2266.0, "npi": [1447862818, 1942701156, 1568969061, 1316428840, 1457073066, 1689494221, 1942872494, 1740972751, 1215101688, 1447239215, 1730168568, 1659250868, 1518385749, 1255138228, 1619945144, 1710574777]}, {"billed_charge": 2453.0, "npi": [1578953931, 1508374992, 1083600241, 1215719315, 1184676405, 1174910970, 1134158207]}]}, {"allowed_amount": 690.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1993.0, "npi": [1568409985, 1700532645, 1114642345, 1144005208, 1114625712, 1568492817, 1063989168, 1477005239, 1588202840, 1154757656]}, {"billed_charge": 2045.0, "npi": [1063652881, 1770369019]}, {"billed_charge": 2050.0, "npi": [1235814310, 1609636422, 1629885736, 1215425707, 1821077967, 1093492209, 1992465330, 1598363764, 1396133237, 1205850070, 1245904820]}]}, {"allowed_amount": 738.25, "providers": [{"billed_charge": 2205.0, "npi": [1760046940]}]}, {"allowed_amount": 765.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1505.0, "npi": [1396199360, 1164983086, 1649896341, 1740571256, 1346744281]}, {"billed_charge": 1550.0, "npi": [1205577988, 1982054029, 1164084109, 1699833103, 1942797972, 1922275221, 1366742678, 1588046999, 1669458584, 1407039522, 1700464039, 1649561002, 1518279470, 1508391228, 1184975039, 1861733313, 1295001667, 1578190278, 1801359559, 1669713483, 1225569742, 1467816272, 1700068566, 1417278177, 1144531682, 1871572586, 1346772076, 1457320822, 1487956728, 1629962618, 1578025979]}, {"billed_charge": 2027.0, "npi": [1568038784, 1639149859, 1003880774, 1124093703, 1346220811, 1518279470, 1891894838]}, {"billed_charge": 2266.0, "npi": [1932156676, 1174519557, 1972130318, 1700803343, 1235440017, 1073843090, 1437724051, 1487690897, 1649896341, 1922098839, 1689669400, 1811488158, 1477928737, 1316109473, 1538555685, 1992790950, 1194083881, 1093212458, 1376511147, 1164409389, 1164983086, 1437248432, 1932858289, 1174055479, 1831103423, 1396199360, 1518946367, 1457512642, 1073719621, 1205451135, 1629236427, 1689660748, 1619945169, 1255367892, 1043439318, 1760743512, 1922206168, 1699761759, 1255697504, 1023751138, 1619408739, 1942613989, 1003131749, 1740528231, 1659663334, 1336725225, 1558598383, 1467794545, 1780670588, 1902901887]}, {"billed_charge": 2453.0, "npi": [1023004553, 1932527884, 1639105422, 1952983439, 1386782225, 1225614969, 1073824785, 1184998676, 1699208470, 1841373719, 1861067670, 1225057177, 1457580441, 1982232732, 1063770022, 1801475751, 1245286830, 1205397882, 1750587572, 1851734198, 1982859898, 1659498939, 1124075197, 1205490372, 1265819593, 1699761098, 1750887626, 1538692306, 1073720405, 1831381078, 1376521815, 1083966808, 1659756120, 1942889308, 1083600092, 1720541790, 1962787937, 1093721961, 1801820659, 1881901940, 1255768313, 1417185786, 1477578623]}]}, {"allowed_amount": 812.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1993.0, "npi": [1376522144, 1871948836, 1841876349, 1770538662, 1154062727, 1346560364, 1508494733, 1134323405, 1124657085, 1801092465, 1003852658, 1275799827, 1518927193, 1730618653, 1053350363, 1316185309, 1770223166, 1558011197]}, {"billed_charge": 2045.0, "npi": [1215108832, 1831533603, 1013357508, 1871859652, 1710372230, 1891763017, 1508039595, 1760061931, 1558725358, 1912561648, 1780983569, 1033143698, 1902080468, 1083034581, 1114509270, 1437649175, 1598029274]}, {"billed_charge": 2050.0, "npi": [1710568704, 1144482951, 1639424906, 1376032011, 1154786192, 1902802713, 1013171354, 1639109150, 1538148127, 1881829281, 1629885736, 1265883433, 1255869483, 1457812273, 1255735221, 1366431546, 1699208637, 1902866494, 1912648767, 1225394240, 1851354559, 1487232450, 1639495245, 1417586132, 1306418264, 1336497890, 1801245675, 1053690479, 1073762043]}, {"billed_charge": 2064.0, "npi": [1669608618, 1326579566, 1659657047, 1134625049, 1417698077, 1659951358, 1538148127]}]}, {"allowed_amount": 1550.0, "providers": [{"billed_charge": 1550.0, "npi": [1982054029]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.92, "providers": [{"billed_charge": 2354.0, "npi": [1598749335]}]}, {"allowed_amount": 133.26, "providers": [{"billed_charge": 2354.0, "npi": [1598393589]}]}, {"allowed_amount": 211.31, "providers": [{"billed_charge": 1912.0, "npi": [1073556767]}]}, {"allowed_amount": 382.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2354.0, "npi": [1598749335, 1366684615]}]}, {"allowed_amount": 627.52, "providers": [{"billed_charge": 1576.0, "npi": [1902999014]}, {"billed_charge": 1947.0, "npi": [1336849652, 1457602468]}, {"billed_charge": 2147.0, "npi": [1639645294]}, {"billed_charge": 2254.0, "npi": [1144256025, 1568209377]}]}, {"allowed_amount": 650.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2354.0, "npi": [1942701156, 1730943143, 1316428840, 1073952057, 1457073066, 1275816266, 1942872494, 1073995726, 1740972751, 1093164659, 1518385749, 1710574777, 1740145309]}]}, {"allowed_amount": 738.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1576.0, "npi": [1427708890]}, {"billed_charge": 1687.0, "npi": [1134582166]}, {"billed_charge": 1947.0, "npi": [1780180257, 1134109267, 1205097052, 1053385070]}, {"billed_charge": 2147.0, "npi": [1174715882, 1023334018]}, {"billed_charge": 2254.0, "npi": [1588960900, 1457849358, 1265617039, 1720421522, 1700536984, 1750720934, 1528599081, 1861888430, 1891731386, 1831486273, 1891223624, 1255782348, 1245612241, 1275768145, 1740644822, 1639707607, 1427708890, 1891227625, 1366546301]}]}, {"allowed_amount": 765.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1912.0, "npi": [1326482811, 1558368340]}, {"billed_charge": 2354.0, "npi": [1164468492, 1467716241, 1073843090, 1548898323, 1609518356, 1811931413, 1366742678, 1598749335, 1689669400, 1629465497, 1851618227, 1942350079, 1295001667, 1649248196, 1578190278, 1366684615, 1669576005, 1679742027, 1376934604, 1912527995, 1225569742, 1619945169, 1922206168, 1619232089, 1528687837, 1255697504, 1003131749, 1457556714, 1841638897, 1598393589, 1578025979, 1639286396, 1902901887]}]}, {"allowed_amount": 821.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2354.0, "npi": [1689669400]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.49, "providers": [{"billed_charge": 1304.0, "npi": [1912388224]}]}, {"allowed_amount": 138.61, "providers": [{"billed_charge": 1304.0, "npi": [1841287356]}]}, {"allowed_amount": 169.92, "providers": [{"billed_charge": 1304.0, "npi": [1275812067]}]}, {"allowed_amount": 188.27, "providers": [{"billed_charge": 1304.0, "npi": [1639830532]}]}, {"allowed_amount": 224.36, "providers": [{"billed_charge": 1304.0, "npi": [1831147743]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1304.0, "npi": [1912388224, 1043639297, 1720068224, 1639830532, 1255342341, 1205577988, 1972756229, 1023038346, 1356589964, 1164084109, 1013494798, 1114151313, 1750756755, 1588600217, 1801120027, 1083864987, 1407039522, 1811060130, 1699270819, 1740784933, 1871562413, 1013364660, 1255735221, 1215925045, 1568831543, 1558358069, 1841287356, 1568880961, 1134108996, 1205879624, 1316917321, 1013904457, 1467449033, 1821444563, 1619992153, 1831147743, 1801875554, 1275812067, 1730529124, 1104355429, 1912439910, 1396781027, 1326209255, 1114915949, 1245304310, 1588098040, 1326467580, 1598122749]}]}, {"allowed_amount": 426.75, "providers": [{"billed_charge": 1304.0, "npi": [1134108996, 1972756229, 1205879624, 1356589964, 1013494798, 1750756755, 1245304310, 1588098040, 1972936698, 1598122749]}]}, {"allowed_amount": 505.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1304.0, "npi": [1912388224, 1043639297, 1720068224, 1255342341, 1023038346, 1164084109, 1114151313, 1588600217, 1801120027, 1811060130, 1699270819, 1871562413, 1851388466, 1013364660, 1215925045, 1255735221, 1841287356, 1568880961, 1316917321, 1013904457, 1467449033, 1821444563, 1619992153, 1801875554, 1396781027, 1730529124, 1275812067, 1912439910, 1326209255, 1871572586, 1114915949, 1326467580]}]}]}, {"tin": {"type": "ein", "value": "650691102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 543.75, "providers": [{"billed_charge": 1726.0, "npi": [1598585861]}, {"billed_charge": 1892.0, "npi": [1992684179]}]}, {"allowed_amount": 553.18, "providers": [{"billed_charge": 1700.0, "npi": [1972173748]}]}, {"allowed_amount": 639.7, "providers": [{"billed_charge": 1788.0, "npi": [1316574494]}, {"billed_charge": 1892.0, "npi": [1053041707]}]}, {"allowed_amount": 650.8, "providers": [{"billed_charge": 1700.0, "npi": [1720433758]}]}, {"allowed_amount": 662.61, "providers": [{"billed_charge": 1507.0, "npi": [1902484611]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.95, "providers": [{"billed_charge": 551.04, "npi": [1770679771]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 551.04, "npi": [1770679771]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.92, "providers": [{"billed_charge": 1912.0, "npi": [1922684448, 1841225752, 1699754218, 1619543105]}]}, {"allowed_amount": 153.16, "providers": [{"billed_charge": 1912.0, "npi": [1841225752]}]}, {"allowed_amount": 180.89, "providers": [{"billed_charge": 1912.0, "npi": [1083642201]}]}, {"allowed_amount": 191.45, "providers": [{"billed_charge": 1912.0, "npi": [1477973709]}]}, {"allowed_amount": 192.28, "providers": [{"billed_charge": 1912.0, "npi": [1629509302]}]}, {"allowed_amount": 382.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1912.0, "npi": [1629657184, 1801525027, 1861772964, 1689014185, 1467947242, 1477589034, 1871750349, 1790944205, 1720389679, 1891073524, 1538144597, 1417930678, 1841225752, 1275973786]}]}, {"allowed_amount": 534.76, "providers": [{"billed_charge": 1912.0, "npi": [1407238363]}]}, {"allowed_amount": 650.94, "billing_code_modifier": ["SA", "25"], "providers": [{"billed_charge": 1912.0, "npi": [1093979650, 1932312964, 1801639430, 1518131465, 1750387726, 1235590928, 1891470480, 1831691666, 1497419923, 1609956119, 1912194713, 1396296729, 1225149594, 1588643357, 1184093726, 1376176289, 1437600418, 1669845285, 1568490027, 1669783213, 1316681265, 1801594809, 1780280255, 1225432768, 1700894144, 1346768066, 1740541515, 1205454162, 1982290003, 1013248095, 1295704930, 1427054311, 1366863342, 1477824126]}]}, {"allowed_amount": 765.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1912.0, "npi": [1194074112, 1629126149, 1447375878, 1457830408, 1811510282, 1285684753, 1962498071, 1841225752, 1518412311, 1922376730, 1043322399, 1922684448, 1912993312, 1992791586, 1699851295, 1295296549, 1477589034, 1720389679, 1174815799, 1831237692, 1740578368, 1619543105, 1780628560, 1801139290, 1477130334, 1629657184, 1275013732, 1013307495, 1265606784, 1740711563, 1942837901, 1871719567, 1598976656, 1891081881, 1275973786, 1861772964, 1619149481, 1629509302, 1699771576, 1760418495, 1386094274, 1245260488, 1871750349, 1477973709, 1407238363, 1033303771, 1235167453, 1467947242, 1699754218, 1548708597, 1952714487, 1396206843, 1003802877, 1467740423, 1962446088, 1518909704, 1407282445, 1073715470, 1326336785, 1518184225, 1336382241, 1801525027, 1669417762, 1811121957, 1346220845, 1033146162, 1831413558, 1619910973, 1528367422, 1083871552, 1154764611, 1639585607, 1922189653, 1538144597, 1083642201, 1609870682, 1093247330, 1013993831, 1407344492, 1316261233, 1679816565, 1508807546, 1467409276, 1811933062, 1336339852, 1306499470, 1023645074, 1124055959, 1275100059, 1619269024, 1982883237, 1326074790, 1679518120, 1689014185, 1417930678, 1912403387, 1780612028, 1760419774, 1831176130, 1790944205, 1427078096, 1881678290, 1427554773, 1639520752, 1891073524, 1083642870, 1730121211, 1598098428]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "providers": [{"billed_charge": 350.0, "npi": [1699773341]}, {"billed_charge": 369.16, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650790741"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 298.0, "npi": [1104913185]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1801875554, 1578669412, 1801474630, 1376589002, 1235425836, 1932787405, 1598706764, 1760126551, 1063154904, 1760452957, 1306800446]}]}, {"allowed_amount": 295.13, "providers": [{"billed_charge": 1350.0, "npi": [1801474630]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1801875554, 1578669412, 1801474630, 1376589002, 1235425836, 1932787405, 1598706764, 1760126551, 1063154904, 1851954556, 1760452957, 1306800446]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 527.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1083644033]}]}, {"allowed_amount": 806.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1083644033]}]}, {"allowed_amount": 1150.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1083644033]}]}, {"allowed_amount": 5052.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5288.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 2032.0, "npi": [1881210920, 1235766767, 1881704807, 1821733312]}]}, {"allowed_amount": 161.32, "providers": [{"billed_charge": 2032.0, "npi": [1659326494]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2032.0, "npi": [1730169475, 1104815117, 1780983569, 1871116061, 1659326494, 1134665508, 1487685798, 1649375783, 1881210920, 1780796086, 1316114614, 1861901753, 1326400698, 1326668864, 1821733312, 1801474630, 1679776330, 1568491082, 1518234319, 1124559828, 1518927193, 1699735258, 1316185309, 1184944357, 1881704807, 1811991656, 1548609258, 1235591660, 1114156783, 1235766767, 1912154865, 1245436021, 1285608828, 1659951358]}]}, {"allowed_amount": 295.13, "providers": [{"billed_charge": 2032.0, "npi": [1730169475]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2032.0, "npi": [1730169475, 1780983569, 1881121945, 1871116061, 1659326494, 1134665508, 1487685798, 1649375783, 1881210920, 1285089326, 1780796086, 1861901753, 1326400698, 1821733312, 1326668864, 1801474630, 1568491082, 1679776330, 1134323405, 1518234319, 1124559828, 1518927193, 1699735258, 1316185309, 1184944357, 1881704807, 1538113790, 1811991656, 1548609258, 1235591660, 1114156783, 1235766767, 1245436021, 1285608828, 1659951358]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 230.73, "providers": [{"billed_charge": 1188.0, "npi": [1285875609]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1188.0, "npi": [1285875609, 1801835418, 1033159355]}]}, {"allowed_amount": 308.25, "providers": [{"billed_charge": 1188.0, "npi": [1801835418, 1033159355, 1558302653]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1376.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2269.13, "npi": [1619922077]}]}, {"allowed_amount": 1964.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2269.13, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.94, "providers": [{"billed_charge": 900.0, "npi": [1811345978]}, {"billed_charge": 1000.0, "npi": [1811345978]}]}]}, {"tin": {"type": "ein", "value": "710664686"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.03, "providers": [{"billed_charge": 391.0, "npi": [1194895490]}]}]}, {"tin": {"type": "ein", "value": "711045290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 706.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3650.0, "npi": [1962435792]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.03, "providers": [{"billed_charge": 307.0, "npi": [1881716769, 1760010508, 1740644293]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2119.0, "npi": [1811973100]}]}, {"allowed_amount": 1185.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2119.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "721530221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.05, "providers": [{"billed_charge": 1550.0, "npi": [1447446596]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6959.0, "npi": [1346230323]}]}, {"allowed_amount": 966.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6959.0, "npi": [1346230323]}]}, {"allowed_amount": 1380.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6959.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "726014606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1185.08, "providers": [{"billed_charge": 1242.0, "npi": [1295716637]}]}]}, {"tin": {"type": "ein", "value": "730579285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4929.0, "npi": [1184721722]}]}]}, {"tin": {"type": "ein", "value": "730584411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.0, "providers": [{"billed_charge": 3130.0, "npi": [1114931342]}]}]}, {"tin": {"type": "ein", "value": "730700090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4342.4, "npi": [1144228487]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3130.0, "npi": [1467473579]}]}]}, {"tin": {"type": "ein", "value": "731034824"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 767.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3619.0, "npi": [1831103654]}]}]}, {"tin": {"type": "ein", "value": "731089149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3370.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3619.0, "npi": [1457372625]}]}]}, {"tin": {"type": "ein", "value": "731605613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4008.0, "npi": [1306865357]}]}]}, {"tin": {"type": "ein", "value": "731723107"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.0, "providers": [{"billed_charge": 280.0, "npi": [1619918851]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 767.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5297.5, "npi": [1730132234, 1295843787, 1740233782]}, {"billed_charge": 5509.5, "npi": [1982666111]}]}, {"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5297.5, "npi": [1932152337, 1730132234]}]}]}, {"tin": {"type": "ein", "value": "741161944"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.58, "npi": [1891882833]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1782.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4180.0, "npi": [1861488579]}]}, {"allowed_amount": 3344.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4180.0, "npi": [1861488579]}]}, {"allowed_amount": 7829.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4180.0, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1594.0, "npi": [1205900370]}]}, {"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1594.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "providers": [{"billed_charge": 416.0, "npi": [1518520071]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4170.6, "providers": [{"billed_charge": 11916.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.59, "providers": [{"billed_charge": 1475.26, "npi": [1013406503]}]}, {"allowed_amount": 227.72, "providers": [{"billed_charge": 1475.26, "npi": [1174268593, 1124068234, 1972823581]}]}, {"allowed_amount": 262.38, "providers": [{"billed_charge": 1475.26, "npi": [1821784786]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 1475.26, "npi": [1134700578]}]}, {"allowed_amount": 391.42, "providers": [{"billed_charge": 1475.26, "npi": [1588116917]}]}]}, {"tin": {"type": "ein", "value": "742708142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.05, "providers": [{"billed_charge": 1475.26, "npi": [1619388527]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1612.6, "providers": [{"billed_charge": 4607.43, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3338.65, "providers": [{"billed_charge": 9539.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3549.0, "npi": [1275592131]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 969.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8893.2, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "752562784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 699.26, "providers": [{"billed_charge": 1457.0, "npi": [1790962835]}, {"billed_charge": 1527.0, "npi": [1922442938, 1205180387, 1548721236, 1730116005]}, {"billed_charge": 1766.0, "npi": [1922292754]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752684562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 426.73, "providers": [{"billed_charge": 1516.0, "npi": [1386002855]}]}, {"allowed_amount": 522.91, "providers": [{"billed_charge": 1516.0, "npi": [1396163457, 1770859506, 1932185402]}]}, {"allowed_amount": 527.56, "providers": [{"billed_charge": 1516.0, "npi": [1124657861, 1144759598]}]}, {"allowed_amount": 527.59, "providers": [{"billed_charge": 1516.0, "npi": [1134500077]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 699.26, "providers": [{"billed_charge": 1673.0, "npi": [1639523335]}]}, {"allowed_amount": 709.27, "providers": [{"billed_charge": 1673.0, "npi": [1881823672, 1174985147, 1467494344]}]}]}, {"tin": {"type": "ein", "value": "752739406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.69, "providers": [{"billed_charge": 1638.0, "npi": [1437566973]}]}, {"allowed_amount": 411.3, "providers": [{"billed_charge": 1638.0, "npi": [1609968783, 1457746703]}]}]}, {"tin": {"type": "ein", "value": "752746578"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 369.49, "providers": [{"billed_charge": 1737.0, "npi": [1649461708, 1437398781]}]}]}, {"tin": {"type": "ein", "value": "752778807"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 254.14, "providers": [{"billed_charge": 1948.0, "npi": [1730575283]}]}, {"allowed_amount": 265.04, "providers": [{"billed_charge": 1948.0, "npi": [1164855268]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.28, "providers": [{"billed_charge": 1888.0, "npi": [1407273766, 1487608618, 1558999888, 1679527824, 1548451347, 1780211805]}]}]}, {"tin": {"type": "ein", "value": "752903508"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 270.6, "providers": [{"billed_charge": 1788.0, "npi": [1477146678]}]}, {"allowed_amount": 403.7, "providers": [{"billed_charge": 1788.0, "npi": [1053737692, 1942594429]}]}, {"allowed_amount": 416.43, "providers": [{"billed_charge": 1788.0, "npi": [1891845590, 1639220239]}]}]}, {"tin": {"type": "ein", "value": "753002004"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.89, "providers": [{"billed_charge": 1750.88, "npi": [1366070989, 1932859287]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11572.18, "providers": [{"billed_charge": 3004.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.86, "providers": [{"billed_charge": 1957.0, "npi": [1295469302]}]}, {"allowed_amount": 204.59, "providers": [{"billed_charge": 1957.0, "npi": [1083065726]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 1957.0, "npi": [1811121080, 1457746950]}]}]}, {"tin": {"type": "ein", "value": "760591590"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4412.0, "npi": [1679557888]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9340.0, "npi": [1598744856]}]}, {"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9340.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "760729179"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 562.77, "providers": [{"billed_charge": 1778.0, "npi": [1891279261]}]}]}, {"tin": {"type": "ein", "value": "800212487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.54, "providers": [{"billed_charge": 1488.24, "npi": [1336723022, 1255711966, 1134552847]}]}, {"allowed_amount": 284.16, "providers": [{"billed_charge": 1488.24, "npi": [1659403228]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2114.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7811.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.46, "providers": [{"billed_charge": 1358.0, "npi": [1063294197]}]}, {"allowed_amount": 211.31, "providers": [{"billed_charge": 1915.0, "npi": [1912101650]}]}, {"allowed_amount": 369.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1358.0, "npi": [1164443925]}, {"billed_charge": 1623.0, "npi": [1740260538]}]}, {"allowed_amount": 627.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1358.0, "npi": [1568193217, 1437281185, 1396463972, 1730130725, 1396290599, 1518476332, 1306848973, 1477005239, 1528534161, 1366054611, 1861909236, 1861908469, 1639587702, 1326772823, 1750723060, 1003405077, 1548756893, 1346824703]}, {"billed_charge": 1495.0, "npi": [1235657412, 1124789805, 1588967533, 1649806175, 1467932152, 1063998235, 1508492158, 1700241023]}, {"billed_charge": 1915.0, "npi": [1750421632, 1548598881, 1821593252, 1649982117, 1790347979, 1831613165, 1588067102, 1639591761, 1396092532, 1598497398, 1538845946, 1154570331, 1790243293, 1326393182]}, {"billed_charge": 1947.0, "npi": [1396267753, 1184353666]}, {"billed_charge": 2050.0, "npi": [1326393182, 1598497398]}, {"billed_charge": 2333.0, "npi": [1407235377, 1245625227, 1275767469]}, {"billed_charge": 2410.0, "npi": [1427425297]}, {"billed_charge": 2450.0, "npi": [1134534464, 1144561028, 1295011070, 1356851380, 1134118334, 1417606815]}, {"billed_charge": 2497.0, "npi": [1407516040, 1841595642, 1316610819, 1730531229]}]}, {"allowed_amount": 738.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1358.0, "npi": [1285275784, 1073711248, 1871121939, 1447205653, 1164443925, 1578905881, 1063469724, 1588196265, 1528696879, 1386141620, 1114275641, 1366559932, 1245264829, 1265631808, 1801852868, 1649777277, 1023232600, 1720035181, 1316255854, 1780641134, 1871056879, 1558329458, 1922494962, 1821392630, 1306080759, 1356904312, 1457748733]}, {"billed_charge": 1425.0, "npi": [1467843136, 1043288707, 1295199784, 1851356265, 1235117771, 1447713979, 1972965390, 1861470353, 1467724054, 1326624859, 1063153021]}, {"billed_charge": 1495.0, "npi": [1164868386, 1629174917, 1063892669, 1528599081, 1588124333, 1497011696, 1508917105, 1801781042, 1306824693, 1982021846, 1669609046, 1396030748, 1063153021, 1972025310]}, {"billed_charge": 1623.0, "npi": [1730717570, 1073072930, 1225423429, 1194993766, 1265704332, 1376030445, 1053677138, 1699753459, 1619354578, 1740260538, 1417105404, 1083142525]}, {"billed_charge": 1915.0, "npi": [1306334594, 1730717570, 1053791749, 1245492487, 1730169863, 1265704332, 1215256847, 1861470353, 1659734804, 1336880533, 1972882454, 1396794137, 1033260831, 1073072930, 1295199784, 1699302570, 1023391026, 1841396660, 1073045175, 1467843136, 1225423429, 1114945094, 1235117771, 1437135563, 1861953358, 1619354578, 1053677138, 1346746203, 1326247388, 1326624859, 1063153021, 1629606108, 1538441316, 1194993766, 1336196583, 1912932583, 1851356265, 1407432941, 1699753459, 1124232822, 1417105404, 1083142525]}, {"billed_charge": 1947.0, "npi": [1548216419, 1063429751]}, {"billed_charge": 2050.0, "npi": [1073072930, 1043234768, 1437252657, 1023391026, 1053677138, 1619354578, 1124232822, 1033260831]}, {"billed_charge": 2333.0, "npi": [1851563019, 1629022157, 1982282992, 1801231451, 1689795007]}, {"billed_charge": 2410.0, "npi": [1326780743, 1508847948, 1659909877, 1699135160, 1902195993]}, {"billed_charge": 2450.0, "npi": [1740446947, 1972033637, 1093001190, 1538628615, 1932697257, 1568816205, 1508359886, 1396204145, 1053495473, 1912969395, 1528169844, 1558660373, 1386747285, 1538397302, 1629035506, 1376998716, 1720664733]}, {"billed_charge": 2497.0, "npi": [1396204145, 1912274481, 1053495473, 1528031986, 1780144279, 1396030748, 1720664733]}]}, {"allowed_amount": 1452.96, "providers": [{"billed_charge": 1915.0, "npi": [1912101650]}]}, {"allowed_amount": 1467.99, "providers": [{"billed_charge": 1915.0, "npi": [1912101650]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3089.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.59, "providers": [{"billed_charge": 1486.0, "npi": [1710474713]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1102.16, "providers": [{"billed_charge": 3089.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "810889110"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 210.88, "providers": [{"billed_charge": 1985.0, "npi": [1942636626, 1578925962]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2486.5, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 966.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8699.0, "npi": [1003281452]}]}, {"allowed_amount": 1380.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8699.0, "npi": [1376198028, 1003281452]}]}]}, {"tin": {"type": "ein", "value": "811333726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 572.49, "providers": [{"billed_charge": 1258.0, "npi": [1770998692]}]}]}, {"tin": {"type": "ein", "value": "811641281"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 674.31, "providers": [{"billed_charge": 1329.0, "npi": [1013595248]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1202.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2653.0, "npi": [1649726738]}]}, {"allowed_amount": 1209.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2653.0, "npi": [1982150009]}]}]}, {"tin": {"type": "ein", "value": "811855329"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "providers": [{"billed_charge": 1870.0, "npi": [1760942064]}]}]}, {"tin": {"type": "ein", "value": "812705668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.43, "providers": [{"billed_charge": 1134.0, "npi": [1740173459]}]}, {"allowed_amount": 446.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1134.0, "npi": [1457446817]}]}]}, {"tin": {"type": "ein", "value": "812875670"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "providers": [{"billed_charge": 1528.0, "npi": [1558001024, 1588206452, 1275580292, 1982723383]}]}, {"allowed_amount": 277.59, "providers": [{"billed_charge": 1528.0, "npi": [1588206452]}]}, {"allowed_amount": 485.41, "providers": [{"billed_charge": 1528.0, "npi": [1558001024, 1912533878, 1982723383]}]}]}, {"tin": {"type": "ein", "value": "813562771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.83, "providers": [{"billed_charge": 858.0, "npi": [1891193710]}]}]}, {"tin": {"type": "ein", "value": "813642890"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.01, "providers": [{"billed_charge": 3522.0, "npi": [1083174486]}]}]}, {"tin": {"type": "ein", "value": "813935393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1375.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6911.88, "npi": [1861994808]}]}, {"allowed_amount": 6043.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6911.88, "npi": [1861994808]}]}]}, {"tin": {"type": "ein", "value": "814322087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 767.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4342.0, "npi": [1386188837]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1418.0, "npi": [1538177092, 1912921917]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6505.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8102.0, "npi": [1134152549]}]}]}, {"tin": {"type": "ein", "value": "815136898"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.89, "providers": [{"billed_charge": 1415.0, "npi": [1275993040, 1396008553, 1528425634]}]}]}, {"tin": {"type": "ein", "value": "815256430"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 361.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2331.0, "npi": [1578096632]}]}]}, {"tin": {"type": "ein", "value": "820651263"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4515.0, "npi": [1780125005]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 1020.0, "npi": [1578142337]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1020.0, "npi": [1578142337, 1457811457, 1144296971, 1518220557, 1154900116, 1689931289, 1659012763, 1407868060, 1770225054, 1598406688, 1427212067, 1558941732, 1942534565, 1538397864, 1861629354, 1427508530, 1457914426, 1053667279, 1982893913, 1194986331, 1972157535, 1356605281, 1194288613, 1740843754, 1669579249, 1750365938, 1487654521, 1013599356, 1457748733]}]}, {"allowed_amount": 250.29, "providers": [{"billed_charge": 1020.0, "npi": [1598426280, 1376966937]}]}, {"allowed_amount": 417.6, "providers": [{"billed_charge": 1020.0, "npi": [1194793026]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1020.0, "npi": [1457811457, 1144296971, 1518220557, 1689931289, 1659012763, 1669625885, 1770225054, 1598406688, 1588639520, 1558941732, 1942534565, 1861629354, 1457914426, 1144516675, 1053667279, 1336569169, 1982893913, 1194986331, 1972157535, 1194288613, 1356593255, 1003178856, 1669579249, 1750365938, 1487654521]}]}, {"allowed_amount": 588.56, "providers": [{"billed_charge": 1020.0, "npi": [1528357894]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1945.65, "providers": [{"billed_charge": 5559.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "821985821"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 267.81, "providers": [{"billed_charge": 1870.0, "npi": [1548921794]}]}, {"allowed_amount": 313.43, "providers": [{"billed_charge": 1870.0, "npi": [1659832335]}]}]}, {"tin": {"type": "ein", "value": "822031440"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.93, "providers": [{"billed_charge": 2331.0, "npi": [1396891776]}]}, {"allowed_amount": 265.84, "providers": [{"billed_charge": 2331.0, "npi": [1841813128]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1558.0, "npi": [1437145992, 1205851565, 1881825461, 1265826614, 1174866263, 1700068566, 1154370807]}]}, {"allowed_amount": 276.87, "providers": [{"billed_charge": 1558.0, "npi": [1437145992]}]}, {"allowed_amount": 505.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1558.0, "npi": [1437145992, 1205851565, 1881825461, 1700068566, 1174866263, 1265826614, 1154370807, 1942889308]}]}]}, {"tin": {"type": "ein", "value": "823238430"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 646.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2496.0, "npi": [1255605952, 1154403665]}]}]}, {"tin": {"type": "ein", "value": "823270200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 646.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2496.0, "npi": [1255998076, 1194253997]}]}]}, {"tin": {"type": "ein", "value": "823443360"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 426.75, "providers": [{"billed_charge": 1793.0, "npi": [1902378821]}]}]}, {"tin": {"type": "ein", "value": "823462523"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 234.27, "providers": [{"billed_charge": 1163.0, "npi": [1013735018]}]}]}, {"tin": {"type": "ein", "value": "823914925"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1445.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1591.0, "npi": [1841701562]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 886.0, "npi": [1427288109]}]}, {"allowed_amount": 207.37, "providers": [{"billed_charge": 886.0, "npi": [1790444651, 1700060605]}]}, {"allowed_amount": 235.8, "providers": [{"billed_charge": 886.0, "npi": [1053587493, 1124547336, 1942626155, 1164252052, 1912279860]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1649929480, 1639157258, 1225618192, 1164252052, 1437688215, 1174732705, 1730616996, 1790138279, 1235425836, 1427288109, 1912279860, 1992101943, 1700140092, 1700060605, 1730329798, 1386385862, 1790944205, 1124559828, 1841876315, 1578669412, 1821441254, 1942626155, 1477387371, 1114156783, 1336536440, 1588147193, 1073141115, 1841876349]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1437688215, 1174732705, 1730616996, 1790138279, 1407484074, 1235425836, 1427288109, 1992101943, 1700140092, 1730329798, 1386385862, 1679776330, 1124559828, 1841876315, 1578669412, 1184944357, 1821441254, 1861838823, 1912249962, 1114156783, 1487273967, 1336536440, 1073141115]}]}]}, {"tin": {"type": "ein", "value": "824361822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.43, "providers": [{"billed_charge": 1488.0, "npi": [1013141118]}]}]}, {"tin": {"type": "ein", "value": "824486211"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 292.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3522.0, "npi": [1295096923, 1427348853, 1841427374]}]}]}, {"tin": {"type": "ein", "value": "825271507"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 316.63, "providers": [{"billed_charge": 1870.0, "npi": [1790259430]}]}]}, {"tin": {"type": "ein", "value": "825330626"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "providers": [{"billed_charge": 2496.0, "npi": [1568816676]}]}]}, {"tin": {"type": "ein", "value": "825362420"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 301.27, "providers": [{"billed_charge": 1109.0, "npi": [1780851956]}, {"billed_charge": 1302.0, "npi": [1467443234]}]}]}, {"tin": {"type": "ein", "value": "825408176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 362.52, "providers": [{"billed_charge": 1355.0, "npi": [1649808650, 1528325198]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 765.0, "providers": [{"billed_charge": 765.0, "npi": [1396107488]}]}]}, {"tin": {"type": "ein", "value": "831132382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 2331.0, "npi": [1508509860, 1205297942]}]}]}, {"tin": {"type": "ein", "value": "831149113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 372.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1870.0, "npi": [1578090858]}]}]}, {"tin": {"type": "ein", "value": "831481690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "providers": [{"billed_charge": 1870.0, "npi": [1619084639]}]}]}, {"tin": {"type": "ein", "value": "831683025"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1329.0, "npi": [1972071991]}]}]}, {"tin": {"type": "ein", "value": "831848483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 371.84, "npi": [1366460974]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9024.86, "providers": [{"billed_charge": 4552.42, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2054.67, "providers": [{"billed_charge": 4065.42, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "832446583"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 633.78, "providers": [{"billed_charge": 1159.0, "npi": [1902366149]}]}]}, {"tin": {"type": "ein", "value": "833241858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 623.09, "providers": [{"billed_charge": 1304.0, "npi": [1245233857]}]}]}, {"tin": {"type": "ein", "value": "833359672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.08, "providers": [{"billed_charge": 1681.0, "npi": [1629501010, 1336723444]}]}]}, {"tin": {"type": "ein", "value": "834216310"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.91, "providers": [{"billed_charge": 2331.0, "npi": [1730139775]}]}]}, {"tin": {"type": "ein", "value": "834367740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.5, "providers": [{"billed_charge": 2331.0, "npi": [1174508014]}]}]}, {"tin": {"type": "ein", "value": "834546114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4203.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5488.6, "npi": [1972258580]}]}]}, {"tin": {"type": "ein", "value": "834594332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.04, "providers": [{"billed_charge": 450.0, "npi": [1457801441]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3509.0, "npi": [1790787307]}]}]}, {"tin": {"type": "ein", "value": "840446259"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1426.38, "providers": [{"billed_charge": 2840.0, "npi": [1982668133]}]}]}, {"tin": {"type": "ein", "value": "840446259"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.74, "providers": [{"billed_charge": 1576.0, "npi": [1003945924]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1571.78, "npi": [1235873654, 1912536335]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1331.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7892.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.05, "providers": [{"billed_charge": 3073.0, "npi": [1740670538]}]}, {"allowed_amount": 200.73, "providers": [{"billed_charge": 3073.0, "npi": [1174545461]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 3073.0, "npi": [1962990408]}]}]}, {"tin": {"type": "ein", "value": "843065045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1847.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6703.0, "npi": [1104461276]}]}]}, {"tin": {"type": "ein", "value": "843243319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.5, "providers": [{"billed_charge": 1451.0, "npi": [1962965681]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.59, "providers": [{"billed_charge": 674.96, "npi": [1801872551]}]}]}, {"tin": {"type": "ein", "value": "843491493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.08, "providers": [{"billed_charge": 709.0, "npi": [1609187004]}]}]}, {"tin": {"type": "ein", "value": "844504483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1136.0, "npi": [1033596689, 1164926143]}]}, {"allowed_amount": 267.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1136.0, "npi": [1033567201, 1568849412, 1003263468, 1679688048, 1073861233, 1568882355, 1316443229]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 875.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4491.0, "npi": [1982799375]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.0, "providers": [{"billed_charge": 886.0, "npi": [1841876315]}]}, {"allowed_amount": 207.37, "providers": [{"billed_charge": 886.0, "npi": [1588147193, 1376250290, 1790444651]}]}, {"allowed_amount": 235.8, "providers": [{"billed_charge": 886.0, "npi": [1588098040, 1629529433, 1972936698, 1124096946]}]}, {"allowed_amount": 268.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1174732705]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1437688215, 1174732705, 1730616996, 1659867562, 1275986861, 1376250290, 1316114614, 1992101943, 1700140092, 1154650943, 1790944205, 1467627729, 1912262098, 1124559828, 1629529433, 1841876315, 1861838823, 1790444651, 1588098040, 1972936698, 1073141115]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1174732705, 1730616996, 1861838823, 1659867562, 1790944205, 1275986861, 1467627729, 1912262098, 1841876315, 1124559828, 1316114614, 1437688215, 1073141115, 1700140092, 1154650943]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 207.37, "providers": [{"billed_charge": 886.0, "npi": [1588147193, 1790444651, 1366603334]}]}, {"allowed_amount": 235.8, "providers": [{"billed_charge": 886.0, "npi": [1013465095, 1639157258, 1477387371, 1164252052, 1588098040, 1629529433]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1013465095, 1124547336, 1639157258, 1437688215, 1730616996, 1053587493, 1407484074, 1235425836, 1427288109, 1124096946, 1992101943, 1700140092, 1700060605, 1730329798, 1386385862, 1366603334, 1790944205, 1124559828, 1205850070, 1427206358, 1629529433, 1841876315, 1184944357, 1861838823, 1891324778, 1790444651, 1487273967, 1114156783, 1336536440, 1588147193, 1932143740, 1538113790, 1093342719]}]}, {"allowed_amount": 344.31, "providers": [{"billed_charge": 886.0, "npi": [1437739570]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 886.0, "npi": [1437688215, 1558774687, 1174732705, 1700161700, 1730616996, 1407484074, 1235425836, 1427288109, 1992101943, 1700140092, 1386385862, 1730329798, 1679776330, 1932143740, 1124559828, 1427206358, 1841876315, 1578669412, 1184944357, 1861838823, 1912249962, 1891324778, 1336536440, 1851954556]}]}]}, {"tin": {"type": "ein", "value": "850633196"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 285.29, "providers": [{"billed_charge": 1714.0, "npi": [1578649646]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.08, "providers": [{"billed_charge": 1176.0, "npi": [1093464737]}]}, {"allowed_amount": 319.63, "providers": [{"billed_charge": 1176.0, "npi": [1861736241, 1811708068]}]}, {"allowed_amount": 377.88, "providers": [{"billed_charge": 1176.0, "npi": [1679679823]}]}, {"allowed_amount": 446.08, "providers": [{"billed_charge": 1176.0, "npi": [1376778019, 1699204677, 1285138990, 1689234031, 1457855090, 1902337181, 1184659351, 1336427517]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1821733312, 1396724431, 1427258896, 1962151092, 1578552758, 1407952633, 1518969468]}]}, {"allowed_amount": 344.31, "providers": [{"billed_charge": 2113.0, "npi": [1578552758]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1598706764, 1396724431, 1881055986, 1962151092, 1518969468]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.01, "providers": [{"billed_charge": 919.0, "npi": [1689341794]}]}]}, {"tin": {"type": "ein", "value": "853919403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "providers": [{"billed_charge": 2496.0, "npi": [1356652895]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1122.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3596.88, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1048.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5490.0, "npi": [1114744752, 1528169125]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1336.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1688.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "860415065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1800.0, "npi": [1215687843, 1003266792, 1336344308, 1962965525, 1750960597, 1003493214]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "providers": [{"billed_charge": 1039.0, "npi": [1275868788]}]}]}, {"tin": {"type": "ein", "value": "860593131"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.08, "providers": [{"billed_charge": 1259.0, "npi": [1164614012]}]}, {"allowed_amount": 294.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1796.0, "npi": [1669113429]}]}]}, {"tin": {"type": "ein", "value": "861183738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.22, "providers": [{"billed_charge": 1157.0, "npi": [1356901441]}]}]}, {"tin": {"type": "ein", "value": "861325240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.58, "providers": [{"billed_charge": 1488.0, "npi": [1639523392, 1578085809]}]}]}, {"tin": {"type": "ein", "value": "862752298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.62, "providers": [{"billed_charge": 1737.0, "npi": [1750667283]}]}, {"allowed_amount": 446.08, "providers": [{"billed_charge": 1737.0, "npi": [1861837965]}]}]}, {"tin": {"type": "ein", "value": "870301301"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.9, "providers": [{"billed_charge": 1272.0, "npi": [1992249437]}]}]}, {"tin": {"type": "ein", "value": "870492357"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.82, "providers": [{"billed_charge": 1126.0, "npi": [1992191324]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.82, "providers": [{"billed_charge": 1272.0, "npi": [1306887591]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11000.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6000.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "872190065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.58, "providers": [{"billed_charge": 1870.0, "npi": [1659142750]}]}]}, {"tin": {"type": "ein", "value": "872457837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 250.91, "providers": [{"billed_charge": 1366.0, "npi": [1538725882]}]}, {"allowed_amount": 295.19, "providers": [{"billed_charge": 1366.0, "npi": [1952374373]}]}, {"allowed_amount": 460.5, "providers": [{"billed_charge": 1366.0, "npi": [1306596697, 1255781498, 1174267462]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1211.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1458.09, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 206.73, "providers": [{"billed_charge": 546.21, "npi": [1104867514]}]}]}, {"tin": {"type": "ein", "value": "873454381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1491.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1583.0, "npi": [1487740957]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "providers": [{"billed_charge": 3027.0, "npi": [1780155002, 1275274508, 1174636724]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3027.0, "npi": [1730154790, 1124463120, 1669995379, 1417999285, 1225081532]}]}, {"allowed_amount": 258.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3027.0, "npi": [1184055121]}]}, {"allowed_amount": 295.33, "providers": [{"billed_charge": 3027.0, "npi": [1316185309, 1457552531, 1225081532, 1417999285]}]}, {"allowed_amount": 426.75, "providers": [{"billed_charge": 3027.0, "npi": [1518234111]}]}, {"allowed_amount": 483.63, "providers": [{"billed_charge": 3027.0, "npi": [1134708803]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 691.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1760.0, "npi": [1144096553]}]}, {"allowed_amount": 986.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1760.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880262438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 567.11, "providers": [{"billed_charge": 1687.0, "npi": [1821554106, 1871900423]}]}, {"allowed_amount": 667.19, "providers": [{"billed_charge": 1687.0, "npi": [1659639441, 1851592497, 1407506645, 1962065466, 1063462364]}]}]}, {"tin": {"type": "ein", "value": "880307849"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 567.11, "providers": [{"billed_charge": 1274.0, "npi": [1972873198]}]}, {"allowed_amount": 667.19, "providers": [{"billed_charge": 1274.0, "npi": [1962764712, 1861842064]}]}]}, {"tin": {"type": "ein", "value": "880455713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1380.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6156.0, "npi": [1770626426]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "providers": [{"billed_charge": 984.0, "npi": [1881199073]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.64, "providers": [{"billed_charge": 381.0, "npi": [1609405455]}]}, {"allowed_amount": 221.44, "providers": [{"billed_charge": 381.0, "npi": [1548202062]}]}, {"allowed_amount": 241.88, "providers": [{"billed_charge": 381.0, "npi": [1134358153]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 966.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4836.0, "npi": [1548393127]}]}, {"allowed_amount": 1380.04, "providers": [{"billed_charge": 4836.0, "npi": [1548393127]}]}, {"allowed_amount": 6060.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4836.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.28, "providers": [{"billed_charge": 598.0, "npi": [1649737388]}]}]}, {"tin": {"type": "ein", "value": "900054201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1048.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2675.0, "npi": [1720011810]}]}]}, {"tin": {"type": "ein", "value": "900065118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4605.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2675.0, "npi": [1275566200]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.05, "providers": [{"billed_charge": 607.0, "npi": [1104206507]}]}]}, {"tin": {"type": "ein", "value": "910567732"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1452.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5403.0, "npi": [1346250594]}]}]}, {"tin": {"type": "ein", "value": "910568304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1506.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2977.0, "npi": [1154378859]}]}]}, {"tin": {"type": "ein", "value": "911220843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.63, "providers": [{"billed_charge": 809.1, "npi": [1477780682]}]}]}, {"tin": {"type": "ein", "value": "911267921"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1027.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6994.0, "npi": [1093713091]}]}]}, {"tin": {"type": "ein", "value": "911692040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.63, "providers": [{"billed_charge": 1246.0, "npi": [1962769760]}]}]}, {"tin": {"type": "ein", "value": "911747180"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1633.0, "npi": [1497042055]}]}]}, {"tin": {"type": "ein", "value": "911828806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 236.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1942619283]}]}, {"allowed_amount": 278.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1881742898]}]}]}, {"tin": {"type": "ein", "value": "911858433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2250.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2300.0, "npi": [1356307581]}]}]}, {"tin": {"type": "ein", "value": "916001537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1024.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3039.47, "npi": [1326002049]}]}]}, {"tin": {"type": "ein", "value": "920076058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 376.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1144.0, "npi": [1538458799]}]}]}, {"tin": {"type": "ein", "value": "920872236"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.91, "providers": [{"billed_charge": 2891.0, "npi": [1295477271]}]}]}, {"tin": {"type": "ein", "value": "921401004"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.89, "providers": [{"billed_charge": 1870.0, "npi": [1811928302]}]}]}, {"tin": {"type": "ein", "value": "921420653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.64, "providers": [{"billed_charge": 1979.0, "npi": [1558143495]}]}]}, {"tin": {"type": "ein", "value": "921582601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.62, "providers": [{"billed_charge": 2784.0, "npi": [1487059143]}]}, {"allowed_amount": 261.91, "providers": [{"billed_charge": 2784.0, "npi": [1093769648, 1013228329, 1669484515]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2585.0, "npi": [1710400353, 1700374915, 1104311174, 1255080073, 1184853004, 1740226190, 1841754678, 1306473624, 1063964666, 1821331612]}]}, {"allowed_amount": 344.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2585.0, "npi": [1821331612]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2585.0, "npi": [1700374915, 1104311174, 1255080073, 1891324778, 1184853004, 1740226190, 1083191092, 1841754678, 1306473624, 1063964666, 1881125722]}]}]}, {"tin": {"type": "ein", "value": "921774385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.91, "providers": [{"billed_charge": 1465.0, "npi": [1902268550]}]}]}, {"tin": {"type": "ein", "value": "921786783"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 953.0, "npi": [1255351573]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9779.1, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "922098941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.46, "providers": [{"billed_charge": 984.0, "npi": [1851521744, 1841588241]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.61, "providers": [{"billed_charge": 984.0, "npi": [1467277673]}]}, {"allowed_amount": 133.26, "providers": [{"billed_charge": 984.0, "npi": [1548899271, 1245639624, 1285337519, 1750842902, 1306473624]}]}, {"allowed_amount": 138.59, "providers": [{"billed_charge": 984.0, "npi": [1891435087]}]}, {"allowed_amount": 151.69, "providers": [{"billed_charge": 984.0, "npi": [1053657015]}]}, {"allowed_amount": 177.77, "providers": [{"billed_charge": 984.0, "npi": [1669553178]}]}, {"allowed_amount": 178.46, "providers": [{"billed_charge": 984.0, "npi": [1609526524]}]}, {"allowed_amount": 196.8, "providers": [{"billed_charge": 984.0, "npi": [1396107538]}]}, {"allowed_amount": 200.04, "providers": [{"billed_charge": 984.0, "npi": [1841754678]}]}, {"allowed_amount": 203.04, "providers": [{"billed_charge": 984.0, "npi": [1144966722]}]}, {"allowed_amount": 207.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1649684051]}]}, {"allowed_amount": 211.31, "providers": [{"billed_charge": 984.0, "npi": [1043917180]}]}, {"allowed_amount": 222.94, "providers": [{"billed_charge": 984.0, "npi": [1548919707]}]}, {"allowed_amount": 223.34, "providers": [{"billed_charge": 984.0, "npi": [1215517537]}]}, {"allowed_amount": 224.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1538795075, 1275586315, 1770293102, 1376387670, 1760129019]}]}, {"allowed_amount": 235.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1235392663, 1275586315, 1710579198, 1154694479]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1124796289, 1952263428, 1689223943, 1720837768, 1124377353, 1851977490, 1518634005, 1215556501, 1891107991, 1780024984, 1104346014, 1518901024, 1881482404, 1780923557, 1770359978, 1033746094, 1972180016, 1366563249, 1487279154, 1558949040, 1912470196, 1619555893, 1679561013, 1174324537, 1891373882, 1356187322, 1700140092, 1487374013, 1033094594, 1023884491, 1811123789, 1487141966, 1497018576, 1932197076, 1730542549, 1528700507, 1598407900, 1578350302, 1902602212, 1164164836, 1295912681, 1427915115, 1609641067, 1205200623, 1982282992, 1811740657, 1811275381, 1871120246, 1720373111, 1255409017, 1043471998, 1770232191]}]}, {"allowed_amount": 250.29, "providers": [{"billed_charge": 984.0, "npi": [1205951522]}]}, {"allowed_amount": 255.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1073180352, 1083095590, 1235916073, 1043819675, 1992380091]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1669003273, 1992999437, 1083095590, 1467062323, 1841754678, 1730814518, 1174055479, 1023029824, 1811615297, 1144966722, 1538795075, 1851633226, 1891435087, 1487282257, 1164929618, 1376387670, 1104551001, 1649536608, 1700177508, 1851481196, 1558781054, 1154073237, 1902688922, 1003658907, 1043819675, 1255302303, 1750318242, 1588607139, 1992380091, 1871122622, 1477294270, 1073180352, 1285654244, 1205226727, 1104358647, 1063158533, 1275586315, 1588694798, 1265484562, 1396107538, 1215739164, 1477928737, 1235916073, 1386479913, 1538798384, 1457550642, 1003651381, 1790710069, 1477133114, 1386908481, 1912534868, 1013385053, 1215517537, 1467277673, 1770293102, 1689986929, 1568038784, 1205407624, 1326011784, 1427445642, 1639642507, 1760122774, 1063481240, 1295354777, 1548919707, 1497332647, 1639810989, 1124657077, 1871087544, 1427686336, 1548899271, 1265061840, 1659012052, 1871176149, 1043830235, 1023751138, 1205465077, 1285089789, 1376122879]}]}, {"allowed_amount": 275.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1801258884, 1275586315, 1295319440, 1255650834, 1457552531, 1750842902, 1306473624, 1164476313, 1598585374, 1295485431, 1669608618, 1881825461, 1043956022, 1841861820, 1386799039, 1750022976, 1245639624, 1891324745, 1295316040, 1154694479, 1386267474, 1649684051, 1902435027, 1194245464, 1881125722, 1962631648, 1952988131, 1619585510, 1457092710, 1710579198, 1538113790, 1891324778, 1922282987, 1225665003, 1083243885, 1144960758, 1063760759, 1821739897, 1043893118]}]}, {"allowed_amount": 276.87, "providers": [{"billed_charge": 984.0, "npi": [1811615297, 1457550642]}]}, {"allowed_amount": 277.59, "providers": [{"billed_charge": 984.0, "npi": [1235699406]}]}, {"allowed_amount": 287.11, "providers": [{"billed_charge": 984.0, "npi": [1013540103]}]}, {"allowed_amount": 295.13, "providers": [{"billed_charge": 984.0, "npi": [1962631648]}]}, {"allowed_amount": 295.33, "providers": [{"billed_charge": 984.0, "npi": [1043440639]}]}, {"allowed_amount": 312.48, "providers": [{"billed_charge": 984.0, "npi": [1407557994, 1174128334]}]}, {"allowed_amount": 365.84, "providers": [{"billed_charge": 984.0, "npi": [1477507713]}]}, {"allowed_amount": 381.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1811615297, 1669003273, 1730814518, 1306673017, 1902688922]}]}, {"allowed_amount": 393.5, "providers": [{"billed_charge": 984.0, "npi": [1255650834]}]}, {"allowed_amount": 411.08, "providers": [{"billed_charge": 984.0, "npi": [1720837768, 1356807853, 1265219158, 1558538363, 1487374013, 1043471998]}]}, {"allowed_amount": 412.6, "providers": [{"billed_charge": 984.0, "npi": [1942071048, 1770359978, 1609641067, 1518322700, 1508203597, 1205200623, 1811740657, 1912470196, 1780024984, 1174324537, 1851838650]}]}, {"allowed_amount": 419.38, "providers": [{"billed_charge": 984.0, "npi": [1477605129]}]}, {"allowed_amount": 421.17, "providers": [{"billed_charge": 984.0, "npi": [1881675544, 1457568685]}]}, {"allowed_amount": 426.75, "providers": [{"billed_charge": 984.0, "npi": [1750318242, 1740647684, 1538852900, 1386479913, 1467277673, 1639642507, 1467062323, 1154073237, 1467065045, 1326619255, 1235392663, 1104551001, 1871087544, 1003658907, 1215739164, 1003651381]}]}, {"allowed_amount": 483.63, "providers": [{"billed_charge": 984.0, "npi": [1982281473, 1598264129, 1437103363, 1306815659, 1669631404, 1750888376, 1598407900]}]}, {"allowed_amount": 485.41, "providers": [{"billed_charge": 984.0, "npi": [1932193505, 1780634436, 1780923557, 1891444105, 1114973450, 1366071243, 1144333741, 1245813229, 1366563249, 1770232191]}]}, {"allowed_amount": 505.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1568038784, 1790313989, 1063158533, 1326011784, 1205407624, 1992999437, 1588694798, 1447499793, 1265484562, 1396107538, 1932393238, 1760122774, 1063481240, 1295354777, 1548919707, 1144970013, 1023680030, 1538507678, 1477928737, 1588607139, 1497332647, 1639810989, 1538798384, 1457550642, 1790710069, 1891894838, 1316114614, 1841754678, 1124657077, 1477133114, 1376122879, 1174055479, 1477294270, 1427686336, 1386908481, 1548899271, 1851633226, 1891435087, 1265061840, 1487282257, 1912534868, 1871176149, 1659012052, 1043830235, 1215517537, 1023751138, 1700177508, 1285654244, 1205226727, 1760061931, 1851481196, 1689986929, 1205465077, 1144960758, 1225614969, 1285089789, 1306412671]}]}, {"allowed_amount": 537.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1801258884, 1295319440, 1457552531, 1750842902, 1306473624, 1164476313, 1295485431, 1669608618, 1407484074, 1881825461, 1043956022, 1841861820, 1386799039, 1750022976, 1245639624, 1891324745, 1295316040, 1487282257, 1386267474, 1902435027, 1043893118, 1194245464, 1881125722, 1942889308, 1962631648, 1952988131, 1457092710, 1619585510, 1891324778, 1225665003, 1902484330, 1083243885, 1144960758, 1063760759, 1821739897, 1538113790]}]}, {"allowed_amount": 542.67, "providers": [{"billed_charge": 984.0, "npi": [1063481240, 1700317708]}]}, {"allowed_amount": 588.56, "providers": [{"billed_charge": 984.0, "npi": [1811275381, 1508526815]}]}, {"allowed_amount": 597.66, "providers": [{"billed_charge": 984.0, "npi": [1912462227]}]}, {"allowed_amount": 597.84, "providers": [{"billed_charge": 984.0, "npi": [1730716747, 1467030924, 1134165707, 1194088047, 1427078096, 1154909521, 1932621778, 1558949040, 1679561013, 1215556501, 1730542549, 1518634005, 1588240345, 1134156250, 1013962869, 1043714264]}]}, {"allowed_amount": 904.44, "providers": [{"billed_charge": 984.0, "npi": [1427445642]}]}, {"allowed_amount": 984.0, "providers": [{"billed_charge": 984.0, "npi": [1043917180]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.64, "providers": [{"billed_charge": 984.0, "npi": [1912135047]}]}, {"allowed_amount": 330.22, "providers": [{"billed_charge": 984.0, "npi": [1891440608]}]}]}, {"tin": {"type": "ein", "value": "922122433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.93, "providers": [{"billed_charge": 984.0, "npi": [1588353320, 1720317357]}]}, {"allowed_amount": 446.98, "providers": [{"billed_charge": 984.0, "npi": [1750813390, 1801050257, 1891742904, 1629539069, 1083028286]}]}]}, {"tin": {"type": "ein", "value": "922156815"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 697.85, "providers": [{"billed_charge": 1051.0, "npi": [1528622057]}]}]}, {"tin": {"type": "ein", "value": "922417967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 193.56, "providers": [{"billed_charge": 984.0, "npi": [1619772605]}]}, {"allowed_amount": 204.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 984.0, "npi": [1609339209]}]}, {"allowed_amount": 227.72, "providers": [{"billed_charge": 984.0, "npi": [1780896829]}]}, {"allowed_amount": 253.02, "providers": [{"billed_charge": 984.0, "npi": [1023320868, 1588243190]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 984.0, "npi": [1902543929, 1275528002, 1942836077]}]}, {"allowed_amount": 460.5, "providers": [{"billed_charge": 984.0, "npi": [1285042481, 1891711677]}]}]}, {"tin": {"type": "ein", "value": "922576754"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.54, "providers": [{"billed_charge": 984.0, "npi": [1548342322]}]}, {"allowed_amount": 209.7, "providers": [{"billed_charge": 984.0, "npi": [1053310896]}]}]}, {"tin": {"type": "ein", "value": "922650615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.18, "providers": [{"billed_charge": 1870.0, "npi": [1124069885]}]}]}, {"tin": {"type": "ein", "value": "922826272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 234.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1982318259, 1528340924]}]}, {"allowed_amount": 259.47, "providers": [{"billed_charge": 1415.0, "npi": [1275021032]}]}, {"allowed_amount": 723.85, "providers": [{"billed_charge": 1415.0, "npi": [1609066901]}]}]}, {"tin": {"type": "ein", "value": "923905364"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 267.44, "providers": [{"billed_charge": 2760.0, "npi": [1902223217]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1120.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3888.3, "npi": [1770587107]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1403.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3511.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "931044853"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 269.73, "providers": [{"billed_charge": 945.0, "npi": [1295757516, 1609139062]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.42, "providers": [{"billed_charge": 1282.0, "npi": [1003540550]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1747.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1750142121]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1780.7, "npi": [1073532404]}]}, {"allowed_amount": 483.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1780.7, "npi": [1972845238]}]}]}, {"tin": {"type": "ein", "value": "932421242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.62, "providers": [{"billed_charge": 1488.0, "npi": [1386968170]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.26, "providers": [{"billed_charge": 1350.0, "npi": [1215982657]}]}, {"allowed_amount": 138.59, "providers": [{"billed_charge": 1350.0, "npi": [1962441048]}]}, {"allowed_amount": 249.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1619585510, 1659313708, 1417417965, 1558590638, 1962447599, 1487098463, 1073826095, 1417925876, 1962864181, 1467472217, 1174841241, 1952339103]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1649202961, 1629099411, 1962616367, 1699744177, 1174055479, 1184975039, 1215982657, 1083649602, 1679922629, 1518163658, 1750382420, 1003076183, 1962441048, 1619408739, 1114918117, 1659663334, 1336725225, 1952352239, 1467794545, 1801221619]}]}, {"allowed_amount": 276.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1649202961, 1174055479]}]}, {"allowed_amount": 417.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1407802473, 1215976378]}]}, {"allowed_amount": 485.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1447593603, 1073141958, 1487712808, 1417417965, 1962447599, 1962864181, 1215371349, 1285659607, 1083602361, 1891953691]}]}, {"allowed_amount": 505.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1350.0, "npi": [1215982657, 1083649602, 1619408739, 1679922629, 1114918117, 1518163658, 1952352239, 1962616367, 1699744177, 1649202961, 1801221619, 1629099411, 1750382420, 1003076183, 1962441048, 1184975039]}]}, {"allowed_amount": 886.95, "providers": [{"billed_charge": 1350.0, "npi": [1659313708]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 866.0, "npi": [1659363513]}]}]}, {"tin": {"type": "ein", "value": "932658409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 252.38, "providers": [{"billed_charge": 2496.0, "npi": [1447677919]}]}]}, {"tin": {"type": "ein", "value": "932728074"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.02, "providers": [{"billed_charge": 2496.0, "npi": [1881031029]}]}]}, {"tin": {"type": "ein", "value": "933393372"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.61, "providers": [{"billed_charge": 943.0, "npi": [1194015685]}]}]}, {"tin": {"type": "ein", "value": "933735574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 485.41, "providers": [{"billed_charge": 1425.0, "npi": [1477013555]}]}]}, {"tin": {"type": "ein", "value": "933810711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 242.93, "providers": [{"billed_charge": 1870.0, "npi": [1780188987, 1124608971]}]}]}, {"tin": {"type": "ein", "value": "933829214"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 242.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1870.0, "npi": [1215559109, 1023247566, 1063414902]}]}]}, {"tin": {"type": "ein", "value": "933854910"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 242.93, "providers": [{"billed_charge": 1870.0, "npi": [1316152598, 1902162597, 1629079702, 1164452223]}]}]}, {"tin": {"type": "ein", "value": "933918299"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 460.5, "providers": [{"billed_charge": 2496.0, "npi": [1669091096]}]}]}, {"tin": {"type": "ein", "value": "934387494"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1330.0, "npi": [1073199089]}]}]}, {"tin": {"type": "ein", "value": "934555562"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5890.0, "npi": [1841069044]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1174.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5723.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 983.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4220.0, "npi": [1891048807]}]}, {"allowed_amount": 3854.97, "providers": [{"billed_charge": 6316.0, "npi": [1134274897]}]}, {"allowed_amount": 6316.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6316.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "942460636"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 656.46, "providers": [{"billed_charge": 1572.0, "npi": [1619331030]}, {"billed_charge": 1647.0, "npi": [1851362412, 1528038957]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1415.0, "npi": [1528563905, 1093905838]}]}, {"allowed_amount": 159.85, "providers": [{"billed_charge": 1415.0, "npi": [1144754912]}]}, {"allowed_amount": 189.14, "providers": [{"billed_charge": 1415.0, "npi": [1255622296, 1447576244]}]}, {"allowed_amount": 233.68, "providers": [{"billed_charge": 1415.0, "npi": [1043894777]}]}, {"allowed_amount": 281.04, "providers": [{"billed_charge": 1415.0, "npi": [1427491968]}]}, {"allowed_amount": 284.16, "providers": [{"billed_charge": 1415.0, "npi": [1821434358]}]}]}, {"tin": {"type": "ein", "value": "942728480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1141.0, "npi": [1912112897]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4148.55, "npi": [1124661384]}, {"billed_charge": 5517.56, "npi": [1043220650]}]}]}, {"tin": {"type": "ein", "value": "943159355"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 821.0, "providers": [{"billed_charge": 821.0, "npi": [1467895326]}]}]}, {"tin": {"type": "ein", "value": "943278555"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1415.0, "npi": [1013412717]}]}]}, {"tin": {"type": "ein", "value": "943302301"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 677.23, "providers": [{"billed_charge": 1283.0, "npi": [1922010867]}]}]}, {"tin": {"type": "ein", "value": "943333768"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.08, "providers": [{"billed_charge": 1382.0, "npi": [1124200142]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6809.0, "providers": [{"billed_charge": 6809.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8996.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "951643360"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3854.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6943.0, "npi": [1992752315]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6287.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951644600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8410.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 13870.67, "npi": [1639172372]}]}]}, {"tin": {"type": "ein", "value": "951644600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 765.0, "npi": [1770005936]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3854.97, "providers": [{"billed_charge": 7874.25, "npi": [1659359446]}]}, {"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7874.25, "npi": [1700829199]}]}]}, {"tin": {"type": "ein", "value": "953056292"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 1435.0, "npi": [1669834610]}]}]}, {"tin": {"type": "ein", "value": "953192932"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1329.0, "npi": [1457588782]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 859.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5368.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1375.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7308.0, "npi": [1215969787]}]}]}, {"tin": {"type": "ein", "value": "954558726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1058.0, "npi": [1447348370, 1215961628]}]}]}, {"tin": {"type": "ein", "value": "991100562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 248.66, "providers": [{"billed_charge": 1488.0, "npi": [1013311752]}]}]}, {"tin": {"type": "ein", "value": "991799354"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 2331.0, "npi": [1215190772, 1992267678, 1962602599]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.41, "providers": [{"billed_charge": 412.0, "npi": [1437183639]}]}, {"allowed_amount": 261.66, "providers": [{"billed_charge": 412.0, "npi": [1700312238, 1184983983, 1861806580, 1174029755, 1508809468]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 343.06, "providers": [{"billed_charge": 711.4, "npi": [1801450101, 1467554949]}]}, {"allowed_amount": 363.16, "providers": [{"billed_charge": 711.4, "npi": [1639533177, 1588289003, 1386208551]}]}]}, {"tin": {"type": "ein", "value": "992530371"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.28, "providers": [{"billed_charge": 1415.0, "npi": [1386179364, 1780097725, 1013357102]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2705.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6712.0, "npi": [1366281750]}]}, {"allowed_amount": 16961.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6712.0, "npi": [1780429076]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.31, "providers": [{"billed_charge": 654.0, "npi": [1942058557]}]}, {"allowed_amount": 258.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 654.0, "npi": [1558520320, 1750470241, 1427497445, 1821091653, 1376195685, 1144840232, 1720575277, 1497307342, 1265842512, 1225552912, 1548248115, 1932631348, 1790898229, 1770584310, 1750246039, 1134522360, 1659834521, 1255354973]}]}, {"allowed_amount": 258.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 654.0, "npi": [1043729395, 1134522360, 1902672983, 1881971448, 1447234109]}]}, {"allowed_amount": 295.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 654.0, "npi": [1558520320, 1952538688, 1053570820, 1427497445, 1922008390, 1801448741, 1740632520, 1811000714, 1104211051, 1548548563, 1790898229, 1700269685]}]}, {"allowed_amount": 426.75, "providers": [{"billed_charge": 654.0, "npi": [1134602188]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7325.62, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "994230642"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1345.0, "npi": [1265267991]}]}]}, {"tin": {"type": "ein", "value": "994491180"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1677.96, "npi": [1871329110]}]}]}, {"tin": {"type": "ein", "value": "994619105"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.34, "providers": [{"billed_charge": 659.0, "npi": [1902251796, 1609230077, 1003907494]}]}]}]}, {"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": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.29, "providers": [{"billed_charge": 1116.0, "npi": [1093787384]}]}, {"allowed_amount": 355.61, "providers": [{"billed_charge": 1116.0, "npi": [1093787384]}]}, {"allowed_amount": 632.23, "providers": [{"billed_charge": 1116.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.04, "providers": [{"billed_charge": 169.0, "npi": [1346989761, 1659001667, 1235136649, 1396514964, 1326700121]}]}, {"allowed_amount": 111.81, "providers": [{"billed_charge": 169.0, "npi": [1346459633]}]}]}, {"tin": {"type": "ein", "value": "020483054"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.23, "providers": [{"billed_charge": 1438.0, "npi": [1598700940]}]}]}, {"tin": {"type": "ein", "value": "020483054"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.03, "providers": [{"billed_charge": 347.0, "npi": [1023436656, 1790743532, 1881130144]}]}]}, {"tin": {"type": "ein", "value": "030179423"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 748.42, "providers": [{"billed_charge": 821.0, "npi": [1568414365]}]}]}, {"tin": {"type": "ein", "value": "030179423"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.99, "providers": [{"billed_charge": 129.0, "npi": [1568222768]}]}]}, {"tin": {"type": "ein", "value": "042103591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.56, "providers": [{"billed_charge": 761.0, "npi": [1639101751]}]}]}, {"tin": {"type": "ein", "value": "042104338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 950.0, "npi": [1992779482]}]}]}, {"tin": {"type": "ein", "value": "042126583"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.54, "providers": [{"billed_charge": 554.0, "npi": [1265451694]}]}]}, {"tin": {"type": "ein", "value": "042697983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.1, "providers": [{"billed_charge": 1879.0, "npi": [1023049236]}]}]}, {"tin": {"type": "ein", "value": "042888373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.15, "providers": [{"billed_charge": 170.0, "npi": [1518935691]}]}]}, {"tin": {"type": "ein", "value": "043314093"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.25, "providers": [{"billed_charge": 1446.0, "npi": [1346218294]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "043466314"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.84, "providers": [{"billed_charge": 366.0, "npi": [1629427919]}]}]}, {"tin": {"type": "ein", "value": "046905324"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.46, "providers": [{"billed_charge": 215.0, "npi": [1083005896]}]}]}, {"tin": {"type": "ein", "value": "050258905"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.67, "providers": [{"billed_charge": 1494.0, "npi": [1487649430]}]}]}, {"tin": {"type": "ein", "value": "050258954"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.0, "providers": [{"billed_charge": 1494.0, "npi": [1588659528]}]}]}, {"tin": {"type": "ein", "value": "050389801"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.53, "providers": [{"billed_charge": 535.05, "npi": [1356601306, 1932696077]}]}]}, {"tin": {"type": "ein", "value": "060250773"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.77, "providers": [{"billed_charge": 2167.0, "npi": [1467517235]}]}]}, {"tin": {"type": "ein", "value": "060646554"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.23, "providers": [{"billed_charge": 2114.24, "npi": [1891376810]}]}, {"allowed_amount": 693.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2114.24, "npi": [1992910152, 1891376810]}]}]}, {"tin": {"type": "ein", "value": "060646704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2229.99, "npi": [1073530879]}]}]}, {"tin": {"type": "ein", "value": "060646715"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2167.0, "npi": [1427007848]}]}]}, {"tin": {"type": "ein", "value": "060646813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2136.0, "npi": [1871713495]}]}]}, {"tin": {"type": "ein", "value": "061760818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 974.48, "providers": [{"billed_charge": 2784.24, "npi": [1376876664]}]}]}, {"tin": {"type": "ein", "value": "093684487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.9, "providers": [{"billed_charge": 202.0, "npi": [1841443041]}]}]}, {"tin": {"type": "ein", "value": "101743958"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.26, "providers": [{"billed_charge": 228.0, "npi": [1336351303]}]}]}, {"tin": {"type": "ein", "value": "105681386"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.9, "providers": [{"billed_charge": 202.0, "npi": [1700954674]}]}]}, {"tin": {"type": "ein", "value": "106064654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2387.75, "npi": [1992910152]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 165.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 944.0, "npi": [1245370717]}]}, {"allowed_amount": 300.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 944.0, "npi": [1245370717]}]}, {"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 944.0, "npi": [1245370717]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 181.0, "npi": [1457837148]}]}]}, {"tin": {"type": "ein", "value": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1430.47, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 1834.22, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "111839362"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 2340.0, "npi": [1952347205]}]}]}, {"tin": {"type": "ein", "value": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 3825.0, "npi": [1285641514]}]}]}, {"tin": {"type": "ein", "value": "113537613"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.1, "providers": [{"billed_charge": 625.3, "npi": [1720455587]}]}]}, {"tin": {"type": "ein", "value": "113843044"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.84, "providers": [{"billed_charge": 862.0, "npi": [1629655626]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1083934582]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2255.0, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "131740119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 2201.0, "npi": [1104808062]}]}]}, {"tin": {"type": "ein", "value": "131740126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 1472.0, "npi": [1578526695]}]}]}, {"tin": {"type": "ein", "value": "131740130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 3279.0, "npi": [1447255153]}]}]}, {"tin": {"type": "ein", "value": "131974191"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 916.0, "npi": [1417027558]}, {"billed_charge": 1225.0, "npi": [1417027558]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "providers": [{"billed_charge": 870.32, "npi": [1043224355]}]}, {"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 870.32, "npi": [1043224355, 1427063270, 1467469023]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1073900536, 1841443041]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 2255.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2421.0, "npi": [1952332801, 1194832477]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1950.0, "providers": [{"billed_charge": 5571.43, "npi": [1831910355, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.68, "providers": [{"billed_charge": 400.0, "npi": [1720667058, 1952638942]}]}, {"allowed_amount": 310.15, "providers": [{"billed_charge": 400.0, "npi": [1205396546]}]}, {"allowed_amount": 318.34, "providers": [{"billed_charge": 400.0, "npi": [1336775352, 1972166049, 1740743517, 1891988598]}]}]}, {"tin": {"type": "ein", "value": "141338428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1459.0, "npi": [1487644993]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1114.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "160743209"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2131.0, "npi": [1346285657]}]}]}, {"tin": {"type": "ein", "value": "161533232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1332.0, "npi": [1639209596]}]}]}, {"tin": {"type": "ein", "value": "161581332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 262.6, "providers": [{"billed_charge": 632.0, "npi": [1396991923]}]}]}, {"tin": {"type": "ein", "value": "200214051"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 363.18, "providers": [{"billed_charge": 1246.16, "npi": [1568413573]}]}, {"allowed_amount": 645.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1246.16, "npi": [1568413573]}]}]}, {"tin": {"type": "ein", "value": "200287387"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.1, "providers": [{"billed_charge": 522.0, "npi": [1518312487]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.0, "providers": [{"billed_charge": 85.0, "npi": [1568858611]}]}]}, {"tin": {"type": "ein", "value": "201064117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.14, "providers": [{"billed_charge": 492.0, "npi": [1962439505]}]}]}, {"tin": {"type": "ein", "value": "201544786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2748.9, "npi": [1215063839]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1925.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1925.45, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202028539"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 860.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1553.0, "npi": [1154419737]}]}]}, {"tin": {"type": "ein", "value": "202319275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.76, "providers": [{"billed_charge": 683.0, "npi": [1164085270]}]}]}, {"tin": {"type": "ein", "value": "203204949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 307.5, "npi": [1942391230]}]}, {"allowed_amount": 516.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 307.5, "npi": [1104917780, 1942391230]}]}]}, {"tin": {"type": "ein", "value": "203500835"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 728.95, "providers": [{"billed_charge": 1297.46, "npi": [1285689794]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 864.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3192.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204193243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 922.37, "providers": [{"billed_charge": 1680.0, "npi": [1104192590]}]}]}, {"tin": {"type": "ein", "value": "204217095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.12, "providers": [{"billed_charge": 836.18, "npi": [1811912009]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 329.51, "providers": [{"billed_charge": 2543.92, "npi": [1316992134]}]}, {"allowed_amount": 1770.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2543.92, "npi": [1215003348, 1316992134]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.03, "providers": [{"billed_charge": 880.0, "npi": [1538144597]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2099.9, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.79, "providers": [{"billed_charge": 188.0, "npi": [1972466506]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 998.43, "npi": [1104086941]}]}, {"allowed_amount": 712.97, "providers": [{"billed_charge": 998.43, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "208853938"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.11, "providers": [{"billed_charge": 500.0, "npi": [1295935815]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1418.89, "providers": [{"billed_charge": 1308.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "210634484"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.12, "providers": [{"billed_charge": 2212.0, "npi": [1164487542]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1418.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3577.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "210634549"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1105.63, "providers": [{"billed_charge": 2149.0, "npi": [1013919315]}]}]}, {"tin": {"type": "ein", "value": "210635009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1142.43, "providers": [{"billed_charge": 2454.0, "npi": [1689714255]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2403.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221487322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.94, "providers": [{"billed_charge": 1800.0, "npi": [1104859131]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2090.0, "npi": [1457456279]}]}, {"allowed_amount": 1142.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2090.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "221487602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2085.0, "npi": [1669462420]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 862.13, "providers": [{"billed_charge": 2321.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221773439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 798.11, "providers": [{"billed_charge": 3426.0, "npi": [1386746592]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.75, "providers": [{"billed_charge": 375.0, "npi": [1053932178]}]}, {"allowed_amount": 119.66, "providers": [{"billed_charge": 350.0, "npi": [1376626093]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.44, "providers": [{"billed_charge": 2261.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "222785804"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.94, "providers": [{"billed_charge": 622.0, "npi": [1891702320]}]}]}, {"tin": {"type": "ein", "value": "222972317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 292.0, "providers": [{"billed_charge": 292.0, "npi": [1114952512]}]}]}, {"tin": {"type": "ein", "value": "223385574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 345.0, "npi": [1295363422]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 862.13, "providers": [{"billed_charge": 2321.0, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "223548695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 730.0, "providers": [{"billed_charge": 10451.0, "npi": [1073516183]}]}, {"allowed_amount": 847.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 10451.0, "npi": [1275583726]}]}]}, {"tin": {"type": "ein", "value": "223849199"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.82, "providers": [{"billed_charge": 186.0, "npi": [1003890492]}]}]}, {"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 531.62, "providers": [{"billed_charge": 1828.0, "npi": [1801963343]}]}, {"allowed_amount": 896.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1828.0, "npi": [1205904885]}]}]}, {"tin": {"type": "ein", "value": "230794160"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 569.14, "providers": [{"billed_charge": 1533.0, "npi": [1407928500]}]}]}, {"tin": {"type": "ein", "value": "231352213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 962.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2124.0, "npi": [1548293954]}]}]}, {"tin": {"type": "ein", "value": "231365353"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.51, "providers": [{"billed_charge": 1825.0, "npi": [1104875103]}]}]}, {"tin": {"type": "ein", "value": "231512747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.92, "providers": [{"billed_charge": 1800.0, "npi": [1881690212]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 991.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 823.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "232571699"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.33, "providers": [{"billed_charge": 250.0, "npi": [1811195498]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.94, "providers": [{"billed_charge": 270.0, "npi": [1356984165]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.93, "providers": [{"billed_charge": 270.0, "npi": [1043923246]}]}]}, {"tin": {"type": "ein", "value": "232896725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2725.0, "npi": [1487640207]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.57, "providers": [{"billed_charge": 3520.0, "npi": [1770150914]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.14, "providers": [{"billed_charge": 239.0, "npi": [1740548007]}]}, {"allowed_amount": 56.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 239.0, "npi": [1427476597]}]}]}, {"tin": {"type": "ein", "value": "240795682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1238.0, "npi": [1730173154]}]}]}, {"tin": {"type": "ein", "value": "250969492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1661.0, "npi": [1639579212]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 219.0, "npi": [1083288807]}]}, {"allowed_amount": 103.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 218.78, "npi": [1215329354]}]}, {"allowed_amount": 104.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 218.78, "npi": [1891051769, 1427635093]}]}]}, {"tin": {"type": "ein", "value": "261116227"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "providers": [{"billed_charge": 840.32, "npi": [1578758496]}]}, {"allowed_amount": 116.1, "providers": [{"billed_charge": 840.32, "npi": [1578758496]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.6, "providers": [{"billed_charge": 108.0, "npi": [1396132569, 1699079202]}]}, {"allowed_amount": 42.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 108.0, "npi": [1104996461, 1124420229, 1447014063]}, {"billed_charge": 210.0, "npi": [1124420229]}]}, {"allowed_amount": 43.22, "providers": [{"billed_charge": 210.0, "npi": [1992170773]}]}, {"allowed_amount": 47.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 108.0, "npi": [1124118138]}]}, {"allowed_amount": 54.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 108.0, "npi": [1942218433, 1093247140, 1609403013, 1528515210, 1407895402, 1205332889, 1235698234, 1881058170]}]}, {"allowed_amount": 70.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 210.0, "npi": [1073856241]}]}, {"allowed_amount": 72.08, "providers": [{"billed_charge": 108.0, "npi": [1821083460]}, {"billed_charge": 210.0, "npi": [1629462015]}]}, {"allowed_amount": 83.41, "providers": [{"billed_charge": 210.0, "npi": [1417985888]}]}, {"allowed_amount": 84.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 108.0, "npi": [1023633153, 1942044037, 1124420229, 1437529997, 1992170773, 1730190869, 1629472923, 1487674149, 1962237222, 1538232236, 1447014063, 1538652979, 1740008374, 1447396023, 1821077967, 1306853338, 1265999585, 1245726439, 1104996461, 1740145903, 1538525423, 1760040307, 1740172279, 1619727229]}, {"billed_charge": 210.0, "npi": [1023633153, 1124420229, 1942044037, 1437529997, 1992170773, 1730190869, 1629472923, 1487674149, 1962237222, 1568343721, 1538232236, 1447014063, 1780117937, 1538652979, 1740008374, 1447396023, 1821077967, 1306853338, 1265999585, 1104996461, 1740145903, 1538525423, 1760040307, 1740172279]}]}, {"allowed_amount": 88.08, "providers": [{"billed_charge": 108.0, "npi": [1811432719]}, {"billed_charge": 210.0, "npi": [1811432719]}]}, {"allowed_amount": 95.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 108.0, "npi": [1396133237, 1952185878, 1508134008, 1124118138, 1043808157, 1477701498]}, {"billed_charge": 210.0, "npi": [1396133237, 1508134008, 1124118138, 1043808157, 1477701498]}]}, {"allowed_amount": 105.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 210.0, "npi": [1609403013, 1578054920, 1194138313, 1417586132, 1487738654]}]}, {"allowed_amount": 108.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 108.0, "npi": [1699904011, 1407835150, 1972467728, 1881816593, 1730190869, 1952185878, 1942731799, 1902246424, 1629248539, 1316912157, 1144519711, 1699079202, 1265539621, 1730716721, 1235698234, 1528004165, 1598179400, 1295316040, 1437968971, 1245783117, 1174741078, 1316437080, 1851854939, 1871524959, 1124353123, 1104996461, 1508134008, 1124118138, 1467564674, 1609403013, 1124420229, 1528515210, 1942940309, 1629472923, 1033796255, 1093247140, 1659769511, 1275941544, 1720106669, 1447014063, 1447396023, 1487115960, 1942218433, 1194138313, 1396132569, 1720002272, 1265999585, 1861785313, 1043648736, 1609459940, 1386632933, 1245726439, 1740145903, 1538525423, 1073856241, 1578956025, 1023633153, 1487090437, 1578054920, 1578686218, 1942598925, 1811432719, 1407029523, 1992170773, 1558301978, 1730618653, 1487738654, 1487674149, 1962237222, 1528646957, 1962083642, 1962422592, 1497376065, 1821083460, 1659734341, 1205486917, 1871015248, 1942242649, 1164542809, 1013150044, 1437491040, 1417985888, 1407895402, 1790003051, 1144412016, 1083642227, 1760040307, 1396133237, 1881058170, 1619384187, 1477701498, 1508216706, 1942044037, 1477574028, 1437529997, 1508044686, 1487473047, 1205332889, 1548919707, 1043808157, 1881980829, 1700981156, 1194931626, 1659867562, 1548622764, 1538232236, 1780117937, 1104846773, 1740008374, 1952864696, 1437460409, 1275794885, 1235301318, 1376561100, 1821077967, 1417586132, 1356879829, 1083041750, 1609212372, 1306853338, 1336236009, 1912561648, 1366409716, 1790216695, 1609278969, 1639305212, 1629462015]}]}, {"allowed_amount": 140.12, "providers": [{"billed_charge": 210.0, "npi": [1073856241, 1629248539]}]}, {"allowed_amount": 160.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 210.0, "npi": [1124353123, 1821083460, 1659529063, 1548622764, 1366409716]}]}, {"allowed_amount": 185.8, "providers": [{"billed_charge": 210.0, "npi": [1528515210]}]}, {"allowed_amount": 210.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 210.0, "npi": [1508216706, 1467564674, 1235574021, 1609403013, 1578054920, 1548207863, 1477574028, 1942598925, 1508044686, 1407835150, 1881816593, 1023645074, 1407029523, 1912103060, 1487971479, 1942731799, 1205332889, 1548919707, 1316912157, 1487738654, 1033796255, 1730618653, 1144519711, 1093247140, 1700981156, 1265539621, 1275941544, 1528646957, 1730716721, 1104846773, 1487115960, 1952864696, 1962083642, 1437460409, 1962422592, 1942218433, 1275794885, 1235301318, 1528004165, 1598179400, 1295316040, 1245783117, 1417586132, 1609212372, 1083041750, 1356879829, 1174741078, 1164542809, 1396132569, 1942242649, 1013150044, 1417985888, 1720002272, 1437491040, 1861785313, 1336236009, 1407895402, 1790003051, 1144412016, 1790216695, 1609278969, 1881058170, 1619384187, 1639305212, 1629462015]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.08, "providers": [{"billed_charge": 108.0, "npi": [1790245223, 1508890153, 1558821488, 1750791281, 1245790971]}, {"billed_charge": 155.0, "npi": [1790245223, 1508890153, 1558821488, 1750791281, 1245790971]}]}, {"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1790245223, 1508890153, 1558821488, 1750791281, 1245790971]}]}, {"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1790245223, 1508890153, 1558821488, 1750791281, 1245790971]}]}]}, {"tin": {"type": "ein", "value": "261973804"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.6, "providers": [{"billed_charge": 894.0, "npi": [1194709832]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 618.31, "providers": [{"billed_charge": 2779.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "262294680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.4, "providers": [{"billed_charge": 315.0, "npi": [1760863138]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.74, "providers": [{"billed_charge": 224.97, "npi": [1295185189]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 355.65, "npi": [1225039985]}]}, {"allowed_amount": 104.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 355.65, "npi": [1073593471]}]}]}, {"tin": {"type": "ein", "value": "263359979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 922.37, "providers": [{"billed_charge": 2435.0, "npi": [1386896306]}]}]}, {"tin": {"type": "ein", "value": "263702321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.96, "providers": [{"billed_charge": 625.3, "npi": [1740861830]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 604.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2198.64, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "264331175"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1454.0, "npi": [1578704938]}]}]}, {"tin": {"type": "ein", "value": "264472673"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1390.04, "npi": [1902171457]}]}]}, {"tin": {"type": "ein", "value": "270036484"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1669.0, "npi": [1154355188]}]}]}, {"tin": {"type": "ein", "value": "270549437"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.14, "providers": [{"billed_charge": 475.0, "npi": [1932430345]}]}]}, {"tin": {"type": "ein", "value": "270712680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 249.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2115.0, "npi": [1760764849]}]}]}, {"tin": {"type": "ein", "value": "270781655"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.26, "providers": [{"billed_charge": 750.0, "npi": [1407873177, 1184644205]}]}]}, {"tin": {"type": "ein", "value": "271068708"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.53, "providers": [{"billed_charge": 1088.8, "npi": [1568882314]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.03, "providers": [{"billed_charge": 509.0, "npi": [1528635208]}]}, {"allowed_amount": 61.56, "providers": [{"billed_charge": 509.0, "npi": [1891492831]}]}, {"allowed_amount": 101.39, "providers": [{"billed_charge": 509.0, "npi": [1902426851, 1497326300, 1578537189]}]}, {"allowed_amount": 104.99, "providers": [{"billed_charge": 509.0, "npi": [1598724403, 1730152646]}]}, {"allowed_amount": 105.88, "providers": [{"billed_charge": 509.0, "npi": [1639376973]}]}, {"allowed_amount": 161.38, "providers": [{"billed_charge": 509.0, "npi": [1356068894]}]}, {"allowed_amount": 166.87, "providers": [{"billed_charge": 509.0, "npi": [1851766844]}]}, {"allowed_amount": 170.19, "providers": [{"billed_charge": 509.0, "npi": [1457363285]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 509.0, "npi": [1487911178, 1093776163, 1699415786, 1659554194]}]}, {"allowed_amount": 205.47, "providers": [{"billed_charge": 509.0, "npi": [1942401062, 1194798090, 1730152646]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272109730"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.08, "providers": [{"billed_charge": 406.0, "npi": [1033386131]}]}]}, {"tin": {"type": "ein", "value": "273100946"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 726.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1474.0, "npi": [1225339898]}]}]}, {"tin": {"type": "ein", "value": "273798043"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.06, "providers": [{"billed_charge": 625.3, "npi": [1336170786]}]}]}, {"tin": {"type": "ein", "value": "273969969"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.95, "providers": [{"billed_charge": 758.0, "npi": [1982999447]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.82, "providers": [{"billed_charge": 171.0, "npi": [1497060271]}]}]}, {"tin": {"type": "ein", "value": "298623510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.6, "providers": [{"billed_charge": 487.0, "npi": [1215915764]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 1399.3, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 312.0, "npi": [1295297422, 1851824262, 1205396975]}]}, {"allowed_amount": 108.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 312.0, "npi": [1518223940, 1871024117]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 312.0, "npi": [1326012188, 1851824262, 1437326725, 1750013868, 1568752434, 1013150549, 1407350325, 1174064380, 1619418845]}]}]}, {"tin": {"type": "ein", "value": "310785684"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.8, "providers": [{"billed_charge": 2206.0, "npi": [1144286402]}]}]}, {"tin": {"type": "ein", "value": "310823056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 526.0, "npi": [1477842441]}]}]}, {"tin": {"type": "ein", "value": "311009777"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 516.0, "npi": [1902160971]}]}]}, {"tin": {"type": "ein", "value": "311405915"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.94, "providers": [{"billed_charge": 176.0, "npi": [1205369568]}]}]}, {"tin": {"type": "ein", "value": "311425530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.55, "providers": [{"billed_charge": 139.0, "npi": [1912988155]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 426.13, "providers": [{"billed_charge": 1900.0, "npi": [1710067376, 1982784534]}]}]}, {"tin": {"type": "ein", "value": "311588499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 367.11, "providers": [{"billed_charge": 1460.0, "npi": [1851549273]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.95, "providers": [{"billed_charge": 170.0, "npi": [1952938938]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1182.81, "npi": [1215936927]}]}, {"allowed_amount": 426.13, "providers": [{"billed_charge": 1182.81, "npi": [1215936927]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 239.15, "npi": [1871957290]}]}]}, {"tin": {"type": "ein", "value": "314379519"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.28, "providers": [{"billed_charge": 678.55, "npi": [1568446755]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.3, "providers": [{"billed_charge": 1748.0, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "314446959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.61, "providers": [{"billed_charge": 1417.0, "npi": [1710913462]}]}]}, {"tin": {"type": "ein", "value": "330599494"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3033.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3033.0, "npi": [1184722779]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2102.45, "providers": [{"billed_charge": 6007.0, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "330928285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2284.44, "providers": [{"billed_charge": 2284.44, "npi": [1962407460]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1730169475, 1821599309, 1376125104, 1912154865, 1437739570]}]}, {"allowed_amount": 218.59, "providers": [{"billed_charge": 343.0, "npi": [1730169475, 1659867562, 1821599309, 1376125104, 1912154865]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "providers": [{"billed_charge": 343.0, "npi": [1306074604, 1861838823]}]}, {"allowed_amount": 218.59, "providers": [{"billed_charge": 343.0, "npi": [1841876315, 1700161700, 1184944357, 1821441254]}]}]}, {"tin": {"type": "ein", "value": "332476324"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.58, "providers": [{"billed_charge": 997.0, "npi": [1114731064]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "providers": [{"billed_charge": 1778.4, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "340714478"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 557.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1911.0, "npi": [1821035940]}]}]}, {"tin": {"type": "ein", "value": "340714755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.02, "providers": [{"billed_charge": 1667.25, "npi": [1396765681]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 557.84, "providers": [{"billed_charge": 1911.0, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "340827442"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 542.35, "providers": [{"billed_charge": 1134.0, "npi": [1164481677]}]}]}, {"tin": {"type": "ein", "value": "341105619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.32, "providers": [{"billed_charge": 1952.0, "npi": [1811939887]}]}]}, {"tin": {"type": "ein", "value": "341369963"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 426.13, "providers": [{"billed_charge": 900.0, "npi": [1710920327]}]}]}, {"tin": {"type": "ein", "value": "341565327"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.98, "providers": [{"billed_charge": 625.3, "npi": [1770967788]}]}, {"allowed_amount": 155.94, "providers": [{"billed_charge": 625.3, "npi": [1144768383]}]}]}, {"tin": {"type": "ein", "value": "341567805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 542.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1070.0, "npi": [1043397292]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.95, "providers": [{"billed_charge": 1911.0, "npi": [1366433195]}]}, {"allowed_amount": 557.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1911.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "344428256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 556.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1835.0, "npi": [1407854771]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.52, "providers": [{"billed_charge": 222.0, "npi": [1700405602]}]}]}, {"tin": {"type": "ein", "value": "350983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "providers": [{"billed_charge": 2090.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1326.0, "npi": [1700883717]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.88, "providers": [{"billed_charge": 202.0, "npi": [1205882545]}]}]}, {"tin": {"type": "ein", "value": "351361243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "providers": [{"billed_charge": 1487.0, "npi": [1669475950]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 508.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 508.0, "npi": [1801885413]}]}, {"allowed_amount": 521.11, "providers": [{"billed_charge": 508.0, "npi": [1801885413]}]}, {"allowed_amount": 926.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 508.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "352346161"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.19, "providers": [{"billed_charge": 1100.0, "npi": [1700037801]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 667.82, "providers": [{"billed_charge": 2012.0, "npi": [1306889597]}]}]}, {"tin": {"type": "ein", "value": "352635546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "providers": [{"billed_charge": 2116.13, "npi": [1336623198]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "providers": [{"billed_charge": 1696.86, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "358565212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.7, "providers": [{"billed_charge": 149.0, "npi": [1710944830]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1892.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.53, "providers": [{"billed_charge": 1230.0, "npi": [1578670543]}]}]}, {"tin": {"type": "ein", "value": "362170155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1645.0, "npi": [1649370057]}]}]}, {"tin": {"type": "ein", "value": "362200248"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.32, "providers": [{"billed_charge": 625.21, "npi": [1447280284]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3565.0, "npi": [1134117575]}]}, {"allowed_amount": 303.24, "providers": [{"billed_charge": 1814.0, "npi": [1417279936]}]}]}, {"tin": {"type": "ein", "value": "363208390"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1025.0, "npi": [1760415939]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1800.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.31, "providers": [{"billed_charge": 161.0, "npi": [1811925787, 1952733180]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.97, "providers": [{"billed_charge": 1899.0, "npi": [1376644385]}]}, {"allowed_amount": 230.36, "providers": [{"billed_charge": 1899.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "370661183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.62, "providers": [{"billed_charge": 732.08, "npi": [1760571699]}]}]}, {"tin": {"type": "ein", "value": "370860281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 372.53, "providers": [{"billed_charge": 649.0, "npi": [1679502322]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1924.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371140016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.9, "providers": [{"billed_charge": 641.0, "npi": [1619557352]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.83, "providers": [{"billed_charge": 1068.0, "npi": [1134144801]}]}, {"allowed_amount": 348.16, "providers": [{"billed_charge": 1068.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "381358208"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.66, "providers": [{"billed_charge": 138.0, "npi": [1316618978]}]}]}, {"tin": {"type": "ein", "value": "382383119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.0, "npi": [1902894512]}]}]}, {"tin": {"type": "ein", "value": "382776791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.16, "providers": [{"billed_charge": 966.87, "npi": [1083644579]}]}]}, {"tin": {"type": "ein", "value": "383176536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1099.0, "npi": [1053356352]}]}]}, {"tin": {"type": "ein", "value": "383236977"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.04, "providers": [{"billed_charge": 399.0, "npi": [1821597600]}]}]}, {"tin": {"type": "ein", "value": "383740839"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 315.0, "npi": [1912427576]}]}]}, {"tin": {"type": "ein", "value": "383833117"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1431.0, "npi": [1497988596]}]}]}, {"tin": {"type": "ein", "value": "386005601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1069.0, "npi": [1598717480]}]}]}, {"tin": {"type": "ein", "value": "386005601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.03, "providers": [{"billed_charge": 198.0, "npi": [1831140367]}]}, {"allowed_amount": 139.04, "providers": [{"billed_charge": 198.0, "npi": [1851419303]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.54, "providers": [{"billed_charge": 685.0, "npi": [1508444381]}]}, {"allowed_amount": 147.46, "providers": [{"billed_charge": 685.0, "npi": [1447412044]}]}]}, {"tin": {"type": "ein", "value": "390806250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.43, "providers": [{"billed_charge": 399.0, "npi": [1154687929]}]}]}, {"tin": {"type": "ein", "value": "390806347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.92, "providers": [{"billed_charge": 850.0, "npi": [1225156888]}]}]}, {"tin": {"type": "ein", "value": "390816818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 562.94, "providers": [{"billed_charge": 1386.0, "npi": [1912527193]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.43, "providers": [{"billed_charge": 414.1, "npi": [1811943509]}]}]}, {"tin": {"type": "ein", "value": "390992883"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.43, "providers": [{"billed_charge": 845.75, "npi": [1992243984]}]}]}, {"tin": {"type": "ein", "value": "391678306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.76, "providers": [{"billed_charge": 635.0, "npi": [1790483774]}]}]}, {"tin": {"type": "ein", "value": "392851212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.06, "providers": [{"billed_charge": 1189.0, "npi": [1912092818]}]}]}, {"tin": {"type": "ein", "value": "393714515"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 425.98, "providers": [{"billed_charge": 584.0, "npi": [1346112521]}]}]}, {"tin": {"type": "ein", "value": "393782106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1124983002]}]}]}, {"tin": {"type": "ein", "value": "410726171"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.36, "providers": [{"billed_charge": 378.64, "npi": [1346458676]}]}]}, {"tin": {"type": "ein", "value": "410956618"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.11, "providers": [{"billed_charge": 710.0, "npi": [1629006457]}]}]}, {"tin": {"type": "ein", "value": "410956618"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.56, "providers": [{"billed_charge": 306.0, "npi": [1003323502]}]}]}, {"tin": {"type": "ein", "value": "411804205"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.36, "providers": [{"billed_charge": 334.0, "npi": [1225295116]}]}]}, {"tin": {"type": "ein", "value": "412806612"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 1932.0, "npi": [1396789582, 1376985358]}]}]}, {"tin": {"type": "ein", "value": "413975337"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.02, "providers": [{"billed_charge": 1932.0, "npi": [1861752602]}]}]}, {"tin": {"type": "ein", "value": "420504780"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 372.17, "providers": [{"billed_charge": 1049.57, "npi": [1083708226]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.33, "providers": [{"billed_charge": 723.0, "npi": [1720029333]}]}, {"allowed_amount": 372.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 723.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421009175"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 342.89, "providers": [{"billed_charge": 591.53, "npi": [1487759858]}]}]}, {"tin": {"type": "ein", "value": "421009175"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.82, "providers": [{"billed_charge": 163.0, "npi": [1366175051]}]}]}, {"tin": {"type": "ein", "value": "421019872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.02, "providers": [{"billed_charge": 591.53, "npi": [1962594622]}]}]}, {"tin": {"type": "ein", "value": "421019872"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.08, "providers": [{"billed_charge": 163.0, "npi": [1952748683]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.11, "providers": [{"billed_charge": 801.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.36, "providers": [{"billed_charge": 242.0, "npi": [1912015561, 1821591694]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.8, "providers": [{"billed_charge": 656.0, "npi": [1417422361]}]}, {"allowed_amount": 67.49, "providers": [{"billed_charge": 656.0, "npi": [1043927023]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.8, "providers": [{"billed_charge": 536.0, "npi": [1700015948]}]}]}, {"tin": {"type": "ein", "value": "431009163"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.0, "providers": [{"billed_charge": 162.0, "npi": [1881222925]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.46, "providers": [{"billed_charge": 1513.0, "npi": [1932117173]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.8, "providers": [{"billed_charge": 219.0, "npi": [1649142662]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.04, "providers": [{"billed_charge": 1815.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431987409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.84, "providers": [{"billed_charge": 689.0, "npi": [1558328138]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 750.0, "npi": [1891923793, 1083858674, 1538397302]}]}, {"allowed_amount": 167.44, "providers": [{"billed_charge": 750.0, "npi": [1891923793, 1649205659]}]}, {"allowed_amount": 196.26, "providers": [{"billed_charge": 750.0, "npi": [1851584346, 1689170029]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1600.0, "npi": [1437259694]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.55, "providers": [{"billed_charge": 2204.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2280.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.38, "providers": [{"billed_charge": 186.0, "npi": [1568704930]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1078.0, "npi": [1376686600, 1467595793]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.82, "providers": [{"billed_charge": 162.0, "npi": [1841431285]}]}]}, {"tin": {"type": "ein", "value": "450503121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.04, "providers": [{"billed_charge": 2038.58, "npi": [1942247044]}]}]}, {"tin": {"type": "ein", "value": "452480633"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.48, "providers": [{"billed_charge": 199.48, "npi": [1699974576]}]}]}, {"tin": {"type": "ein", "value": "452528314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.24, "providers": [{"billed_charge": 1684.88, "npi": [1972576247]}]}, {"allowed_amount": 631.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1684.88, "npi": [1972576247]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 585.0, "npi": [1821298779]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.1, "providers": [{"billed_charge": 577.0, "npi": [1861554164]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 690.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 584.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 877.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.36, "providers": [{"billed_charge": 333.0, "npi": [1407484785]}]}]}, {"tin": {"type": "ein", "value": "460796114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2459.0, "npi": [1144397134]}]}]}, {"tin": {"type": "ein", "value": "460928982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 661.61, "npi": [1356692297]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 223.71, "providers": [{"billed_charge": 672.0, "npi": [1033984109]}]}]}, {"tin": {"type": "ein", "value": "461120780"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.45, "providers": [{"billed_charge": 916.0, "npi": [1144260704]}]}]}, {"tin": {"type": "ein", "value": "461275483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.35, "providers": [{"billed_charge": 894.0, "npi": [1033476379]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.96, "providers": [{"billed_charge": 182.0, "npi": [1629551833]}]}]}, {"tin": {"type": "ein", "value": "461707288"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.55, "providers": [{"billed_charge": 625.3, "npi": [1245792829]}]}]}, {"tin": {"type": "ein", "value": "462099970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.96, "providers": [{"billed_charge": 750.0, "npi": [1437644333]}]}]}, {"tin": {"type": "ein", "value": "462300121"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "providers": [{"billed_charge": 563.0, "npi": [1366543910]}]}]}, {"tin": {"type": "ein", "value": "463176429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1782.0, "npi": [1619911104]}]}]}, {"tin": {"type": "ein", "value": "463487442"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 862.13, "providers": [{"billed_charge": 1634.95, "npi": [1568825545]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "providers": [{"billed_charge": 222.51, "npi": [1023741444]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.53, "providers": [{"billed_charge": 486.0, "npi": [1619989415]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.67, "providers": [{"billed_charge": 1628.0, "npi": [1013332014]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.24, "providers": [{"billed_charge": 123.0, "npi": [1144304197]}]}, {"allowed_amount": 88.08, "providers": [{"billed_charge": 154.0, "npi": [1972504488, 1003081472, 1215106216]}]}, {"allowed_amount": 103.9, "providers": [{"billed_charge": 123.0, "npi": [1447883756]}]}, {"allowed_amount": 112.1, "providers": [{"billed_charge": 154.0, "npi": [1427140664, 1780739144]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 833.0, "npi": [1912993114, 1083642524]}]}, {"allowed_amount": 196.26, "providers": [{"billed_charge": 833.0, "npi": [1083642524]}]}]}, {"tin": {"type": "ein", "value": "465400615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.78, "providers": [{"billed_charge": 611.0, "npi": [1477515286]}]}]}, {"tin": {"type": "ein", "value": "465477125"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.2, "providers": [{"billed_charge": 750.0, "npi": [1992515316, 1780432005]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 674.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 957.12, "npi": [1831203488]}]}]}, {"tin": {"type": "ein", "value": "470533373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.9, "providers": [{"billed_charge": 205.25, "npi": [1477049922, 1194063180]}]}]}, {"tin": {"type": "ein", "value": "471027429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.28, "providers": [{"billed_charge": 683.0, "npi": [1902982275]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.34, "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}, {"allowed_amount": 480.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "472044374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 268.15, "providers": [{"billed_charge": 687.0, "npi": [1215515531]}]}]}, {"tin": {"type": "ein", "value": "472660438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.12, "providers": [{"billed_charge": 658.0, "npi": [1255747945, 1336120690]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 242.62, "providers": [{"billed_charge": 608.0, "npi": [1033827647]}]}, {"allowed_amount": 246.15, "providers": [{"billed_charge": 632.0, "npi": [1144335050, 1770263519]}]}, {"allowed_amount": 289.59, "providers": [{"billed_charge": 562.0, "npi": [1457915597]}, {"billed_charge": 632.0, "npi": [1306891726]}]}]}, {"tin": {"type": "ein", "value": "473033715"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.49, "providers": [{"billed_charge": 1729.43, "npi": [1134353345]}]}, {"allowed_amount": 89.99, "providers": [{"billed_charge": 1729.43, "npi": [1326542739]}]}, {"allowed_amount": 97.49, "providers": [{"billed_charge": 1729.43, "npi": [1679546402, 1639581770]}]}, {"allowed_amount": 104.99, "providers": [{"billed_charge": 1729.43, "npi": [1639581770, 1326542739, 1679546402, 1518539949]}]}]}, {"tin": {"type": "ein", "value": "473455146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.38, "providers": [{"billed_charge": 2465.0, "npi": [1619351160]}]}]}, {"tin": {"type": "ein", "value": "473752176"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 533.46, "providers": [{"billed_charge": 692.0, "npi": [1518354778]}]}]}, {"tin": {"type": "ein", "value": "473923087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1456.0, "npi": [1366815144]}]}]}, {"tin": {"type": "ein", "value": "473965789"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.23, "providers": [{"billed_charge": 478.0, "npi": [1215998737]}]}]}, {"tin": {"type": "ein", "value": "474290658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.49, "providers": [{"billed_charge": 169.0, "npi": [1659368892]}]}]}, {"tin": {"type": "ein", "value": "474550259"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.28, "providers": [{"billed_charge": 625.3, "npi": [1467705426]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 633.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 805.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "475013720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1285721613]}]}]}, {"tin": {"type": "ein", "value": "475387418"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 581.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3179.0, "npi": [1558734095]}]}]}, {"tin": {"type": "ein", "value": "475531420"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1144695081]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 446.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1643.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "481253246"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 621.5, "providers": [{"billed_charge": 1040.0, "npi": [1568401206]}]}]}, {"tin": {"type": "ein", "value": "507841388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.11, "providers": [{"billed_charge": 395.0, "npi": [1710960224]}]}]}, {"tin": {"type": "ein", "value": "510064318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 645.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1140.0, "npi": [1467546135]}]}]}, {"tin": {"type": "ein", "value": "510103684"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 625.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1050.43, "npi": [1134194038]}]}]}, {"tin": {"type": "ein", "value": "520445374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 353.76, "providers": [{"billed_charge": 353.76, "npi": [1992701825]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.08, "providers": [{"billed_charge": 364.08, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520608007"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 370.32, "npi": [1184712085]}]}]}, {"tin": {"type": "ein", "value": "520619006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 428.13, "providers": [{"billed_charge": 428.13, "npi": [1780650473]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.6, "providers": [{"billed_charge": 496.6, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.4, "providers": [{"billed_charge": 331.4, "npi": [1669417838]}]}, {"allowed_amount": 414.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.24, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 625.3, "npi": [1720304603]}]}, {"allowed_amount": 116.78, "providers": [{"billed_charge": 625.3, "npi": [1538652581]}]}, {"allowed_amount": 137.39, "providers": [{"billed_charge": 625.3, "npi": [1811551088]}]}]}, {"tin": {"type": "ein", "value": "521253920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.97, "providers": [{"billed_charge": 524.97, "npi": [1598761355]}]}]}, {"tin": {"type": "ein", "value": "521272129"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1708.9, "npi": [1548378235]}]}]}, {"tin": {"type": "ein", "value": "522043450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.7, "providers": [{"billed_charge": 625.3, "npi": [1568921690]}]}]}, {"tin": {"type": "ein", "value": "540506331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 907.1, "providers": [{"billed_charge": 1030.0, "npi": [1780694372]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.43, "providers": [{"billed_charge": 1839.0, "npi": [1831220714]}]}, {"allowed_amount": 941.09, "providers": [{"billed_charge": 1839.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "540793767"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 870.91, "providers": [{"billed_charge": 2311.0, "npi": [1962464016]}]}]}, {"tin": {"type": "ein", "value": "540889154"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 803.95, "providers": [{"billed_charge": 2297.0, "npi": [1275570376]}]}]}, {"tin": {"type": "ein", "value": "541141362"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 116.78, "providers": [{"billed_charge": 276.0, "npi": [1447514229]}]}]}, {"tin": {"type": "ein", "value": "541547408"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 846.96, "providers": [{"billed_charge": 1129.0, "npi": [1811957681]}]}]}, {"tin": {"type": "ein", "value": "541744931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 870.91, "providers": [{"billed_charge": 2311.0, "npi": [1912969064]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 870.91, "providers": [{"billed_charge": 3686.0, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "541848065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.21, "providers": [{"billed_charge": 1634.0, "npi": [1437175734]}]}]}, {"tin": {"type": "ein", "value": "550404900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.25, "providers": [{"billed_charge": 1155.0, "npi": [1316925506]}]}]}, {"tin": {"type": "ein", "value": "550675666"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.99, "npi": [1073518007]}]}]}, {"tin": {"type": "ein", "value": "550675666"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.23, "providers": [{"billed_charge": 219.21, "npi": [1548502677]}]}]}, {"tin": {"type": "ein", "value": "560543238"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 698.94, "providers": [{"billed_charge": 2350.0, "npi": [1417958331]}]}]}, {"tin": {"type": "ein", "value": "560552787"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.15, "providers": [{"billed_charge": 3520.0, "npi": [1144211301]}]}, {"allowed_amount": 698.94, "providers": [{"billed_charge": 3520.0, "npi": [1144211301]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 811.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1726.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "560619359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 811.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2485.0, "npi": [1013918960]}]}]}, {"tin": {"type": "ein", "value": "560845796"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1211.0, "npi": [1639172869]}]}]}, {"tin": {"type": "ein", "value": "560989789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1892.0, "npi": [1346273943]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 811.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3403.0, "npi": [1053358945, 1295789907]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1004.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "562066152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.63, "providers": [{"billed_charge": 657.0, "npi": [1295198679]}]}]}, {"tin": {"type": "ein", "value": "562075806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.83, "providers": [{"billed_charge": 589.42, "npi": [1659304186]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 941.92, "providers": [{"billed_charge": 971.0, "npi": [1144247982]}]}]}, {"tin": {"type": "ein", "value": "566000403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.83, "providers": [{"billed_charge": 315.0, "npi": [1295354512]}]}]}, {"tin": {"type": "ein", "value": "566017737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 448.11, "providers": [{"billed_charge": 1600.0, "npi": [1114993086]}]}]}, {"tin": {"type": "ein", "value": "570324929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.95, "providers": [{"billed_charge": 618.0, "npi": [1053316943]}]}]}, {"tin": {"type": "ein", "value": "570341194"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 377.0, "npi": [1982604021]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.55, "providers": [{"billed_charge": 2093.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.77, "providers": [{"billed_charge": 390.0, "npi": [1083118178]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.25, "providers": [{"billed_charge": 1701.0, "npi": [1659435840]}]}, {"allowed_amount": 559.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1511.0, "npi": [1558937474]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 597.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1297.0, "npi": [1609807122]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.31, "providers": [{"billed_charge": 354.0, "npi": [1467312298]}]}, {"allowed_amount": 258.34, "providers": [{"billed_charge": 354.0, "npi": [1396156873]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 618.31, "providers": [{"billed_charge": 1513.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 600.27, "providers": [{"billed_charge": 2099.9, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "580568702"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 884.0, "npi": [1063406684]}]}]}, {"tin": {"type": "ein", "value": "580968382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 573.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1650.0, "npi": [1467420448]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.85, "providers": [{"billed_charge": 1988.15, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.13, "providers": [{"billed_charge": 199.0, "npi": [1043496979]}]}, {"allowed_amount": 192.76, "providers": [{"billed_charge": 199.0, "npi": [1760896179]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.13, "providers": [{"billed_charge": 1595.0, "npi": [1477591055]}]}]}, {"tin": {"type": "ein", "value": "581685139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 717.22, "providers": [{"billed_charge": 1619.02, "npi": [1255401519]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1994.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581790149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1361.0, "npi": [1801883780]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 485.95, "providers": [{"billed_charge": 792.0, "npi": [1194744326]}]}, {"allowed_amount": 503.91, "providers": [{"billed_charge": 754.0, "npi": [1598784720]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 751.95, "providers": [{"billed_charge": 1257.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 347.79, "providers": [{"billed_charge": 1705.0, "npi": [1457396079]}]}, {"allowed_amount": 610.57, "providers": [{"billed_charge": 1705.0, "npi": [1790715381]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1513.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "581973570"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 662.68, "providers": [{"billed_charge": 2071.0, "npi": [1154377166]}]}]}, {"tin": {"type": "ein", "value": "582026750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1650.0, "npi": [1649247974]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 573.95, "providers": [{"billed_charge": 1650.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582179986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.02, "providers": [{"billed_charge": 2099.9, "npi": [1437186111]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 2099.9, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 629.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1149.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "582433436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 347.79, "providers": [{"billed_charge": 1513.0, "npi": [1679632137]}]}]}, {"tin": {"type": "ein", "value": "582453303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 1361.0, "npi": [1851388748]}]}]}, {"tin": {"type": "ein", "value": "586002830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.0, "providers": [{"billed_charge": 514.0, "npi": [1306890942]}]}]}, {"tin": {"type": "ein", "value": "586010602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 681.84, "providers": [{"billed_charge": 864.5, "npi": [1770684284]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 411.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2198.64, "npi": [1386940823]}]}, {"allowed_amount": 415.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2198.64, "npi": [1386940823]}]}, {"allowed_amount": 604.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2198.64, "npi": [1295702728, 1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1858.78, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3179.0, "npi": [1437135811]}]}, {"allowed_amount": 718.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3179.0, "npi": [1376529743]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.27, "providers": [{"billed_charge": 1894.0, "npi": [1245520386]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.81, "providers": [{"billed_charge": 369.0, "npi": [1972257392]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.47, "providers": [{"billed_charge": 2389.0, "npi": [1194790055]}]}, {"allowed_amount": 962.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2389.0, "npi": [1194790055]}]}, {"allowed_amount": 1710.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2389.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 173.38, "providers": [{"billed_charge": 704.0, "npi": [1679113567]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.63, "providers": [{"billed_charge": 3530.36, "npi": [1033001748]}]}, {"allowed_amount": 527.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3530.36, "npi": [1598657298, 1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.51, "providers": [{"billed_charge": 3700.0, "npi": [1700979465]}]}, {"allowed_amount": 469.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3700.0, "npi": [1700979465]}]}, {"allowed_amount": 835.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3700.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3033.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590683252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 407.74, "providers": [{"billed_charge": 1840.0, "npi": [1427114099]}]}, {"allowed_amount": 718.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1840.0, "npi": [1427114099]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 995.71, "providers": [{"billed_charge": 2237.0, "npi": [1720085137]}]}, {"allowed_amount": 1770.22, "providers": [{"billed_charge": 2237.0, "npi": [1720085137]}]}, {"allowed_amount": 2237.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2237.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "providers": [{"billed_charge": 1219.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.08, "providers": [{"billed_charge": 1729.79, "npi": [1083692594]}]}, {"allowed_amount": 567.27, "providers": [{"billed_charge": 1729.79, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.42, "providers": [{"billed_charge": 2630.0, "npi": [1578620449]}]}, {"allowed_amount": 461.28, "providers": [{"billed_charge": 2630.0, "npi": [1578620449]}]}, {"allowed_amount": 461.81, "providers": [{"billed_charge": 2630.0, "npi": [1578620449]}]}, {"allowed_amount": 585.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2630.0, "npi": [1578620449]}]}, {"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2630.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3179.0, "npi": [1881632818]}]}, {"allowed_amount": 496.41, "providers": [{"billed_charge": 3179.0, "npi": [1881632818]}]}, {"allowed_amount": 570.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3179.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3033.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10296.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1500.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.03, "providers": [{"billed_charge": 851.0, "npi": [1245895952]}]}, {"allowed_amount": 133.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 851.0, "npi": [1356726848]}]}, {"allowed_amount": 266.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 851.0, "npi": [1902997208]}, {"billed_charge": 904.0, "npi": [1518480862]}]}, {"allowed_amount": 314.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 851.0, "npi": [1245895952]}, {"billed_charge": 904.0, "npi": [1508857905, 1164630810]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 256.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1699418483, 1326579996, 1881295525, 1922333244]}, {"billed_charge": 612.0, "npi": [1205665940]}, {"billed_charge": 649.0, "npi": [1922879113]}]}, {"allowed_amount": 302.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 594.0, "npi": [1003498353, 1407144314, 1720342652, 1306425269]}, {"billed_charge": 610.0, "npi": [1376123307, 1538747860, 1417309212, 1225490014]}, {"billed_charge": 612.0, "npi": [1477928737, 1881004869]}, {"billed_charge": 649.0, "npi": [1568969491, 1679921951]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.65, "providers": [{"billed_charge": 1557.0, "npi": [1396992475]}]}, {"allowed_amount": 521.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1557.0, "npi": [1396992475]}]}, {"allowed_amount": 926.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1557.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1464.5, "providers": [{"billed_charge": 3486.9, "npi": [1841237930]}]}, {"allowed_amount": 1515.72, "providers": [{"billed_charge": 3608.86, "npi": [1841237930]}]}, {"allowed_amount": 1581.65, "providers": [{"billed_charge": 3765.83, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.46, "providers": [{"billed_charge": 280.0, "npi": [1427318070]}]}, {"allowed_amount": 167.44, "providers": [{"billed_charge": 280.0, "npi": [1528717105]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 280.0, "npi": [1093378440, 1518097096]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.82, "providers": [{"billed_charge": 1320.0, "npi": [1649340415]}]}, {"allowed_amount": 840.93, "providers": [{"billed_charge": 1320.0, "npi": [1649340415]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.03, "providers": [{"billed_charge": 108.0, "npi": [1245790971]}]}, {"allowed_amount": 54.03, "providers": [{"billed_charge": 108.0, "npi": [1558821488, 1245790971]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 864.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3192.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 649.43, "npi": [1144419466, 1497964126]}]}, {"allowed_amount": 118.04, "providers": [{"billed_charge": 649.43, "npi": [1447225768]}]}, {"allowed_amount": 118.58, "providers": [{"billed_charge": 649.43, "npi": [1942275425, 1013351303]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 649.43, "npi": [1790384642, 1699301523, 1598074429]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 390.0, "npi": [1467424093]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 390.0, "npi": [1871170951, 1821674474, 1417924333, 1134782766, 1720198450, 1962961938, 1962021972, 1740662360, 1518277946, 1033260955, 1821485822, 1548231327]}, {"billed_charge": 445.0, "npi": [1538818216, 1962961938, 1881674026, 1265697254]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 702.29, "providers": [{"billed_charge": 1544.0, "npi": [1437177664]}]}, {"allowed_amount": 1248.56, "providers": [{"billed_charge": 1544.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.98, "providers": [{"billed_charge": 139.98, "npi": [1548633860]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1029.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3033.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1285684597, 1649275249, 1952313173, 1629262126]}]}, {"allowed_amount": 89.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1083077507, 1336119783, 1669637419, 1578958443, 1386844140, 1386633774, 1396108635, 1700837044, 1962852251, 1275809469]}]}, {"allowed_amount": 104.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1083077507, 1336119783, 1851407431, 1669637419, 1386844140, 1578958443, 1629262126, 1386633774, 1649275249, 1396108635, 1285950931, 1700837044, 1952313173, 1962852251]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3179.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1994.42, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592425149"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 215.0, "npi": [1477559409]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1710.36, "providers": [{"billed_charge": 2389.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 581.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2429.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 471.52, "providers": [{"billed_charge": 2630.0, "npi": [1821155912]}]}, {"allowed_amount": 585.24, "providers": [{"billed_charge": 2630.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593208445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 193.82, "providers": [{"billed_charge": 193.82, "npi": [1962468389]}]}]}, {"tin": {"type": "ein", "value": "593208445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.07, "providers": [{"billed_charge": 83.07, "npi": [1699419754]}]}]}, {"tin": {"type": "ein", "value": "593234721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2630.0, "npi": [1518024462]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 223.0, "npi": [1699775320, 1447045901]}]}, {"allowed_amount": 102.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 223.0, "npi": [1679869465, 1104055599]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 864.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3192.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.56, "providers": [{"billed_charge": 853.0, "npi": [1093373771]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 256.0, "npi": [1356652812]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 679.0, "npi": [1821559428, 1346686573, 1932831278, 1023424660, 1255328407, 1487940060]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 679.0, "npi": [1992934434, 1962818278, 1366706152, 1578714093, 1396972527, 1215034418, 1831741107, 1770996183, 1306416987, 1982855581]}]}]}, {"tin": {"type": "ein", "value": "593597846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 668.0, "npi": [1659804953]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 668.0, "npi": [1912533928]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1700.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 713.0, "providers": [{"billed_charge": 713.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 468.65, "npi": [1215960315]}]}, {"allowed_amount": 303.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 468.65, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 455.38, "providers": [{"billed_charge": 2428.77, "npi": [1285662239]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "providers": [{"billed_charge": 206.0, "npi": [1134585920]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 339.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1868.0, "npi": [1053424648]}]}, {"allowed_amount": 378.2, "providers": [{"billed_charge": 1868.0, "npi": [1053424648]}]}, {"allowed_amount": 604.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1868.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2160.52, "npi": [1265539498]}]}]}, {"tin": {"type": "ein", "value": "610444716"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 550.69, "providers": [{"billed_charge": 845.7, "npi": [1851346720]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1111.84, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 573.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1740.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1356.09, "providers": [{"billed_charge": 3874.54, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "611272888"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.4, "providers": [{"billed_charge": 3686.0, "npi": [1285671248]}]}]}, {"tin": {"type": "ein", "value": "611851498"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4583.0, "npi": [1669984498]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 667.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.05, "npi": [1629025648]}, {"billed_charge": 2450.0, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "620475842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 667.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2450.0, "npi": [1164590386]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.42, "providers": [{"billed_charge": 1504.0, "npi": [1558365890]}]}, {"allowed_amount": 427.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1504.0, "npi": [1558365890]}, {"billed_charge": 1837.0, "npi": [1386709871]}]}]}, {"tin": {"type": "ein", "value": "620528340"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 631.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1942294814]}]}]}, {"tin": {"type": "ein", "value": "620532345"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 361.26, "providers": [{"billed_charge": 1521.0, "npi": [1083778633]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 667.82, "providers": [{"billed_charge": 2058.65, "npi": [1023055126]}, {"billed_charge": 2162.32, "npi": [1720032345]}, {"billed_charge": 2205.0, "npi": [1023055126]}, {"billed_charge": 2557.36, "npi": [1992776405]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 631.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.25, "providers": [{"billed_charge": 617.0, "npi": [1124457650]}]}, {"allowed_amount": 226.27, "providers": [{"billed_charge": 679.0, "npi": [1487363446]}]}, {"allowed_amount": 270.89, "providers": [{"billed_charge": 723.0, "npi": [1376591487]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.61, "providers": [{"billed_charge": 588.0, "npi": [1972308906]}]}, {"allowed_amount": 216.65, "providers": [{"billed_charge": 582.0, "npi": [1629556980]}]}, {"allowed_amount": 254.88, "providers": [{"billed_charge": 582.0, "npi": [1790764009, 1174085443]}]}]}, {"tin": {"type": "ein", "value": "621321255"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 667.82, "providers": [{"billed_charge": 2241.51, "npi": [1538114434]}]}]}, {"tin": {"type": "ein", "value": "621501534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1725.6, "npi": [1265445506]}]}]}, {"tin": {"type": "ein", "value": "621519754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.7, "providers": [{"billed_charge": 791.0, "npi": [1609830173]}]}]}, {"tin": {"type": "ein", "value": "621560757"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 667.82, "providers": [{"billed_charge": 1920.27, "npi": [1295780476]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1866.2, "providers": [{"billed_charge": 5332.0, "npi": [1104870187, 1821667973]}]}]}, {"tin": {"type": "ein", "value": "621619857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 2683.13, "npi": [1811942238]}]}, {"allowed_amount": 438.75, "providers": [{"billed_charge": 2683.13, "npi": [1811942238]}]}]}, {"tin": {"type": "ein", "value": "621650124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.86, "providers": [{"billed_charge": 309.0, "npi": [1538740832]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.64, "providers": [{"billed_charge": 2870.27, "npi": [1619924719]}]}, {"allowed_amount": 817.18, "providers": [{"billed_charge": 2870.27, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621682202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "providers": [{"billed_charge": 3303.01, "npi": [1659323772]}]}]}, {"tin": {"type": "ein", "value": "621682213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 2811.64, "npi": [1306897277]}]}]}, {"tin": {"type": "ein", "value": "621762412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2482.92, "npi": [1801830500]}]}, {"allowed_amount": 557.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2482.92, "npi": [1801830500]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1785.7, "providers": [{"billed_charge": 5102.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621764613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 1152.0, "npi": [1164475711]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1341.9, "providers": [{"billed_charge": 3834.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 904.75, "providers": [{"billed_charge": 2585.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621801359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 5367.34, "npi": [1174576698]}]}]}, {"tin": {"type": "ein", "value": "621801363"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 3015.0, "npi": [1275580938]}]}]}, {"tin": {"type": "ein", "value": "621809851"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.63, "providers": [{"billed_charge": 2687.0, "npi": [1477537363]}]}]}, {"tin": {"type": "ein", "value": "621810381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 1792.82, "npi": [1023065794]}]}]}, {"tin": {"type": "ein", "value": "621861198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.56, "providers": [{"billed_charge": 2377.0, "npi": [1538131214]}]}]}, {"tin": {"type": "ein", "value": "621866028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 631.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1969.09, "npi": [1669567319]}]}]}, {"tin": {"type": "ein", "value": "626010402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.44, "providers": [{"billed_charge": 1480.0, "npi": [1093705428]}]}]}, {"tin": {"type": "ein", "value": "630288856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 549.0, "providers": [{"billed_charge": 1395.0, "npi": [1558364802]}]}]}, {"tin": {"type": "ein", "value": "630288864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 529.34, "providers": [{"billed_charge": 1532.0, "npi": [1841298999]}]}]}, {"tin": {"type": "ein", "value": "630477348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 522.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 612.0, "npi": [1063468072]}]}]}, {"tin": {"type": "ein", "value": "631159023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.54, "providers": [{"billed_charge": 1756.07, "npi": [1720039712]}]}, {"allowed_amount": 498.77, "providers": [{"billed_charge": 1756.07, "npi": [1720039712]}]}]}, {"tin": {"type": "ein", "value": "636000288"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1609811538]}]}, {"allowed_amount": 521.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1609811538]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.84, "providers": [{"billed_charge": 507.0, "npi": [1154386431]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.07, "providers": [{"billed_charge": 149.0, "npi": [1437864063]}, {"billed_charge": 175.0, "npi": [1568344067]}]}]}, {"tin": {"type": "ein", "value": "636001820"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.96, "providers": [{"billed_charge": 196.23, "npi": [1164862942]}]}]}, {"tin": {"type": "ein", "value": "636004476"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 818.19, "npi": [1164403861]}]}, {"allowed_amount": 557.52, "providers": [{"billed_charge": 818.19, "npi": [1164403861]}]}]}, {"tin": {"type": "ein", "value": "636004476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.07, "providers": [{"billed_charge": 180.0, "npi": [1740599711, 1861028607]}]}]}, {"tin": {"type": "ein", "value": "640682111"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 457.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1119.0, "npi": [1194789818]}]}]}, {"tin": {"type": "ein", "value": "646000515"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.85, "providers": [{"billed_charge": 1453.0, "npi": [1124136593]}]}]}, {"tin": {"type": "ein", "value": "646001549"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 406.56, "npi": [1215965249]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.15, "providers": [{"billed_charge": 704.0, "npi": [1225373848, 1841279700, 1376508341]}]}, {"allowed_amount": 104.99, "providers": [{"billed_charge": 704.0, "npi": [1386030849, 1154542967, 1568953339, 1861810236, 1245374685]}]}, {"allowed_amount": 205.47, "providers": [{"billed_charge": 704.0, "npi": [1386030849, 1689195406, 1447889423, 1154542967, 1831167576, 1376863803]}]}]}, {"tin": {"type": "ein", "value": "650136946"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "providers": [{"billed_charge": 2000.0, "npi": [1710993258]}]}, {"allowed_amount": 125.23, "providers": [{"billed_charge": 2000.0, "npi": [1710993258]}]}]}, {"tin": {"type": "ein", "value": "650192836"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.49, "providers": [{"billed_charge": 106.7, "npi": [1326500570]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.49, "providers": [{"billed_charge": 299.0, "npi": [1427475565]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.97, "providers": [{"billed_charge": 792.0, "npi": [1518927193]}]}, {"allowed_amount": 56.05, "providers": [{"billed_charge": 921.0, "npi": [1497327233]}]}, {"allowed_amount": 56.19, "providers": [{"billed_charge": 921.0, "npi": [1225394240]}]}, {"allowed_amount": 74.99, "providers": [{"billed_charge": 1077.0, "npi": [1770515991]}]}, {"allowed_amount": 133.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 855.0, "npi": [1740972751]}, {"billed_charge": 860.0, "npi": [1619945144, 1255138228]}, {"billed_charge": 908.0, "npi": [1982273678]}, {"billed_charge": 1077.0, "npi": [1568969061]}]}, {"allowed_amount": 141.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 792.0, "npi": [1568409985, 1588202840, 1700532645, 1114642345, 1568492817, 1144005208]}, {"billed_charge": 894.0, "npi": [1063652881, 1982122180]}, {"billed_charge": 921.0, "npi": [1235814310, 1609636422, 1629885736, 1093492209, 1992465330, 1245904820, 1598363764, 1205850070]}]}, {"allowed_amount": 157.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 636.0, "npi": [1205577988, 1346772076, 1982054029, 1457320822, 1487956728]}, {"billed_charge": 851.0, "npi": [1194083881, 1376511147]}, {"billed_charge": 855.0, "npi": [1003131749]}, {"billed_charge": 860.0, "npi": [1619945169]}, {"billed_charge": 908.0, "npi": [1891894838]}, {"billed_charge": 935.0, "npi": [1699208470]}, {"billed_charge": 1016.0, "npi": [1235440017]}, {"billed_charge": 1077.0, "npi": [1255697504, 1629236427, 1922206168]}]}, {"allowed_amount": 166.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 792.0, "npi": [1801092465]}, {"billed_charge": 894.0, "npi": [1871859652, 1710372230, 1508039595, 1902080468, 1598029274]}, {"billed_charge": 921.0, "npi": [1225394240, 1144482951, 1629885736, 1265883433, 1376032011, 1801245675, 1053690479, 1699208637, 1902866494, 1538148127]}, {"billed_charge": 941.0, "npi": [1669608618, 1417698077]}]}, {"allowed_amount": 266.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 636.0, "npi": [1073935300, 1972756229, 1134108996, 1205685484, 1104551001, 1063967834, 1831147743]}, {"billed_charge": 855.0, "npi": [1316428840, 1689494221, 1740972751]}, {"billed_charge": 860.0, "npi": [1447862818, 1255138228, 1518385749, 1659250868, 1619945144]}, {"billed_charge": 908.0, "npi": [1750845152, 1326637588, 1982273678]}, {"billed_charge": 914.0, "npi": [1164137881, 1578953931, 1184676405, 1134158207]}, {"billed_charge": 935.0, "npi": [1083600241]}, {"billed_charge": 1077.0, "npi": [1689494221, 1568969061, 1215587647]}]}, {"allowed_amount": 283.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 792.0, "npi": [1568409985, 1588202840, 1700532645, 1114642345, 1114625712, 1063989168, 1568492817, 1144005208, 1154757656]}, {"billed_charge": 894.0, "npi": [1063652881]}, {"billed_charge": 921.0, "npi": [1609636422, 1235814310, 1629885736, 1215425707, 1821077967, 1093492209, 1992465330, 1245904820, 1598363764, 1205850070, 1396133237]}]}, {"allowed_amount": 314.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 617.0, "npi": [1164983086]}, {"billed_charge": 636.0, "npi": [1699804930, 1205577988, 1982054029, 1699833103, 1922275221, 1366742678, 1588046999, 1245641240, 1669458584, 1407039522, 1700464039, 1649561002, 1518279470, 1508391228, 1760800957, 1861733313, 1295001667, 1578190278, 1801359559, 1669713483, 1225569742, 1467816272, 1710119771, 1417278177, 1144531682, 1871572586, 1346772076, 1457320822, 1629962618, 1578025979]}, {"billed_charge": 851.0, "npi": [1316109473, 1073719621, 1194083881, 1376511147, 1437248432, 1811488158, 1699761759]}, {"billed_charge": 855.0, "npi": [1255697504, 1477928737, 1457512642, 1932156676, 1336725225, 1093212458, 1932858289, 1073843090, 1619945169, 1487690897, 1205451135]}, {"billed_charge": 860.0, "npi": [1740528231, 1013189224, 1972130318, 1558598383, 1619945169, 1437724051, 1043439318, 1760743512, 1518946367, 1831103423]}, {"billed_charge": 908.0, "npi": [1568038784, 1639149859, 1003880774, 1124093703, 1346220811, 1891894838]}, {"billed_charge": 914.0, "npi": [1093721961, 1184998676, 1831381078, 1376521815, 1659756120, 1255768313, 1982859898, 1659498939, 1124075197, 1720541790]}, {"billed_charge": 919.0, "npi": [1093721961, 1245286830, 1073824785, 1386782225, 1083966808]}, {"billed_charge": 935.0, "npi": [1023004553, 1265819593, 1932527884, 1952983439, 1750587572, 1861067670, 1841373719, 1255768313, 1124075197, 1720541790]}, {"billed_charge": 1016.0, "npi": [1174519557, 1073719621, 1538555685, 1992790950, 1194083881, 1689660748, 1437248432, 1235440017, 1255367892, 1174055479, 1780670588, 1699761759]}, {"billed_charge": 1077.0, "npi": [1255697504, 1457512642, 1619408739, 1942613989, 1356084487, 1629236427, 1700803343, 1487690897, 1922206168, 1811488158]}]}, {"allowed_amount": 333.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 792.0, "npi": [1376522144, 1871948836, 1841876349, 1770538662, 1154062727, 1346560364, 1508494733, 1134323405, 1124657085, 1275799827, 1316185309, 1518927193, 1558011197, 1922155357]}, {"billed_charge": 894.0, "npi": [1215108832, 1831533603, 1013357508, 1871859652, 1710372230, 1891763017, 1508039595, 1558725358, 1912561648, 1780983569, 1033143698, 1902080468, 1083034581, 1114509270, 1437649175, 1598029274]}, {"billed_charge": 921.0, "npi": [1710568704, 1144482951, 1639424906, 1376032011, 1154786192, 1013171354, 1639109150, 1538148127, 1881829281, 1629885736, 1265883433, 1255869483, 1457812273, 1255735221, 1366431546, 1699208637, 1902866494, 1851354559, 1225394240, 1912648767, 1487232450, 1639495245, 1306418264, 1336497890, 1801245675, 1053690479, 1073762043]}, {"billed_charge": 941.0, "npi": [1669608618, 1326579566, 1659657047, 1134625049, 1417698077, 1659951358, 1538148127]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 882.0, "npi": [1437719457, 1942872494]}]}, {"allowed_amount": 157.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 882.0, "npi": [1073843090, 1528687837]}, {"billed_charge": 930.0, "npi": [1689669400, 1457556714, 1609518356]}, {"billed_charge": 1045.0, "npi": [1912527995]}]}, {"allowed_amount": 256.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 924.0, "npi": [1386359297, 1639587702, 1639137839]}, {"billed_charge": 1012.0, "npi": [1205480977]}]}, {"allowed_amount": 266.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 882.0, "npi": [1437719457, 1942701156, 1730943143, 1316428840, 1942872494, 1518385749, 1710574777, 1740145309]}, {"billed_charge": 1045.0, "npi": [1457073066, 1073952057, 1275816266, 1073995726]}]}, {"allowed_amount": 302.12, "providers": [{"billed_charge": 924.0, "npi": [1598791964]}, {"billed_charge": 964.0, "npi": [1427442425]}, {"billed_charge": 1012.0, "npi": [1194724633]}]}, {"allowed_amount": 314.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 882.0, "npi": [1295001667, 1366684615, 1376934604, 1164468492, 1073843090, 1851618227, 1548898323, 1598393589, 1811931413, 1366742678, 1689669400, 1619232089, 1578025979, 1902901887]}, {"billed_charge": 930.0, "npi": [1669576005, 1003131749, 1457556714, 1467716241, 1689669400, 1609518356, 1922206168, 1639286396]}, {"billed_charge": 1045.0, "npi": [1679742027, 1619945169, 1598749335, 1629465497, 1912527995, 1942350079]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 529.0, "npi": [1912388224, 1396781027, 1639830532, 1104355429, 1134108996, 1699270819, 1467449033, 1164084109, 1215925045, 1245304310, 1619992153, 1801120027, 1841287356]}]}, {"allowed_amount": 173.38, "providers": [{"billed_charge": 529.0, "npi": [1356589964, 1972756229, 1134108996]}]}, {"allowed_amount": 205.47, "providers": [{"billed_charge": 529.0, "npi": [1912388224, 1912439910, 1588600217, 1114915949, 1851388466, 1821444563, 1013364660, 1619992153, 1801120027, 1841287356]}]}]}, {"tin": {"type": "ein", "value": "650691102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.81, "providers": [{"billed_charge": 660.0, "npi": [1154187185]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 880.0, "npi": [1629657184]}]}, {"allowed_amount": 62.8, "providers": [{"billed_charge": 880.0, "npi": [1013993831, 1356383095]}]}, {"allowed_amount": 65.41, "providers": [{"billed_charge": 880.0, "npi": [1538144597]}]}, {"allowed_amount": 78.12, "providers": [{"billed_charge": 880.0, "npi": [1881678290]}]}, {"allowed_amount": 133.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 880.0, "npi": [1225432768, 1437600418, 1093979650, 1346768066, 1932312964, 1427054311, 1669783213, 1750387726, 1235590928, 1316681265, 1609956119, 1780280255, 1801594809, 1588643357, 1477824126, 1013248095]}]}, {"allowed_amount": 157.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 880.0, "npi": [1265606784, 1407282445, 1326336785, 1285684753, 1891081881, 1699851295, 1912993312, 1336382241, 1811121957, 1326074790, 1679518120, 1689014185, 1033146162, 1629509302, 1114953916, 1760419774, 1760418495, 1154764611, 1477130334, 1013307495, 1548708597]}]}, {"allowed_amount": 184.85, "providers": [{"billed_charge": 880.0, "npi": [1538144597]}]}, {"allowed_amount": 266.91, "billing_code_modifier": ["SA", "25"], "providers": [{"billed_charge": 880.0, "npi": [1093979650, 1932312964, 1801639430, 1518131465, 1750387726, 1891470480, 1235590928, 1831691666, 1497419923, 1609956119, 1912194713, 1225149594, 1396296729, 1588643357, 1184093726, 1376176289, 1437600418, 1669845285, 1568490027, 1669783213, 1316681265, 1801594809, 1780280255, 1225432768, 1700894144, 1346768066, 1740541515, 1215330642, 1982290003, 1205454162, 1538305750, 1013248095, 1205908068, 1427054311, 1366863342, 1477824126]}]}, {"allowed_amount": 314.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 880.0, "npi": [1194074112, 1629126149, 1447375878, 1457830408, 1811510282, 1285684753, 1518412311, 1841225752, 1962498071, 1922376730, 1699851295, 1922684448, 1912993312, 1992791586, 1043322399, 1295296549, 1720389679, 1174815799, 1831237692, 1740578368, 1619543105, 1780628560, 1801139290, 1477130334, 1629657184, 1275013732, 1013307495, 1265606784, 1740711563, 1871719567, 1598976656, 1275973786, 1861772964, 1619149481, 1629509302, 1699771576, 1114953916, 1760418495, 1386094274, 1245260488, 1477973709, 1871750349, 1407238363, 1033303771, 1235167453, 1699754218, 1467947242, 1548708597, 1952714487, 1396206843, 1003802877, 1962446088, 1407282445, 1073715470, 1326336785, 1518184225, 1669417762, 1336382241, 1801525027, 1811121957, 1346220845, 1033146162, 1831413558, 1619910973, 1528367422, 1154764611, 1639585607, 1538144597, 1922189653, 1083642201, 1609870682, 1093247330, 1013993831, 1316261233, 1679816565, 1356383095, 1508807546, 1467409276, 1811933062, 1336339852, 1306499470, 1023645074, 1124055959, 1275100059, 1619269024, 1982883237, 1326074790, 1679518120, 1689014185, 1417930678, 1780612028, 1760419774, 1831176130, 1790944205, 1427078096, 1689642449, 1881678290, 1427554773, 1639520752, 1891073524, 1083642870, 1730121211, 1598098428]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "providers": [{"billed_charge": 549.0, "npi": [1760452957]}]}, {"allowed_amount": 218.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 549.0, "npi": [1063154904, 1376589002]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.63, "providers": [{"billed_charge": 2389.0, "npi": [1083644033]}]}, {"allowed_amount": 496.41, "providers": [{"billed_charge": 2389.0, "npi": [1083644033]}]}, {"allowed_amount": 527.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2389.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "providers": [{"billed_charge": 801.0, "npi": [1821733312, 1134665508, 1518234319, 1780796086, 1699735258, 1871116061]}]}, {"allowed_amount": 218.59, "providers": [{"billed_charge": 801.0, "npi": [1649375783]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.23, "providers": [{"billed_charge": 375.0, "npi": [1558302653]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 900.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1432.81, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "660227304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.3, "npi": [1366484594]}]}]}, {"tin": {"type": "ein", "value": "660227304"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 133.9, "npi": [1558750125]}]}]}, {"tin": {"type": "ein", "value": "660536996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.0, "providers": [{"billed_charge": 72.18, "npi": [1255855201]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.56, "providers": [{"billed_charge": 206.0, "npi": [1023008653]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 204.19, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "710403278"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 347.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 657.7, "npi": [1134116049]}]}]}, {"tin": {"type": "ein", "value": "710411459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 372.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 720.0, "npi": [1710943881]}]}]}, {"tin": {"type": "ein", "value": "711045290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.18, "providers": [{"billed_charge": 2100.0, "npi": [1962435792, 1891808499]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 127.0, "npi": [1881330850]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1114.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "720408984"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 916.0, "npi": [1639160799]}]}]}, {"tin": {"type": "ein", "value": "720423635"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 867.0, "npi": [1598766495]}]}]}, {"tin": {"type": "ein", "value": "720652905"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.02, "providers": [{"billed_charge": 855.0, "npi": [1912943184]}]}]}, {"tin": {"type": "ein", "value": "721561131"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2597.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2597.0, "npi": [1467560599]}]}]}, {"tin": {"type": "ein", "value": "730657693"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "providers": [{"billed_charge": 2371.25, "npi": [1700471497]}]}]}, {"tin": {"type": "ein", "value": "730700090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "providers": [{"billed_charge": 1984.0, "npi": [1144228487]}]}]}, {"tin": {"type": "ein", "value": "731383996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.06, "providers": [{"billed_charge": 133.68, "npi": [1851610414]}]}]}, {"tin": {"type": "ein", "value": "731723107"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1538107206]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.26, "providers": [{"billed_charge": 165.0, "npi": [1356958573]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 2474.75, "npi": [1932152337]}]}, {"allowed_amount": 438.75, "providers": [{"billed_charge": 2474.75, "npi": [1295843787]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2242.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 784.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 775.25, "npi": [1235685892]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.19, "providers": [{"billed_charge": 279.0, "npi": [1538691506, 1700825015]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 527.48, "npi": [1356093009]}]}, {"allowed_amount": 108.53, "providers": [{"billed_charge": 527.48, "npi": [1174152433]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 918.24, "providers": [{"billed_charge": 2623.53, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "providers": [{"billed_charge": 2202.0, "npi": [1629021845]}]}, {"allowed_amount": 712.97, "providers": [{"billed_charge": 2202.0, "npi": [1629021845]}, {"billed_charge": 2253.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1662.5, "providers": [{"billed_charge": 4750.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "743230935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2090.0, "npi": [1619163854]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 2747.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "750755367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 2046.0, "npi": [1396746129]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1956.0, "npi": [1487271375]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752302928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 976.0, "npi": [1740273994]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 1283.4, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752684562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.78, "providers": [{"billed_charge": 683.0, "npi": [1124657861]}]}]}, {"tin": {"type": "ein", "value": "752694137"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3854.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3145.0, "npi": [1104856095]}]}]}, {"tin": {"type": "ein", "value": "752746578"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.88, "providers": [{"billed_charge": 782.0, "npi": [1003309113]}]}, {"allowed_amount": 149.9, "providers": [{"billed_charge": 782.0, "npi": [1336186667]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.76, "providers": [{"billed_charge": 853.0, "npi": [1497962096, 1942254115, 1295294304, 1932155710]}]}]}, {"tin": {"type": "ein", "value": "752903508"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.63, "providers": [{"billed_charge": 695.0, "npi": [1407266968]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1260.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.81, "providers": [{"billed_charge": 304.0, "npi": [1023188760]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760354630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3997.0, "npi": [1700885076]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2435.0, "npi": [1871619254]}]}]}, {"tin": {"type": "ein", "value": "760591590"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1953.0, "npi": [1679557888]}]}]}, {"tin": {"type": "ein", "value": "760594559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1780.0, "providers": [{"billed_charge": 1780.0, "npi": [1417957473]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3755.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "770062466"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.05, "providers": [{"billed_charge": 625.0, "npi": [1750602397]}]}]}, {"tin": {"type": "ein", "value": "770697088"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1073587267]}]}]}, {"tin": {"type": "ein", "value": "800212487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.95, "providers": [{"billed_charge": 531.51, "npi": [1245828532]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.93, "providers": [{"billed_charge": 3192.0, "npi": [1033475959]}]}, {"allowed_amount": 864.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3192.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.42, "providers": [{"billed_charge": 652.0, "npi": [1730717570]}]}, {"allowed_amount": 105.0, "providers": [{"billed_charge": 842.0, "npi": [1437252657]}]}, {"allowed_amount": 128.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 547.0, "npi": [1750723060, 1003405077]}, {"billed_charge": 842.0, "npi": [1932584711]}, {"billed_charge": 969.0, "npi": [1548550924]}, {"billed_charge": 1005.0, "npi": [1396092532]}]}, {"allowed_amount": 151.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 652.0, "npi": [1073072930]}, {"billed_charge": 957.0, "npi": [1376504530, 1265540413]}, {"billed_charge": 1005.0, "npi": [1053677138, 1023391026]}]}, {"allowed_amount": 256.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 547.0, "npi": [1437281185, 1396463972, 1730130725, 1396290599, 1780832105, 1306848973, 1528534161, 1366054611, 1861909236, 1003405077, 1639587702, 1477005239, 1750723060, 1548756893, 1346824703]}, {"billed_charge": 612.0, "npi": [1235657412, 1649806175, 1700241023]}, {"billed_charge": 637.0, "npi": [1215634092]}, {"billed_charge": 842.0, "npi": [1043694128, 1740418243, 1598497398, 1255561502]}, {"billed_charge": 924.0, "npi": [1003884453]}, {"billed_charge": 957.0, "npi": [1366882433, 1558433730, 1245625227]}, {"billed_charge": 969.0, "npi": [1861432577, 1316610819, 1265812424, 1730531229, 1134118334]}, {"billed_charge": 1005.0, "npi": [1548598881, 1316610819, 1740418243, 1265812424, 1295011070, 1831613165, 1588067102, 1043694128, 1396092532, 1538845946, 1326393182]}]}, {"allowed_amount": 302.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 547.0, "npi": [1265631808, 1801852868, 1184987398, 1285275784, 1720035181, 1316255854, 1558329458, 1730136755, 1386141620, 1447205653, 1841545910, 1821392630, 1023232600, 1114275641, 1063469724, 1649777277]}, {"billed_charge": 578.0, "npi": [1699302570, 1043288707, 1427291954, 1285089326]}, {"billed_charge": 612.0, "npi": [1457881344, 1629174917, 1932563145, 1821016361, 1265883433, 1568925527, 1801781042, 1982021846, 1780640599, 1396030748, 1972025310]}, {"billed_charge": 652.0, "npi": [1730717570, 1912431875, 1073072930, 1003101288, 1033340906, 1376030445, 1023391026, 1053677138, 1740260538, 1063153021]}, {"billed_charge": 842.0, "npi": [1043234768, 1437252657, 1053677138, 1861470353, 1033260831]}, {"billed_charge": 905.0, "npi": [1063038388]}, {"billed_charge": 924.0, "npi": [1831765478]}, {"billed_charge": 957.0, "npi": [1427291954, 1265540413, 1063491637, 1689795007]}, {"billed_charge": 969.0, "npi": [1972033637, 1508359886, 1912274481, 1528031986, 1598890642, 1720664733]}, {"billed_charge": 1005.0, "npi": [1730717570, 1053791749, 1245492487, 1265704332, 1215256847, 1861470353, 1598890642, 1659734804, 1336880533, 1780144279, 1396794137, 1922104736, 1073072930, 1295199784, 1023391026, 1912969395, 1841396660, 1073045175, 1225423429, 1235117771, 1619354578, 1053677138, 1710293980, 1972033637, 1194993766, 1851356265, 1407432941, 1477632495, 1861132144, 1124232822, 1417105404, 1083142525]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1650.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.6, "providers": [{"billed_charge": 667.0, "npi": [1073969978]}]}]}, {"tin": {"type": "ein", "value": "810889110"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.34, "providers": [{"billed_charge": 862.0, "npi": [1730544115]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 529.94, "providers": [{"billed_charge": 1414.5, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811333726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 234.01, "providers": [{"billed_charge": 477.0, "npi": [1770998692]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.13, "providers": [{"billed_charge": 1224.0, "npi": [1649726738]}]}, {"allowed_amount": 552.94, "providers": [{"billed_charge": 1224.0, "npi": [1639656713]}]}, {"allowed_amount": 554.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1224.0, "npi": [1982150009]}]}]}, {"tin": {"type": "ein", "value": "812098192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 5040.0, "npi": [1649722463]}]}]}, {"tin": {"type": "ein", "value": "812181470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.23, "providers": [{"billed_charge": 1601.93, "npi": [1477902641]}]}]}, {"tin": {"type": "ein", "value": "812857619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3547.32, "npi": [1710491253]}]}]}, {"tin": {"type": "ein", "value": "812875670"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.98, "providers": [{"billed_charge": 587.0, "npi": [1326621236]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.25, "providers": [{"billed_charge": 1676.95, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "813935393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4325.12, "npi": [1861994808]}]}]}, {"tin": {"type": "ein", "value": "814015190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 1994.0, "npi": [1881144889]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4255.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3267.0, "npi": [1134152549]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 598.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1140.0, "npi": [1992798409]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 508.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 508.94, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "821635538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 1403.04, "npi": [1073043592]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 462.0, "npi": [1457914426]}]}, {"allowed_amount": 101.57, "providers": [{"billed_charge": 462.0, "npi": [1891183117]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 462.0, "npi": [1154900116, 1770225054]}]}]}, {"tin": {"type": "ein", "value": "821885403"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.48, "providers": [{"billed_charge": 2465.0, "npi": [1891294518]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1305.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3731.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "821985821"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.83, "providers": [{"billed_charge": 750.0, "npi": [1336454727]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 922.37, "providers": [{"billed_charge": 1521.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "822763441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2538.0, "npi": [1265474183]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "providers": [{"billed_charge": 700.0, "npi": [1881825461]}]}, {"allowed_amount": 205.47, "providers": [{"billed_charge": 700.0, "npi": [1154370807]}]}]}, {"tin": {"type": "ein", "value": "823166379"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 639.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 740.0, "npi": [1407367030]}]}]}, {"tin": {"type": "ein", "value": "823328660"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.19, "providers": [{"billed_charge": 561.34, "npi": [1912160383]}]}]}, {"tin": {"type": "ein", "value": "823443360"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "providers": [{"billed_charge": 827.0, "npi": [1447837653]}]}]}, {"tin": {"type": "ein", "value": "823462523"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.7, "providers": [{"billed_charge": 416.0, "npi": [1275160160]}]}]}, {"tin": {"type": "ein", "value": "823914925"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 662.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 726.0, "npi": [1841701562]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1174732705, 1730329798, 1235425836, 1427288109, 1114156783, 1164252052, 1992101943]}]}, {"allowed_amount": 218.59, "providers": [{"billed_charge": 343.0, "npi": [1730616996, 1184944357, 1730329798, 1578669412, 1427288109, 1114156783, 1124559828, 1992101943, 1841876315]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.74, "providers": [{"billed_charge": 293.0, "npi": [1023059219, 1023031861]}]}]}, {"tin": {"type": "ein", "value": "830516935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 446.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 629.0, "npi": [1548750417]}]}]}, {"tin": {"type": "ein", "value": "831651180"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 214.5, "npi": [1407313760]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 941.92, "providers": [{"billed_charge": 1499.43, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "832099849"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3179.0, "npi": [1518604693]}]}]}, {"tin": {"type": "ein", "value": "832446583"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 219.64, "providers": [{"billed_charge": 416.0, "npi": [1285657866]}]}, {"allowed_amount": 258.4, "providers": [{"billed_charge": 416.0, "npi": [1114157062]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.07, "providers": [{"billed_charge": 229.0, "npi": [1780975680]}]}]}, {"tin": {"type": "ein", "value": "834546114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2681.9, "npi": [1972258580]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 329.6, "providers": [{"billed_charge": 1480.03, "npi": [1801591391]}]}, {"allowed_amount": 585.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1480.03, "npi": [1043915523]}]}, {"allowed_amount": 653.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3816.29, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.48, "providers": [{"billed_charge": 4774.75, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "840563230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 367.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1129.0, "npi": [1992812333]}]}, {"allowed_amount": 653.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1129.0, "npi": [1992812333]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 836.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841075994"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.19, "providers": [{"billed_charge": 395.0, "npi": [1710960224]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.19, "providers": [{"billed_charge": 561.34, "npi": [1770226136]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.48, "providers": [{"billed_charge": 2407.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841262971"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.38, "providers": [{"billed_charge": 1261.0, "npi": [1760492714]}]}]}, {"tin": {"type": "ein", "value": "842237042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 561.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 939.0, "npi": [1205482023]}]}]}, {"tin": {"type": "ein", "value": "842901089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 243.0, "npi": [1922160894]}]}]}, {"tin": {"type": "ein", "value": "843178470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.0, "providers": [{"billed_charge": 1329.0, "npi": [1861028268]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1174732705, 1861838823, 1659867562, 1275986861, 1467627729, 1912262098, 1073141115, 1316114614, 1841876315, 1700140092, 1154650943]}]}, {"allowed_amount": 218.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1174732705, 1730616996, 1861838823, 1467627729, 1912262098, 1316114614, 1437688215, 1073141115, 1154650943]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1437688215, 1730616996, 1386385862, 1730329798, 1407484074, 1427288109, 1487273967, 1124559828, 1992101943, 1841876315]}]}, {"allowed_amount": 218.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1730616996, 1184944357, 1912249962, 1124559828, 1992101943, 1841876315, 1700140092]}]}]}, {"tin": {"type": "ein", "value": "850682363"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.36, "providers": [{"billed_charge": 835.0, "npi": [1962424036]}]}]}, {"tin": {"type": "ein", "value": "851538878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 425.98, "providers": [{"billed_charge": 1453.0, "npi": [1639797913]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 1750.0, "npi": [1215220660]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.99, "providers": [{"billed_charge": 443.0, "npi": [1619403292]}]}]}, {"tin": {"type": "ein", "value": "852556972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 451.6, "providers": [{"billed_charge": 1478.08, "npi": [1790376564]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.1, "providers": [{"billed_charge": 833.0, "npi": [1427258896]}]}, {"allowed_amount": 218.59, "providers": [{"billed_charge": 833.0, "npi": [1346220845]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.77, "providers": [{"billed_charge": 390.0, "npi": [1063574556]}]}]}, {"tin": {"type": "ein", "value": "854153331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 862.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3777.0, "npi": [1013386143]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2304.0, "npi": [1427875061]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2050.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "861876756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.12, "providers": [{"billed_charge": 2872.68, "npi": [1114659612]}]}]}, {"tin": {"type": "ein", "value": "863438956"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.53, "providers": [{"billed_charge": 1750.8, "npi": [1407089154]}]}]}, {"tin": {"type": "ein", "value": "870692261"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2634.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2634.0, "npi": [1689769911]}]}]}, {"tin": {"type": "ein", "value": "873083628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 3054.98, "npi": [1013670132]}]}]}, {"tin": {"type": "ein", "value": "873394877"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "providers": [{"billed_charge": 4525.65, "npi": [1407508021]}]}]}, {"tin": {"type": "ein", "value": "873517825"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.92, "providers": [{"billed_charge": 750.0, "npi": [1629162888]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 173.38, "providers": [{"billed_charge": 1300.0, "npi": [1669995379]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 896.0, "npi": [1144096553, 1689440091]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2980.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "880159958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.82, "providers": [{"billed_charge": 1858.0, "npi": [1689229353]}]}]}, {"tin": {"type": "ein", "value": "880262438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.87, "providers": [{"billed_charge": 627.0, "npi": [1740714757]}]}]}, {"tin": {"type": "ein", "value": "880367250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.15, "providers": [{"billed_charge": 696.0, "npi": [1003689324]}]}, {"allowed_amount": 110.76, "providers": [{"billed_charge": 696.0, "npi": [1770042079]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 156.0, "npi": [1437878071]}]}, {"allowed_amount": 89.75, "providers": [{"billed_charge": 156.0, "npi": [1821105628]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 742.0, "providers": [{"billed_charge": 742.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.23, "providers": [{"billed_charge": 163.0, "npi": [1396763009, 1245298231]}]}]}, {"tin": {"type": "ein", "value": "883330119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.53, "providers": [{"billed_charge": 1877.33, "npi": [1043573207]}]}]}, {"tin": {"type": "ein", "value": "900065118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.34, "providers": [{"billed_charge": 1669.0, "npi": [1275566200]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1229.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1229.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1700954674]}]}]}, {"tin": {"type": "ein", "value": "900981239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1669.0, "npi": [1932543428]}]}]}, {"tin": {"type": "ein", "value": "910564748"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.59, "providers": [{"billed_charge": 293.0, "npi": [1174057988]}]}]}, {"tin": {"type": "ein", "value": "910655392"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 644.88, "providers": [{"billed_charge": 1363.0, "npi": [1972507580]}]}]}, {"tin": {"type": "ein", "value": "910844563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 378.0, "providers": [{"billed_charge": 1402.98, "npi": [1033174933]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 379.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1755.0, "npi": [1841231461]}]}, {"allowed_amount": 675.39, "providers": [{"billed_charge": 1755.0, "npi": [1841231461]}]}]}, {"tin": {"type": "ein", "value": "911631806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.15, "providers": [{"billed_charge": 1791.53, "npi": [1053359729]}]}]}, {"tin": {"type": "ein", "value": "911753075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.16, "providers": [{"billed_charge": 406.0, "npi": [1174996805]}]}]}, {"tin": {"type": "ein", "value": "911858433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1031.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1000.0, "npi": [1356307581]}]}]}, {"tin": {"type": "ein", "value": "912149865"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.34, "providers": [{"billed_charge": 578.0, "npi": [1215103494]}]}]}, {"tin": {"type": "ein", "value": "916000986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 672.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2022.0, "npi": [1649209230]}]}]}, {"tin": {"type": "ein", "value": "916001537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.15, "providers": [{"billed_charge": 1161.73, "npi": [1326002049]}]}]}, {"tin": {"type": "ein", "value": "920750962"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.53, "providers": [{"billed_charge": 1173.2, "npi": [1003856972]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.59, "providers": [{"billed_charge": 924.0, "npi": [1184853004]}]}]}, {"tin": {"type": "ein", "value": "922099348"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.39, "providers": [{"billed_charge": 403.0, "npi": [1023059136]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.41, "providers": [{"billed_charge": 403.0, "npi": [1487282257]}]}, {"allowed_amount": 84.39, "providers": [{"billed_charge": 403.0, "npi": [1649684051]}]}, {"allowed_amount": 86.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 403.0, "npi": [1104551001]}]}, {"allowed_amount": 91.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 403.0, "npi": [1538795075, 1770293102]}]}, {"allowed_amount": 95.96, "providers": [{"billed_charge": 403.0, "npi": [1710579198, 1235392663]}]}, {"allowed_amount": 101.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 403.0, "npi": [1235753112, 1912470196, 1134612765]}]}, {"allowed_amount": 102.73, "providers": [{"billed_charge": 403.0, "npi": [1659012052]}]}, {"allowed_amount": 103.9, "providers": [{"billed_charge": 403.0, "npi": [1083095590]}]}, {"allowed_amount": 104.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 403.0, "npi": [1215517537, 1023751138, 1205407624, 1235916073, 1467277673, 1669003273, 1326011784, 1205358157, 1588694798, 1891435087, 1487282257, 1447499793, 1871176149, 1841754678, 1730814518, 1063481240, 1548919707, 1003658907]}]}, {"allowed_amount": 112.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 403.0, "npi": [1194245464, 1457092710, 1245639624, 1225665003, 1457552531, 1881825461, 1043956022, 1295485431, 1306473624, 1841861820, 1710579198]}]}, {"allowed_amount": 112.65, "providers": [{"billed_charge": 403.0, "npi": [1265112213]}]}, {"allowed_amount": 119.98, "providers": [{"billed_charge": 403.0, "npi": [1043440639]}]}, {"allowed_amount": 154.89, "providers": [{"billed_charge": 403.0, "npi": [1730814518]}]}, {"allowed_amount": 166.82, "providers": [{"billed_charge": 403.0, "npi": [1720837768]}]}, {"allowed_amount": 173.38, "providers": [{"billed_charge": 403.0, "npi": [1639642507, 1235392663]}]}, {"allowed_amount": 196.98, "providers": [{"billed_charge": 403.0, "npi": [1700819232, 1164522819, 1366071243, 1740243054, 1215677976]}]}, {"allowed_amount": 205.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 403.0, "npi": [1063158533, 1376122879, 1548899271, 1205407624, 1760061931, 1992999437, 1639810989, 1891435087, 1487282257, 1447499793, 1265484562, 1659012052, 1871176149, 1760122774, 1548919707, 1285089789, 1538507678, 1447245535]}]}, {"allowed_amount": 218.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 403.0, "npi": [1801258884, 1295319440, 1457552531, 1750842902, 1306473624, 1407484074, 1881825461, 1841861820, 1750022976, 1245639624, 1386267474, 1881125722, 1962631648, 1457092710, 1538113790, 1083243885, 1144960758, 1063760759, 1043893118]}]}, {"allowed_amount": 242.61, "providers": [{"billed_charge": 403.0, "npi": [1194088047]}]}]}, {"tin": {"type": "ein", "value": "922122433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.73, "providers": [{"billed_charge": 403.0, "npi": [1871604488]}]}]}, {"tin": {"type": "ein", "value": "922826272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.13, "providers": [{"billed_charge": 509.0, "npi": [1982318259]}]}, {"allowed_amount": 265.4, "providers": [{"billed_charge": 509.0, "npi": [1508431396]}]}]}, {"tin": {"type": "ein", "value": "923905364"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "providers": [{"billed_charge": 1932.0, "npi": [1013978436]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.25, "providers": [{"billed_charge": 1375.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "930593249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.74, "providers": [{"billed_charge": 1139.0, "npi": [1225016561]}]}]}, {"tin": {"type": "ein", "value": "931176109"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 649.84, "providers": [{"billed_charge": 1367.0, "npi": [1609824010]}]}]}, {"tin": {"type": "ein", "value": "932446901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "providers": [{"billed_charge": 894.0, "npi": [1245521160]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.39, "providers": [{"billed_charge": 549.0, "npi": [1750322970]}]}, {"allowed_amount": 104.99, "providers": [{"billed_charge": 549.0, "npi": [1962441048, 1649202961, 1083649602]}]}, {"allowed_amount": 205.47, "providers": [{"billed_charge": 549.0, "npi": [1083649602, 1619408739]}]}]}, {"tin": {"type": "ein", "value": "932501469"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.07, "providers": [{"billed_charge": 361.0, "npi": [1255980439]}]}]}, {"tin": {"type": "ein", "value": "933854910"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.64, "providers": [{"billed_charge": 750.0, "npi": [1073841235]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3249.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2323.0, "providers": [{"billed_charge": 2323.0, "npi": [1144375056]}]}, {"allowed_amount": 2466.22, "providers": [{"billed_charge": 2896.0, "npi": [1427123132]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2187.98, "providers": [{"billed_charge": 2882.0, "npi": [1770532608]}]}]}, {"tin": {"type": "ein", "value": "941668344"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1836.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1836.45, "npi": [1942298153]}]}]}, {"tin": {"type": "ein", "value": "942460636"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.93, "providers": [{"billed_charge": 555.0, "npi": [1356419428]}]}]}, {"tin": {"type": "ein", "value": "942728480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 463.0, "npi": [1720557473]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2452.43, "npi": [1194749580]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.53, "providers": [{"billed_charge": 171.0, "npi": [1316391543]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2373.0, "npi": [1265423917]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1645.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1645.0, "npi": [1407813660]}]}]}, {"tin": {"type": "ein", "value": "951643336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2054.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2054.0, "npi": [1508851288]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.23, "providers": [{"billed_charge": 426.0, "npi": [1043741747]}]}]}, {"tin": {"type": "ein", "value": "953527031"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2498.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2498.0, "npi": [1962442012]}]}]}, {"tin": {"type": "ein", "value": "956000927"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 748.0, "providers": [{"billed_charge": 748.0, "npi": [1285845982]}]}, {"allowed_amount": 3854.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6097.0, "npi": [1699986331]}]}]}, {"tin": {"type": "ein", "value": "956001880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1217.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.25, "npi": [1194711952]}]}]}, {"tin": {"type": "ein", "value": "990177350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 384.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2065.0, "npi": [1043263080]}]}]}, {"tin": {"type": "ein", "value": "990262196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 411.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1722.0, "npi": [1952332991]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2076.66, "npi": [1356766554]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1548619596, 1073137964, 1184983983, 1326468240, 1346402740]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "providers": [{"billed_charge": 1381.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 422.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2418.0, "npi": [1780429076]}]}, {"allowed_amount": 1770.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2418.0, "npi": [1427806025, 1780429076, 1366281750]}]}, {"allowed_amount": 2418.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2418.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.99, "providers": [{"billed_charge": 234.0, "npi": [1487632402, 1740086941, 1710411871]}]}, {"allowed_amount": 105.17, "providers": [{"billed_charge": 234.0, "npi": [1205714813]}]}, {"allowed_amount": 119.98, "providers": [{"billed_charge": 234.0, "npi": [1548548563]}]}]}, {"tin": {"type": "ein", "value": "993487298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1588975361]}]}]}, {"tin": {"type": "ein", "value": "994836263"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.1, "providers": [{"billed_charge": 969.49, "npi": [1609603877]}]}]}, {"tin": {"type": "ein", "value": "994841947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.1, "providers": [{"billed_charge": 1103.46, "npi": [1972330165]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.56, "providers": [{"billed_charge": 805.4, "npi": [1346299815]}]}, {"allowed_amount": 591.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1421.7, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "010238552"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.34, "providers": [{"billed_charge": 267.0, "npi": [1790224426]}, {"billed_charge": 535.7, "npi": [1477673945]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2206.0, "npi": [1093787384]}]}, {"allowed_amount": 966.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2206.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.65, "providers": [{"billed_charge": 406.0, "npi": [1659001667, 1396514964]}]}, {"allowed_amount": 190.17, "providers": [{"billed_charge": 406.0, "npi": [1265497697, 1295849198]}]}]}, {"tin": {"type": "ein", "value": "020483054"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.02, "providers": [{"billed_charge": 2559.0, "npi": [1598700940]}]}, {"allowed_amount": 286.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2559.0, "npi": [1598700940]}]}]}, {"tin": {"type": "ein", "value": "020483054"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.17, "providers": [{"billed_charge": 542.0, "npi": [1659950657]}]}]}, {"tin": {"type": "ein", "value": "020606580"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 1693.0, "npi": [1770513731]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 355.0, "npi": [1891053146]}]}]}, {"tin": {"type": "ein", "value": "030526533"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 335.81, "providers": [{"billed_charge": 653.0, "npi": [1568876704]}]}]}, {"tin": {"type": "ein", "value": "037562971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.89, "providers": [{"billed_charge": 449.0, "npi": [1528432416]}]}]}, {"tin": {"type": "ein", "value": "042103577"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 921.0, "npi": [1790780047]}]}]}, {"tin": {"type": "ein", "value": "042103600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1665.8, "npi": [1114984671]}]}]}, {"tin": {"type": "ein", "value": "042697983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "providers": [{"billed_charge": 2497.0, "npi": [1023049236]}]}]}, {"tin": {"type": "ein", "value": "042704686"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1862.0, "npi": [1558392563]}]}]}, {"tin": {"type": "ein", "value": "042807148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.26, "providers": [{"billed_charge": 513.0, "npi": [1134617723, 1396011540, 1346827854]}]}]}, {"tin": {"type": "ein", "value": "042888373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.37, "providers": [{"billed_charge": 306.0, "npi": [1679065338]}]}]}, {"tin": {"type": "ein", "value": "043218267"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.37, "providers": [{"billed_charge": 368.0, "npi": [1417344581]}]}]}, {"tin": {"type": "ein", "value": "043286156"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.26, "providers": [{"billed_charge": 326.0, "npi": [1851363048]}]}]}, {"tin": {"type": "ein", "value": "043314093"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.56, "providers": [{"billed_charge": 900.0, "npi": [1346218294]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.22, "providers": [{"billed_charge": 360.0, "npi": [1073276119]}]}, {"allowed_amount": 200.26, "providers": [{"billed_charge": 360.0, "npi": [1326275058]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1800.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "043633263"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.25, "providers": [{"billed_charge": 516.0, "npi": [1972503910]}]}]}, {"tin": {"type": "ein", "value": "043665595"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1264.71, "providers": [{"billed_charge": 3613.45, "npi": [1972904738]}]}]}, {"tin": {"type": "ein", "value": "050258954"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 994.58, "providers": [{"billed_charge": 3500.0, "npi": [1588659528]}]}]}, {"tin": {"type": "ein", "value": "050389801"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 193.12, "providers": [{"billed_charge": 320.0, "npi": [1164583779, 1992099980, 1225006877]}]}]}, {"tin": {"type": "ein", "value": "050588771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.05, "providers": [{"billed_charge": 378.0, "npi": [1457717472]}]}, {"allowed_amount": 256.53, "providers": [{"billed_charge": 378.0, "npi": [1144272790]}]}]}, {"tin": {"type": "ein", "value": "060250773"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3483.0, "npi": [1467517235]}]}]}, {"tin": {"type": "ein", "value": "060646597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.47, "providers": [{"billed_charge": 1747.0, "npi": [1548293343]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.47, "providers": [{"billed_charge": 3958.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.36, "providers": [{"billed_charge": 510.0, "npi": [1366702391]}]}]}, {"tin": {"type": "ein", "value": "060646678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3483.0, "npi": [1629075734]}]}]}, {"tin": {"type": "ein", "value": "060646917"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.47, "providers": [{"billed_charge": 3858.03, "npi": [1356331425]}]}]}, {"tin": {"type": "ein", "value": "061562701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1916.76, "providers": [{"billed_charge": 2359.0, "npi": [1982663423]}]}]}, {"tin": {"type": "ein", "value": "061694715"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 669.0, "npi": [1750505939]}]}]}, {"tin": {"type": "ein", "value": "095885268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.5, "providers": [{"billed_charge": 962.0, "npi": [1447136072]}]}]}, {"tin": {"type": "ein", "value": "109769563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.21, "providers": [{"billed_charge": 510.0, "npi": [1386175818]}]}]}, {"tin": {"type": "ein", "value": "111630755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2869.1, "npi": [1326046467]}]}, {"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2869.1, "npi": [1326046467]}]}]}, {"tin": {"type": "ein", "value": "111631746"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1160.0, "npi": [1346380870]}]}, {"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1160.0, "npi": [1487724712]}]}]}, {"tin": {"type": "ein", "value": "111631781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1018.0, "npi": [1154461622]}]}]}, {"tin": {"type": "ein", "value": "111631781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 344.0, "providers": [{"billed_charge": 344.0, "npi": [1306427174]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.37, "providers": [{"billed_charge": 344.0, "npi": [1659578524]}]}, {"allowed_amount": 221.76, "providers": [{"billed_charge": 344.0, "npi": [1003914789]}]}, {"allowed_amount": 344.0, "providers": [{"billed_charge": 344.0, "npi": [1346803608, 1376162172, 1629632013, 1003174756]}]}]}, {"tin": {"type": "ein", "value": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1865.34, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2063.5, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "112050523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1916.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2633.0, "npi": [1043279565]}]}]}, {"tin": {"type": "ein", "value": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4181.0, "npi": [1285641514]}]}, {"allowed_amount": 1884.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4181.0, "npi": [1346603107]}]}]}, {"tin": {"type": "ein", "value": "112868878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2061.33, "npi": [1407877137]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.76, "providers": [{"billed_charge": 344.0, "npi": [1477917821]}]}, {"allowed_amount": 224.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 344.0, "npi": [1013950427]}]}, {"allowed_amount": 269.28, "providers": [{"billed_charge": 344.0, "npi": [1699970442]}]}]}, {"tin": {"type": "ein", "value": "113312035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 344.0, "providers": [{"billed_charge": 344.0, "npi": [1821025362, 1366899908]}]}]}, {"tin": {"type": "ein", "value": "113495935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 230.09, "providers": [{"billed_charge": 356.0, "npi": [1558349282]}]}, {"allowed_amount": 356.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 356.0, "npi": [1578042685]}]}]}, {"tin": {"type": "ein", "value": "113537613"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.72, "providers": [{"billed_charge": 1186.31, "npi": [1205575016, 1902543192]}]}]}, {"tin": {"type": "ein", "value": "113721325"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.8, "providers": [{"billed_charge": 804.0, "npi": [1003494519]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 425.0, "providers": [{"billed_charge": 425.0, "npi": [1770080608, 1730683491, 1003436718, 1356751606]}]}]}, {"tin": {"type": "ein", "value": "131624070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2344.33, "npi": [1477616571]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 2520.0, "npi": [1932103413]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5353.0, "npi": [1952476988]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.42, "providers": [{"billed_charge": 695.0, "npi": [1366696957]}]}, {"allowed_amount": 194.41, "providers": [{"billed_charge": 695.0, "npi": [1245449966]}]}, {"allowed_amount": 230.09, "providers": [{"billed_charge": 1149.86, "npi": [1336601012]}]}, {"allowed_amount": 542.36, "providers": [{"billed_charge": 695.0, "npi": [1235593161, 1417055674]}]}]}, {"tin": {"type": "ein", "value": "131740130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4373.0, "npi": [1447255153]}]}]}, {"tin": {"type": "ein", "value": "131974191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 342.0, "providers": [{"billed_charge": 342.0, "npi": [1205330016]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 1816.51, "npi": [1043224355]}]}, {"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1816.51, "npi": [1679587679, 1063426377, 1801803903, 1073535027, 1467469023]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.33, "providers": [{"billed_charge": 335.0, "npi": [1962245332]}]}, {"allowed_amount": 332.0, "providers": [{"billed_charge": 332.0, "npi": [1114371622]}]}, {"allowed_amount": 344.0, "providers": [{"billed_charge": 344.0, "npi": [1871939728, 1912583915, 1497748420]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2520.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3187.0, "npi": [1952332801, 1194832477]}]}]}, {"tin": {"type": "ein", "value": "133964321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6447.0, "npi": [1932280666]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1744.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4985.25, "npi": [1427616002, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.68, "providers": [{"billed_charge": 750.0, "npi": [1912384835]}]}, {"allowed_amount": 243.79, "providers": [{"billed_charge": 750.0, "npi": [1033608427, 1679866495]}]}, {"allowed_amount": 528.18, "providers": [{"billed_charge": 750.0, "npi": [1770089104, 1265061642]}]}, {"allowed_amount": 542.36, "providers": [{"billed_charge": 750.0, "npi": [1205012622, 1700465390]}]}]}, {"tin": {"type": "ein", "value": "135564934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2520.0, "npi": [1174768071]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1942664032, 1427140805, 1780175315, 1467746701]}]}]}, {"tin": {"type": "ein", "value": "141338310"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.85, "providers": [{"billed_charge": 363.0, "npi": [1770517476]}]}]}, {"tin": {"type": "ein", "value": "141338413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1502.0, "npi": [1871606764]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 810.0, "npi": [1649613118]}]}]}, {"tin": {"type": "ein", "value": "147944173"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.91, "providers": [{"billed_charge": 1289.0, "npi": [1629607577]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1798.0, "npi": [1508815333]}]}, {"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1798.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "150948898"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.54, "providers": [{"billed_charge": 804.0, "npi": [1689234031]}]}]}, {"tin": {"type": "ein", "value": "160743029"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1440.23, "npi": [1902800352]}]}]}, {"tin": {"type": "ein", "value": "160960470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1151.0, "npi": [1033107743]}]}]}, {"tin": {"type": "ein", "value": "160960470"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1972529147]}]}]}, {"tin": {"type": "ein", "value": "161395906"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.88, "providers": [{"billed_charge": 452.03, "npi": [1841578259]}]}, {"allowed_amount": 136.27, "providers": [{"billed_charge": 452.03, "npi": [1639148984]}]}]}, {"tin": {"type": "ein", "value": "200214051"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 645.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2816.61, "npi": [1568413573]}]}]}, {"tin": {"type": "ein", "value": "200244662"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 586.0, "npi": [1881752616, 1215104526]}]}]}, {"tin": {"type": "ein", "value": "200323858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 430.38, "providers": [{"billed_charge": 986.0, "npi": [1861433138]}]}]}, {"tin": {"type": "ein", "value": "200336940"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.1, "providers": [{"billed_charge": 550.0, "npi": [1356440333]}]}]}, {"tin": {"type": "ein", "value": "200492277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 1145.0, "npi": [1124045745]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1326081092, 1336354406, 1609036649, 1659950541, 1437192911, 1730391343, 1649205659, 1992188668]}]}]}, {"tin": {"type": "ein", "value": "200835576"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 175.43, "providers": [{"billed_charge": 421.0, "npi": [1932200466]}]}]}, {"tin": {"type": "ein", "value": "201064117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.1, "providers": [{"billed_charge": 837.0, "npi": [1669714523]}]}]}, {"tin": {"type": "ein", "value": "201500104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 212.88, "providers": [{"billed_charge": 1186.31, "npi": [1598328734]}]}]}, {"tin": {"type": "ein", "value": "201544786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 1425.0, "npi": [1215063839]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3080.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3080.02, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202028539"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1315.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5597.0, "npi": [1154419737]}]}]}, {"tin": {"type": "ein", "value": "202199074"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 1513.0, "npi": [1073773149]}]}]}, {"tin": {"type": "ein", "value": "202319275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1026.0, "npi": [1346635299]}, {"billed_charge": 1165.0, "npi": [1134194905]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 198.26, "providers": [{"billed_charge": 328.0, "npi": [1043663867, 1578040093]}]}]}, {"tin": {"type": "ein", "value": "202844893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1020.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1658.0, "npi": [1568551455]}]}]}, {"tin": {"type": "ein", "value": "203623609"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 1129.57, "npi": [1144648056]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1438.5, "providers": [{"billed_charge": 5314.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204100362"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.17, "providers": [{"billed_charge": 989.0, "npi": [1548694219]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.54, "providers": [{"billed_charge": 962.0, "npi": [1124608856]}]}, {"allowed_amount": 406.32, "providers": [{"billed_charge": 962.0, "npi": [1609404136]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 565.09, "providers": [{"billed_charge": 4615.44, "npi": [1215003348]}]}, {"allowed_amount": 1770.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4615.44, "npi": [1215003348]}]}, {"allowed_amount": 2705.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4615.44, "npi": [1215003348, 1316992134]}]}]}, {"tin": {"type": "ein", "value": "204560540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 912.7, "npi": [1952409765]}]}]}, {"tin": {"type": "ein", "value": "204560540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 686.3, "npi": [1013166925]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 540.0, "npi": [1053743351]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 410.0, "npi": [1235871591]}]}]}, {"tin": {"type": "ein", "value": "204881619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.74, "providers": [{"billed_charge": 244.0, "npi": [1235976937, 1740025071]}]}]}, {"tin": {"type": "ein", "value": "205048404"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 1227.0, "npi": [1316916331]}]}]}, {"tin": {"type": "ein", "value": "205158516"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.67, "providers": [{"billed_charge": 1075.6, "npi": [1225094188]}]}, {"allowed_amount": 150.4, "providers": [{"billed_charge": 1075.6, "npi": [1225094188]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1075.6, "npi": [1225094188]}]}]}, {"tin": {"type": "ein", "value": "205168942"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1026.0, "npi": [1700463502]}]}]}, {"tin": {"type": "ein", "value": "205411209"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.45, "providers": [{"billed_charge": 586.0, "npi": [1124420856, 1750159588]}]}, {"allowed_amount": 278.85, "providers": [{"billed_charge": 586.0, "npi": [1336224153]}]}]}, {"tin": {"type": "ein", "value": "205486061"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.22, "providers": [{"billed_charge": 1581.0, "npi": [1124061635]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.15, "providers": [{"billed_charge": 305.0, "npi": [1548098353]}]}]}, {"tin": {"type": "ein", "value": "205497506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2244.0, "npi": [1821221144]}]}]}, {"tin": {"type": "ein", "value": "205615996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1199.0, "npi": [1821087073, 1538057153, 1831786953, 1457393738, 1386245033, 1649310541, 1063301901, 1356910350, 1952684912, 1689244402]}]}, {"allowed_amount": 179.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1199.0, "npi": [1538057153, 1063066694, 1639277866, 1952684912, 1053199380, 1033996855]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 1199.0, "npi": [1396323770, 1881958676]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3595.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208013577"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 534.54, "providers": [{"billed_charge": 1103.0, "npi": [1306818463]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.0, "providers": [{"billed_charge": 317.0, "npi": [1992954366]}]}]}, {"tin": {"type": "ein", "value": "208489105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3119.0, "npi": [1982720249]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2168.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "210634562"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1418.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.0, "npi": [1134125016]}]}]}, {"tin": {"type": "ein", "value": "210635001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1418.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.0, "npi": [1235134024]}]}, {"allowed_amount": 2168.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.0, "npi": [1235134024]}]}]}, {"tin": {"type": "ein", "value": "210662542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1690.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4131.0, "npi": [1053382697]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2578.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221487307"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1283.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2537.0, "npi": [1013912633]}]}]}, {"tin": {"type": "ein", "value": "221487330"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1746.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1114924834]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.25, "providers": [{"billed_charge": 3025.0, "npi": [1477065126]}]}, {"allowed_amount": 839.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3036.0, "npi": [1457456279]}]}, {"allowed_amount": 1283.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3025.0, "npi": [1730692344]}, {"billed_charge": 3036.0, "npi": [1457456279]}]}, {"allowed_amount": 1746.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3025.0, "npi": [1356828172]}]}, {"allowed_amount": 1784.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3036.0, "npi": [1790297547]}]}]}, {"tin": {"type": "ein", "value": "221487602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1283.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2608.0, "npi": [1669462420]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 862.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3133.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221494454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.95, "providers": [{"billed_charge": 5750.0, "npi": [1760488266]}]}]}, {"tin": {"type": "ein", "value": "221773439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2168.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4264.0, "npi": [1386746592]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 862.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2300.1, "npi": [1215998323]}]}, {"allowed_amount": 1317.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2300.1, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.02, "providers": [{"billed_charge": 387.0, "npi": [1366760373]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.52, "providers": [{"billed_charge": 400.0, "npi": [1891372892]}]}, {"allowed_amount": 307.82, "providers": [{"billed_charge": 560.0, "npi": [1780002915]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 875.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1008.0, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "222592333"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.1, "providers": [{"billed_charge": 1508.0, "npi": [1447275037]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3099.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.92, "providers": [{"billed_charge": 395.0, "npi": [1396290268, 1386684884]}]}, {"allowed_amount": 202.25, "providers": [{"billed_charge": 395.0, "npi": [1548729866, 1760640403, 1356802045]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 862.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3133.0, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "223548695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1295.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 13078.0, "npi": [1275583726]}]}]}, {"tin": {"type": "ein", "value": "223612265"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2168.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4245.0, "npi": [1053316844]}]}]}, {"tin": {"type": "ein", "value": "223849199"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 256.53, "providers": [{"billed_charge": 340.0, "npi": [1083024228, 1811286404, 1003890492, 1407210487]}]}]}, {"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1461.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2457.0, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "230794160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.36, "providers": [{"billed_charge": 216.0, "npi": [1912295056, 1871371138]}]}, {"allowed_amount": 216.0, "providers": [{"billed_charge": 216.0, "npi": [1932858776, 1043286156]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1379.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3088.0, "npi": [1811992084]}]}]}, {"tin": {"type": "ein", "value": "231352213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1470.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3985.0, "npi": [1376339226]}]}]}, {"tin": {"type": "ein", "value": "231529076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 878.79, "providers": [{"billed_charge": 2360.0, "npi": [1407856099]}]}]}, {"tin": {"type": "ein", "value": "231740606"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.72, "providers": [{"billed_charge": 670.0, "npi": [1285611517]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1515.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1259.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "231996150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 449.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3510.0, "npi": [1174822068]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3560.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.85, "providers": [{"billed_charge": 287.0, "npi": [1003229162, 1942520911]}]}]}, {"tin": {"type": "ein", "value": "232449454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.85, "providers": [{"billed_charge": 330.0, "npi": [1326493180]}]}]}, {"tin": {"type": "ein", "value": "232624943"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 606.0, "npi": [1013994466]}]}]}, {"tin": {"type": "ein", "value": "232664784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 300.0, "npi": [1619339520]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 300.0, "npi": [1427216662]}]}, {"allowed_amount": 193.96, "providers": [{"billed_charge": 300.0, "npi": [1942725007]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 345.0, "npi": [1891955589]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 300.0, "npi": [1013596063]}]}, {"allowed_amount": 187.82, "providers": [{"billed_charge": 300.0, "npi": [1285609404]}]}]}, {"tin": {"type": "ein", "value": "232825878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1478.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6586.0, "npi": [1932813789]}]}]}, {"tin": {"type": "ein", "value": "232865604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 573.0, "npi": [1316398126]}]}]}, {"tin": {"type": "ein", "value": "232896725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1045.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4087.0, "npi": [1487640207]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.36, "providers": [{"billed_charge": 330.0, "npi": [1497177240]}]}, {"allowed_amount": 183.85, "providers": [{"billed_charge": 330.0, "npi": [1497785026, 1265182018]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.57, "providers": [{"billed_charge": 4840.0, "npi": [1770150914]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.18, "providers": [{"billed_charge": 7416.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "236291113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.85, "providers": [{"billed_charge": 725.0, "npi": [1962073874, 1780070011]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 472.0, "npi": [1609372523]}]}]}, {"tin": {"type": "ein", "value": "237133975"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.64, "providers": [{"billed_charge": 2677.06, "npi": [1700896354]}]}, {"allowed_amount": 2677.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2677.06, "npi": [1700896354]}]}]}, {"tin": {"type": "ein", "value": "237134386"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.56, "providers": [{"billed_charge": 483.0, "npi": [1508823741]}]}]}, {"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2920.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237425849"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.22, "providers": [{"billed_charge": 375.0, "npi": [1265003230]}]}]}, {"tin": {"type": "ein", "value": "240795623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 737.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2265.0, "npi": [1568459436]}]}]}, {"tin": {"type": "ein", "value": "250965406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 833.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1009.0, "npi": [1477538312]}]}]}, {"tin": {"type": "ein", "value": "250965429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 306.6, "providers": [{"billed_charge": 2081.0, "npi": [1881695146]}]}, {"allowed_amount": 833.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2081.0, "npi": [1881695146]}]}]}, {"tin": {"type": "ein", "value": "250965588"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 833.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1244.0, "npi": [1871594127]}]}]}, {"tin": {"type": "ein", "value": "250965600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 306.6, "providers": [{"billed_charge": 1500.0, "npi": [1609984889]}]}]}, {"tin": {"type": "ein", "value": "251002937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1229.0, "npi": [1548263973]}]}]}, {"tin": {"type": "ein", "value": "251403958"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.86, "providers": [{"billed_charge": 181.0, "npi": [1982817375]}]}]}, {"tin": {"type": "ein", "value": "251534212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.72, "providers": [{"billed_charge": 715.0, "npi": [1033539101]}]}]}, {"tin": {"type": "ein", "value": "251925187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2074.0, "npi": [1568403111]}]}]}, {"tin": {"type": "ein", "value": "260060750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 363.0, "providers": [{"billed_charge": 1145.25, "npi": [1003981549]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 371.61, "npi": [1003815317]}]}]}, {"tin": {"type": "ein", "value": "260732427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1008.35, "npi": [1437387198]}]}]}, {"tin": {"type": "ein", "value": "261179038"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "providers": [{"billed_charge": 700.0, "npi": [1598791212]}]}]}, {"tin": {"type": "ein", "value": "261336258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.07, "providers": [{"billed_charge": 1008.35, "npi": [1770592149]}]}]}, {"tin": {"type": "ein", "value": "261378489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.61, "providers": [{"billed_charge": 430.0, "npi": [1083673016]}]}, {"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.0, "npi": [1174855548]}]}]}, {"tin": {"type": "ein", "value": "261467290"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.99, "providers": [{"billed_charge": 1186.31, "npi": [1174840045]}]}]}, {"tin": {"type": "ein", "value": "261512163"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 6521.88, "npi": [1740450121]}]}, {"allowed_amount": 670.66, "providers": [{"billed_charge": 6521.88, "npi": [1740450121]}]}]}, {"tin": {"type": "ein", "value": "261569466"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.31, "providers": [{"billed_charge": 1154.0, "npi": [1023466109]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.63, "providers": [{"billed_charge": 184.0, "npi": [1699904011]}]}, {"allowed_amount": 36.8, "providers": [{"billed_charge": 184.0, "npi": [1396133237, 1174741078, 1942731799, 1205332889, 1316912157]}]}, {"allowed_amount": 61.44, "providers": [{"billed_charge": 184.0, "npi": [1295316040]}]}, {"allowed_amount": 65.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 184.0, "npi": [1477701498]}]}, {"allowed_amount": 72.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1124420229]}]}, {"allowed_amount": 73.57, "providers": [{"billed_charge": 400.0, "npi": [1538232236, 1447396023]}]}, {"allowed_amount": 80.0, "providers": [{"billed_charge": 400.0, "npi": [1639305212]}]}, {"allowed_amount": 91.96, "providers": [{"billed_charge": 400.0, "npi": [1033864202, 1790003051, 1730618653]}]}, {"allowed_amount": 92.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 184.0, "npi": [1609403013, 1235574021, 1699904011, 1417586132, 1952864696, 1881058170]}]}, {"allowed_amount": 122.68, "providers": [{"billed_charge": 184.0, "npi": [1275941544]}]}, {"allowed_amount": 136.73, "providers": [{"billed_charge": 184.0, "npi": [1407895402]}]}, {"allowed_amount": 144.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 184.0, "npi": [1023633153, 1942044037, 1124420229, 1437529997, 1972467728, 1730190869, 1992170773, 1629472923, 1487674149, 1962237222, 1568343721, 1538232236, 1447014063, 1780117937, 1538652979, 1740008374, 1447396023, 1821077967, 1306853338, 1265999585, 1104996461, 1538525423, 1740145903, 1760040307, 1740172279]}, {"billed_charge": 400.0, "npi": [1023633153, 1942044037, 1124420229, 1437529997, 1730190869, 1992170773, 1629472923, 1487674149, 1962237222, 1568343721, 1538232236, 1447014063, 1780117937, 1538652979, 1740008374, 1447396023, 1821077967, 1306853338, 1265999585, 1104996461, 1740145903, 1538525423, 1760040307, 1740172279]}]}, {"allowed_amount": 150.4, "providers": [{"billed_charge": 184.0, "npi": [1811432719]}, {"billed_charge": 400.0, "npi": [1811432719]}]}, {"allowed_amount": 163.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 184.0, "npi": [1396133237, 1952185878, 1508134008, 1124118138, 1043808157, 1477701498]}, {"billed_charge": 400.0, "npi": [1396133237, 1952185878, 1508134008, 1124118138, 1477701498]}]}, {"allowed_amount": 184.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 184.0, "npi": [1699904011, 1619464716, 1407835150, 1972467728, 1881816593, 1730190869, 1952185878, 1942731799, 1902246424, 1629248539, 1316912157, 1144519711, 1699079202, 1265539621, 1730716721, 1235698234, 1528004165, 1598179400, 1295316040, 1437968971, 1245783117, 1174741078, 1316437080, 1851854939, 1871524959, 1124353123, 1104996461, 1508134008, 1124118138, 1467564674, 1124420229, 1609403013, 1528515210, 1912103060, 1942940309, 1487971479, 1629472923, 1033796255, 1093247140, 1659769511, 1275941544, 1568343721, 1720106669, 1447014063, 1124465331, 1447396023, 1487115960, 1942218433, 1194138313, 1396132569, 1043648736, 1861785313, 1720002272, 1265999585, 1386632933, 1245726439, 1740145903, 1538525423, 1073856241, 1548207863, 1578956025, 1023633153, 1487090437, 1235574021, 1578054920, 1578686218, 1942598925, 1811432719, 1407029523, 1992170773, 1487281432, 1558301978, 1730618653, 1487738654, 1487674149, 1962237222, 1528646957, 1538652979, 1740172279, 1962083642, 1962422592, 1497376065, 1821083460, 1659734341, 1205486917, 1871015248, 1235378001, 1942242649, 1164542809, 1013150044, 1437491040, 1417985888, 1407895402, 1790003051, 1144412016, 1649739632, 1760040307, 1083642227, 1396133237, 1881058170, 1477701498, 1619384187, 1508216706, 1942044037, 1477574028, 1437529997, 1508044686, 1487473047, 1205332889, 1548919707, 1881980829, 1043808157, 1700981156, 1194931626, 1659867562, 1538232236, 1548622764, 1780117937, 1104846773, 1740008374, 1952864696, 1437460409, 1275794885, 1235301318, 1376561100, 1821077967, 1609212372, 1417586132, 1083041750, 1356879829, 1306853338, 1336236009, 1912561648, 1366409716, 1790216695, 1609278969, 1639305212, 1629462015]}]}, {"allowed_amount": 239.28, "providers": [{"billed_charge": 400.0, "npi": [1073856241, 1699079202, 1629248539]}]}, {"allowed_amount": 265.84, "providers": [{"billed_charge": 400.0, "npi": [1487971479]}]}, {"allowed_amount": 273.46, "providers": [{"billed_charge": 400.0, "npi": [1548622764, 1124353123, 1366409716, 1821083460]}]}, {"allowed_amount": 317.28, "providers": [{"billed_charge": 400.0, "npi": [1528515210]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1699904011, 1407835150, 1881816593, 1942731799, 1902246424, 1316912157, 1144519711, 1265539621, 1730716721, 1235698234, 1528004165, 1295316040, 1437968971, 1245783117, 1174741078, 1467564674, 1609403013, 1164447371, 1912103060, 1942940309, 1487971479, 1033796255, 1093247140, 1275941544, 1720106669, 1124465331, 1487115960, 1942218433, 1194138313, 1396132569, 1720002272, 1861785313, 1548207863, 1578956025, 1235574021, 1487090437, 1578054920, 1578686218, 1942598925, 1407029523, 1558301978, 1730618653, 1487738654, 1528646957, 1962083642, 1962422592, 1497376065, 1871015248, 1164542809, 1942242649, 1013150044, 1437491040, 1417985888, 1407895402, 1790003051, 1144412016, 1083642227, 1881058170, 1619384187, 1508216706, 1477574028, 1508044686, 1205332889, 1548919707, 1881980829, 1700981156, 1194931626, 1104846773, 1952864696, 1437460409, 1275794885, 1235301318, 1376561100, 1609212372, 1356879829, 1083041750, 1417586132, 1912561648, 1790216695, 1609278969, 1639305212, 1629462015]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.4, "providers": [{"billed_charge": 184.0, "npi": [1558821488, 1508890153, 1245790971, 1750791281]}, {"billed_charge": 265.0, "npi": [1508890153, 1245790971]}]}, {"allowed_amount": 183.0, "providers": [{"billed_charge": 184.0, "npi": [1245790971]}]}, {"allowed_amount": 184.0, "providers": [{"billed_charge": 184.0, "npi": [1790245223, 1508890153, 1558821488, 1750791281, 1245790971]}]}, {"allowed_amount": 265.0, "providers": [{"billed_charge": 265.0, "npi": [1790245223, 1508890153, 1558821488, 1750791281, 1245790971]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 618.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4253.0, "npi": [1992799050]}]}, {"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4253.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "263162145"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4193.0, "npi": [1326296211]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 608.85, "npi": [1255642856]}]}]}, {"tin": {"type": "ein", "value": "263359979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1409.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3088.0, "npi": [1386896306]}]}]}, {"tin": {"type": "ein", "value": "263453190"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 434.17, "providers": [{"billed_charge": 1233.0, "npi": [1609815000]}]}]}, {"tin": {"type": "ein", "value": "263557648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.26, "providers": [{"billed_charge": 648.0, "npi": [1114940442, 1013177427, 1619455391]}]}]}, {"tin": {"type": "ein", "value": "263702321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 1186.31, "npi": [1801489513]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.33, "providers": [{"billed_charge": 962.0, "npi": [1265919484]}]}]}, {"tin": {"type": "ein", "value": "263933920"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.58, "providers": [{"billed_charge": 1033.0, "npi": [1669671657]}]}, {"allowed_amount": 528.72, "providers": [{"billed_charge": 1033.0, "npi": [1477753218]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 923.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3354.31, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "264094289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.34, "providers": [{"billed_charge": 370.0, "npi": [1548819410]}]}]}, {"tin": {"type": "ein", "value": "264467460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.82, "providers": [{"billed_charge": 748.0, "npi": [1740921980]}]}]}, {"tin": {"type": "ein", "value": "264626264"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 419.0, "npi": [1437482817]}]}]}, {"tin": {"type": "ein", "value": "270009499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 1693.0, "npi": [1114380722]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2175.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "270124205"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.41, "providers": [{"billed_charge": 1186.31, "npi": [1629356266]}]}]}, {"tin": {"type": "ein", "value": "270191765"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1311.0, "npi": [1881457943]}]}]}, {"tin": {"type": "ein", "value": "270316031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 175.29, "providers": [{"billed_charge": 1593.0, "npi": [1659582161]}]}]}, {"tin": {"type": "ein", "value": "270362533"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "providers": [{"billed_charge": 1064.32, "npi": [1639322373]}]}]}, {"tin": {"type": "ein", "value": "270473057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.81, "providers": [{"billed_charge": 325.0, "npi": [1922449289]}]}]}, {"tin": {"type": "ein", "value": "270484506"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.14, "providers": [{"billed_charge": 470.0, "npi": [1245551902]}]}]}, {"tin": {"type": "ein", "value": "270712680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3130.0, "npi": [1760764849]}]}]}, {"tin": {"type": "ein", "value": "270755563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 1693.0, "npi": [1174560726]}]}]}, {"tin": {"type": "ein", "value": "270781655"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1841258654]}]}, {"allowed_amount": 172.84, "providers": [{"billed_charge": 1280.0, "npi": [1225205313, 1689144198, 1881061190, 1326139304, 1831108083, 1205888062, 1407873177, 1326526682, 1841258654, 1982939070]}]}, {"allowed_amount": 284.39, "providers": [{"billed_charge": 1280.0, "npi": [1326526682, 1831108083, 1982939070, 1689144198]}]}, {"allowed_amount": 285.44, "providers": [{"billed_charge": 1280.0, "npi": [1356002547]}]}, {"allowed_amount": 334.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1407873177, 1184644205, 1841258654]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.02, "providers": [{"billed_charge": 962.0, "npi": [1982446035]}]}, {"allowed_amount": 58.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1710070578]}]}, {"allowed_amount": 73.57, "providers": [{"billed_charge": 962.0, "npi": [1306356357]}]}, {"allowed_amount": 77.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1730343070]}]}, {"allowed_amount": 93.3, "providers": [{"billed_charge": 962.0, "npi": [1144435215]}]}, {"allowed_amount": 94.78, "providers": [{"billed_charge": 962.0, "npi": [1790209898]}]}, {"allowed_amount": 99.69, "providers": [{"billed_charge": 962.0, "npi": [1629645973]}]}, {"allowed_amount": 104.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1346918786, 1013294859, 1124663182, 1639709199, 1922483353, 1356690721, 1245950773, 1235852856, 1174038970, 1982869178, 1952854721, 1396519369, 1811481294, 1134620131, 1902426851, 1306263140, 1184218612, 1225410426, 1366422396]}]}, {"allowed_amount": 115.43, "providers": [{"billed_charge": 962.0, "npi": [1619469426]}]}, {"allowed_amount": 120.36, "providers": [{"billed_charge": 962.0, "npi": [1053010876]}]}, {"allowed_amount": 140.67, "providers": [{"billed_charge": 962.0, "npi": [1760904056]}]}, {"allowed_amount": 152.68, "providers": [{"billed_charge": 962.0, "npi": [1568974632]}]}, {"allowed_amount": 153.03, "providers": [{"billed_charge": 962.0, "npi": [1326791138, 1346745619, 1346853413, 1366027971]}]}, {"allowed_amount": 155.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1114664224, 1346954088, 1306486196, 1518612407, 1154711547, 1457496572, 1730343070]}]}, {"allowed_amount": 167.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1619328598]}]}, {"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1346918786, 1568090116, 1811289093, 1225424518, 1891322376, 1013294859, 1003133836, 1124663182, 1891255568, 1801363601, 1306920723, 1902888084, 1710648597, 1104203801, 1053894170, 1467193243, 1922483353, 1013959709, 1306339486, 1386018075, 1659878304, 1356690721, 1649774761, 1639819691, 1336746668, 1710775341, 1396771119, 1356601652, 1730966581, 1699917625, 1952064826, 1982869178, 1174038970, 1841828670, 1144263104, 1427677251, 1710929732, 1437679685, 1184231110, 1700413895, 1396519369, 1124093257, 1730349770, 1275074510, 1275143760, 1740530898, 1982446035, 1790952018, 1649380437, 1619328598, 1831147354, 1497326300, 1518033885, 1891492831, 1366079840, 1659900512, 1902426851, 1063971943, 1629813993, 1033340906, 1134137326, 1417213166, 1669104881, 1619469426, 1184218612, 1326515701, 1124232822, 1972600054, 1023849080, 1710414966, 1376170746, 1366422396, 1790416766, 1154765055]}]}, {"allowed_amount": 175.13, "providers": [{"billed_charge": 962.0, "npi": [1336869080]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1184120008, 1114504305, 1194798090, 1154900660]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1578906624, 1194798090, 1225562762, 1124683404, 1912103060, 1730343070, 1114664224, 1942401062, 1942267182, 1598724403, 1609537588, 1306486196, 1154900660, 1518612407, 1972992824, 1720433725, 1730152646, 1184120008, 1922427368, 1558757880, 1912249962, 1346954088, 1114504305, 1720617590, 1760904056, 1154711547, 1457496572]}]}, {"allowed_amount": 180.03, "providers": [{"billed_charge": 962.0, "npi": [1922070168, 1063094043, 1639676075]}]}, {"allowed_amount": 198.63, "providers": [{"billed_charge": 962.0, "npi": [1245041656]}]}, {"allowed_amount": 200.36, "providers": [{"billed_charge": 962.0, "npi": [1659958312]}]}, {"allowed_amount": 245.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1699917625]}]}, {"allowed_amount": 253.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1437739570, 1972600054]}]}, {"allowed_amount": 284.1, "providers": [{"billed_charge": 962.0, "npi": [1851766844, 1669257333]}]}, {"allowed_amount": 284.39, "providers": [{"billed_charge": 962.0, "npi": [1629152194, 1437679685, 1700413895, 1275074510, 1982446035, 1710414966, 1841997111, 1053894170]}]}, {"allowed_amount": 285.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1144263104, 1992432769, 1831577956, 1174254247, 1265722920, 1629771977, 1265208458, 1528170958, 1699734095, 1801363601, 1730966581, 1467470237]}]}, {"allowed_amount": 293.06, "providers": [{"billed_charge": 962.0, "npi": [1063091890]}]}, {"allowed_amount": 334.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1659878304, 1083358626, 1801475074, 1386223816, 1043443351, 1659587467, 1104356880, 1184187510, 1366978199, 1811524440, 1962429308]}]}, {"allowed_amount": 335.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1265403141, 1225424518, 1487911178, 1003133836, 1467193243, 1013959709, 1093776163, 1649774761, 1639819691, 1356601652, 1124093257, 1376003152, 1790952018, 1578950994, 1346700374, 1619328598, 1831147354, 1497326300, 1205040862, 1659900512, 1063971943, 1649477993, 1699415786, 1689178097, 1699186171, 1154765055]}]}, {"allowed_amount": 350.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1578906624, 1942401062, 1730152646, 1184120008, 1922427368, 1912249962, 1194798090, 1942267182, 1114504305, 1598724403, 1912103060, 1154900660, 1720617590, 1558757880, 1720433725]}]}, {"allowed_amount": 491.37, "providers": [{"billed_charge": 962.0, "npi": [1699917625, 1730349770, 1053549212, 1063971943]}]}, {"allowed_amount": 570.88, "providers": [{"billed_charge": 962.0, "npi": [1386018075]}]}, {"allowed_amount": 874.0, "providers": [{"billed_charge": 962.0, "npi": [1881869451]}]}, {"allowed_amount": 962.0, "providers": [{"billed_charge": 962.0, "npi": [1760904056]}]}]}, {"tin": {"type": "ein", "value": "271561941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.36, "providers": [{"billed_charge": 1008.35, "npi": [1851437727, 1316721335]}]}]}, {"tin": {"type": "ein", "value": "271914449"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.36, "providers": [{"billed_charge": 1129.57, "npi": [1417831231]}]}, {"allowed_amount": 195.71, "providers": [{"billed_charge": 1129.57, "npi": [1366690018]}]}]}, {"tin": {"type": "ein", "value": "272268928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "providers": [{"billed_charge": 1581.0, "npi": [1346875564, 1710320221]}]}, {"allowed_amount": 322.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1581.0, "npi": [1568048973, 1811302839]}]}]}, {"tin": {"type": "ein", "value": "272289671"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.68, "providers": [{"billed_charge": 1693.0, "npi": [1235160276]}]}]}, {"tin": {"type": "ein", "value": "272409240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.73, "providers": [{"billed_charge": 1094.0, "npi": [1851750277]}]}, {"allowed_amount": 439.68, "providers": [{"billed_charge": 1009.0, "npi": [1750969085]}, {"billed_charge": 1119.0, "npi": [1891772307, 1245425867, 1982618575]}, {"billed_charge": 1162.0, "npi": [1386630499]}, {"billed_charge": 1191.0, "npi": [1396922118]}]}]}, {"tin": {"type": "ein", "value": "272479599"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 413.59, "providers": [{"billed_charge": 621.0, "npi": [1326618703]}]}]}, {"tin": {"type": "ein", "value": "272814378"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3426.5, "npi": [1841562709]}]}]}, {"tin": {"type": "ein", "value": "272844563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4057.0, "npi": [1922310200]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 336.1, "providers": [{"billed_charge": 336.1, "npi": [1104273747]}]}]}, {"tin": {"type": "ein", "value": "273335876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1692.0, "npi": [1225450588]}]}]}, {"tin": {"type": "ein", "value": "273815440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3336.7, "npi": [1851632616]}]}]}, {"tin": {"type": "ein", "value": "274005511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1560.0, "npi": [1477857332]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.74, "providers": [{"billed_charge": 326.0, "npi": [1083917769]}]}, {"allowed_amount": 141.55, "providers": [{"billed_charge": 326.0, "npi": [1740251610]}]}]}, {"tin": {"type": "ein", "value": "274436135"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1140.0, "npi": [1760989586]}]}]}, {"tin": {"type": "ein", "value": "274815951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 725.0, "npi": [1275924573]}]}]}, {"tin": {"type": "ein", "value": "300284087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3854.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5537.4, "npi": [1922033547]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2261.3, "npi": [1154795581]}]}, {"allowed_amount": 1843.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2261.3, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "300975387"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 967.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1027.0, "npi": [1336289552]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.96, "providers": [{"billed_charge": 591.3, "npi": [1407350325]}]}, {"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 591.3, "npi": [1851824262, 1255561866, 1295297422, 1205396975, 1568752434, 1730452723, 1851322291, 1871024117, 1992022776, 1174064380]}]}, {"allowed_amount": 185.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 591.3, "npi": [1285262576, 1285299578, 1013150549, 1295297422]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 591.3, "npi": [1487141958, 1851824262, 1841556842, 1750013868, 1205396975, 1285262576, 1871082768, 1568752434, 1851322291, 1871024117, 1407350325, 1538458518, 1174064380, 1992735005]}]}]}, {"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.48, "providers": [{"billed_charge": 3716.0, "npi": [1073688354]}]}, {"allowed_amount": 570.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3716.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "310564121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3130.0, "npi": [1053339507]}]}]}, {"tin": {"type": "ein", "value": "310621866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3130.0, "npi": [1043233984]}]}]}, {"tin": {"type": "ein", "value": "310823056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.0, "providers": [{"billed_charge": 967.0, "npi": [1730998675]}]}, {"allowed_amount": 222.36, "providers": [{"billed_charge": 967.0, "npi": [1326276833, 1821658386, 1639707615]}]}]}, {"tin": {"type": "ein", "value": "310867547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.15, "providers": [{"billed_charge": 582.0, "npi": [1699182337]}]}, {"allowed_amount": 187.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 582.0, "npi": [1063943850]}]}]}, {"tin": {"type": "ein", "value": "311009777"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.25, "providers": [{"billed_charge": 771.0, "npi": [1497971717, 1063569879]}]}]}, {"tin": {"type": "ein", "value": "311229292"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.36, "providers": [{"billed_charge": 510.0, "npi": [1891374054]}]}]}, {"tin": {"type": "ein", "value": "311340739"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 678.36, "providers": [{"billed_charge": 2173.0, "npi": [1447359997]}]}]}, {"tin": {"type": "ein", "value": "311405915"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.25, "providers": [{"billed_charge": 359.0, "npi": [1316048747, 1669558102]}]}]}, {"tin": {"type": "ein", "value": "311425530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.0, "providers": [{"billed_charge": 211.0, "npi": [1285161653]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.35, "providers": [{"billed_charge": 3026.0, "npi": [1710067376]}]}, {"allowed_amount": 663.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3026.0, "npi": [1417037045]}]}]}, {"tin": {"type": "ein", "value": "311479038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.48, "providers": [{"billed_charge": 2779.0, "npi": [1033154026]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 704.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1602.0, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "311603722"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 383.03, "providers": [{"billed_charge": 1336.0, "npi": [1619658283, 1679025415]}]}, {"allowed_amount": 450.63, "providers": [{"billed_charge": 1336.0, "npi": [1205455417, 1497781421, 1295051894]}]}]}, {"tin": {"type": "ein", "value": "311713993"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.45, "providers": [{"billed_charge": 787.0, "npi": [1750678272]}]}]}, {"tin": {"type": "ein", "value": "314379441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.01, "providers": [{"billed_charge": 1350.0, "npi": [1134152986]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.36, "providers": [{"billed_charge": 329.78, "npi": [1104323815]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 663.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2891.0, "npi": [1467484972, 1255377149]}]}]}, {"tin": {"type": "ein", "value": "320073719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.29, "providers": [{"billed_charge": 745.0, "npi": [1669162277]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.47, "providers": [{"billed_charge": 399.0, "npi": [1235783903]}]}, {"allowed_amount": 192.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 792.0, "npi": [1528000627, 1851911911]}]}]}, {"tin": {"type": "ein", "value": "330449527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5447.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5447.0, "npi": [1528041811]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3684.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 10526.5, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "331105310"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.56, "providers": [{"billed_charge": 365.0, "npi": [1801089842]}]}]}, {"tin": {"type": "ein", "value": "331237732"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.67, "providers": [{"billed_charge": 1011.46, "npi": [1730695941]}]}, {"allowed_amount": 191.37, "providers": [{"billed_charge": 305.0, "npi": [1104355874]}]}]}, {"tin": {"type": "ein", "value": "331579645"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.22, "providers": [{"billed_charge": 905.0, "npi": [1235115056]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.87, "providers": [{"billed_charge": 600.0, "npi": [1104128305]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1174732705, 1730169475, 1053587493, 1366603334, 1659867562, 1821599309, 1487273967, 1376125104, 1467627729, 1437739570, 1912154865, 1588098040, 1972936698, 1841876349]}]}, {"allowed_amount": 239.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1437739570]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1730169475, 1821441254, 1659867562, 1912249962, 1821599309, 1790944205, 1376125104, 1912154865, 1467627729, 1619339454, 1033796255]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.87, "providers": [{"billed_charge": 600.0, "npi": [1598917833]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1043648736, 1700161700, 1184944357, 1053587493, 1861838823, 1821441254, 1538113790, 1306074604, 1467627729, 1417419706, 1841876315, 1306800446]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1043648736, 1174732705, 1700161700, 1184944357, 1821441254, 1861838823, 1912249962, 1407484074, 1306074604, 1790944205, 1275986861, 1467627729, 1841876315, 1124559828, 1073141115, 1932143740]}]}]}, {"tin": {"type": "ein", "value": "331720859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 413.59, "providers": [{"billed_charge": 1795.8, "npi": [1922494962]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 1186.31, "npi": [1083290944]}]}]}, {"tin": {"type": "ein", "value": "332012020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 946.08, "npi": [1174101471]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "providers": [{"billed_charge": 350.0, "npi": [1770104986]}]}, {"allowed_amount": 239.28, "providers": [{"billed_charge": 350.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "340505560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 557.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2214.0, "npi": [1790868982]}]}]}, {"tin": {"type": "ein", "value": "340714581"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 852.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1123.0, "npi": [1942385794]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 212.88, "providers": [{"billed_charge": 1206.0, "npi": [1487389516]}]}, {"allowed_amount": 265.6, "providers": [{"billed_charge": 1206.0, "npi": [1881947224]}]}, {"allowed_amount": 315.98, "providers": [{"billed_charge": 1206.0, "npi": [1649911256, 1407199979, 1972604437, 1356388375]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 859.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2730.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "341041385"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 871.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 780.0, "npi": [1639131535]}]}]}, {"tin": {"type": "ein", "value": "341427186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.98, "providers": [{"billed_charge": 475.0, "npi": [1710953005]}]}]}, {"tin": {"type": "ein", "value": "341565327"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.98, "providers": [{"billed_charge": 1186.31, "npi": [1588193825]}]}]}, {"tin": {"type": "ein", "value": "341623418"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.98, "providers": [{"billed_charge": 1186.31, "npi": [1619236353]}]}]}, {"tin": {"type": "ein", "value": "341883132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 859.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3123.0, "npi": [1598765539]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 557.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2938.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.6, "providers": [{"billed_charge": 1206.0, "npi": [1568252831]}]}]}, {"tin": {"type": "ein", "value": "344428256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 556.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3123.0, "npi": [1407854771]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1191.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1534.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2120.0, "npi": [1700828852]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 306.0, "providers": [{"billed_charge": 306.0, "npi": [1003848920]}]}]}, {"tin": {"type": "ein", "value": "350593390"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.03, "providers": [{"billed_charge": 315.0, "npi": [1760115125]}]}]}, {"tin": {"type": "ein", "value": "350868085"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4354.0, "npi": [1366407603]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 344.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2174.0, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 344.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4494.0, "npi": [1306898960]}]}, {"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4494.0, "npi": [1306898960]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "providers": [{"billed_charge": 2064.0, "npi": [1700883717]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.03, "providers": [{"billed_charge": 345.0, "npi": [1851002117]}]}]}, {"tin": {"type": "ein", "value": "351151208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2217.6, "npi": [1699757401]}]}]}, {"tin": {"type": "ein", "value": "351361243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1609317809, 1710043658]}]}]}, {"tin": {"type": "ein", "value": "351545908"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.03, "providers": [{"billed_charge": 564.0, "npi": [1073873154]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4193.0, "npi": [1144266024]}, {"billed_charge": 4638.0, "npi": [1144266024]}]}, {"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4193.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "351972384"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.03, "providers": [{"billed_charge": 428.0, "npi": [1487235024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 521.11, "providers": [{"billed_charge": 896.0, "npi": [1801885413]}]}, {"allowed_amount": 896.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 896.0, "npi": [1801885413]}]}, {"allowed_amount": 926.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 896.0, "npi": [1801885413]}]}, {"allowed_amount": 1416.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 896.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.64, "providers": [{"billed_charge": 1046.0, "npi": [1437145992]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3944.0, "npi": [1396882205]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.75, "providers": [{"billed_charge": 523.0, "npi": [1154309953]}]}]}, {"tin": {"type": "ein", "value": "352635546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3381.34, "npi": [1447734272]}]}]}, {"tin": {"type": "ein", "value": "356001540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1740268846]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3395.67, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "356061776"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.18, "providers": [{"billed_charge": 813.0, "npi": [1467480434]}]}, {"allowed_amount": 180.03, "providers": [{"billed_charge": 813.0, "npi": [1255357059, 1588045652]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 725.53, "npi": [1942730593]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2835.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3059.0, "npi": [1548306343]}]}, {"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3059.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2320.0, "npi": [1548375082]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.63, "providers": [{"billed_charge": 426.0, "npi": [1558976514]}]}, {"allowed_amount": 160.91, "providers": [{"billed_charge": 426.0, "npi": [1184156960]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3607.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2835.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "providers": [{"billed_charge": 1802.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362690865"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.97, "providers": [{"billed_charge": 255.0, "npi": [1952361511]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.72, "providers": [{"billed_charge": 4610.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 365.0, "npi": [1750372785]}]}, {"allowed_amount": 153.97, "providers": [{"billed_charge": 365.0, "npi": [1396945325]}]}, {"allowed_amount": 160.91, "providers": [{"billed_charge": 365.0, "npi": [1336333913, 1568407641, 1932591476]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "providers": [{"billed_charge": 2780.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363261413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 926.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1284.8, "npi": [1760446256]}]}]}, {"tin": {"type": "ein", "value": "363279680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.63, "providers": [{"billed_charge": 599.0, "npi": [1386117661]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3059.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 271.0, "npi": [1598756348, 1578189924]}]}, {"allowed_amount": 160.91, "providers": [{"billed_charge": 271.0, "npi": [1326677451]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.91, "providers": [{"billed_charge": 603.0, "npi": [1972722007]}]}]}, {"tin": {"type": "ein", "value": "364640211"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 985.74, "providers": [{"billed_charge": 1541.0, "npi": [1144471715]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1679903967]}]}]}, {"tin": {"type": "ein", "value": "364867084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6500.0, "npi": [1376870840]}]}]}, {"tin": {"type": "ein", "value": "370661183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.21, "providers": [{"billed_charge": 631.43, "npi": [1124478201]}]}]}, {"tin": {"type": "ein", "value": "370681540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 626.01, "providers": [{"billed_charge": 2373.0, "npi": [1033116876]}]}]}, {"tin": {"type": "ein", "value": "371140016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.21, "providers": [{"billed_charge": 1095.0, "npi": [1083144232]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 251.46, "providers": [{"billed_charge": 401.0, "npi": [1649775008, 1912071424, 1578925822]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 955.0, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "382156872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.16, "providers": [{"billed_charge": 1626.0, "npi": [1134220031]}]}]}, {"tin": {"type": "ein", "value": "382537427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 251.46, "providers": [{"billed_charge": 627.0, "npi": [1720547045]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1436.0, "npi": [1831132133]}]}]}, {"tin": {"type": "ein", "value": "382962430"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 236.88, "providers": [{"billed_charge": 1017.0, "npi": [1477127736]}]}]}, {"tin": {"type": "ein", "value": "383345124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 251.46, "providers": [{"billed_charge": 969.0, "npi": [1730529223]}]}]}, {"tin": {"type": "ein", "value": "383730230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 966.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4186.0, "npi": [1528101284]}]}]}, {"tin": {"type": "ein", "value": "383738197"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6046.0, "npi": [1518018191]}]}]}, {"tin": {"type": "ein", "value": "383740839"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 470.0, "npi": [1457405482, 1821011420]}]}]}, {"tin": {"type": "ein", "value": "383784101"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.84, "providers": [{"billed_charge": 738.0, "npi": [1104842764]}]}]}, {"tin": {"type": "ein", "value": "384082858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.68, "providers": [{"billed_charge": 1581.0, "npi": [1861785263]}]}]}, {"tin": {"type": "ein", "value": "384083619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.68, "providers": [{"billed_charge": 1581.0, "npi": [1720041833]}]}]}, {"tin": {"type": "ein", "value": "384105653"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 663.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2331.0, "npi": [1326020447]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2222.0, "npi": [1003878539]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.74, "providers": [{"billed_charge": 1101.0, "npi": [1417118647]}]}]}, {"tin": {"type": "ein", "value": "390816818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 566.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2197.0, "npi": [1407803638]}]}]}, {"tin": {"type": "ein", "value": "390830664"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 859.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1720.0, "npi": [1518993880]}]}]}, {"tin": {"type": "ein", "value": "390907740"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 576.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3334.0, "npi": [1225087190]}]}]}, {"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.81, "providers": [{"billed_charge": 720.0, "npi": [1811523426, 1932832532, 1801301734]}]}, {"allowed_amount": 177.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 720.0, "npi": [1346505682, 1558924423]}]}]}, {"tin": {"type": "ein", "value": "391446631"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.42, "providers": [{"billed_charge": 1117.0, "npi": [1861611634]}]}]}, {"tin": {"type": "ein", "value": "391678306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.76, "providers": [{"billed_charge": 860.0, "npi": [1982090908]}]}, {"allowed_amount": 177.42, "providers": [{"billed_charge": 860.0, "npi": [1922024082]}]}]}, {"tin": {"type": "ein", "value": "392851212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.81, "providers": [{"billed_charge": 1916.0, "npi": [1437357175]}]}]}, {"tin": {"type": "ein", "value": "393068262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 586.0, "npi": [1558488072]}]}]}, {"tin": {"type": "ein", "value": "394656216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.15, "providers": [{"billed_charge": 1129.57, "npi": [1700035896]}]}, {"allowed_amount": 188.41, "providers": [{"billed_charge": 1129.57, "npi": [1972709582]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 437.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 764.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "413178803"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.06, "providers": [{"billed_charge": 678.0, "npi": [1770775033]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2559.11, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.64, "providers": [{"billed_charge": 276.0, "npi": [1750728309]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.64, "providers": [{"billed_charge": 339.0, "npi": [1619032554]}]}]}, {"tin": {"type": "ein", "value": "421418897"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.29, "providers": [{"billed_charge": 900.0, "npi": [1073866331]}]}, {"allowed_amount": 195.64, "providers": [{"billed_charge": 900.0, "npi": [1194089904, 1942695986, 1043839756]}]}]}, {"tin": {"type": "ein", "value": "421629846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 207.21, "providers": [{"billed_charge": 320.0, "npi": [1851642466]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.93, "providers": [{"billed_charge": 459.0, "npi": [1750575627, 1528412863]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.17, "providers": [{"billed_charge": 347.0, "npi": [1356364541]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 745.0, "npi": [1174563217]}]}, {"allowed_amount": 100.99, "providers": [{"billed_charge": 745.0, "npi": [1093304412]}]}]}, {"tin": {"type": "ein", "value": "430687077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.05, "providers": [{"billed_charge": 2065.0, "npi": [1508859661]}]}]}, {"tin": {"type": "ein", "value": "430687077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.91, "providers": [{"billed_charge": 305.0, "npi": [1225655657]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 407.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 780.0, "npi": [1790740363]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.52, "providers": [{"billed_charge": 850.0, "npi": [1679797260]}]}]}, {"tin": {"type": "ein", "value": "431009163"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.17, "providers": [{"billed_charge": 274.0, "npi": [1528696887]}]}, {"allowed_amount": 274.0, "providers": [{"billed_charge": 274.0, "npi": [1326626920, 1528696887]}]}]}, {"tin": {"type": "ein", "value": "431142176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.99, "providers": [{"billed_charge": 364.0, "npi": [1275518102]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 580.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2323.0, "npi": [1598835308]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.17, "providers": [{"billed_charge": 776.0, "npi": [1336133750, 1104407543]}]}, {"allowed_amount": 273.6, "providers": [{"billed_charge": 776.0, "npi": [1306715453]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.32, "providers": [{"billed_charge": 1280.0, "npi": [1538397302]}]}, {"allowed_amount": 167.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1053502187]}]}, {"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1932786373, 1427312198, 1699731687, 1972164200, 1063542249, 1770741258, 1073716619, 1699491498, 1851584346, 1053540617, 1457815599, 1083858674, 1538397302, 1558723577, 1699414938, 1144320540, 1598407421]}]}, {"allowed_amount": 208.65, "providers": [{"billed_charge": 1280.0, "npi": [1679223614]}]}, {"allowed_amount": 284.39, "providers": [{"billed_charge": 1280.0, "npi": [1962792028, 1699731687]}]}, {"allowed_amount": 285.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1508233156, 1699491498, 1073716619, 1760044044, 1891923793, 1649205659]}]}, {"allowed_amount": 334.58, "providers": [{"billed_charge": 1280.0, "npi": [1932786373, 1912263526, 1922311430, 1972164200, 1811048689, 1083858674, 1538397302, 1851584346, 1144320540, 1598407421]}]}]}, {"tin": {"type": "ein", "value": "432035443"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3854.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8143.0, "npi": [1457347239]}]}, {"allowed_amount": 5892.64, "providers": [{"billed_charge": 8143.0, "npi": [1457347239]}]}]}, {"tin": {"type": "ein", "value": "436004435"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3236.85, "npi": [1891766051]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.62, "providers": [{"billed_charge": 346.0, "npi": [1932549045, 1629335534]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1044.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2798.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1044.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1533.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 505.0, "npi": [1700449899]}]}]}, {"tin": {"type": "ein", "value": "450503121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1044.85, "providers": [{"billed_charge": 4208.36, "npi": [1942247044]}]}]}, {"tin": {"type": "ein", "value": "452230827"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 978.8, "providers": [{"billed_charge": 1007.0, "npi": [1518253194]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "providers": [{"billed_charge": 922.0, "npi": [1023540135]}]}]}, {"tin": {"type": "ein", "value": "452480633"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 230.09, "providers": [{"billed_charge": 339.25, "npi": [1174688998]}]}, {"allowed_amount": 339.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 339.25, "npi": [1235165200]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 965.35, "providers": [{"billed_charge": 2555.34, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.63, "providers": [{"billed_charge": 261.0, "npi": [1508502006]}]}]}, {"tin": {"type": "ein", "value": "452765042"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.45, "providers": [{"billed_charge": 586.0, "npi": [1861631061]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.73, "providers": [{"billed_charge": 1000.0, "npi": [1417341462]}]}, {"allowed_amount": 172.84, "providers": [{"billed_charge": 1000.0, "npi": [1316157795, 1548231376, 1376113878, 1558857334, 1508283482, 1124645692]}]}, {"allowed_amount": 413.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1000.0, "npi": [1609196864, 1336646017, 1629497730, 1699760678, 1134369416, 1760913073, 1235137274, 1821298779]}]}]}, {"tin": {"type": "ein", "value": "452909216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.35, "providers": [{"billed_charge": 1581.0, "npi": [1891075057]}]}]}, {"tin": {"type": "ein", "value": "452962033"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 450.63, "providers": [{"billed_charge": 1001.0, "npi": [1629036496]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.7, "providers": [{"billed_charge": 806.0, "npi": [1144849563]}]}, {"allowed_amount": 528.18, "providers": [{"billed_charge": 806.0, "npi": [1619263118, 1740784511]}]}]}, {"tin": {"type": "ein", "value": "453023491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.68, "providers": [{"billed_charge": 1693.0, "npi": [1629365689]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 714.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1069.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 800.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "454006393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 482.0, "npi": [1669678744, 1699874636]}]}]}, {"tin": {"type": "ein", "value": "454738666"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.96, "providers": [{"billed_charge": 1145.0, "npi": [1306045265]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1564.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "455536844"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.55, "providers": [{"billed_charge": 255.0, "npi": [1558583658]}]}]}, {"tin": {"type": "ein", "value": "455604076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 171.91, "providers": [{"billed_charge": 640.0, "npi": [1821425489]}]}, {"allowed_amount": 202.18, "providers": [{"billed_charge": 640.0, "npi": [1639809205]}]}, {"allowed_amount": 202.25, "providers": [{"billed_charge": 640.0, "npi": [1629631585, 1841591906, 1134165269]}]}]}, {"tin": {"type": "ein", "value": "460319070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 967.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1423.0, "npi": [1437122009]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.98, "providers": [{"billed_charge": 497.0, "npi": [1053793307]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 972.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 695.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "460508979"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 1026.0, "npi": [1275111213]}]}]}, {"tin": {"type": "ein", "value": "460819112"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.97, "providers": [{"billed_charge": 1261.0, "npi": [1932365277]}]}]}, {"tin": {"type": "ein", "value": "460822644"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.25, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1581.0, "npi": [1508806498]}]}, {"allowed_amount": 180.29, "providers": [{"billed_charge": 1581.0, "npi": [1508806498, 1629026596]}]}]}, {"tin": {"type": "ein", "value": "461120780"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 437.35, "providers": [{"billed_charge": 1362.0, "npi": [1295138782]}]}]}, {"tin": {"type": "ein", "value": "461275483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 1693.0, "npi": [1912006990]}]}]}, {"tin": {"type": "ein", "value": "461283908"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1285130914]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.01, "providers": [{"billed_charge": 305.0, "npi": [1326735077]}]}, {"allowed_amount": 200.18, "providers": [{"billed_charge": 305.0, "npi": [1154512499]}]}, {"allowed_amount": 206.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 305.0, "npi": [1013370592]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 408.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1152.0, "npi": [1043859242]}]}]}, {"tin": {"type": "ein", "value": "461533333"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.15, "providers": [{"billed_charge": 761.0, "npi": [1639353493]}]}]}, {"tin": {"type": "ein", "value": "461707288"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.45, "providers": [{"billed_charge": 1186.31, "npi": [1336593912]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 380.1, "providers": [{"billed_charge": 815.0, "npi": [1134642838]}]}, {"allowed_amount": 447.18, "providers": [{"billed_charge": 1273.0, "npi": [1225294887]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.61, "providers": [{"billed_charge": 373.0, "npi": [1841263860]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 243.79, "providers": [{"billed_charge": 509.0, "npi": [1386030856]}]}, {"allowed_amount": 509.0, "providers": [{"billed_charge": 509.0, "npi": [1063153773, 1568728582]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 1000.0, "npi": [1063432896, 1609070978, 1720286917, 1104013226, 1659020881, 1770135089, 1457466385, 1356317812, 1609404565, 1821404500, 1538332952, 1760893531, 1023169307]}]}, {"allowed_amount": 192.04, "providers": [{"billed_charge": 1000.0, "npi": [1083199442, 1346911500]}]}, {"allowed_amount": 216.18, "providers": [{"billed_charge": 1000.0, "npi": [1639860430, 1861663239]}]}, {"allowed_amount": 314.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1000.0, "npi": [1609070978, 1457466385, 1841346194, 1538332952, 1265601454, 1770135089, 1386623676, 1407937733, 1205568326, 1720286917, 1912074188, 1659020881, 1740419282, 1295745107, 1073734356, 1821404500, 1033485396, 1952930786, 1558777193, 1881252468, 1609081983]}]}]}, {"tin": {"type": "ein", "value": "462531047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 328.18, "providers": [{"billed_charge": 1280.0, "npi": [1740869874]}]}]}, {"tin": {"type": "ein", "value": "462579194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.34, "providers": [{"billed_charge": 1186.31, "npi": [1295339190]}]}, {"allowed_amount": 187.25, "providers": [{"billed_charge": 1186.31, "npi": [1306163704]}]}, {"allowed_amount": 222.36, "providers": [{"billed_charge": 1186.31, "npi": [1215565882]}]}]}, {"tin": {"type": "ein", "value": "462842081"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1780708909]}]}]}, {"tin": {"type": "ein", "value": "462911982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 414.52, "providers": [{"billed_charge": 904.0, "npi": [1932571494]}]}, {"allowed_amount": 487.67, "providers": [{"billed_charge": 1142.0, "npi": [1881824548]}]}]}, {"tin": {"type": "ein", "value": "463160463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.74, "providers": [{"billed_charge": 1186.31, "npi": [1689362444]}]}]}, {"tin": {"type": "ein", "value": "463176429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3337.0, "npi": [1619911104]}]}]}, {"tin": {"type": "ein", "value": "463316332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.68, "providers": [{"billed_charge": 806.0, "npi": [1437619145]}]}]}, {"tin": {"type": "ein", "value": "463669167"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.36, "providers": [{"billed_charge": 1129.57, "npi": [1689282618]}]}]}, {"tin": {"type": "ein", "value": "463717586"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.34, "providers": [{"billed_charge": 663.0, "npi": [1851525588]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.09, "npi": [1811256258]}]}, {"allowed_amount": 211.31, "providers": [{"billed_charge": 414.09, "npi": [1417401357]}]}]}, {"tin": {"type": "ein", "value": "463767619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 300.0, "npi": [1205414315]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.03, "providers": [{"billed_charge": 921.0, "npi": [1770539835]}]}, {"allowed_amount": 445.58, "providers": [{"billed_charge": 921.0, "npi": [1275757841]}]}]}, {"tin": {"type": "ein", "value": "463962672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2332.0, "npi": [1497719819]}, {"billed_charge": 4081.0, "npi": [1497719819]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4081.0, "npi": [1497719819]}]}]}, {"tin": {"type": "ein", "value": "464319695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.45, "providers": [{"billed_charge": 1280.0, "npi": [1508597477]}]}, {"allowed_amount": 278.85, "providers": [{"billed_charge": 1280.0, "npi": [1720407661]}]}]}, {"tin": {"type": "ein", "value": "464354068"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.57, "providers": [{"billed_charge": 304.0, "npi": [1023405347]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 994.58, "providers": [{"billed_charge": 1913.0, "npi": [1013332014]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.06, "providers": [{"billed_charge": 239.0, "npi": [1740240571, 1154640100]}]}, {"allowed_amount": 150.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 258.0, "npi": [1003081472, 1114347655, 1972504488, 1215106216, 1285054536, 1942501739, 1669811667, 1114293172, 1639439896]}]}, {"allowed_amount": 153.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 258.0, "npi": [1184823825, 1417989468]}]}, {"allowed_amount": 170.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 258.0, "npi": [1619964228]}]}, {"allowed_amount": 177.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 239.0, "npi": [1821741216, 1467096321, 1447883756, 1316432784, 1669196754, 1013341080]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 239.0, "npi": [1821741216, 1467096321, 1710074182, 1497786891, 1447883756, 1932276177, 1013341080, 1912102104]}, {"billed_charge": 258.0, "npi": [1497786891, 1871273326, 1184823825, 1033538707, 1114445301, 1366080855, 1417989468]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 258.0, "npi": [1285054536, 1215106216, 1780739144, 1447781877, 1639439896, 1427140664]}]}, {"allowed_amount": 258.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 258.0, "npi": [1497786891, 1033538707, 1871273326, 1366080855]}]}]}, {"tin": {"type": "ein", "value": "464837698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.72, "providers": [{"billed_charge": 1186.31, "npi": [1295723989]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.35, "providers": [{"billed_charge": 1324.0, "npi": [1104110386, 1023219763]}]}, {"allowed_amount": 170.91, "providers": [{"billed_charge": 1324.0, "npi": [1427233006]}]}, {"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1154333987, 1356320808, 1497726921, 1912993114, 1811928666, 1659498939, 1083642524]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1154333987, 1104271725, 1427233006, 1104110386, 1023219763, 1700306164, 1316254493]}]}, {"allowed_amount": 239.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1700306164, 1316254493]}]}, {"allowed_amount": 288.9, "providers": [{"billed_charge": 1324.0, "npi": [1497726921]}]}, {"allowed_amount": 290.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1811928666, 1316254493, 1912993114]}]}, {"allowed_amount": 293.06, "providers": [{"billed_charge": 1324.0, "npi": [1548212830]}]}, {"allowed_amount": 328.18, "providers": [{"billed_charge": 1324.0, "npi": [1063708006]}]}, {"allowed_amount": 334.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1356320808, 1033160163, 1083642524]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1154333987, 1104271725, 1053690479, 1104110386, 1023219763]}]}]}, {"tin": {"type": "ein", "value": "465400615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.5, "providers": [{"billed_charge": 1123.0, "npi": [1902150626]}]}, {"allowed_amount": 155.9, "providers": [{"billed_charge": 1123.0, "npi": [1164169801]}]}, {"allowed_amount": 211.74, "providers": [{"billed_charge": 1123.0, "npi": [1881759595]}]}]}, {"tin": {"type": "ein", "value": "465477125"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 1280.0, "npi": [1396984043]}]}, {"allowed_amount": 380.39, "providers": [{"billed_charge": 1280.0, "npi": [1366915985]}]}]}, {"tin": {"type": "ein", "value": "465557331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.65, "npi": [1194125146]}]}]}, {"tin": {"type": "ein", "value": "465664656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.11, "providers": [{"billed_charge": 586.0, "npi": [1528047016]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 674.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1724.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470376604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1577.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1281.0, "npi": [1336470558]}]}]}, {"tin": {"type": "ein", "value": "470376604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 283.31, "providers": [{"billed_charge": 797.0, "npi": [1437218252]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.0, "providers": [{"billed_charge": 245.0, "npi": [1508276742]}]}]}, {"tin": {"type": "ein", "value": "470484764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1101.71, "providers": [{"billed_charge": 2472.0, "npi": [1265517759]}]}]}, {"tin": {"type": "ein", "value": "470785575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 283.31, "providers": [{"billed_charge": 325.0, "npi": [1336433895]}]}]}, {"tin": {"type": "ein", "value": "470809403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.21, "providers": [{"billed_charge": 848.0, "npi": [1861041238]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 944.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 945.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 234.0, "providers": [{"billed_charge": 234.0, "npi": [1942801139]}]}]}, {"tin": {"type": "ein", "value": "471022656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 439.68, "providers": [{"billed_charge": 1330.0, "npi": [1174581193]}]}]}, {"tin": {"type": "ein", "value": "471027429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.72, "providers": [{"billed_charge": 1026.0, "npi": [1770873630]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.19, "providers": [{"billed_charge": 406.91, "npi": [1275925901]}]}]}, {"tin": {"type": "ein", "value": "471320995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.67, "providers": [{"billed_charge": 1581.0, "npi": [1861475261]}]}]}, {"tin": {"type": "ein", "value": "471345819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 368.0, "npi": [1881272680, 1205576105]}]}]}, {"tin": {"type": "ein", "value": "471497384"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.15, "providers": [{"billed_charge": 417.0, "npi": [1023578200]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "471692221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "providers": [{"billed_charge": 3113.99, "npi": [1942243365]}]}]}, {"tin": {"type": "ein", "value": "471776582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1186.31, "npi": [1275282444]}]}]}, {"tin": {"type": "ein", "value": "471988466"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 1096.0, "npi": [1013999291]}]}]}, {"tin": {"type": "ein", "value": "472044374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 450.63, "providers": [{"billed_charge": 1062.0, "npi": [1669435897]}]}]}, {"tin": {"type": "ein", "value": "472478680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 586.0, "npi": [1215631981]}]}, {"allowed_amount": 211.57, "providers": [{"billed_charge": 586.0, "npi": [1427146125]}]}]}, {"tin": {"type": "ein", "value": "472660438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1117.0, "npi": [1306819206, 1255747945, 1396778510, 1336120690, 1295745529, 1598743130]}]}, {"allowed_amount": 205.1, "providers": [{"billed_charge": 1117.0, "npi": [1992896898]}]}, {"allowed_amount": 239.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1117.0, "npi": [1336120690]}]}, {"allowed_amount": 373.27, "providers": [{"billed_charge": 1117.0, "npi": [1306819206]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 414.65, "providers": [{"billed_charge": 1088.0, "npi": [1154186187, 1639648397]}]}]}, {"tin": {"type": "ein", "value": "473239141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.97, "providers": [{"billed_charge": 1475.0, "npi": [1346801057]}]}]}, {"tin": {"type": "ein", "value": "473718543"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.75, "providers": [{"billed_charge": 962.0, "npi": [1831075415]}]}]}, {"tin": {"type": "ein", "value": "473965789"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.71, "providers": [{"billed_charge": 906.0, "npi": [1093773616, 1376585042]}]}]}, {"tin": {"type": "ein", "value": "474550259"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.16, "providers": [{"billed_charge": 1186.31, "npi": [1477944155]}]}]}, {"tin": {"type": "ein", "value": "474649080"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 1483.74, "npi": [1326400714]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.52, "providers": [{"billed_charge": 435.0, "npi": [1467644765]}]}]}, {"tin": {"type": "ein", "value": "474780023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 529.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3669.0, "npi": [1811341167]}]}]}, {"tin": {"type": "ein", "value": "475040973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1322.0, "npi": [1558314435, 1528495587, 1093068462, 1043875032, 1265813497, 1063964666]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1322.0, "npi": [1265813497, 1063496727]}]}]}, {"tin": {"type": "ein", "value": "475273455"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.13, "providers": [{"billed_charge": 852.0, "npi": [1881443729]}]}]}, {"tin": {"type": "ein", "value": "480637331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 691.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3716.35, "npi": [1023171634]}]}]}, {"tin": {"type": "ein", "value": "480778482"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.3, "providers": [{"billed_charge": 1003.0, "npi": [1992062129, 1073672499]}]}]}, {"tin": {"type": "ein", "value": "481040759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.86, "providers": [{"billed_charge": 310.0, "npi": [1285149245]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1780.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.22, "providers": [{"billed_charge": 443.0, "npi": [1437251618]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 691.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2798.0, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "481253246"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.75, "providers": [{"billed_charge": 300.0, "npi": [1326089558]}]}]}, {"tin": {"type": "ein", "value": "510382045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2855.0, "npi": [1023060472]}]}]}, {"tin": {"type": "ein", "value": "510473471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2119.0, "npi": [1598746141]}]}]}, {"tin": {"type": "ein", "value": "510603966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 992.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2002.0, "npi": [1699819003]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 590.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 590.4, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 644.45, "providers": [{"billed_charge": 644.45, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520635894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.5, "providers": [{"billed_charge": 354.98, "npi": [1912636390]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 827.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 827.66, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.54, "providers": [{"billed_charge": 653.54, "npi": [1245655638]}]}, {"allowed_amount": 690.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 690.41, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "520795508"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.05, "providers": [{"billed_charge": 1026.0, "npi": [1972125375]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.01, "providers": [{"billed_charge": 1186.31, "npi": [1962286815]}]}, {"allowed_amount": 198.63, "providers": [{"billed_charge": 1186.31, "npi": [1003360074, 1407618564, 1679015879]}]}, {"allowed_amount": 200.18, "providers": [{"billed_charge": 1186.31, "npi": [1487065413]}]}, {"allowed_amount": 233.68, "providers": [{"billed_charge": 1186.31, "npi": [1477296689]}]}, {"allowed_amount": 259.45, "providers": [{"billed_charge": 1186.31, "npi": [1598227498]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1059.55, "providers": [{"billed_charge": 1059.55, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521958352"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1272.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5046.0, "npi": [1790789212]}]}, {"allowed_amount": 1317.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4488.0, "npi": [1053384776]}]}]}, {"tin": {"type": "ein", "value": "521975874"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.03, "providers": [{"billed_charge": 843.0, "npi": [1003512096]}]}]}, {"tin": {"type": "ein", "value": "522043450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.01, "providers": [{"billed_charge": 1186.31, "npi": [1871919621]}]}]}, {"tin": {"type": "ein", "value": "522103311"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1196.0, "npi": [1306404082]}, {"billed_charge": 1218.0, "npi": [1487439170]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1438.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2917.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "540647482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3216.0, "npi": [1366404428]}]}]}, {"tin": {"type": "ein", "value": "541141362"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 198.63, "providers": [{"billed_charge": 479.0, "npi": [1447514229]}]}, {"allowed_amount": 233.68, "providers": [{"billed_charge": 479.0, "npi": [1922590868]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 870.91, "providers": [{"billed_charge": 4337.0, "npi": [1598708513]}]}, {"allowed_amount": 1331.24, "providers": [{"billed_charge": 4337.0, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "542129332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 411.0, "npi": [1871084970, 1801022421]}, {"billed_charge": 422.0, "npi": [1871084970, 1013111491, 1568433308, 1801022421]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 411.0, "npi": [1871084970, 1013111491, 1568433308, 1801022421]}]}]}, {"tin": {"type": "ein", "value": "548478420"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.15, "providers": [{"billed_charge": 843.0, "npi": [1902889967]}]}]}, {"tin": {"type": "ein", "value": "550492006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.52, "providers": [{"billed_charge": 267.0, "npi": [1295939619]}]}]}, {"tin": {"type": "ein", "value": "550643304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 855.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2118.0, "npi": [1841271459]}]}]}, {"tin": {"type": "ein", "value": "550675666"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 848.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 753.73, "npi": [1073518007]}]}]}, {"tin": {"type": "ein", "value": "550675666"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.52, "providers": [{"billed_charge": 365.85, "npi": [1841260288, 1538143755]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 811.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3563.0, "npi": [1396790325]}]}, {"allowed_amount": 1240.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3563.0, "npi": [1417432840, 1487866315, 1346297892]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 890.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 959.0, "npi": [1427030774]}]}, {"allowed_amount": 1361.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 959.0, "npi": [1427030774]}]}]}, {"tin": {"type": "ein", "value": "560532309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 659.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3730.0, "npi": [1396746228]}]}]}, {"tin": {"type": "ein", "value": "560619359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.58, "providers": [{"billed_charge": 2887.0, "npi": [1013918960]}]}]}, {"tin": {"type": "ein", "value": "560755775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.69, "providers": [{"billed_charge": 2026.0, "npi": [1801852835]}]}]}, {"tin": {"type": "ein", "value": "561376368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1240.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2455.0, "npi": [1063463156]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 798.42, "providers": [{"billed_charge": 3563.0, "npi": [1376985135]}]}, {"allowed_amount": 811.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3563.0, "npi": [1295789907]}]}, {"allowed_amount": 1220.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3563.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 448.0, "npi": [1972062016, 1962907857]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 710.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1812.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.31, "providers": [{"billed_charge": 353.0, "npi": [1275243735]}]}, {"allowed_amount": 253.14, "providers": [{"billed_charge": 353.0, "npi": [1578974309]}]}]}, {"tin": {"type": "ein", "value": "561752877"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 1091.0, "npi": [1346860285]}]}]}, {"tin": {"type": "ein", "value": "561763695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.05, "providers": [{"billed_charge": 718.0, "npi": [1003005729, 1528894854, 1720678287]}]}]}, {"tin": {"type": "ein", "value": "561903275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 848.0, "npi": [1104869288, 1689355166]}]}, {"allowed_amount": 218.05, "providers": [{"billed_charge": 848.0, "npi": [1083964480, 1225558166, 1073378055]}]}, {"allowed_amount": 256.53, "providers": [{"billed_charge": 848.0, "npi": [1376596973]}]}, {"allowed_amount": 380.39, "providers": [{"billed_charge": 848.0, "npi": [1528597739]}]}]}, {"tin": {"type": "ein", "value": "562066152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 1119.0, "npi": [1043263361, 1235635970]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1439.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1618.0, "npi": [1144247982]}]}]}, {"tin": {"type": "ein", "value": "562119000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 788.0, "npi": [1710187869, 1043373087]}]}]}, {"tin": {"type": "ein", "value": "566000403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.14, "providers": [{"billed_charge": 470.0, "npi": [1164004974]}]}]}, {"tin": {"type": "ein", "value": "570359174"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 881.16, "providers": [{"billed_charge": 1939.0, "npi": [1417919531]}]}]}, {"tin": {"type": "ein", "value": "570370242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 415.0, "npi": [1487680799]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 631.0, "npi": [1174574297]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.82, "providers": [{"billed_charge": 368.0, "npi": [1780197061, 1467996173]}]}, {"allowed_amount": 186.85, "providers": [{"billed_charge": 368.0, "npi": [1306051107, 1932490661, 1770045585, 1942838453, 1851829113, 1215478458, 1285672444]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 859.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1951.0, "npi": [1437622933]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 913.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2474.0, "npi": [1609807122]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 528.0, "npi": [1053061275, 1194068684]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 618.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2018.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2762.1, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "580566223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 915.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1799.0, "npi": [1871556621]}]}]}, {"tin": {"type": "ein", "value": "580566256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2018.0, "npi": [1588640692]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2018.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1194.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "580625140"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 571.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 897.04, "npi": [1740272095]}]}]}, {"tin": {"type": "ein", "value": "581157005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 691.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2468.0, "npi": [1245248624]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 904.81, "providers": [{"billed_charge": 2585.17, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2651.0, "npi": [1528056066]}, {"billed_charge": 2784.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 366.0, "npi": [1942543624, 1407014186, 1285167668]}]}]}, {"tin": {"type": "ein", "value": "581581103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 422.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2129.58, "npi": [1588665566]}]}, {"allowed_amount": 645.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2129.58, "npi": [1588665566]}]}]}, {"tin": {"type": "ein", "value": "581634752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "providers": [{"billed_charge": 967.0, "npi": [1184733735]}]}]}, {"tin": {"type": "ein", "value": "581685139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1096.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2129.58, "npi": [1255401519]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3021.0, "npi": [1427055821]}]}, {"allowed_amount": 915.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3021.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581734026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 980.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2782.0, "npi": [1659376630]}]}]}, {"tin": {"type": "ein", "value": "581790149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2202.0, "npi": [1801883780]}]}]}, {"tin": {"type": "ein", "value": "581795715"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "providers": [{"billed_charge": 1211.0, "npi": [1417301573]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 283.43, "providers": [{"billed_charge": 975.0, "npi": [1598784720]}]}, {"allowed_amount": 485.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 975.0, "npi": [1194744326]}, {"billed_charge": 1024.0, "npi": [1194744326]}]}, {"allowed_amount": 503.91, "providers": [{"billed_charge": 975.0, "npi": [1598784720]}]}, {"allowed_amount": 770.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 975.0, "npi": [1598784720]}]}]}, {"tin": {"type": "ein", "value": "581920755"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 981.0, "npi": [1902870066, 1063663698]}]}, {"allowed_amount": 328.18, "providers": [{"billed_charge": 981.0, "npi": [1982024477, 1831455294]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1149.41, "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": 287.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 650.0, "npi": [1003877523, 1851463244, 1972538213, 1174987655]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 981.0, "npi": [1003357864, 1154731388, 1265881445, 1972967966]}]}, {"allowed_amount": 328.18, "providers": [{"billed_charge": 981.0, "npi": [1669867925]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.44, "providers": [{"billed_charge": 2631.0, "npi": [1952340994]}]}, {"allowed_amount": 610.57, "providers": [{"billed_charge": 3463.0, "npi": [1952340994]}]}, {"allowed_amount": 618.31, "providers": [{"billed_charge": 2631.0, "npi": [1457396079]}]}, {"allowed_amount": 877.31, "providers": [{"billed_charge": 2631.0, "npi": [1225050396]}]}, {"allowed_amount": 933.3, "providers": [{"billed_charge": 2631.0, "npi": [1952340994]}]}, {"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2631.0, "npi": [1376574277, 1457396079]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2018.0, "npi": [1962403865, 1093716979]}]}, {"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2018.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 540.0, "npi": [1649701756, 1164047346, 1518981364, 1346701927]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 877.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2244.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582102607"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.06, "providers": [{"billed_charge": 1045.0, "npi": [1073045209, 1487187597, 1720499007]}]}]}, {"tin": {"type": "ein", "value": "582144788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 645.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2244.0, "npi": [1437135902]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 981.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3771.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582175978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "providers": [{"billed_charge": 596.0, "npi": [1528035326]}]}]}, {"tin": {"type": "ein", "value": "582179986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 915.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2762.1, "npi": [1437186111]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4645.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "providers": [{"billed_charge": 2762.1, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582228258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.78, "providers": [{"billed_charge": 1141.0, "npi": [1497535637]}]}, {"allowed_amount": 142.45, "providers": [{"billed_charge": 1141.0, "npi": [1437676491]}]}, {"allowed_amount": 287.64, "providers": [{"billed_charge": 1141.0, "npi": [1962039933]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 564.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1939.0, "npi": [1326043548]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "providers": [{"billed_charge": 2762.1, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "582453303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2202.0, "npi": [1851388748]}]}]}, {"tin": {"type": "ein", "value": "582548205"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1282.0, "npi": [1992744007]}]}]}, {"tin": {"type": "ein", "value": "582636306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.43, "providers": [{"billed_charge": 1280.0, "npi": [1609683705, 1659022077]}]}, {"allowed_amount": 326.97, "providers": [{"billed_charge": 1280.0, "npi": [1588846265, 1609239979]}]}]}, {"tin": {"type": "ein", "value": "586002659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 689.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 422.0, "npi": [1861615304]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 873.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 767.05, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 604.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3354.31, "npi": [1295702728, 1386940823]}]}, {"allowed_amount": 923.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3354.31, "npi": [1295702728, 1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2481.34, "npi": [1912964768]}]}, {"allowed_amount": 1116.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2481.34, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4888.0, "npi": [1437135811]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 705.0, "npi": [1619132073, 1861835258, 1316408388]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 962.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1194790055]}]}, {"allowed_amount": 1710.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1194790055]}]}, {"allowed_amount": 2614.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 527.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4461.37, "npi": [1598657298, 1033001748]}]}, {"allowed_amount": 806.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4461.37, "npi": [1598657298, 1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 708.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5500.0, "npi": [1700979465]}]}, {"allowed_amount": 835.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5500.0, "npi": [1700979465]}]}, {"allowed_amount": 1276.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5500.0, "npi": [1700979465, 1972664530]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.0, "npi": [1144211020]}]}, {"allowed_amount": 1590.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1770.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3666.0, "npi": [1720085137]}]}, {"allowed_amount": 2705.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3666.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1978.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 888.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4888.0, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.08, "providers": [{"billed_charge": 2460.41, "npi": [1275511651]}]}, {"allowed_amount": 567.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2829.48, "npi": [1083692594]}]}, {"allowed_amount": 867.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2829.48, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.24, "providers": [{"billed_charge": 4610.0, "npi": [1578620449]}]}, {"allowed_amount": 758.8, "providers": [{"billed_charge": 4610.0, "npi": [1578620449]}]}, {"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4610.0, "npi": [1578620449]}]}, {"allowed_amount": 1590.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4610.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4888.0, "npi": [1881632818]}]}, {"allowed_amount": 871.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4888.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590855412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1098.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4888.0, "npi": [1265419907]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.0, "npi": [1245226190]}]}, {"allowed_amount": 867.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1320.0, "npi": [1437683653, 1962953349, 1902577513, 1972360626, 1295011070]}, {"billed_charge": 1358.0, "npi": [1629266184, 1902577513, 1972360626, 1114299245]}]}, {"allowed_amount": 524.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1320.0, "npi": [1487049623, 1558947119]}, {"billed_charge": 1358.0, "npi": [1225617665, 1376955591, 1811033228, 1245895952, 1427541333, 1770756157]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 377.5, "providers": [{"billed_charge": 1243.0, "npi": [1861874828]}]}, {"allowed_amount": 430.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 994.0, "npi": [1528180635, 1477114460]}, {"billed_charge": 1024.0, "npi": [1750124137, 1720033962, 1205641099, 1316196272, 1205665940]}, {"billed_charge": 1145.0, "npi": [1871376798, 1528180635, 1043598956, 1114367190]}, {"billed_charge": 1188.0, "npi": [1356014864, 1972034593, 1922879113, 1972887107]}, {"billed_charge": 1214.0, "npi": [1821311697, 1730950163]}, {"billed_charge": 1243.0, "npi": [1619604162, 1558611434, 1205641099, 1649048208, 1881005874, 1730950163, 1720971732, 1265977300, 1346238649, 1356743900, 1922333244]}]}, {"allowed_amount": 505.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 994.0, "npi": [1144260704, 1811477474, 1396733861, 1932737095, 1285124586, 1407344492, 1902212657, 1245813617, 1073963443, 1205822004, 1407144314, 1215565403, 1265683965, 1740848159]}, {"billed_charge": 1024.0, "npi": [1497743009, 1952691867, 1881004869, 1376005207]}, {"billed_charge": 1071.0, "npi": [1114487527, 1427408939, 1275162893, 1073509618, 1407474174]}, {"billed_charge": 1145.0, "npi": [1063032449, 1861923880, 1205320942, 1609364686, 1073509618, 1265683965, 1265420798]}, {"billed_charge": 1188.0, "npi": [1912132010, 1538747860, 1538509492, 1194709113, 1720330525]}, {"billed_charge": 1214.0, "npi": [1831539329, 1811477474, 1720422694, 1619435187, 1780032409]}, {"billed_charge": 1243.0, "npi": [1487233037, 1780316307, 1306405907, 1427792282, 1417309212, 1831187228, 1487279907, 1639602345, 1912160813, 1609526581, 1124467394, 1639166531, 1346970308, 1861110470, 1568799559, 1225026768, 1568894293, 1063733079, 1346744026, 1942298591, 1427637867, 1194302828, 1841556974, 1003498353, 1154958833, 1760060917, 1902022908]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 724.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2264.0, "npi": [1396992475]}]}, {"allowed_amount": 926.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2264.0, "npi": [1396992475]}]}, {"allowed_amount": 1416.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2264.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2141.17, "providers": [{"billed_charge": 5098.02, "npi": [1841237930]}]}, {"allowed_amount": 2312.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5505.86, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.91, "providers": [{"billed_charge": 400.0, "npi": [1295060119, 1245465863]}]}, {"allowed_amount": 191.42, "providers": [{"billed_charge": 400.0, "npi": [1669498952, 1952582579, 1902244197, 1295060119]}]}, {"allowed_amount": 225.6, "providers": [{"billed_charge": 400.0, "npi": [1669498952, 1952582579, 1578797486]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 479.0, "npi": [1255914214]}]}, {"allowed_amount": 201.24, "providers": [{"billed_charge": 479.0, "npi": [1952407835]}]}, {"allowed_amount": 284.39, "providers": [{"billed_charge": 479.0, "npi": [1194418673, 1962832477]}]}, {"allowed_amount": 335.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 479.0, "npi": [1194088674, 1568106276, 1093378440, 1922272079, 1063942928, 1598393878]}]}, {"allowed_amount": 413.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 479.0, "npi": [1851725311]}]}, {"allowed_amount": 413.59, "providers": [{"billed_charge": 479.0, "npi": [1639518897]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1438.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5314.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.96, "providers": [{"billed_charge": 1087.45, "npi": [1881614923, 1598080004, 1912094574]}]}, {"allowed_amount": 117.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1087.45, "npi": [1447205737, 1144419466, 1053337105, 1720665425, 1457812471, 1528326170, 1942697214]}]}, {"allowed_amount": 141.98, "providers": [{"billed_charge": 1087.45, "npi": [1912094574, 1588624803, 1841638749, 1790800118]}]}, {"allowed_amount": 167.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1087.45, "npi": [1457091571, 1386803062]}]}, {"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1087.45, "npi": [1356630529, 1508880766, 1811960578, 1982625927, 1013596808, 1245868553, 1891719050, 1043445133, 1902256142, 1235636754, 1215498258, 1699301523, 1568852630, 1376832535, 1952833816, 1124361753, 1487674776, 1427013143, 1821433889, 1467713057, 1588624803, 1023543204, 1740203173, 1720006828, 1225324205, 1023169968, 1184642225, 1992966832, 1154781748, 1316109879, 1518544568, 1801174073, 1053992511, 1609542976, 1528506433, 1558629568, 1790948164, 1063945541, 1588604870, 1548223944, 1164861001, 1639512650, 1881614923, 1679192140, 1750517199, 1457871824, 1508824657, 1912224593, 1033421011, 1093919573, 1942635610, 1265591002, 1336889948, 1841638749, 1891920989, 1255594461, 1598773087, 1871673053, 1326247388, 1821450339, 1932360542, 1477872869, 1598225245, 1457333858, 1063480424, 1457662058, 1336731884, 1144300013, 1912094574, 1093795437, 1427481969, 1013206515, 1457091571, 1386394997, 1598105082, 1942697214]}]}, {"allowed_amount": 185.19, "providers": [{"billed_charge": 1087.45, "npi": [1598105082, 1184005027]}]}, {"allowed_amount": 201.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1087.45, "npi": [1447225768]}]}, {"allowed_amount": 202.06, "providers": [{"billed_charge": 1087.45, "npi": [1558411397, 1093095887, 1497288369, 1023697554, 1841267606, 1710467832]}]}, {"allowed_amount": 334.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1087.45, "npi": [1073698122, 1225322571, 1093739245, 1740663095, 1790136927]}]}, {"allowed_amount": 335.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1087.45, "npi": [1356630529, 1790384642, 1093094914, 1598080004, 1982625927, 1245868553, 1699765131, 1043897101, 1902256142, 1922208016, 1801978515, 1245520279, 1952833816, 1427013143, 1225062813, 1821433889, 1558332460, 1306596911, 1386943793, 1205358645, 1801472568, 1578023354, 1053992511, 1528506433, 1366419137, 1235160516, 1427685189, 1588604870, 1164861001, 1679192140, 1982021838, 1750517199, 1457871824, 1508824657, 1164793428, 1093919573, 1407437528, 1790041689, 1336889948, 1891920989, 1740576735, 1457662058, 1144413675, 1144300013, 1093795437, 1851914097, 1386803062, 1356318711, 1598105082]}]}, {"allowed_amount": 491.37, "providers": [{"billed_charge": 1087.45, "npi": [1952389538, 1134324056, 1235160516, 1063480424, 1053383448, 1205358645, 1801472568, 1275859225, 1598773087]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.96, "providers": [{"billed_charge": 490.0, "npi": [1831457282, 1821674474]}]}, {"allowed_amount": 104.94, "providers": [{"billed_charge": 490.0, "npi": [1225466634]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 490.0, "npi": [1871170951, 1962961938, 1609108505, 1033260955, 1730620188, 1548231327, 1073527586, 1528103843, 1538818216, 1881674026, 1639755309, 1336644400, 1720032048, 1518277946, 1427286715, 1992209852, 1962021972, 1710958806, 1740662360, 1760772958, 1851041503, 1578588000, 1053831032, 1861929721, 1821485822]}, {"billed_charge": 759.0, "npi": [1528103843, 1205363686, 1720032048, 1962021972, 1609108505, 1033260955, 1730620188, 1821485822]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1248.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2088.0, "npi": [1437177664]}]}, {"allowed_amount": 1908.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2088.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 578.83, "providers": [{"billed_charge": 3837.0, "npi": [1699874248]}]}, {"allowed_amount": 1029.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.0, "npi": [1699874248]}]}, {"allowed_amount": 1573.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1187.0, "npi": [1629262126]}]}, {"allowed_amount": 147.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1187.0, "npi": [1285684597, 1649275249, 1952313173]}]}, {"allowed_amount": 153.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1187.0, "npi": [1235625443, 1083077507, 1851407431, 1669637419, 1386844140, 1578958443, 1386633774, 1396108635, 1700837044, 1962852251]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1187.0, "npi": [1083077507, 1962852251, 1669637419, 1629262126, 1386633774, 1649275249, 1285950931, 1700837044, 1285684597, 1952313173, 1396108635]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.35, "providers": [{"billed_charge": 4888.0, "npi": [1427024942]}]}, {"allowed_amount": 1098.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4888.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3350.58, "npi": [1821186313]}]}, {"allowed_amount": 1590.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3350.58, "npi": [1821186313]}]}, {"allowed_amount": 9969.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3350.58, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.06, "providers": [{"billed_charge": 370.89, "npi": [1629150123]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 339.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3354.31, "npi": [1184691610]}]}, {"allowed_amount": 604.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3354.31, "npi": [1184691610]}]}, {"allowed_amount": 923.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3354.31, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1710.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1376512988]}]}, {"allowed_amount": 2614.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 581.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3037.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.36, "providers": [{"billed_charge": 400.0, "npi": [1003568890, 1992147771, 1164906780]}]}, {"allowed_amount": 283.96, "providers": [{"billed_charge": 400.0, "npi": [1881058881, 1477627107, 1427636133, 1780181479, 1578192167, 1184369738, 1205333879, 1639707698, 1265326706, 1740291285, 1083175285, 1760421911]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "providers": [{"billed_charge": 4610.0, "npi": [1821155912]}]}, {"allowed_amount": 1590.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4610.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593202547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1703.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2136.0, "npi": [1104926401]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 373.0, "npi": [1144261082]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 373.0, "npi": [1124004874, 1366655276, 1013225317]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1438.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5314.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 1513.0, "npi": [1093373771, 1972769198, 1881744662]}]}, {"allowed_amount": 185.19, "providers": [{"billed_charge": 1513.0, "npi": [1578724142]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 1513.0, "npi": [1902169154, 1437681004, 1548765126, 1154471951]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 741.0, "npi": [1164628830]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 487.0, "npi": [1356652812]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 487.0, "npi": [1518131440, 1770683724]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.28, "providers": [{"billed_charge": 1279.0, "npi": [1245646587]}]}, {"allowed_amount": 172.84, "providers": [{"billed_charge": 1279.0, "npi": [1740388354, 1851541130, 1952665747, 1487937173, 1063663516, 1396712352, 1346762788, 1821652397, 1275784886, 1699065276, 1912648510, 1124699475, 1487940060, 1750481248, 1427431782, 1194843367, 1346686573, 1720280688, 1033360631, 1245646587]}]}, {"allowed_amount": 179.03, "providers": [{"billed_charge": 1279.0, "npi": [1245729482]}]}, {"allowed_amount": 185.19, "providers": [{"billed_charge": 1279.0, "npi": [1346686573]}]}, {"allowed_amount": 285.44, "providers": [{"billed_charge": 1279.0, "npi": [1417925199]}]}, {"allowed_amount": 314.82, "providers": [{"billed_charge": 1279.0, "npi": [1346686573, 1942261821, 1568402485, 1912524471]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 1279.0, "npi": [1851541130, 1275150732, 1952665747, 1558866707, 1255328407, 1063663516, 1083652382, 1851734321, 1962502450, 1831741107, 1699065276, 1740296383, 1679893960, 1689244105, 1376289736, 1285622605, 1124699475, 1750481248, 1366706152, 1891365482, 1871553776, 1013366640, 1730528753, 1861431926]}]}, {"allowed_amount": 375.97, "providers": [{"billed_charge": 1279.0, "npi": [1487940060]}]}]}, {"tin": {"type": "ein", "value": "593535333"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 335.81, "providers": [{"billed_charge": 1350.0, "npi": [1841751849, 1326289042]}]}]}, {"tin": {"type": "ein", "value": "593597846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 1119.0, "npi": [1386227064, 1881809150]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 1119.0, "npi": [1437378577, 1114549425, 1790711133, 1679734743]}]}]}, {"tin": {"type": "ein", "value": "593677604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.32, "providers": [{"billed_charge": 1025.0, "npi": [1760826762]}]}]}, {"tin": {"type": "ein", "value": "594801453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.5, "providers": [{"billed_charge": 354.98, "npi": [1982096673]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1002.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3085.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 711.73, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.67, "providers": [{"billed_charge": 393.0, "npi": [1932630704]}]}, {"allowed_amount": 179.03, "providers": [{"billed_charge": 393.0, "npi": [1932630704]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 604.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2906.0, "npi": [1053424648]}]}, {"allowed_amount": 923.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2906.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "596031176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 290.13, "providers": [{"billed_charge": 857.0, "npi": [1699930636]}]}]}, {"tin": {"type": "ein", "value": "601335751"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.5, "providers": [{"billed_charge": 750.0, "npi": [1801114426]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 910.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2881.27, "npi": [1689282147]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 877.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1856.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 706.46, "providers": [{"billed_charge": 2018.47, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1725.75, "providers": [{"billed_charge": 4930.7, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "610945743"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 284.0, "npi": [1952764896, 1164950812]}]}]}, {"tin": {"type": "ein", "value": "611185194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 907.0, "npi": [1881775146]}]}]}, {"tin": {"type": "ein", "value": "611262927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 347.0, "npi": [1467197525]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.15, "providers": [{"billed_charge": 489.0, "npi": [1811274236]}]}, {"allowed_amount": 187.24, "providers": [{"billed_charge": 489.0, "npi": [1184128936, 1528527306, 1457588618]}]}]}, {"tin": {"type": "ein", "value": "611334601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 863.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2298.0, "npi": [1447457775]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 237.42, "providers": [{"billed_charge": 640.0, "npi": [1215120076]}]}, {"allowed_amount": 522.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 640.0, "npi": [1669457792]}]}, {"allowed_amount": 528.18, "providers": [{"billed_charge": 640.0, "npi": [1548233760, 1124140322, 1932564739, 1437544301, 1295078574, 1184019119]}]}, {"allowed_amount": 540.0, "providers": [{"billed_charge": 540.0, "npi": [1457383267]}]}, {"allowed_amount": 542.36, "providers": [{"billed_charge": 640.0, "npi": [1497259865]}]}]}, {"tin": {"type": "ein", "value": "611956307"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 414.0, "npi": [1629607205]}]}]}, {"tin": {"type": "ein", "value": "616001218"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2029.39, "npi": [1518911338]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2449.0, "npi": [1558365890]}]}, {"allowed_amount": 653.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2449.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "620545814"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 965.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1000.0, "npi": [1912997024]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3840.0, "npi": [1023055126]}]}, {"allowed_amount": 667.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3652.64, "npi": [1982650024]}, {"billed_charge": 3840.0, "npi": [1023055126]}]}, {"allowed_amount": 1020.79, "providers": [{"billed_charge": 3652.64, "npi": [1982650024]}, {"billed_charge": 3703.29, "npi": [1720032345]}, {"billed_charge": 3840.0, "npi": [1023055126]}, {"billed_charge": 4377.53, "npi": [1992776405]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 965.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1000.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 366.05, "providers": [{"billed_charge": 987.0, "npi": [1619865334]}]}, {"allowed_amount": 374.62, "providers": [{"billed_charge": 1127.0, "npi": [1124828066]}]}, {"allowed_amount": 380.93, "providers": [{"billed_charge": 1212.0, "npi": [1093994568]}]}, {"allowed_amount": 386.95, "providers": [{"billed_charge": 1133.0, "npi": [1356037212]}]}, {"allowed_amount": 430.64, "providers": [{"billed_charge": 1147.0, "npi": [1013998327]}]}, {"allowed_amount": 440.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1025.0, "npi": [1700599875]}, {"billed_charge": 1127.0, "npi": [1093464547, 1790917318, 1902254303]}, {"billed_charge": 1208.0, "npi": [1871931816]}]}, {"allowed_amount": 448.15, "providers": [{"billed_charge": 1100.0, "npi": [1689109605]}, {"billed_charge": 1212.0, "npi": [1548919814, 1972099935]}]}]}, {"tin": {"type": "ein", "value": "621179254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.63, "providers": [{"billed_charge": 1152.0, "npi": [1013370022, 1740740620, 1568807758, 1770625972, 1104879352]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.05, "providers": [{"billed_charge": 1190.0, "npi": [1356379382]}]}, {"allowed_amount": 366.05, "providers": [{"billed_charge": 958.0, "npi": [1811255607]}, {"billed_charge": 1161.0, "npi": [1639416720, 1962693952, 1235446766]}]}, {"allowed_amount": 369.04, "providers": [{"billed_charge": 1169.0, "npi": [1598445801]}]}, {"allowed_amount": 430.64, "providers": [{"billed_charge": 958.0, "npi": [1821559824]}, {"billed_charge": 987.0, "npi": [1174085443, 1801823604]}, {"billed_charge": 1137.0, "npi": [1417580754]}]}, {"allowed_amount": 434.17, "providers": [{"billed_charge": 1169.0, "npi": [1225667249]}]}, {"allowed_amount": 440.73, "providers": [{"billed_charge": 1123.0, "npi": [1578751319]}]}]}, {"tin": {"type": "ein", "value": "621453389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 374.81, "providers": [{"billed_charge": 1042.0, "npi": [1245683200]}]}]}, {"tin": {"type": "ein", "value": "621586974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.19, "providers": [{"billed_charge": 702.0, "npi": [1841224243]}]}]}, {"tin": {"type": "ein", "value": "621636837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.19, "providers": [{"billed_charge": 419.0, "npi": [1609876176]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1658.77, "providers": [{"billed_charge": 4739.33, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1249.1, "providers": [{"billed_charge": 4583.74, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621682198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "providers": [{"billed_charge": 3227.29, "npi": [1689628984]}]}]}, {"tin": {"type": "ein", "value": "621682201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "providers": [{"billed_charge": 4392.47, "npi": [1134172406]}]}]}, {"tin": {"type": "ein", "value": "621682210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "providers": [{"billed_charge": 3315.29, "npi": [1255384533]}]}]}, {"tin": {"type": "ein", "value": "621740235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1035.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2754.17, "npi": [1770674350]}]}]}, {"tin": {"type": "ein", "value": "621751737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1220.0, "npi": [1225411259]}]}]}, {"tin": {"type": "ein", "value": "621753289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 636.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4553.0, "npi": [1699765453]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2289.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621762412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 557.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3257.28, "npi": [1801830500]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 937.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2700.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2018.1, "providers": [{"billed_charge": 5766.0, "npi": [1861439952]}]}, {"allowed_amount": 2328.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6653.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2229.5, "providers": [{"billed_charge": 6370.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1349.95, "providers": [{"billed_charge": 3857.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1107.33, "providers": [{"billed_charge": 3163.8, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "621801359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "providers": [{"billed_charge": 6769.77, "npi": [1174576698]}]}]}, {"tin": {"type": "ein", "value": "621801361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "providers": [{"billed_charge": 3440.29, "npi": [1962455816]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7040.35, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "621812558"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 729.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2881.86, "npi": [1457321036]}]}]}, {"tin": {"type": "ein", "value": "621861200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1060.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4833.0, "npi": [1740252592]}]}]}, {"tin": {"type": "ein", "value": "630288856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 549.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1890.0, "npi": [1558364802]}, {"billed_charge": 1999.47, "npi": [1558364802]}]}, {"allowed_amount": 839.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1870.0, "npi": [1558364802]}]}]}, {"tin": {"type": "ein", "value": "630385130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 519.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1150.0, "npi": [1811913460]}]}]}, {"tin": {"type": "ein", "value": "630891904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 839.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2019.4, "npi": [1447303227]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 918.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "631034885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 752.0, "npi": [1578777884]}]}]}, {"tin": {"type": "ein", "value": "631104510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 735.0, "npi": [1811525256, 1932587714, 1063471589]}]}]}, {"tin": {"type": "ein", "value": "631159023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 498.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2825.29, "npi": [1720039712]}]}]}, {"tin": {"type": "ein", "value": "631170411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 441.0, "npi": [1477121408, 1568457208, 1366174930]}]}]}, {"tin": {"type": "ein", "value": "636000090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 828.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1304.72, "npi": [1003996000]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 260.0, "npi": [1225525561, 1902388002]}]}]}, {"tin": {"type": "ein", "value": "636001820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 519.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1428.0, "npi": [1043262488]}]}]}, {"tin": {"type": "ein", "value": "636004476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 305.0, "npi": [1235513003]}]}]}, {"tin": {"type": "ein", "value": "640303091"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 681.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1190.0, "npi": [1306876065]}]}]}, {"tin": {"type": "ein", "value": "640682111"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 699.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1514.0, "npi": [1194789818]}]}]}, {"tin": {"type": "ein", "value": "646000515"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2079.0, "npi": [1124136593]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1206.0, "npi": [1225373848]}]}, {"allowed_amount": 140.67, "providers": [{"billed_charge": 1206.0, "npi": [1598179285]}]}, {"allowed_amount": 155.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1206.0, "npi": [1225373848, 1841279700, 1376508341]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1206.0, "npi": [1386030849, 1265485577, 1689195406, 1447889423, 1225373848, 1023406105, 1629472923, 1811488158, 1699065763, 1124045745, 1255437109, 1376508341, 1861810236, 1043290430, 1154756039, 1952557779, 1841279700, 1831167576, 1245374685, 1356321632, 1154542967, 1578508024, 1568953339]}]}, {"allowed_amount": 264.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1206.0, "npi": [1629472923, 1508305111]}]}, {"allowed_amount": 350.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1206.0, "npi": [1386030849, 1699065763, 1154756039, 1265485577, 1831167576, 1689195406, 1275997199, 1447889423, 1952557779, 1255437109, 1154542967, 1578508024, 1376863803, 1861810236, 1043290430]}]}]}, {"tin": {"type": "ein", "value": "650202995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 660.0, "npi": [1538271762]}]}]}, {"tin": {"type": "ein", "value": "650203499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 455.24, "providers": [{"billed_charge": 1141.0, "npi": [1184374464, 1184201428]}]}]}, {"tin": {"type": "ein", "value": "650515683"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "providers": [{"billed_charge": 510.0, "npi": [1710056130, 1831320357, 1881156230, 1104110386, 1356311922, 1225088511]}]}, {"allowed_amount": 373.27, "providers": [{"billed_charge": 510.0, "npi": [1710056130, 1831320357, 1881156230, 1538595913, 1104110386, 1356311922, 1225088511]}]}, {"allowed_amount": 510.0, "providers": [{"billed_charge": 510.0, "npi": [1356311922, 1831320357, 1881156230]}]}]}, {"tin": {"type": "ein", "value": "650533762"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.29, "providers": [{"billed_charge": 416.0, "npi": [1730599903]}]}, {"allowed_amount": 179.03, "providers": [{"billed_charge": 416.0, "npi": [1730599903]}]}, {"allowed_amount": 191.42, "providers": [{"billed_charge": 416.0, "npi": [1801859962]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.06, "providers": [{"billed_charge": 1097.0, "npi": [1366417479]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.7, "providers": [{"billed_charge": 1061.0, "npi": [1346772076]}]}, {"allowed_amount": 77.08, "providers": [{"billed_charge": 1518.0, "npi": [1518946367]}]}, {"allowed_amount": 91.96, "providers": [{"billed_charge": 1061.0, "npi": [1346772076]}, {"billed_charge": 1361.0, "npi": [1639149859]}, {"billed_charge": 1377.0, "npi": [1265883433, 1417586132]}, {"billed_charge": 1644.0, "npi": [1982232732]}]}, {"allowed_amount": 95.64, "providers": [{"billed_charge": 678.0, "npi": [1417287988]}]}, {"allowed_amount": 104.82, "providers": [{"billed_charge": 1061.0, "npi": [1578025979]}]}, {"allowed_amount": 122.68, "providers": [{"billed_charge": 1061.0, "npi": [1245641240, 1710119771]}]}, {"allowed_amount": 125.32, "providers": [{"billed_charge": 1046.0, "npi": [1205851565]}]}, {"allowed_amount": 127.88, "providers": [{"billed_charge": 1518.0, "npi": [1952333205, 1770515991]}]}, {"allowed_amount": 136.73, "providers": [{"billed_charge": 1349.0, "npi": [1578547865]}, {"billed_charge": 1377.0, "npi": [1396317137]}, {"billed_charge": 1404.0, "npi": [1083286801]}]}, {"allowed_amount": 191.42, "providers": [{"billed_charge": 1404.0, "npi": [1083286801]}]}, {"allowed_amount": 222.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1361.0, "npi": [1376199497]}, {"billed_charge": 1518.0, "npi": [1619945144, 1457073066, 1659250868]}]}, {"allowed_amount": 235.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1377.0, "npi": [1245904820, 1205850070]}, {"billed_charge": 1393.0, "npi": [1063652881]}]}, {"allowed_amount": 258.35, "providers": [{"billed_charge": 1518.0, "npi": [1831103423]}]}, {"allowed_amount": 262.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1061.0, "npi": [1942797972, 1457320822]}, {"billed_charge": 1361.0, "npi": [1891894838, 1003880774]}, {"billed_charge": 1518.0, "npi": [1477928737, 1457512642, 1073719621, 1740528231, 1194083881, 1972130318, 1932858289, 1760743512, 1518946367]}]}, {"allowed_amount": 277.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1349.0, "npi": [1508494733, 1124657085]}, {"billed_charge": 1377.0, "npi": [1457812273, 1376032011, 1902866494, 1265883433]}, {"billed_charge": 1393.0, "npi": [1760061931, 1871859652, 1508039595, 1558725358]}, {"billed_charge": 1404.0, "npi": [1538148127]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 1361.0, "npi": [1639149859]}]}, {"allowed_amount": 437.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1202.0, "npi": [1811550148]}, {"billed_charge": 1262.0, "npi": [1760422034]}, {"billed_charge": 1380.0, "npi": [1134878192, 1104023399]}]}, {"allowed_amount": 445.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1061.0, "npi": [1073935300, 1134108996, 1972756229, 1205685484, 1063967834, 1831147743]}, {"billed_charge": 1361.0, "npi": [1750845152, 1376199497, 1982273678, 1326637588, 1275097727]}, {"billed_charge": 1518.0, "npi": [1447862818, 1942701156, 1568969061, 1316428840, 1457073066, 1689494221, 1619945144, 1740972751, 1447239215, 1255138228, 1659250868, 1518385749, 1215101688, 1710574777]}, {"billed_charge": 1644.0, "npi": [1194155242, 1578953931, 1164137881, 1932887023, 1508374992, 1063225712, 1083600241, 1215719315, 1184676405, 1497536601, 1174910970, 1134158207]}]}, {"allowed_amount": 470.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1349.0, "npi": [1568409985, 1588202840, 1700532645, 1114642345, 1063989168, 1114625712, 1568492817, 1477005239, 1144005208, 1154757656]}, {"billed_charge": 1377.0, "npi": [1609636422, 1629885736, 1215425707, 1821077967, 1093492209, 1992465330, 1245904820, 1598363764, 1205850070, 1396133237]}, {"billed_charge": 1393.0, "npi": [1063652881, 1770369019, 1982122180, 1235814310]}]}, {"allowed_amount": 505.9, "providers": [{"billed_charge": 1478.0, "npi": [1568632834]}]}, {"allowed_amount": 524.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1030.0, "npi": [1396199360, 1346744281, 1649896341, 1164983086]}, {"billed_charge": 1061.0, "npi": [1699804930, 1205577988, 1982054029, 1164084109, 1699833103, 1942797972, 1922275221, 1366742678, 1588046999, 1245641240, 1669458584, 1407039522, 1700464039, 1649561002, 1518279470, 1508391228, 1184975039, 1861733313, 1295001667, 1578190278, 1801359559, 1669713483, 1225569742, 1467816272, 1700068566, 1710119771, 1417278177, 1144531682, 1871572586, 1346772076, 1225137516, 1457320822, 1487956728, 1629962618, 1578025979]}, {"billed_charge": 1361.0, "npi": [1568038784, 1639149859, 1003880774, 1124093703, 1346220811, 1518279470, 1891894838]}, {"billed_charge": 1518.0, "npi": [1932156676, 1174519557, 1356084487, 1972130318, 1700803343, 1235440017, 1073843090, 1437724051, 1487690897, 1649896341, 1922098839, 1811488158, 1477928737, 1316109473, 1538555685, 1992790950, 1194083881, 1093212458, 1376511147, 1164409389, 1164983086, 1437248432, 1932858289, 1174055479, 1831103423, 1518946367, 1457512642, 1073719621, 1205451135, 1629236427, 1689660748, 1619945169, 1255367892, 1043439318, 1922206168, 1346744281, 1760743512, 1699761759, 1255697504, 1023751138, 1619408739, 1003131749, 1942613989, 1740528231, 1013189224, 1336725225, 1659663334, 1457556714, 1558598383, 1780670588, 1902901887]}, {"billed_charge": 1644.0, "npi": [1275571457, 1023004553, 1932527884, 1639105422, 1275950479, 1386782225, 1073824785, 1184998676, 1699208470, 1841373719, 1861067670, 1457580441, 1225057177, 1982232732, 1063770022, 1801475751, 1417185786, 1750587572, 1851734198, 1982859898, 1659498939, 1124075197, 1205490372, 1699761098, 1750887626, 1538692306, 1073720405, 1831381078, 1376521815, 1083966808, 1659756120, 1083600092, 1720541790, 1962787937, 1093721961, 1801820659, 1881901940, 1255768313, 1205397882, 1477578623]}]}, {"allowed_amount": 554.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1349.0, "npi": [1154062727, 1508494733, 1275799827, 1730618653, 1376522144, 1871948836, 1770538662, 1316261043, 1124657085, 1558011197, 1770223166, 1134323405, 1518927193, 1922155357, 1316185309, 1346560364, 1801092465, 1003852658, 1841876349]}, {"billed_charge": 1377.0, "npi": [1710568704, 1144482951, 1639424906, 1376032011, 1013171354, 1639109150, 1538148127, 1881829281, 1629885736, 1265883433, 1255869483, 1457812273, 1255735221, 1366431546, 1902866494, 1851354559, 1417586132, 1801245675, 1053690479, 1073762043]}, {"billed_charge": 1393.0, "npi": [1710372230, 1154786192, 1780983569, 1033143698, 1437649175, 1831533603, 1508039595, 1699208637, 1912648767, 1225394240, 1487232450, 1013357508, 1871859652, 1891763017, 1639495245, 1902080468, 1083034581, 1114509270, 1306418264, 1598029274, 1215108832, 1336497890, 1760061931, 1558725358, 1912561648]}, {"billed_charge": 1404.0, "npi": [1154333987, 1669608618, 1326579566, 1659657047, 1134625049, 1417698077, 1659951358, 1538148127]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.32, "providers": [{"billed_charge": 1577.0, "npi": [1376934604]}]}, {"allowed_amount": 215.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1379.0, "npi": [1457602468]}]}, {"allowed_amount": 377.5, "providers": [{"billed_charge": 1577.0, "npi": [1629465497]}]}, {"allowed_amount": 430.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1076.0, "npi": [1902999014]}, {"billed_charge": 1379.0, "npi": [1336849652, 1801648621, 1639587702]}, {"billed_charge": 1441.0, "npi": [1740532225, 1811539042, 1871260893]}, {"billed_charge": 1512.0, "npi": [1205480977, 1518116516, 1871260893, 1467834838]}]}, {"allowed_amount": 445.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1577.0, "npi": [1437719457, 1710574777, 1942701156, 1730943143, 1457073066, 1275816266, 1942872494, 1073995726, 1740972751, 1093164659, 1073952057, 1740145309]}]}, {"allowed_amount": 505.9, "providers": [{"billed_charge": 1076.0, "npi": [1245859057]}, {"billed_charge": 1379.0, "npi": [1780180257, 1780641134, 1639137839, 1134109267, 1598791964]}, {"billed_charge": 1441.0, "npi": [1750720934, 1043849854]}, {"billed_charge": 1512.0, "npi": [1245612241, 1497984710]}]}, {"allowed_amount": 524.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1292.0, "npi": [1326482811, 1558368340]}, {"billed_charge": 1577.0, "npi": [1164468492, 1467716241, 1073843090, 1548898323, 1609518356, 1811931413, 1366742678, 1598749335, 1689669400, 1629465497, 1851618227, 1295001667, 1649248196, 1669576005, 1578190278, 1366684615, 1942350079, 1679742027, 1376934604, 1225569742, 1619945169, 1922206168, 1619232089, 1528687837, 1003131749, 1457556714, 1841638897, 1598393589, 1912527995, 1639286396, 1902901887]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.44, "providers": [{"billed_charge": 900.0, "npi": [1639830532]}]}, {"allowed_amount": 147.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 900.0, "npi": [1114664224]}]}, {"allowed_amount": 155.44, "providers": [{"billed_charge": 900.0, "npi": [1831147743]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 900.0, "npi": [1720068224, 1841287356, 1912439910]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 900.0, "npi": [1720068224, 1043639297, 1912388224, 1205577988, 1972756229, 1255342341, 1023038346, 1164084109, 1114151313, 1750756755, 1588600217, 1801120027, 1083864987, 1811060130, 1407039522, 1699270819, 1740784933, 1871562413, 1013364660, 1215925045, 1255735221, 1841287356, 1568880961, 1134108996, 1205879624, 1316917321, 1467449033, 1013904457, 1619992153, 1831147743, 1275812067, 1396781027, 1730529124, 1912439910, 1326209255, 1871572586, 1114915949, 1245304310, 1588098040, 1326467580, 1598122749]}]}, {"allowed_amount": 295.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 900.0, "npi": [1134108996, 1972756229, 1205879624, 1356589964, 1013494798, 1245304310, 1568831543, 1588098040, 1083864987, 1598122749]}]}, {"allowed_amount": 350.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 900.0, "npi": [1912388224, 1720068224, 1043639297, 1205577988, 1255342341, 1023038346, 1164084109, 1114151313, 1588600217, 1801120027, 1811060130, 1699270819, 1871562413, 1851388466, 1013364660, 1215925045, 1841287356, 1013904457, 1316917321, 1467449033, 1821444563, 1619992153, 1801875554, 1275812067, 1730529124, 1396781027, 1912439910, 1326209255, 1871572586, 1114915949, 1326467580]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.91, "providers": [{"billed_charge": 260.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650691102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.85, "providers": [{"billed_charge": 1178.0, "npi": [1346600780]}, {"billed_charge": 1191.0, "npi": [1356888499]}]}, {"allowed_amount": 379.72, "providers": [{"billed_charge": 1154.0, "npi": [1508572744, 1063751212, 1326878828, 1740255389]}]}, {"allowed_amount": 439.83, "providers": [{"billed_charge": 1064.0, "npi": [1437500188]}, {"billed_charge": 1191.0, "npi": [1235473562, 1124130356, 1427374727]}, {"billed_charge": 1198.0, "npi": [1942464946, 1629538467, 1497333439]}]}, {"allowed_amount": 446.73, "providers": [{"billed_charge": 1154.0, "npi": [1639376205, 1720433758]}]}, {"allowed_amount": 455.24, "providers": [{"billed_charge": 1037.0, "npi": [1194953638]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.58, "providers": [{"billed_charge": 1316.0, "npi": [1346220845, 1538144597]}]}, {"allowed_amount": 91.96, "providers": [{"billed_charge": 1316.0, "npi": [1740578368, 1811510282, 1407344492]}]}, {"allowed_amount": 104.82, "providers": [{"billed_charge": 1316.0, "npi": [1285684753]}]}, {"allowed_amount": 125.32, "providers": [{"billed_charge": 1316.0, "npi": [1730121211, 1417930678, 1396206843]}]}, {"allowed_amount": 127.88, "providers": [{"billed_charge": 1316.0, "npi": [1134102080, 1780667923]}]}, {"allowed_amount": 133.21, "providers": [{"billed_charge": 1316.0, "npi": [1639520752, 1881678290, 1679816565]}]}, {"allowed_amount": 179.03, "providers": [{"billed_charge": 1316.0, "npi": [1063495836]}]}, {"allowed_amount": 222.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1316.0, "npi": [1225432768, 1295704930, 1669845285, 1750387726, 1477824126, 1013248095]}]}, {"allowed_amount": 262.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1316.0, "npi": [1811933062, 1407282445, 1306499470, 1871719567, 1285684753, 1023645074, 1841225752, 1275973786, 1518184225, 1801525027, 1295296549, 1982883237, 1346220845, 1417930678, 1174815799, 1538144597, 1801139290, 1609870682, 1235167453, 1275013732, 1508807546]}]}, {"allowed_amount": 385.42, "providers": [{"billed_charge": 1316.0, "npi": [1619910973]}]}, {"allowed_amount": 418.95, "providers": [{"billed_charge": 1316.0, "npi": [1790944205]}]}, {"allowed_amount": 445.48, "billing_code_modifier": ["SA", "25,SA", "25"], "providers": [{"billed_charge": 1316.0, "npi": [1093979650, 1932312964, 1801639430, 1518131465, 1750387726, 1235590928, 1891470480, 1831691666, 1497419923, 1609956119, 1396296729, 1225149594, 1912194713, 1588643357, 1184093726, 1376176289, 1437600418, 1669845285, 1568490027, 1669783213, 1316681265, 1801594809, 1003118779, 1780280255, 1700894144, 1225432768, 1346768066, 1740541515, 1215330642, 1205454162, 1982290003, 1538305750, 1013248095, 1093247330, 1295704930, 1427054311, 1366863342, 1477824126]}]}, {"allowed_amount": 524.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1316.0, "npi": [1194074112, 1629126149, 1447375878, 1457830408, 1811510282, 1285684753, 1518412311, 1841225752, 1962498071, 1922376730, 1043322399, 1699851295, 1922684448, 1912993312, 1992791586, 1295296549, 1477589034, 1720389679, 1174815799, 1831237692, 1740578368, 1619543105, 1780628560, 1801139290, 1477130334, 1629657184, 1275013732, 1013307495, 1114955390, 1265606784, 1740711563, 1942837901, 1871719567, 1598976656, 1891081881, 1275973786, 1861772964, 1619149481, 1629509302, 1699771576, 1114953916, 1760418495, 1386094274, 1245260488, 1477973709, 1871750349, 1407238363, 1033303771, 1235167453, 1467947242, 1699754218, 1548708597, 1952714487, 1396206843, 1003802877, 1467740423, 1962446088, 1518909704, 1407282445, 1073715470, 1326336785, 1518184225, 1669417762, 1336382241, 1801525027, 1811121957, 1326281510, 1346220845, 1033146162, 1831413558, 1619910973, 1528367422, 1083871552, 1154764611, 1639585607, 1922189653, 1538144597, 1083642201, 1609870682, 1093247330, 1013993831, 1407344492, 1316261233, 1679816565, 1356383095, 1508807546, 1467409276, 1811933062, 1336339852, 1306499470, 1023645074, 1124055959, 1275100059, 1619269024, 1982883237, 1326074790, 1679518120, 1689014185, 1417930678, 1912403387, 1780612028, 1760419774, 1831176130, 1790944205, 1427078096, 1689642449, 1881678290, 1427554773, 1508893678, 1639520752, 1891073524, 1083642870, 1730121211, 1598098428]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 276.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650790741"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 213.0, "npi": [1316135320]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1801875554, 1578669412, 1801474630, 1376589002, 1598706764, 1235425836, 1760126551, 1063154904, 1760452957, 1306800446]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1801875554, 1578669412, 1801474630, 1376589002, 1235425836, 1598706764, 1063154904, 1851954556, 1760452957, 1306800446]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1083644033]}]}, {"allowed_amount": 527.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1083644033]}]}, {"allowed_amount": 806.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1083644033]}]}, {"allowed_amount": 948.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3673.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1273.0, "npi": [1134665508, 1649375783, 1518234319, 1245436021, 1699735258]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1273.0, "npi": [1730169475, 1104815117, 1780983569, 1871116061, 1659326494, 1134665508, 1487685798, 1649375783, 1881210920, 1316114614, 1780796086, 1861901753, 1326400698, 1821733312, 1326668864, 1679776330, 1568491082, 1518234319, 1124559828, 1518927193, 1699735258, 1184944357, 1881704807, 1811991656, 1548609258, 1235591660, 1114156783, 1235766767, 1912154865, 1245436021, 1285608828, 1659951358]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1273.0, "npi": [1730169475, 1780983569, 1871116061, 1659326494, 1134665508, 1487685798, 1649375783, 1881210920, 1285089326, 1780796086, 1861901753, 1326400698, 1326668864, 1821733312, 1801474630, 1679776330, 1568491082, 1134323405, 1518234319, 1518927193, 1699735258, 1881704807, 1548609258, 1235591660, 1114156783, 1235766767, 1245436021, 1285608828, 1659951358]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 500.0, "npi": [1205879350]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 506.6, "providers": [{"billed_charge": 1795.12, "npi": [1619922077]}]}, {"allowed_amount": 1376.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1795.12, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.91, "providers": [{"billed_charge": 600.0, "npi": [1811345978]}]}, {"allowed_amount": 191.42, "providers": [{"billed_charge": 220.0, "npi": [1922086875]}]}]}, {"tin": {"type": "ein", "value": "660433514"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1538100946]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 873.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1084.0, "npi": [1487699047]}]}]}, {"tin": {"type": "ein", "value": "710411459"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.93, "providers": [{"billed_charge": 311.0, "npi": [1700845740]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3440.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 801.0, "npi": [1477549756]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1670.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "720423659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2228.0, "npi": [1821098286]}]}]}, {"tin": {"type": "ein", "value": "720880258"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1605.0, "npi": [1518924109]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "726014606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 667.0, "npi": [1295716637]}]}]}, {"tin": {"type": "ein", "value": "726014895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 525.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 894.0, "npi": [1578568481]}]}]}, {"tin": {"type": "ein", "value": "730657693"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3951.25, "npi": [1700471497]}]}]}, {"tin": {"type": "ein", "value": "730725208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1238.0, "npi": [1144205360]}]}]}, {"tin": {"type": "ein", "value": "731034824"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3133.0, "npi": [1831103654]}]}]}, {"tin": {"type": "ein", "value": "731089149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3133.0, "npi": [1457372625]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2250.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.81, "providers": [{"billed_charge": 312.0, "npi": [1205321338]}]}, {"allowed_amount": 167.61, "providers": [{"billed_charge": 312.0, "npi": [1518401942]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3006.0, "npi": [1750499273, 1093810327]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3006.0, "npi": [1164526786]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4078.0, "npi": [1447883301]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4078.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4093.0, "npi": [1295843787]}]}, {"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4093.0, "npi": [1730132234]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4093.0, "npi": [1730132234]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3250.0, "npi": [1942294939]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1240.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.89, "providers": [{"billed_charge": 339.0, "npi": [1407823313]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 918.48, "npi": [1669043907]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "providers": [{"billed_charge": 473.0, "npi": [1033524194, 1912589193, 1356601710, 1124559695, 1205888187]}]}]}, {"tin": {"type": "ein", "value": "742225672"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "providers": [{"billed_charge": 2744.12, "npi": [1629089966]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 999.56, "npi": [1164659074]}]}, {"allowed_amount": 180.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1578253266, 1982008207]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 999.56, "npi": [1679841720]}]}, {"allowed_amount": 269.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1528733177, 1336702158]}]}, {"allowed_amount": 322.03, "providers": [{"billed_charge": 999.56, "npi": [1679777288, 1386088045, 1821262015]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1274.5, "providers": [{"billed_charge": 3641.43, "npi": [1124074273]}]}, {"allowed_amount": 1304.77, "providers": [{"billed_charge": 3727.92, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "providers": [{"billed_charge": 3745.0, "npi": [1679528889]}, {"billed_charge": 4865.0, "npi": [1629021845]}, {"billed_charge": 4868.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 269.97, "providers": [{"billed_charge": 999.56, "npi": [1609853720]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2893.1, "providers": [{"billed_charge": 8266.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "743177454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5360.0, "npi": [1740389154]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2582.0, "npi": [1528027786]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2582.0, "npi": [1568818417]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 969.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4064.08, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 1521.25, "npi": [1396779948]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 964.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2128.0, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752302928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 964.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1503.0, "npi": [1740273994]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 503.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2468.0, "npi": [1497606438]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1992700983]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752684562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 1026.0, "npi": [1699876458, 1609401843, 1568022374, 1477139079]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 1026.0, "npi": [1740507649, 1124302179]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.95, "providers": [{"billed_charge": 1152.0, "npi": [1841518412, 1649294653]}]}, {"allowed_amount": 488.03, "providers": [{"billed_charge": 1152.0, "npi": [1114119880, 1265488233, 1376748947, 1518311380]}]}, {"allowed_amount": 490.84, "providers": [{"billed_charge": 1152.0, "npi": [1164465514, 1114974748]}]}]}, {"tin": {"type": "ein", "value": "752746578"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.39, "providers": [{"billed_charge": 1166.0, "npi": [1114818259]}]}]}, {"tin": {"type": "ein", "value": "752772210"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.15, "providers": [{"billed_charge": 1093.0, "npi": [1114396314]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.15, "providers": [{"billed_charge": 1266.0, "npi": [1679978951]}]}, {"allowed_amount": 188.41, "providers": [{"billed_charge": 1266.0, "npi": [1447830757, 1407273766, 1295484582, 1255795290, 1518549567]}]}, {"allowed_amount": 662.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1266.0, "npi": [1255795290, 1518549567]}]}]}, {"tin": {"type": "ein", "value": "752903508"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 278.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1213.0, "npi": [1184666265]}]}, {"allowed_amount": 287.64, "providers": [{"billed_charge": 1213.0, "npi": [1417150632, 1497712236, 1316910359]}]}, {"allowed_amount": 322.11, "providers": [{"billed_charge": 1213.0, "npi": [1912221912]}]}]}, {"tin": {"type": "ein", "value": "752918966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6042.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11031.0, "npi": [1992736599]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2460.0, "npi": [1992753222]}]}, {"allowed_amount": 5675.23, "providers": [{"billed_charge": 2460.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "providers": [{"billed_charge": 478.0, "npi": [1821360165]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "providers": [{"billed_charge": 2308.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.65, "providers": [{"billed_charge": 965.0, "npi": [1205347267]}]}]}, {"tin": {"type": "ein", "value": "760339462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2841.0, "npi": [1700883196]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.73, "providers": [{"billed_charge": 1289.0, "npi": [1760852800]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3902.0, "npi": [1871619254]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7150.0, "npi": [1598744856]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7150.0, "npi": [1598744856]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7150.0, "npi": [1598744856, 1831970532]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1685.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1685.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "770465765"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6738.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11859.0, "npi": [1871543215]}]}]}, {"tin": {"type": "ein", "value": "770465765"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 207.2, "providers": [{"billed_charge": 524.0, "npi": [1487044806]}]}]}, {"tin": {"type": "ein", "value": "770633896"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3881.0, "npi": [1629057229]}]}]}, {"tin": {"type": "ein", "value": "770697088"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1073587267]}]}]}, {"tin": {"type": "ein", "value": "800212487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1008.35, "npi": [1457734550, 1851437727]}]}]}, {"tin": {"type": "ein", "value": "800443600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 572.0, "npi": [1770003220]}]}]}, {"tin": {"type": "ein", "value": "800746903"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 572.0, "npi": [1144766163]}]}, {"allowed_amount": 180.29, "providers": [{"billed_charge": 572.0, "npi": [1326041757]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1438.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5314.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "800886397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.41, "providers": [{"billed_charge": 526.0, "npi": [1912696758]}]}]}, {"tin": {"type": "ein", "value": "810547599"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 268.58, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 721.0, "npi": [1891288619]}]}, {"allowed_amount": 315.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 721.0, "npi": [1326073495]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 1737.0, "npi": [1407596521]}]}, {"allowed_amount": 101.18, "providers": [{"billed_charge": 1108.0, "npi": [1407432941]}]}, {"allowed_amount": 111.32, "providers": [{"billed_charge": 1406.0, "npi": [1043234768]}]}, {"allowed_amount": 215.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 936.0, "npi": [1780832105]}, {"billed_charge": 1024.0, "npi": [1063998235]}, {"billed_charge": 1314.0, "npi": [1639591761]}, {"billed_charge": 1737.0, "npi": [1194492900, 1083811053]}]}, {"allowed_amount": 252.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1024.0, "npi": [1457881344]}, {"billed_charge": 1108.0, "npi": [1740260538]}, {"billed_charge": 1406.0, "npi": [1033260831]}, {"billed_charge": 1640.0, "npi": [1699902874]}]}, {"allowed_amount": 430.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 936.0, "npi": [1528534161, 1003405077, 1821086745, 1548756893, 1437281185, 1730130725, 1396290599, 1518476332, 1477005239, 1568193217, 1205861192, 1326772823, 1801332317, 1396463972, 1780832105, 1750723060, 1861908469, 1639587702, 1861909236, 1346824703]}, {"billed_charge": 1024.0, "npi": [1235657412, 1841263142, 1114261575, 1356578603, 1588967533, 1124789805, 1700241023, 1770801813, 1295019925, 1467932152, 1093054843, 1649806175]}, {"billed_charge": 1314.0, "npi": [1750421632, 1548598881, 1821593252, 1649982117, 1932584711, 1831613165, 1043694128, 1639591761, 1396092532, 1598497398, 1538845946, 1154570331, 1790243293, 1588067102, 1255561502]}, {"billed_charge": 1379.0, "npi": [1811857436, 1003884453, 1194214494]}, {"billed_charge": 1406.0, "npi": [1740418243, 1932584711, 1043694128, 1598497398, 1578834743, 1326393182]}, {"billed_charge": 1601.0, "npi": [1184353666]}, {"billed_charge": 1640.0, "npi": [1447404041, 1609018092]}, {"billed_charge": 1654.0, "npi": [1366882433, 1184031338, 1407235377]}, {"billed_charge": 1737.0, "npi": [1184312928, 1144561028, 1194492900, 1679083844, 1407516040, 1568775724, 1215634092, 1710172465, 1356851380, 1679505499, 1134118334]}, {"billed_charge": 1769.0, "npi": [1184312928, 1194492900, 1316610504, 1265812424, 1215634092, 1083811053, 1548550924, 1710172465, 1356851380]}]}, {"allowed_amount": 505.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 936.0, "npi": [1285275784, 1871121939, 1447205653, 1164443925, 1578905881, 1063469724, 1528696879, 1114275641, 1366559932, 1245264829, 1801852868, 1023232600, 1720035181, 1316255854, 1871056879, 1922494962, 1558329458, 1821392630, 1356904312, 1649777277]}, {"billed_charge": 983.0, "npi": [1043288707, 1972965390, 1972882454, 1124054945, 1295199784, 1699302570, 1285089326, 1427291954, 1992122170, 1467843136, 1114945094, 1427097930, 1841871191, 1326624859, 1326247388, 1184681827, 1336196583, 1407909096, 1851356265, 1407432941, 1376030445, 1124232822, 1417105404]}, {"billed_charge": 1024.0, "npi": [1457881344, 1265474019, 1629174917, 1932563145, 1528599081, 1588124333, 1194187310, 1710379920, 1508917105, 1912274481, 1801781042, 1306824693, 1669609046, 1780640599, 1497248728, 1639676059, 1396030748, 1063892669]}, {"billed_charge": 1071.0, "npi": [1154364560, 1740446947, 1386747285, 1780144279]}, {"billed_charge": 1108.0, "npi": [1730717570, 1073072930, 1700161700, 1194993766, 1245492487, 1003101288, 1407909096, 1033340906, 1407432941, 1023391026, 1699753459, 1053677138, 1124232822, 1740260538, 1417105404, 1063153021]}, {"billed_charge": 1261.0, "npi": [1265540413, 1861953358, 1194166215]}, {"billed_charge": 1314.0, "npi": [1730717570, 1053791749, 1184860678, 1730169863, 1245492487, 1265704332, 1215256847, 1861470353, 1659734804, 1336880533, 1396794137, 1225299613, 1033260831, 1073072930, 1295199784, 1699302570, 1285089326, 1023391026, 1841396660, 1073045175, 1225423429, 1437135563, 1235117771, 1053677138, 1619354578, 1841871191, 1326624859, 1629606108, 1063153021, 1538441316, 1194993766, 1912932583, 1003101288, 1851356265, 1407432941, 1699753459, 1124232822, 1417105404, 1083142525]}, {"billed_charge": 1379.0, "npi": [1548216419, 1144781683]}, {"billed_charge": 1406.0, "npi": [1194993766, 1295199784, 1265704332, 1043234768, 1437252657, 1841396660, 1659734804, 1033260831]}, {"billed_charge": 1640.0, "npi": [1871113845]}, {"billed_charge": 1654.0, "npi": [1821739483]}, {"billed_charge": 1681.0, "npi": [1710096334, 1831765478]}, {"billed_charge": 1737.0, "npi": [1740446947, 1932697257, 1508359886, 1154364560, 1629035506, 1912969395, 1528169844, 1386747285, 1598890642, 1063892669]}, {"billed_charge": 1769.0, "npi": [1972711810, 1972033637, 1154364560, 1598890642, 1528031986, 1780144279, 1720664733]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.28, "providers": [{"billed_charge": 996.0, "npi": [1922035930]}]}, {"allowed_amount": 309.19, "providers": [{"billed_charge": 996.0, "npi": [1326387739]}]}, {"allowed_amount": 319.94, "providers": [{"billed_charge": 996.0, "npi": [1598927907]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 996.0, "npi": [1275150385, 1386908010]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 800.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2244.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "810889110"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 145.57, "providers": [{"billed_charge": 1289.0, "npi": [1629607577, 1053406470, 1750708103]}]}, {"allowed_amount": 146.82, "providers": [{"billed_charge": 1289.0, "npi": [1558944744]}]}, {"allowed_amount": 147.0, "providers": [{"billed_charge": 1289.0, "npi": [1891006078]}]}]}, {"tin": {"type": "ein", "value": "811075984"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 866.25, "npi": [1922037746, 1790722429]}]}]}, {"tin": {"type": "ein", "value": "811333726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 393.65, "providers": [{"billed_charge": 864.0, "npi": [1356039770]}]}]}, {"tin": {"type": "ein", "value": "811558273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "providers": [{"billed_charge": 1581.0, "npi": [1235344367]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1939.0, "npi": [1649726738]}]}, {"allowed_amount": 554.32, "providers": [{"billed_charge": 1939.0, "npi": [1982150009]}]}, {"allowed_amount": 842.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1939.0, "npi": [1649726738]}]}, {"allowed_amount": 847.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1939.0, "npi": [1447706569]}]}, {"allowed_amount": 905.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1939.0, "npi": [1063968196]}]}]}, {"tin": {"type": "ein", "value": "811855329"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1144755349]}]}]}, {"tin": {"type": "ein", "value": "812574422"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 286.0, "npi": [1225069263]}]}]}, {"tin": {"type": "ein", "value": "812705668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.1, "providers": [{"billed_charge": 866.0, "npi": [1740173459]}]}]}, {"tin": {"type": "ein", "value": "812857619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1283.91, "providers": [{"billed_charge": 4256.6, "npi": [1710491253]}]}]}, {"tin": {"type": "ein", "value": "812875670"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1025.0, "npi": [1558001024, 1427391465, 1912123886, 1831602259, 1588206452, 1982169876, 1023457751, 1053853309, 1740329598]}]}, {"allowed_amount": 192.04, "providers": [{"billed_charge": 1025.0, "npi": [1528368792, 1588206452, 1053853309]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 1025.0, "npi": [1396003307, 1982169876]}]}, {"allowed_amount": 413.59, "providers": [{"billed_charge": 1025.0, "npi": [1558001024]}]}]}, {"tin": {"type": "ein", "value": "813562771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 236.88, "providers": [{"billed_charge": 592.0, "npi": [1285129643]}]}]}, {"tin": {"type": "ein", "value": "814015190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3021.0, "npi": [1881144889]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1543.5, "providers": [{"billed_charge": 4410.0, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 895.0, "npi": [1982633855, 1366737157, 1568428431]}]}]}, {"tin": {"type": "ein", "value": "814581950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6098.36, "npi": [1063040889]}]}]}, {"tin": {"type": "ein", "value": "814584169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6098.36, "npi": [1376064295]}]}]}, {"tin": {"type": "ein", "value": "815117929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.63, "providers": [{"billed_charge": 1280.0, "npi": [1497048268, 1053604165]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.63, "providers": [{"billed_charge": 285.0, "npi": [1023549466]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1377.25, "providers": [{"billed_charge": 3935.0, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821009033"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.71, "providers": [{"billed_charge": 1129.57, "npi": [1750594230]}]}]}, {"tin": {"type": "ein", "value": "821349955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "providers": [{"billed_charge": 2798.77, "npi": [1750819025]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 720.0, "npi": [1588639520, 1457811457, 1942534565, 1225889702, 1376966937, 1346593050, 1336569169, 1689931289, 1457914426, 1659012763, 1013599356, 1770225054]}]}, {"allowed_amount": 173.15, "providers": [{"billed_charge": 720.0, "npi": [1386126274, 1588150916, 1598426280, 1548602667, 1891183117, 1821337585, 1578832317]}]}, {"allowed_amount": 185.19, "providers": [{"billed_charge": 720.0, "npi": [1447608286]}]}, {"allowed_amount": 335.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 720.0, "npi": [1457811457, 1942534565, 1861629354, 1396932364, 1750365938, 1679863799, 1659012763, 1013599356]}]}, {"allowed_amount": 407.17, "providers": [{"billed_charge": 720.0, "npi": [1528357894]}]}]}, {"tin": {"type": "ein", "value": "821885403"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5689.0, "npi": [1891294518]}]}]}, {"tin": {"type": "ein", "value": "821910968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.82, "providers": [{"billed_charge": 1280.0, "npi": [1073376273, 1083499743]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1323.0, "providers": [{"billed_charge": 3780.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "821985821"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.85, "providers": [{"billed_charge": 1280.0, "npi": [1477896827]}]}]}, {"tin": {"type": "ein", "value": "822031440"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 1581.0, "npi": [1114381738]}]}]}, {"tin": {"type": "ein", "value": "822218927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.79, "providers": [{"billed_charge": 1280.0, "npi": [1962882456]}]}]}, {"tin": {"type": "ein", "value": "822541182"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 385.52, "providers": [{"billed_charge": 983.0, "npi": [1548303035]}]}, {"allowed_amount": 453.55, "providers": [{"billed_charge": 983.0, "npi": [1508957929]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.58, "providers": [{"billed_charge": 1046.0, "npi": [1881825461]}]}, {"allowed_amount": 91.96, "providers": [{"billed_charge": 1046.0, "npi": [1265826614, 1154370807]}]}, {"allowed_amount": 125.32, "providers": [{"billed_charge": 1046.0, "npi": [1154370807]}]}, {"allowed_amount": 125.68, "providers": [{"billed_charge": 1046.0, "npi": [1154370807]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1046.0, "npi": [1205851565]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1046.0, "npi": [1437145992, 1205851565, 1881825461, 1700068566, 1154370807, 1265826614, 1144514332, 1174866263]}]}, {"allowed_amount": 191.82, "providers": [{"billed_charge": 1046.0, "npi": [1437145992]}]}, {"allowed_amount": 350.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1046.0, "npi": [1437145992, 1205851565, 1881825461, 1265826614, 1154370807, 1144514332, 1174866263]}]}]}, {"tin": {"type": "ein", "value": "823125568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.11, "providers": [{"billed_charge": 1280.0, "npi": [1750328738]}]}]}, {"tin": {"type": "ein", "value": "823181181"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 203.6, "providers": [{"billed_charge": 1693.0, "npi": [1053393983]}]}, {"allowed_amount": 317.61, "providers": [{"billed_charge": 1693.0, "npi": [1558655126]}]}]}, {"tin": {"type": "ein", "value": "823270200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.58, "providers": [{"billed_charge": 1693.0, "npi": [1154403665, 1194253997]}]}]}, {"tin": {"type": "ein", "value": "823328660"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1064.96, "npi": [1104567015]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3114.91, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "823443360"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 1231.0, "npi": [1447837653]}]}]}, {"tin": {"type": "ein", "value": "823462523"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.58, "providers": [{"billed_charge": 790.0, "npi": [1043104771]}]}, {"allowed_amount": 190.09, "providers": [{"billed_charge": 790.0, "npi": [1154852580]}]}]}, {"tin": {"type": "ein", "value": "823656564"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.18, "providers": [{"billed_charge": 2392.0, "npi": [1518475557]}]}, {"allowed_amount": 393.23, "providers": [{"billed_charge": 2392.0, "npi": [1902539471]}]}]}, {"tin": {"type": "ein", "value": "824159992"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 1693.0, "npi": [1194119289]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.87, "providers": [{"billed_charge": 600.0, "npi": [1124547336]}]}, {"allowed_amount": 186.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1174732705, 1730616996, 1730329798]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1437688215, 1174732705, 1730616996, 1790138279, 1255869483, 1235425836, 1427288109, 1992101943, 1700140092, 1386385862, 1730329798, 1790944205, 1124559828, 1841876315, 1578669412, 1184944357, 1821441254, 1114156783, 1336536440, 1588147193, 1073141115]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1437688215, 1174732705, 1730616996, 1790138279, 1407484074, 1235425836, 1427288109, 1992101943, 1700140092, 1386385862, 1730329798, 1679776330, 1124559828, 1841876315, 1578669412, 1184944357, 1861838823, 1912249962, 1114156783, 1487273967, 1336536440, 1073141115]}]}]}, {"tin": {"type": "ein", "value": "824361822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.45, "providers": [{"billed_charge": 1026.0, "npi": [1306884374]}]}]}, {"tin": {"type": "ein", "value": "825068549"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 1093.0, "npi": [1760824858]}]}]}, {"tin": {"type": "ein", "value": "825210774"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.67, "providers": [{"billed_charge": 400.0, "npi": [1235180001]}]}]}, {"tin": {"type": "ein", "value": "825362420"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.67, "providers": [{"billed_charge": 776.0, "npi": [1033573498]}]}, {"allowed_amount": 207.2, "providers": [{"billed_charge": 895.0, "npi": [1053708917]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1005.0, "providers": [{"billed_charge": 1005.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "830516935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 682.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1025.0, "npi": [1548750417]}]}]}, {"tin": {"type": "ein", "value": "830516935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.69, "providers": [{"billed_charge": 386.0, "npi": [1144749672, 1174262067]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 520.0, "providers": [{"billed_charge": 520.0, "npi": [1588907356]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 375.0, "npi": [1902476518]}]}, {"allowed_amount": 104.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1437446085]}]}, {"allowed_amount": 178.0, "providers": [{"billed_charge": 375.0, "npi": [1225007339]}]}]}, {"tin": {"type": "ein", "value": "831149113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1366554222]}]}]}, {"tin": {"type": "ein", "value": "831294232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 948.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3021.0, "npi": [1083174973]}]}]}, {"tin": {"type": "ein", "value": "831481690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 1280.0, "npi": [1164097424]}]}, {"allowed_amount": 218.05, "providers": [{"billed_charge": 1280.0, "npi": [1144399395]}]}]}, {"tin": {"type": "ein", "value": "831651180"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 275.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1407313760]}]}, {"allowed_amount": 762.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1407313760]}]}]}, {"tin": {"type": "ein", "value": "831661941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 408.81, "providers": [{"billed_charge": 1004.0, "npi": [1063817435]}]}]}, {"tin": {"type": "ein", "value": "831872200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5439.63, "npi": [1194290106]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1439.78, "providers": [{"billed_charge": 2492.65, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1259.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2492.65, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "832107919"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.31, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1280.0, "npi": [1205484318]}]}]}, {"tin": {"type": "ein", "value": "832727843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.08, "providers": [{"billed_charge": 1280.0, "npi": [1427311794]}]}]}, {"tin": {"type": "ein", "value": "832794560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1720877087]}]}]}, {"tin": {"type": "ein", "value": "833359672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1154.0, "npi": [1851133367]}]}]}, {"tin": {"type": "ein", "value": "833553816"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.03, "providers": [{"billed_charge": 450.0, "npi": [1902037468]}]}]}, {"tin": {"type": "ein", "value": "833817826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 236.88, "providers": [{"billed_charge": 1026.0, "npi": [1922198704]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 390.0, "npi": [1639707979]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "providers": [{"billed_charge": 768.47, "npi": [1225066731]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9369.74, "npi": [1518507375]}]}, {"allowed_amount": 617.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9369.74, "npi": [1891709192]}]}, {"allowed_amount": 933.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9369.74, "npi": [1386651297, 1912249590]}]}, {"allowed_amount": 943.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9369.74, "npi": [1891709192]}]}]}, {"tin": {"type": "ein", "value": "840446259"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1827.0, "npi": [1982668133]}]}]}, {"tin": {"type": "ein", "value": "841024906"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1050.0, "npi": [1124552633, 1194822825, 1538509484]}]}]}, {"tin": {"type": "ein", "value": "841075994"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.13, "providers": [{"billed_charge": 674.0, "npi": [1467493320]}]}, {"allowed_amount": 190.74, "providers": [{"billed_charge": 674.0, "npi": [1447699137, 1043491897]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.13, "providers": [{"billed_charge": 1064.96, "npi": [1942723416, 1255906723, 1700470101, 1891984423]}]}, {"allowed_amount": 190.74, "providers": [{"billed_charge": 1064.96, "npi": [1730453101, 1285052829]}]}]}, {"tin": {"type": "ein", "value": "841262971"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1819.0, "npi": [1760492714]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3941.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11261.92, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.51, "providers": [{"billed_charge": 2121.0, "npi": [1417684424]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 2121.0, "npi": [1417189184]}]}]}, {"tin": {"type": "ein", "value": "841888261"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.57, "providers": [{"billed_charge": 586.0, "npi": [1215945969]}]}, {"allowed_amount": 287.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 586.0, "npi": [1811194483]}]}]}, {"tin": {"type": "ein", "value": "842569909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1002.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3085.0, "npi": [1003465097]}]}]}, {"tin": {"type": "ein", "value": "842867293"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.76, "providers": [{"billed_charge": 971.52, "npi": [1447607247]}]}]}, {"tin": {"type": "ein", "value": "843073061"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1750932117]}]}]}, {"tin": {"type": "ein", "value": "843178470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1743.0, "npi": [1588290993]}]}]}, {"tin": {"type": "ein", "value": "843393326"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "providers": [{"billed_charge": 1280.0, "npi": [1376958769, 1134652399]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2474.81, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "844504483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.51, "providers": [{"billed_charge": 782.0, "npi": [1619224383]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 782.0, "npi": [1326487323, 1568849412]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 964.0, "npi": [1376175687]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 504.0, "npi": [1821213067]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1513.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1513.35, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "providers": [{"billed_charge": 282.2, "npi": [1396757555]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 875.73, "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": 164.33, "providers": [{"billed_charge": 610.0, "npi": [1346033396]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.87, "providers": [{"billed_charge": 600.0, "npi": [1588098040, 1104128305]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1437688215, 1174732705, 1730616996, 1366603334, 1861838823, 1659867562, 1275986861, 1790944205, 1467627729, 1841876315, 1912262098, 1316114614, 1992101943, 1073141115, 1700140092, 1154650943]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1174732705, 1730616996, 1861838823, 1659867562, 1790944205, 1275986861, 1467627729, 1912262098, 1073141115, 1124559828, 1316114614, 1437688215, 1841876315, 1700140092, 1154650943]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.87, "providers": [{"billed_charge": 600.0, "npi": [1124547336, 1629529433]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1124547336, 1437688215, 1730616996, 1407484074, 1255869483, 1235425836, 1427288109, 1992101943, 1700140092, 1700060605, 1386385862, 1730329798, 1790944205, 1124559828, 1427206358, 1629529433, 1841876315, 1184944357, 1861838823, 1891324778, 1487273967, 1114156783, 1336536440, 1932143740, 1093342719]}]}, {"allowed_amount": 239.28, "providers": [{"billed_charge": 600.0, "npi": [1437739570]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1437688215, 1174732705, 1730616996, 1407484074, 1235425836, 1427288109, 1992101943, 1700140092, 1386385862, 1730329798, 1679776330, 1932143740, 1124559828, 1427206358, 1841876315, 1578669412, 1184944357, 1861838823, 1912249962, 1891324778, 1306074604, 1336536440, 1851954556]}]}]}, {"tin": {"type": "ein", "value": "850812156"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.01, "providers": [{"billed_charge": 396.0, "npi": [1386927044]}]}]}, {"tin": {"type": "ein", "value": "850983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2963.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.03, "providers": [{"billed_charge": 2750.0, "npi": [1861693152]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.1, "providers": [{"billed_charge": 804.0, "npi": [1326393026]}]}, {"allowed_amount": 211.15, "providers": [{"billed_charge": 804.0, "npi": [1245793959]}]}, {"allowed_amount": 220.56, "providers": [{"billed_charge": 804.0, "npi": [1811708068]}]}, {"allowed_amount": 260.76, "providers": [{"billed_charge": 804.0, "npi": [1003278219]}]}, {"allowed_amount": 307.82, "providers": [{"billed_charge": 804.0, "npi": [1376778019, 1689234031, 1952686198, 1184659351, 1003494519]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 2167.2, "npi": [1780325258]}]}]}, {"tin": {"type": "ein", "value": "853676469"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 1693.0, "npi": [1689634453]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1821733312, 1033220074, 1598706764, 1396724431, 1780636720, 1881055986, 1962151092, 1578552758, 1407952633, 1518969468]}]}, {"allowed_amount": 205.1, "providers": [{"billed_charge": 1324.0, "npi": [1962151092]}]}, {"allowed_amount": 239.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1255747945, 1578552758]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1821733312, 1033220074, 1598706764, 1396724431, 1780636720, 1962151092, 1518969468, 1346205374]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 631.0, "npi": [1477083897]}]}]}, {"tin": {"type": "ein", "value": "853972091"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.67, "providers": [{"billed_charge": 816.0, "npi": [1144414905]}]}]}, {"tin": {"type": "ein", "value": "854354835"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2469.0, "npi": [1942895081]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 786.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2492.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 786.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2189.4, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 899.71, "providers": [{"billed_charge": 1136.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.43, "providers": [{"billed_charge": 532.0, "npi": [1730715731, 1740740646]}]}]}, {"tin": {"type": "ein", "value": "860415065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 1227.0, "npi": [1922424506, 1316237795]}]}]}, {"tin": {"type": "ein", "value": "860580587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 730.0, "providers": [{"billed_charge": 730.0, "npi": [1679837488]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2790.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "861057582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.72, "providers": [{"billed_charge": 319.0, "npi": [1487099818, 1881652006]}]}]}, {"tin": {"type": "ein", "value": "861284506"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.28, "providers": [{"billed_charge": 400.0, "npi": [1689850182]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 383.0, "npi": [1316953938]}]}]}, {"tin": {"type": "ein", "value": "862752298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.82, "providers": [{"billed_charge": 1166.0, "npi": [1972998417]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 786.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4401.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "870301301"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.92, "providers": [{"billed_charge": 876.0, "npi": [1326455478]}]}, {"allowed_amount": 188.15, "providers": [{"billed_charge": 876.0, "npi": [1982059010]}]}]}, {"tin": {"type": "ein", "value": "870492357"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.15, "providers": [{"billed_charge": 762.0, "npi": [1851853477]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.92, "providers": [{"billed_charge": 876.0, "npi": [1285084525]}]}, {"allowed_amount": 188.15, "providers": [{"billed_charge": 876.0, "npi": [1427161363]}]}]}, {"tin": {"type": "ein", "value": "870997442"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.65, "providers": [{"billed_charge": 1280.0, "npi": [1952723777]}]}, {"allowed_amount": 218.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1730348145]}]}]}, {"tin": {"type": "ein", "value": "872243361"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1026.0, "npi": [1265884696]}]}]}, {"tin": {"type": "ein", "value": "872249377"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 585.62, "providers": [{"billed_charge": 687.0, "npi": [1942404496]}]}]}, {"tin": {"type": "ein", "value": "872457837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.61, "providers": [{"billed_charge": 943.0, "npi": [1386901098]}]}]}, {"tin": {"type": "ein", "value": "873517825"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.25, "providers": [{"billed_charge": 1280.0, "npi": [1013174507, 1659803021, 1285947911]}]}]}, {"tin": {"type": "ein", "value": "873560460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.74, "providers": [{"billed_charge": 5049.58, "npi": [1679735625]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2089.0, "npi": [1760942726, 1598415143, 1275274508, 1679527055, 1174636724]}]}, {"allowed_amount": 179.03, "providers": [{"billed_charge": 2089.0, "npi": [1427391465, 1124070545, 1669995379, 1417999285, 1518106871, 1588302392, 1225081532, 1518234111]}]}, {"allowed_amount": 179.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2089.0, "npi": [1124463120, 1184055121, 1730154790, 1326022286]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2089.0, "npi": [1316185309, 1427391465, 1225081532, 1417999285]}]}, {"allowed_amount": 295.66, "providers": [{"billed_charge": 2089.0, "npi": [1669995379, 1518234111]}]}, {"allowed_amount": 334.58, "providers": [{"billed_charge": 2089.0, "npi": [1639111818, 1598415143, 1679527055]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 691.08, "providers": [{"billed_charge": 1411.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.14, "providers": [{"billed_charge": 4186.0, "npi": [1447393152]}]}, {"allowed_amount": 632.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4605.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "880262438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 389.47, "providers": [{"billed_charge": 1152.0, "npi": [1831662717, 1558607119]}]}, {"allowed_amount": 458.2, "providers": [{"billed_charge": 1152.0, "npi": [1407474976, 1063462364, 1184366916]}]}]}, {"tin": {"type": "ein", "value": "880307849"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 458.2, "providers": [{"billed_charge": 815.0, "npi": [1568967594]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.87, "providers": [{"billed_charge": 262.0, "npi": [1134500853]}]}, {"allowed_amount": 152.8, "providers": [{"billed_charge": 262.0, "npi": [1437530953]}]}, {"allowed_amount": 166.91, "providers": [{"billed_charge": 262.0, "npi": [1083647556]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1157.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1157.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "882472117"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 631.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1025.63, "npi": [1255066460]}]}]}, {"tin": {"type": "ein", "value": "883926499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.63, "providers": [{"billed_charge": 1261.0, "npi": [1831811991]}]}, {"allowed_amount": 160.91, "providers": [{"billed_charge": 1261.0, "npi": [1407873979]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 908.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2404.0, "npi": [1679299408]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.41, "providers": [{"billed_charge": 413.0, "npi": [1407483506]}]}]}, {"tin": {"type": "ein", "value": "900054201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2175.0, "npi": [1720011810]}]}, {"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2175.0, "npi": [1720011810]}]}]}, {"tin": {"type": "ein", "value": "900065118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2175.0, "npi": [1275566200]}]}]}, {"tin": {"type": "ein", "value": "900136825"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.81, "providers": [{"billed_charge": 388.29, "npi": [1396779153]}]}]}, {"tin": {"type": "ein", "value": "900412842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2175.0, "npi": [1124341672]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.4, "providers": [{"billed_charge": 344.0, "npi": [1245521202]}]}]}, {"tin": {"type": "ein", "value": "901009374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.25, "providers": [{"billed_charge": 1153.0, "npi": [1851385496]}]}]}, {"tin": {"type": "ein", "value": "901116753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.43, "providers": [{"billed_charge": 361.0, "npi": [1962031161]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1639.0, "npi": [1306883228]}]}]}, {"tin": {"type": "ein", "value": "910565546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1018.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3987.0, "npi": [1518912609]}]}]}, {"tin": {"type": "ein", "value": "910652651"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 672.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2523.0, "npi": [1861432726]}]}, {"allowed_amount": 1027.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2523.0, "npi": [1861432726]}]}]}, {"tin": {"type": "ein", "value": "910877393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.03, "providers": [{"billed_charge": 1196.0, "npi": [1982067328]}]}]}, {"tin": {"type": "ein", "value": "910885450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 815.0, "npi": [1720660681, 1811525660, 1013283183]}]}]}, {"tin": {"type": "ein", "value": "911220843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.87, "providers": [{"billed_charge": 558.0, "npi": [1710346853, 1760589014]}]}, {"allowed_amount": 201.03, "providers": [{"billed_charge": 558.0, "npi": [1912391996]}]}]}, {"tin": {"type": "ein", "value": "911503875"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 812.0, "npi": [1417572587]}]}]}, {"tin": {"type": "ein", "value": "911692040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.03, "providers": [{"billed_charge": 861.0, "npi": [1437252442]}]}]}, {"tin": {"type": "ein", "value": "911753075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 450.06, "providers": [{"billed_charge": 1205.0, "npi": [1619555703]}]}, {"allowed_amount": 477.06, "providers": [{"billed_charge": 912.0, "npi": [1245818210, 1548751571]}]}]}, {"tin": {"type": "ein", "value": "911828806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.78, "providers": [{"billed_charge": 600.0, "npi": [1558325175]}]}]}, {"tin": {"type": "ein", "value": "911910055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.02, "providers": [{"billed_charge": 893.0, "npi": [1427685254]}]}]}, {"tin": {"type": "ein", "value": "911939739"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 350.0, "npi": [1003176223]}]}]}, {"tin": {"type": "ein", "value": "920016429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 642.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3845.0, "npi": [1053363119]}]}]}, {"tin": {"type": "ein", "value": "920872236"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.44, "providers": [{"billed_charge": 1995.0, "npi": [1902912975]}]}, {"allowed_amount": 360.65, "providers": [{"billed_charge": 1173.0, "npi": [1316686397]}]}]}, {"tin": {"type": "ein", "value": "921420653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 270.82, "providers": [{"billed_charge": 1363.0, "npi": [1649440900]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1727.0, "npi": [1710400353, 1255080073, 1184853004, 1740226190, 1841754678, 1306473624, 1063964666, 1821331612]}]}, {"allowed_amount": 205.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1727.0, "npi": [1184853004]}]}, {"allowed_amount": 239.28, "providers": [{"billed_charge": 1727.0, "npi": [1821331612]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1727.0, "npi": [1700374915, 1104311174, 1891324778, 1184853004, 1881994770, 1083191092, 1841754678, 1306473624, 1063964666, 1881125722]}]}]}, {"tin": {"type": "ein", "value": "922098941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 678.0, "npi": [1578126140]}]}]}, {"tin": {"type": "ein", "value": "922099348"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.68, "providers": [{"billed_charge": 678.0, "npi": [1992402069]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.57, "providers": [{"billed_charge": 678.0, "npi": [1770293102, 1205900446]}]}, {"allowed_amount": 76.51, "providers": [{"billed_charge": 678.0, "npi": [1235916073]}]}, {"allowed_amount": 77.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1215517537]}]}, {"allowed_amount": 77.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1770293102]}]}, {"allowed_amount": 81.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1154694479]}]}, {"allowed_amount": 87.36, "providers": [{"billed_charge": 678.0, "npi": [1144966722, 1619585510, 1386267474, 1841754678, 1649929951]}]}, {"allowed_amount": 91.96, "providers": [{"billed_charge": 678.0, "npi": [1700177508, 1851633226, 1639810989, 1164929618, 1760122774, 1821739897]}]}, {"allowed_amount": 104.94, "providers": [{"billed_charge": 678.0, "npi": [1609625888, 1053657015]}]}, {"allowed_amount": 111.32, "providers": [{"billed_charge": 678.0, "npi": [1487282257, 1548919707]}]}, {"allowed_amount": 132.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1669003273]}]}, {"allowed_amount": 135.6, "providers": [{"billed_charge": 678.0, "npi": [1457552531]}]}, {"allowed_amount": 140.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1144966722]}]}, {"allowed_amount": 144.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1649684051]}]}, {"allowed_amount": 147.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1639642507]}]}, {"allowed_amount": 154.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1215517537]}]}, {"allowed_amount": 155.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1538795075, 1275586315, 1770293102, 1760129019]}]}, {"allowed_amount": 163.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1235392663, 1275586315, 1710579198, 1154694479]}]}, {"allowed_amount": 165.81, "providers": [{"billed_charge": 678.0, "npi": [1093200693]}]}, {"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1326677253, 1689223943, 1710712328, 1356084487, 1386411403, 1386276491, 1255960076, 1134493588, 1508442005, 1316636566, 1780024984, 1023246360, 1104346014, 1780923557, 1538954920, 1487712808, 1164532909, 1144333741, 1679760045, 1063483949, 1033746094, 1922086834, 1457568685, 1912470196, 1679561013, 1992431670, 1174324537, 1235961020, 1831904572, 1326675265, 1598250946, 1912922949, 1932737095, 1134165707, 1548615628, 1033310412, 1881114445, 1811157068, 1710631890, 1831454677, 1265219158, 1730542549, 1558034520, 1598407900, 1578350302, 1558898783, 1265727200, 1932193505, 1902602212, 1609641067, 1740243054, 1811740657, 1871120246, 1609526524, 1043471998]}]}, {"allowed_amount": 173.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1083495964]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1689986929, 1023751138, 1548919707, 1295354777]}]}, {"allowed_amount": 177.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1235916073, 1043819675, 1083095590]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1669003273, 1992999437, 1447499793, 1669553178, 1366481947, 1538852900, 1083095590, 1467062323, 1841754678, 1730814518, 1023029824, 1811615297, 1144966722, 1538795075, 1851633226, 1205358157, 1891435087, 1487282257, 1164929618, 1376387670, 1104551001, 1649536608, 1851481196, 1861679227, 1558781054, 1306412671, 1154073237, 1235392663, 1902688922, 1003658907, 1043819675, 1205900446, 1255302303, 1750318242, 1588607139, 1992380091, 1477294270, 1942912704, 1447245535, 1285654244, 1205226727, 1376953588, 1104358647, 1740647684, 1063158533, 1275586315, 1588694798, 1396107538, 1265484562, 1932393238, 1215739164, 1235916073, 1538798384, 1457550642, 1003651381, 1790710069, 1477133114, 1215517537, 1467277673, 1770293102, 1689986929, 1306673017, 1568038784, 1205407624, 1326011784, 1427445642, 1639642507, 1760122774, 1295354777, 1548919707, 1538507678, 1497332647, 1639810989, 1871087544, 1427686336, 1548899271, 1265061840, 1659012052, 1871176149, 1043830235, 1023751138, 1427370469, 1205465077, 1285089789, 1376122879]}]}, {"allowed_amount": 186.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1750022976, 1952988131, 1801258884, 1457092710, 1225665003, 1386267474, 1043956022, 1043893118]}]}, {"allowed_amount": 191.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1801258884, 1275586315, 1295319440, 1457552531, 1750842902, 1306473624, 1164476313, 1598585374, 1669608618, 1881825461, 1043956022, 1841861820, 1386799039, 1750022976, 1295316040, 1891324745, 1245639624, 1154694479, 1043893118, 1902435027, 1386267474, 1649684051, 1194245464, 1881125722, 1962631648, 1952988131, 1619585510, 1710579198, 1457092710, 1891324778, 1922282987, 1225665003, 1083243885, 1063760759, 1205465077, 1144960758, 1295485431, 1821739897, 1538113790]}]}, {"allowed_amount": 191.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1811615297, 1043819675, 1215739164]}]}, {"allowed_amount": 192.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1346826054, 1669922191, 1265112213, 1962272278, 1235961020, 1578350302]}]}, {"allowed_amount": 198.92, "providers": [{"billed_charge": 678.0, "npi": [1013540103]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 678.0, "npi": [1023029824, 1083906028, 1376568782, 1922447598, 1366481947]}]}, {"allowed_amount": 205.1, "providers": [{"billed_charge": 678.0, "npi": [1891324745, 1750842902, 1154694479]}]}, {"allowed_amount": 216.18, "providers": [{"billed_charge": 678.0, "npi": [1932189511]}]}, {"allowed_amount": 264.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1811615297, 1669003273, 1730814518, 1306673017, 1902688922]}]}, {"allowed_amount": 265.99, "providers": [{"billed_charge": 678.0, "npi": [1841235926]}]}, {"allowed_amount": 273.46, "providers": [{"billed_charge": 678.0, "npi": [1255650834]}]}, {"allowed_amount": 284.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1700495553, 1508379751, 1720837768, 1245012616, 1023884491, 1356807853, 1699313197, 1265219158, 1356187322, 1487374013, 1982446654]}]}, {"allowed_amount": 285.44, "providers": [{"billed_charge": 678.0, "npi": [1942071048, 1609641067, 1508203597, 1316696685, 1205200623, 1811740657, 1780024984, 1174324537]}]}, {"allowed_amount": 290.13, "providers": [{"billed_charge": 678.0, "npi": [1477605129, 1619920451]}]}, {"allowed_amount": 291.37, "providers": [{"billed_charge": 678.0, "npi": [1861132144, 1679525463]}]}, {"allowed_amount": 295.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1750318242, 1740647684, 1538852900, 1467277673, 1386479913, 1639642507, 1205358157, 1467062323, 1154073237, 1467065045, 1235392663, 1104551001, 1003658907, 1215739164, 1205900446]}]}, {"allowed_amount": 298.68, "providers": [{"billed_charge": 678.0, "npi": [1881825461]}]}, {"allowed_amount": 334.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1982281473, 1598250946, 1255342341, 1306144456, 1083906028, 1972519932, 1770071995, 1114583036]}]}, {"allowed_amount": 335.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1518901024, 1730737412, 1356650980, 1598858086, 1003888678, 1780923557, 1841877065, 1831726090, 1366071243, 1679760045, 1285337519, 1316083124, 1285659607, 1679739288, 1538144191, 1609453851, 1740868892, 1922633023]}]}, {"allowed_amount": 350.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1568038784, 1063158533, 1326011784, 1205407624, 1992999437, 1588694798, 1447499793, 1265484562, 1396107538, 1760122774, 1659991958, 1932393238, 1295354777, 1063481240, 1548919707, 1538507678, 1588607139, 1497332647, 1639810989, 1538798384, 1457550642, 1790710069, 1841754678, 1174055479, 1316114614, 1891894838, 1477133114, 1376122879, 1477294270, 1427686336, 1386908481, 1548899271, 1851633226, 1891435087, 1265061840, 1487282257, 1659012052, 1871176149, 1952756694, 1912534868, 1043830235, 1447245535, 1215517537, 1023751138, 1285654244, 1205226727, 1760061931, 1851481196, 1689986929, 1205465077, 1144960758, 1285089789, 1306412671]}]}, {"allowed_amount": 362.97, "providers": [{"billed_charge": 678.0, "npi": [1083906028, 1164532909, 1114905742]}]}, {"allowed_amount": 373.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1801258884, 1295319440, 1457552531, 1750842902, 1306473624, 1164476313, 1295485431, 1669608618, 1881825461, 1043956022, 1841861820, 1386799039, 1750022976, 1811256258, 1245639624, 1891324745, 1295316040, 1487282257, 1386267474, 1902435027, 1194245464, 1881125722, 1942889308, 1962631648, 1952988131, 1457092710, 1619585510, 1538113790, 1902484330, 1225665003, 1891324778, 1083243885, 1144960758, 1063760759, 1821739897, 1043893118]}]}, {"allowed_amount": 375.97, "providers": [{"billed_charge": 678.0, "npi": [1912534868]}]}, {"allowed_amount": 407.17, "providers": [{"billed_charge": 678.0, "npi": [1508526815]}]}, {"allowed_amount": 413.47, "providers": [{"billed_charge": 678.0, "npi": [1861228272]}]}, {"allowed_amount": 413.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1255409017, 1134165707, 1033310412, 1194088047, 1104275858, 1649929951, 1649857269, 1730542549, 1679561013, 1043714264, 1588240345, 1013962869, 1942837471]}]}, {"allowed_amount": 626.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1427445642]}]}, {"allowed_amount": 678.0, "providers": [{"billed_charge": 678.0, "npi": [1043917180]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.99, "providers": [{"billed_charge": 678.0, "npi": [1902098916]}]}, {"allowed_amount": 227.84, "providers": [{"billed_charge": 678.0, "npi": [1083276042]}]}]}, {"tin": {"type": "ein", "value": "922122433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.95, "providers": [{"billed_charge": 678.0, "npi": [1124126081]}]}, {"allowed_amount": 261.49, "providers": [{"billed_charge": 678.0, "npi": [1366013831, 1720381270, 1164157111]}]}, {"allowed_amount": 307.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1407243587, 1316523301, 1487751269, 1295267722, 1730127242, 1013350255, 1801050257, 1265476790, 1114159514]}]}]}, {"tin": {"type": "ein", "value": "922156815"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.72, "providers": [{"billed_charge": 721.0, "npi": [1669459731]}]}]}, {"tin": {"type": "ein", "value": "922193137"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.48, "providers": [{"billed_charge": 678.0, "npi": [1255588950]}]}]}, {"tin": {"type": "ein", "value": "922417967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.73, "providers": [{"billed_charge": 678.0, "npi": [1477319192]}]}, {"allowed_amount": 133.5, "providers": [{"billed_charge": 678.0, "npi": [1013526904, 1134146699, 1316310725, 1467823831]}]}, {"allowed_amount": 141.44, "providers": [{"billed_charge": 678.0, "npi": [1295361624, 1164538427, 1861491847]}]}, {"allowed_amount": 180.97, "providers": [{"billed_charge": 678.0, "npi": [1093520280]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 678.0, "npi": [1518544485, 1194812669, 1528048774]}]}, {"allowed_amount": 317.61, "providers": [{"billed_charge": 678.0, "npi": [1043263437, 1891711677]}]}]}, {"tin": {"type": "ein", "value": "922451946"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 815.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3021.0, "npi": [1740981430]}]}]}, {"tin": {"type": "ein", "value": "922536178"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 684.0, "npi": [1033146899]}]}]}, {"tin": {"type": "ein", "value": "922826272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.85, "providers": [{"billed_charge": 962.0, "npi": [1811758584, 1447136072, 1528340924]}]}, {"allowed_amount": 164.76, "providers": [{"billed_charge": 962.0, "npi": [1194405456, 1477225803, 1548945892]}]}, {"allowed_amount": 383.79, "providers": [{"billed_charge": 962.0, "npi": [1437982352]}]}, {"allowed_amount": 451.52, "providers": [{"billed_charge": 962.0, "npi": [1629238522, 1437894805]}]}]}, {"tin": {"type": "ein", "value": "923463892"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 1004.0, "npi": [1558562603, 1801867973]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 424.2, "npi": [1386222909]}]}]}, {"tin": {"type": "ein", "value": "930429015"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2675.0, "npi": [1801887658]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 983.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2293.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "930593249"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.6, "providers": [{"billed_charge": 962.0, "npi": [1770614992]}]}]}, {"tin": {"type": "ein", "value": "930798039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.78, "providers": [{"billed_charge": 571.0, "npi": [1528446523]}]}]}, {"tin": {"type": "ein", "value": "931044853"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.83, "providers": [{"billed_charge": 640.0, "npi": [1235306051]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2934.0, "npi": [1881815017]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 2934.0, "npi": [1033477971]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 883.0, "npi": [1588672141]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2560.0, "npi": [1750142121]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1228.9, "npi": [1073532404, 1982661757, 1790117638]}]}, {"allowed_amount": 285.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1228.9, "npi": [1053348375]}]}]}, {"tin": {"type": "ein", "value": "932421242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 1026.0, "npi": [1700766722, 1730928540]}]}]}, {"tin": {"type": "ein", "value": "932457529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.11, "providers": [{"billed_charge": 2300.0, "npi": [1417586033]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.96, "providers": [{"billed_charge": 930.0, "npi": [1083649602, 1316254493]}]}, {"allowed_amount": 172.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1174841241, 1750322970, 1891953691, 1952339103, 1487712808, 1659313708, 1073826095, 1093917114, 1962632125, 1821044413, 1699267518, 1073141958, 1295767762, 1467472217, 1124070875, 1487098463, 1053338723, 1417417965, 1861427965]}]}, {"allowed_amount": 175.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1215982657, 1619408739, 1518163658, 1699744177, 1003076183, 1962441048]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1649202961, 1629099411, 1962616367, 1699744177, 1174055479, 1184975039, 1215982657, 1083649602, 1679922629, 1518163658, 1750382420, 1003076183, 1962441048, 1619408739, 1114918117, 1659663334, 1336725225, 1952352239, 1467794545, 1801221619]}]}, {"allowed_amount": 191.82, "providers": [{"billed_charge": 930.0, "npi": [1962441048, 1215982657, 1003076183]}]}, {"allowed_amount": 288.9, "providers": [{"billed_charge": 930.0, "npi": [1215976378, 1639330327]}]}, {"allowed_amount": 335.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1073834123, 1174841241, 1750322970, 1891953691, 1063469724, 1952339103, 1487712808, 1073826095, 1962864181, 1962632125, 1821044413, 1699267518, 1467472217, 1245690973, 1053338723, 1174962021, 1417417965, 1962447599, 1417925876]}]}, {"allowed_amount": 350.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1215982657, 1083649602, 1619408739, 1114918117, 1659663334, 1679922629, 1518163658, 1962616367, 1952352239, 1699744177, 1649202961, 1801221619, 1750382420, 1629099411, 1003076183, 1962441048, 1184975039]}]}, {"allowed_amount": 413.59, "providers": [{"billed_charge": 930.0, "npi": [1063673630]}]}, {"allowed_amount": 613.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 930.0, "npi": [1659313708]}]}]}, {"tin": {"type": "ein", "value": "932501469"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 607.0, "npi": [1295362408]}]}, {"allowed_amount": 180.29, "providers": [{"billed_charge": 607.0, "npi": [1790427987]}]}]}, {"tin": {"type": "ein", "value": "932658409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.11, "providers": [{"billed_charge": 1693.0, "npi": [1538434733]}]}, {"allowed_amount": 174.09, "providers": [{"billed_charge": 1693.0, "npi": [1811261118]}]}]}, {"tin": {"type": "ein", "value": "932728074"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.44, "providers": [{"billed_charge": 1693.0, "npi": [1538434733]}]}]}, {"tin": {"type": "ein", "value": "933040761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 871.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5451.6, "npi": [1407637531]}]}]}, {"tin": {"type": "ein", "value": "933393372"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.09, "providers": [{"billed_charge": 648.0, "npi": [1518545326]}]}]}, {"tin": {"type": "ein", "value": "933735574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 335.81, "providers": [{"billed_charge": 983.0, "npi": [1033869680]}]}]}, {"tin": {"type": "ein", "value": "933772428"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.19, "providers": [{"billed_charge": 1280.0, "npi": [1194344184]}]}]}, {"tin": {"type": "ein", "value": "933810711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.11, "providers": [{"billed_charge": 1280.0, "npi": [1386009165]}]}, {"allowed_amount": 167.19, "providers": [{"billed_charge": 1280.0, "npi": [1841829140]}]}]}, {"tin": {"type": "ein", "value": "933829214"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.11, "providers": [{"billed_charge": 1280.0, "npi": [1386043891]}]}]}, {"tin": {"type": "ein", "value": "933854910"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.11, "providers": [{"billed_charge": 1280.0, "npi": [1629899836]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1693.0, "npi": [1619397452]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 960.0, "providers": [{"billed_charge": 2400.0, "npi": [1376868208]}]}]}, {"tin": {"type": "ein", "value": "934387494"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.71, "providers": [{"billed_charge": 1055.0, "npi": [1386931244]}]}]}, {"tin": {"type": "ein", "value": "934422899"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.93, "providers": [{"billed_charge": 309.0, "npi": [1811458938]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 822.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4661.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "940382330"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5413.0, "providers": [{"billed_charge": 5413.0, "npi": [1003961251]}]}]}, {"tin": {"type": "ein", "value": "940562680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4261.78, "providers": [{"billed_charge": 5214.0, "npi": [1063812907]}]}, {"allowed_amount": 4333.04, "providers": [{"billed_charge": 5214.0, "npi": [1730238007]}]}, {"allowed_amount": 5214.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5214.0, "npi": [1740348929, 1659439834]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4844.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4844.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.35, "providers": [{"billed_charge": 788.0, "npi": [1205153772]}]}]}, {"tin": {"type": "ein", "value": "941156581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.35, "providers": [{"billed_charge": 834.0, "npi": [1174514491]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4634.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4634.0, "npi": [1366896300, 1811946734]}]}]}, {"tin": {"type": "ein", "value": "942460636"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 383.03, "providers": [{"billed_charge": 945.0, "npi": [1265882492]}]}, {"allowed_amount": 450.63, "providers": [{"billed_charge": 1118.0, "npi": [1326276825]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 962.0, "npi": [1215281233, 1457794505]}]}, {"allowed_amount": 83.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1629793567]}]}, {"allowed_amount": 93.52, "providers": [{"billed_charge": 962.0, "npi": [1639978372]}]}, {"allowed_amount": 159.47, "providers": [{"billed_charge": 962.0, "npi": [1245791672]}]}, {"allowed_amount": 164.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1982122776]}]}, {"allowed_amount": 192.07, "providers": [{"billed_charge": 962.0, "npi": [1952329898]}]}, {"allowed_amount": 193.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1295903706]}]}, {"allowed_amount": 204.72, "providers": [{"billed_charge": 962.0, "npi": [1285210211]}]}, {"allowed_amount": 962.0, "providers": [{"billed_charge": 962.0, "npi": [1285200030]}]}]}, {"tin": {"type": "ein", "value": "942728480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 207.2, "providers": [{"billed_charge": 788.0, "npi": [1780973412]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2489.16, "npi": [1851530984]}]}, {"allowed_amount": 895.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2765.74, "npi": [1124661384]}, {"billed_charge": 3678.43, "npi": [1194749580]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.15, "providers": [{"billed_charge": 291.0, "npi": [1154381689]}]}]}, {"tin": {"type": "ein", "value": "943056706"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.72, "providers": [{"billed_charge": 1098.0, "npi": [1265423610]}]}]}, {"tin": {"type": "ein", "value": "943159355"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.72, "providers": [{"billed_charge": 566.0, "npi": [1407433782]}]}]}, {"tin": {"type": "ein", "value": "943167314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6738.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7938.0, "npi": [1093712374]}]}]}, {"tin": {"type": "ein", "value": "943278555"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 834.0, "npi": [1730543471]}]}, {"allowed_amount": 68.35, "providers": [{"billed_charge": 834.0, "npi": [1992001655]}]}, {"allowed_amount": 204.72, "providers": [{"billed_charge": 834.0, "npi": [1417930520]}]}]}, {"tin": {"type": "ein", "value": "943302301"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 466.67, "providers": [{"billed_charge": 885.0, "npi": [1043744774]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4332.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5869.0, "npi": [1083648810]}]}]}, {"tin": {"type": "ein", "value": "946000533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3500.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1063406551]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6337.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3026.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3026.37, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4277.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4277.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2675.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2675.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "951675600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3854.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4530.0, "npi": [1336173269]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3854.97, "providers": [{"billed_charge": 3884.63, "npi": [1841277704]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 962.0, "npi": [1265987721]}]}, {"allowed_amount": 166.36, "providers": [{"billed_charge": 725.0, "npi": [1255025029]}]}, {"allowed_amount": 195.71, "providers": [{"billed_charge": 725.0, "npi": [1356961536]}]}]}, {"tin": {"type": "ein", "value": "951816017"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4512.0, "npi": [1831188275]}]}]}, {"tin": {"type": "ein", "value": "954520710"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.71, "providers": [{"billed_charge": 845.0, "npi": [1225560881]}]}]}, {"tin": {"type": "ein", "value": "954540991"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.71, "providers": [{"billed_charge": 500.0, "npi": [1912224528]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2420.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2420.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954552089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.71, "providers": [{"billed_charge": 812.0, "npi": [1124231139]}]}]}, {"tin": {"type": "ein", "value": "954558726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 621.0, "npi": [1144612813]}, {"billed_charge": 731.0, "npi": [1295777282]}]}, {"allowed_amount": 97.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 731.0, "npi": [1306188727]}]}, {"allowed_amount": 195.71, "providers": [{"billed_charge": 731.0, "npi": [1700053378]}]}]}, {"tin": {"type": "ein", "value": "954615787"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.71, "providers": [{"billed_charge": 709.0, "npi": [1740772383]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1699.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1699.8, "npi": [1811099674]}]}]}, {"tin": {"type": "ein", "value": "956000927"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "providers": [{"billed_charge": 6097.0, "npi": [1699986331]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2420.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "990074365"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2558.0, "npi": [1225113442]}]}]}, {"tin": {"type": "ein", "value": "990175536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.92, "providers": [{"billed_charge": 944.0, "npi": [1336763275]}]}]}, {"tin": {"type": "ein", "value": "990326099"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.92, "providers": [{"billed_charge": 287.0, "npi": [1073007936]}]}]}, {"tin": {"type": "ein", "value": "991100562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.06, "providers": [{"billed_charge": 1026.0, "npi": [1356345136]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.03, "providers": [{"billed_charge": 267.0, "npi": [1629843792, 1407554249, 1750571394, 1487123956]}]}, {"allowed_amount": 180.03, "providers": [{"billed_charge": 267.0, "npi": [1740867936, 1073956421, 1811171762, 1235367731, 1760974422, 1104052471, 1871533950, 1295963775]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.4, "providers": [{"billed_charge": 463.8, "npi": [1942026174]}]}, {"allowed_amount": 236.88, "providers": [{"billed_charge": 463.8, "npi": [1407080286]}]}]}, {"tin": {"type": "ein", "value": "992530371"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.41, "providers": [{"billed_charge": 962.0, "npi": [1013357102]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2705.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4567.0, "npi": [1427806025, 1780429076, 1366281750]}]}, {"allowed_amount": 4567.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4567.0, "npi": [1427806025]}]}, {"allowed_amount": 16961.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4567.0, "npi": [1780429076]}]}, {"allowed_amount": 46741.61, "providers": [{"billed_charge": 4567.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1205714813]}]}, {"allowed_amount": 173.92, "providers": [{"billed_charge": 443.0, "npi": [1043939747]}]}, {"allowed_amount": 179.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1558474114, 1730185356, 1750246039, 1902284953, 1659034395, 1043939747, 1801448741, 1679545396, 1770696247, 1154833978, 1619346749, 1528352192, 1225480015, 1265842512, 1902672983, 1285506139, 1710411871, 1255684965, 1174545511, 1881971448, 1831573500, 1205714813, 1396946430]}]}, {"allowed_amount": 179.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1770696247, 1992516777, 1528378445, 1205714813, 1902672983, 1952143703, 1134522360, 1518825850, 1285506139, 1225736028, 1619346749]}]}, {"allowed_amount": 191.82, "providers": [{"billed_charge": 443.0, "npi": [1225480015]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1558520320, 1801448741, 1174545511, 1144840232, 1811000714, 1033538830, 1225552912, 1386007664, 1548548563, 1548248115, 1285747287, 1902284953]}]}, {"allowed_amount": 269.83, "providers": [{"billed_charge": 443.0, "npi": [1376195685]}]}, {"allowed_amount": 295.66, "providers": [{"billed_charge": 443.0, "npi": [1780978619]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 637.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2792.0, "npi": [1255171096]}]}, {"allowed_amount": 974.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2792.0, "npi": [1255171096]}]}]}, {"tin": {"type": "ein", "value": "992974033"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "providers": [{"billed_charge": 2032.0, "npi": [1811209539]}]}]}, {"tin": {"type": "ein", "value": "993514276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 335.81, "providers": [{"billed_charge": 988.0, "npi": [1932337698]}]}]}, {"tin": {"type": "ein", "value": "993694300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3581.26, "npi": [1336109818]}]}]}, {"tin": {"type": "ein", "value": "994155069"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.74, "providers": [{"billed_charge": 1213.0, "npi": [1225226517]}]}]}, {"tin": {"type": "ein", "value": "994936877"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 983.12, "npi": [1225771330, 1558959122]}]}]}]}, {"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": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.61, "providers": [{"billed_charge": 575.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.34, "providers": [{"billed_charge": 146.0, "npi": [1326700121, 1235136649, 1871234724]}]}]}, {"tin": {"type": "ein", "value": "020483054"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.76, "providers": [{"billed_charge": 782.0, "npi": [1598700940]}]}]}, {"tin": {"type": "ein", "value": "042774441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 406.59, "providers": [{"billed_charge": 721.0, "npi": [1710087127]}]}]}, {"tin": {"type": "ein", "value": "043194547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 131.0, "npi": [1124889142]}]}]}, {"tin": {"type": "ein", "value": "050588771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.69, "providers": [{"billed_charge": 200.0, "npi": [1457717472]}]}, {"allowed_amount": 87.87, "providers": [{"billed_charge": 200.0, "npi": [1750620506]}]}]}, {"tin": {"type": "ein", "value": "066000798"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.23, "providers": [{"billed_charge": 1350.0, "npi": [1669466561]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 756.0, "npi": [1245370717]}]}]}, {"tin": {"type": "ein", "value": "113243405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 705.35, "providers": [{"billed_charge": 2380.86, "npi": [1033224704]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4235.0, "npi": [1952476988]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "providers": [{"billed_charge": 1872.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "providers": [{"billed_charge": 696.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "160756336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "providers": [{"billed_charge": 759.0, "npi": [1164464921]}]}]}, {"tin": {"type": "ein", "value": "160960470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.92, "providers": [{"billed_charge": 485.0, "npi": [1033107743]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.77, "providers": [{"billed_charge": 114.0, "npi": [1356072482]}]}]}, {"tin": {"type": "ein", "value": "203204949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.5, "providers": [{"billed_charge": 189.5, "npi": [1700977105]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.36, "providers": [{"billed_charge": 936.15, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "204278130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.54, "providers": [{"billed_charge": 675.0, "npi": [1710915756]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.29, "providers": [{"billed_charge": 1821.92, "npi": [1316992134]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1105.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221487602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.44, "providers": [{"billed_charge": 1158.0, "npi": [1669462420]}]}]}, {"tin": {"type": "ein", "value": "222617175"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 371.0, "npi": [1477596310]}]}]}, {"tin": {"type": "ein", "value": "231352166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 531.62, "providers": [{"billed_charge": 771.83, "npi": [1215921457]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.42, "providers": [{"billed_charge": 220.0, "npi": [1659729424, 1548206386, 1578790663]}]}]}, {"tin": {"type": "ein", "value": "232829095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 531.62, "providers": [{"billed_charge": 2095.0, "npi": [1134297393]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.82, "providers": [{"billed_charge": 2310.0, "npi": [1598479602]}]}]}, {"tin": {"type": "ein", "value": "260599536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 573.0, "npi": [1972001469]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 129.8, "npi": [1215329354]}]}, {"allowed_amount": 49.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 129.8, "npi": [1376542167]}]}, {"allowed_amount": 60.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 129.8, "npi": [1891051769, 1376421123, 1831204452]}]}, {"allowed_amount": 60.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 129.8, "npi": [1831204452, 1245790252]}]}, {"allowed_amount": 64.78, "providers": [{"billed_charge": 130.0, "npi": [1114504255]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.77, "providers": [{"billed_charge": 64.0, "npi": [1023633153, 1124420229, 1447014063, 1740145903, 1538525423, 1760040307, 1992170773, 1306853338]}, {"billed_charge": 141.0, "npi": [1265999585, 1124420229, 1942044037, 1538232236, 1447014063, 1538652979, 1760040307, 1992170773, 1447396023, 1306853338, 1629472923]}]}, {"allowed_amount": 50.9, "providers": [{"billed_charge": 141.0, "npi": [1811432719]}]}, {"allowed_amount": 55.45, "providers": [{"billed_charge": 64.0, "npi": [1124118138, 1477701498, 1043808157, 1952185878]}, {"billed_charge": 141.0, "npi": [1477701498]}]}, {"allowed_amount": 64.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 64.0, "npi": [1023633153, 1508216706, 1124420229, 1942044037, 1609403013, 1578054920, 1578956025, 1528515210, 1942598925, 1508044686, 1811432719, 1407029523, 1730190869, 1942940309, 1942731799, 1487473047, 1205332889, 1629472923, 1730618653, 1487738654, 1033796255, 1700981156, 1093247140, 1538232236, 1548622764, 1447014063, 1780117937, 1730716721, 1740008374, 1952864696, 1487115960, 1962083642, 1235698234, 1962422592, 1821083460, 1205486917, 1235301318, 1659734341, 1598179400, 1376561100, 1356879829, 1083041750, 1124118138, 1164542809, 1477701498, 1417985888, 1265999585, 1124353123, 1386632933, 1407895402, 1790003051, 1104996461, 1538525423, 1144412016, 1912561648, 1760040307, 1790216695, 1609278969, 1881058170, 1639305212]}]}, {"allowed_amount": 92.54, "providers": [{"billed_charge": 141.0, "npi": [1821083460]}]}, {"allowed_amount": 107.37, "providers": [{"billed_charge": 141.0, "npi": [1528515210]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 141.0, "npi": [1265539621, 1578054920, 1174741078, 1942731799, 1487971479, 1205332889, 1881058170, 1730618653, 1629462015]}]}]}, {"tin": {"type": "ein", "value": "262294680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1164688495]}]}]}, {"tin": {"type": "ein", "value": "264051248"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2494.0, "npi": [1205176062]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.71, "providers": [{"billed_charge": 343.0, "npi": [1639709199]}]}, {"allowed_amount": 52.83, "providers": [{"billed_charge": 343.0, "npi": [1457496572]}]}, {"allowed_amount": 60.84, "providers": [{"billed_charge": 343.0, "npi": [1720433725]}]}, {"allowed_amount": 119.08, "providers": [{"billed_charge": 343.0, "npi": [1114504305, 1194798090, 1720433725]}]}]}, {"tin": {"type": "ein", "value": "272133159"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1300.0, "providers": [{"billed_charge": 1300.0, "npi": [1891059127]}]}]}, {"tin": {"type": "ein", "value": "272763125"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.78, "providers": [{"billed_charge": 590.0, "npi": [1750788238]}]}]}, {"tin": {"type": "ein", "value": "272953799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.23, "providers": [{"billed_charge": 585.0, "npi": [1265740195]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.27, "providers": [{"billed_charge": 208.0, "npi": [1992022776, 1336358753, 1437326725, 1326075177]}]}]}, {"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.08, "providers": [{"billed_charge": 1115.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "310733259"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 264.26, "providers": [{"billed_charge": 616.0, "npi": [1295840007]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1131.0, "npi": [1710752183]}]}]}, {"tin": {"type": "ein", "value": "311479038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.08, "providers": [{"billed_charge": 884.0, "npi": [1033154026]}]}]}, {"tin": {"type": "ein", "value": "314446959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 259.08, "providers": [{"billed_charge": 894.0, "npi": [1710913462]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.32, "providers": [{"billed_charge": 212.0, "npi": [1912154865]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.45, "providers": [{"billed_charge": 212.0, "npi": [1598917833]}]}, {"allowed_amount": 64.78, "providers": [{"billed_charge": 212.0, "npi": [1184944357]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 212.0, "npi": [1700161700]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 344.39, "providers": [{"billed_charge": 919.0, "npi": [1851833230]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.0, "providers": [{"billed_charge": 308.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 344.39, "providers": [{"billed_charge": 798.83, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "383176536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.83, "providers": [{"billed_charge": 508.0, "npi": [1053356352]}]}]}, {"tin": {"type": "ein", "value": "386005601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.04, "providers": [{"billed_charge": 577.25, "npi": [1598717480]}]}]}, {"tin": {"type": "ein", "value": "390807236"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 344.84, "providers": [{"billed_charge": 661.0, "npi": [1346228541]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 440.96, "providers": [{"billed_charge": 650.0, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "390992883"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.63, "providers": [{"billed_charge": 812.0, "npi": [1568487411]}]}]}, {"tin": {"type": "ein", "value": "411804205"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 421.48, "providers": [{"billed_charge": 423.0, "npi": [1609861095]}]}]}, {"tin": {"type": "ein", "value": "421557533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.03, "providers": [{"billed_charge": 934.21, "npi": [1255302923]}]}]}, {"tin": {"type": "ein", "value": "421557533"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.43, "providers": [{"billed_charge": 118.89, "npi": [1659637924]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.18, "providers": [{"billed_charge": 502.0, "npi": [1386641207]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.77, "providers": [{"billed_charge": 1017.0, "npi": [1962572396, 1598835308]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.81, "providers": [{"billed_charge": 440.0, "npi": [1649603929, 1073716619]}]}, {"allowed_amount": 96.77, "providers": [{"billed_charge": 440.0, "npi": [1770741258]}]}, {"allowed_amount": 97.13, "providers": [{"billed_charge": 440.0, "npi": [1891923793, 1649205659]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 658.43, "providers": [{"billed_charge": 1109.0, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "450308379"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 284.7, "providers": [{"billed_charge": 284.7, "npi": [1700965696]}]}]}, {"tin": {"type": "ein", "value": "450308379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.64, "providers": [{"billed_charge": 117.0, "npi": [1720475767]}]}]}, {"tin": {"type": "ein", "value": "454395947"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.8, "providers": [{"billed_charge": 94.0, "npi": [1497268114]}]}, {"allowed_amount": 66.83, "providers": [{"billed_charge": 94.0, "npi": [1508253147]}]}]}, {"tin": {"type": "ein", "value": "454738484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.69, "providers": [{"billed_charge": 237.0, "npi": [1780965533]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.49, "providers": [{"billed_charge": 446.0, "npi": [1184289258]}, {"billed_charge": 451.0, "npi": [1356314033, 1063711802, 1649739491, 1184128167]}]}]}, {"tin": {"type": "ein", "value": "462531047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.78, "providers": [{"billed_charge": 440.0, "npi": [1790799799]}]}]}, {"tin": {"type": "ein", "value": "463580388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.91, "providers": [{"billed_charge": 180.0, "npi": [1659669646]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.9, "providers": [{"billed_charge": 90.0, "npi": [1285054536, 1003081472, 1942501739, 1972504488]}]}, {"allowed_amount": 60.21, "providers": [{"billed_charge": 82.0, "npi": [1447883756]}]}, {"allowed_amount": 60.84, "providers": [{"billed_charge": 82.0, "npi": [1467096321, 1932276177]}]}, {"allowed_amount": 64.78, "providers": [{"billed_charge": 90.0, "npi": [1780739144, 1215106216, 1114347655]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "providers": [{"billed_charge": 541.0, "npi": [1154333987, 1104271725]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 541.0, "npi": [1104110386]}]}]}, {"tin": {"type": "ein", "value": "465143606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1058.0, "npi": [1396194197]}]}]}, {"tin": {"type": "ein", "value": "470533373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.0, "providers": [{"billed_charge": 380.0, "npi": [1841204500]}]}]}, {"tin": {"type": "ein", "value": "520591531"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.98, "providers": [{"billed_charge": 167.98, "npi": [1609831247]}]}]}, {"tin": {"type": "ein", "value": "540647482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.35, "providers": [{"billed_charge": 1473.0, "npi": [1366404428]}]}]}, {"tin": {"type": "ein", "value": "550404900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.25, "providers": [{"billed_charge": 646.0, "npi": [1316925506]}]}]}, {"tin": {"type": "ein", "value": "560529974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 412.0, "providers": [{"billed_charge": 412.0, "npi": [1225088255]}]}]}, {"tin": {"type": "ein", "value": "560529994"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.68, "providers": [{"billed_charge": 820.0, "npi": [1326010273]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 391.0, "npi": [1427030774]}]}]}, {"tin": {"type": "ein", "value": "560552787"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.15, "providers": [{"billed_charge": 1210.0, "npi": [1144211301]}]}]}, {"tin": {"type": "ein", "value": "560636250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 468.0, "npi": [1801848767]}]}]}, {"tin": {"type": "ein", "value": "560845796"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 249.18, "providers": [{"billed_charge": 590.0, "npi": [1639172869]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 336.1, "providers": [{"billed_charge": 869.0, "npi": [1609807122]}]}]}, {"tin": {"type": "ein", "value": "580566223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 336.93, "providers": [{"billed_charge": 670.0, "npi": [1871556621]}]}]}, {"tin": {"type": "ein", "value": "581157005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.3, "providers": [{"billed_charge": 713.0, "npi": [1245248624]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 336.93, "providers": [{"billed_charge": 1557.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 347.79, "providers": [{"billed_charge": 1121.0, "npi": [1457396079]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 361.11, "providers": [{"billed_charge": 1345.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582433432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.44, "providers": [{"billed_charge": 1549.9, "npi": [1467406132]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 955.13, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 260.74, "providers": [{"billed_charge": 1366.0, "npi": [1194790055]}]}, {"allowed_amount": 962.04, "providers": [{"billed_charge": 1366.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.63, "providers": [{"billed_charge": 2019.98, "npi": [1598657298, 1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 256.28, "providers": [{"billed_charge": 2200.0, "npi": [1700979465]}]}, {"allowed_amount": 469.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1700979465, 1972664530]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2019.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 995.71, "providers": [{"billed_charge": 1282.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 327.09, "providers": [{"billed_charge": 1818.0, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.39, "providers": [{"billed_charge": 1595.0, "npi": [1578620449]}]}, {"allowed_amount": 585.24, "providers": [{"billed_charge": 1595.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.08, "providers": [{"billed_charge": 2019.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 604.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 690.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.24, "providers": [{"billed_charge": 565.0, "npi": [1245895952]}, {"billed_charge": 600.0, "npi": [1316925605]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 149.2, "providers": [{"billed_charge": 355.0, "npi": [1619604162]}]}, {"allowed_amount": 175.53, "providers": [{"billed_charge": 345.0, "npi": [1275946436]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 1530.0, "npi": [1396992475]}]}, {"allowed_amount": 521.11, "providers": [{"billed_charge": 1530.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1073.43, "providers": [{"billed_charge": 2555.78, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.62, "providers": [{"billed_charge": 978.0, "npi": [1366514705]}]}, {"allowed_amount": 280.6, "providers": [{"billed_charge": 978.0, "npi": [1649340415]}]}, {"allowed_amount": 473.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 978.0, "npi": [1649340415]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.52, "providers": [{"billed_charge": 1136.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 377.3, "npi": [1538146170]}]}, {"allowed_amount": 48.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 377.3, "npi": [1922394030]}]}, {"allowed_amount": 114.27, "providers": [{"billed_charge": 377.3, "npi": [1225062813]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.27, "providers": [{"billed_charge": 258.0, "npi": [1972504355]}, {"billed_charge": 300.0, "npi": [1962961938, 1881674026]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 885.0, "npi": [1437177664]}]}, {"allowed_amount": 702.29, "providers": [{"billed_charge": 885.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.0, "npi": [1285684597, 1649275249, 1952313173, 1629262126]}]}, {"allowed_amount": 60.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.0, "npi": [1649275249, 1952313173, 1629262126]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1846.95, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 1822.0, "npi": [1144228446]}]}, {"allowed_amount": 327.09, "providers": [{"billed_charge": 1822.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.77, "providers": [{"billed_charge": 454.0, "npi": [1710229448]}]}]}, {"tin": {"type": "ein", "value": "610444716"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 309.75, "providers": [{"billed_charge": 571.26, "npi": [1851346720]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 322.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1624.0, "npi": [1952307027, 1447388335]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1910.0, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "621113169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 701.62, "npi": [1144213117]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 1039.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 616.0, "providers": [{"billed_charge": 1760.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "640907122"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.92, "providers": [{"billed_charge": 2032.0, "npi": [1033163092]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.91, "providers": [{"billed_charge": 369.0, "npi": [1063967834, 1205685484, 1134108996]}, {"billed_charge": 508.0, "npi": [1750845152, 1326637588]}, {"billed_charge": 568.0, "npi": [1568969061]}, {"billed_charge": 572.0, "npi": [1457073066]}, {"billed_charge": 576.0, "npi": [1447862818, 1659250868]}]}, {"allowed_amount": 164.35, "providers": [{"billed_charge": 540.0, "npi": [1568409985, 1700532645, 1609636422, 1629885736, 1114642345, 1144005208, 1114625712, 1568492817, 1063989168, 1063652881, 1245904820, 1205850070, 1154757656]}]}, {"allowed_amount": 182.24, "providers": [{"billed_charge": 369.0, "npi": [1417278177, 1295001667, 1578190278, 1982054029, 1518279470, 1366742678, 1508391228]}, {"billed_charge": 508.0, "npi": [1346220811, 1639149859, 1891894838, 1124093703]}, {"billed_charge": 568.0, "npi": [1255697504, 1619408739, 1629236427, 1700803343, 1487690897, 1922206168]}, {"billed_charge": 570.0, "npi": [1194083881, 1316109473, 1811488158]}, {"billed_charge": 572.0, "npi": [1477928737, 1457512642, 1093212458, 1932858289, 1205451135]}, {"billed_charge": 576.0, "npi": [1760743512, 1518946367]}, {"billed_charge": 581.0, "npi": [1316109473, 1689660748]}, {"billed_charge": 613.0, "npi": [1851734198, 1376521815]}, {"billed_charge": 615.0, "npi": [1275950479]}, {"billed_charge": 626.0, "npi": [1093721961, 1982232732, 1184998676, 1073824785]}]}, {"allowed_amount": 193.36, "providers": [{"billed_charge": 540.0, "npi": [1710568704, 1144482951, 1639424906, 1376032011, 1154786192, 1033143698, 1275799827, 1134625049, 1417698077, 1639109150, 1538148127, 1376522144, 1629885736, 1265883433, 1508039595, 1366431546, 1558011197, 1699208637, 1912648767, 1225394240, 1487232450, 1134323405, 1639495245, 1902080468, 1659657047, 1518927193, 1215108832, 1336497890, 1801245675, 1558725358, 1053690479, 1326579566, 1801092465, 1073762043]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 149.2, "providers": [{"billed_charge": 504.0, "npi": [1336849652]}, {"billed_charge": 565.0, "npi": [1740532225]}]}, {"allowed_amount": 154.91, "providers": [{"billed_charge": 591.0, "npi": [1710574777, 1740145309, 1942872494]}]}, {"allowed_amount": 175.53, "providers": [{"billed_charge": 544.0, "npi": [1114288123]}]}, {"allowed_amount": 182.24, "providers": [{"billed_charge": 587.0, "npi": [1619945169, 1912527995, 1649248196]}, {"billed_charge": 591.0, "npi": [1073843090, 1851618227, 1366742678, 1366684615]}, {"billed_charge": 623.0, "npi": [1639286396]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.83, "providers": [{"billed_charge": 308.0, "npi": [1831147743]}]}, {"allowed_amount": 60.84, "providers": [{"billed_charge": 308.0, "npi": [1720068224, 1023038346, 1801120027]}]}, {"allowed_amount": 100.48, "providers": [{"billed_charge": 308.0, "npi": [1083864987]}]}, {"allowed_amount": 119.08, "providers": [{"billed_charge": 308.0, "npi": [1912388224]}]}]}, {"tin": {"type": "ein", "value": "650691102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.36, "providers": [{"billed_charge": 406.0, "npi": [1669677415]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.91, "providers": [{"billed_charge": 476.0, "npi": [1093979650, 1437600418, 1316681265, 1982290003, 1912194713, 1013248095, 1780280255]}, {"billed_charge": 477.0, "npi": [1750387726, 1205454162, 1609956119, 1588643357, 1013248095]}, {"billed_charge": 478.0, "npi": [1235590928, 1437600418, 1477824126, 1801639430]}, {"billed_charge": 481.0, "npi": [1700894144, 1346768066, 1669845285, 1669783213]}, {"billed_charge": 482.0, "npi": [1538305750]}, {"billed_charge": 498.0, "npi": [1225432768, 1205454162, 1184093726, 1225149594]}]}, {"allowed_amount": 182.24, "providers": [{"billed_charge": 476.0, "npi": [1801525027, 1275013732, 1447375878, 1689014185, 1922189653, 1003802877, 1831237692, 1619910973]}, {"billed_charge": 477.0, "npi": [1811510282, 1023645074, 1922376730, 1043322399, 1922684448, 1518184225, 1992791586, 1336382241, 1699851295, 1326074790, 1679518120, 1740578368, 1619543105, 1639585607, 1477973709, 1427554773, 1407238363, 1629657184, 1013307495, 1467947242, 1407344492, 1083642870, 1952714487]}, {"billed_charge": 478.0, "npi": [1407282445, 1336339852, 1790944205, 1528367422]}, {"billed_charge": 481.0, "npi": [1154764611, 1073715470, 1285684753, 1316261233, 1699771576, 1477130334]}, {"billed_charge": 482.0, "npi": [1619269024, 1881678290, 1083642201, 1508807546, 1467409276]}, {"billed_charge": 483.0, "npi": [1033303771]}, {"billed_charge": 498.0, "npi": [1831176130, 1093247330, 1811121957, 1760418495, 1326336785, 1538144597, 1609870682, 1699851295]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "providers": [{"billed_charge": 323.0, "npi": [1760452957]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 323.0, "npi": [1760452957]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 1366.0, "npi": [1083644033]}]}, {"allowed_amount": 296.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1366.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "providers": [{"billed_charge": 521.0, "npi": [1326400698, 1699735258, 1568491082]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 521.0, "npi": [1326668864, 1699735258, 1124559828, 1235591660]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 506.6, "providers": [{"billed_charge": 1044.41, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "651191375"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1360.0, "providers": [{"billed_charge": 1360.0, "npi": [1922116037]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.96, "providers": [{"billed_charge": 386.0, "npi": [1487699047]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.48, "providers": [{"billed_charge": 159.0, "npi": [1104920594]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.34, "providers": [{"billed_charge": 955.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "730584411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.93, "providers": [{"billed_charge": 891.0, "npi": [1114931342]}]}]}, {"tin": {"type": "ein", "value": "736082972"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.56, "providers": [{"billed_charge": 316.0, "npi": [1376995324]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.0, "providers": [{"billed_charge": 298.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "providers": [{"billed_charge": 678.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.05, "providers": [{"billed_charge": 612.0, "npi": [1043234768]}]}, {"allowed_amount": 149.2, "providers": [{"billed_charge": 325.0, "npi": [1861909236, 1730130725]}, {"billed_charge": 572.0, "npi": [1649982117, 1255561502]}]}, {"allowed_amount": 175.53, "providers": [{"billed_charge": 325.0, "npi": [1285275784, 1063469724, 1447205653]}, {"billed_charge": 355.0, "npi": [1710379920, 1629174917]}, {"billed_charge": 388.0, "npi": [1003101288, 1912431875, 1417105404, 1194993766]}, {"billed_charge": 572.0, "npi": [1194993766, 1316406184, 1295199784, 1699302570, 1265704332, 1407432941, 1053677138, 1841396660, 1124232822, 1326624859]}, {"billed_charge": 583.0, "npi": [1831765478]}, {"billed_charge": 612.0, "npi": [1043234768, 1659900512]}, {"billed_charge": 627.0, "npi": [1598890642, 1740446947]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.82, "providers": [{"billed_charge": 2067.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.42, "providers": [{"billed_charge": 790.0, "npi": [1649726738]}]}]}, {"tin": {"type": "ein", "value": "811855329"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.55, "providers": [{"billed_charge": 440.0, "npi": [1821512393]}]}]}, {"tin": {"type": "ein", "value": "813935393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.75, "providers": [{"billed_charge": 2819.83, "npi": [1861994808]}]}]}, {"tin": {"type": "ein", "value": "820161600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.47, "providers": [{"billed_charge": 688.0, "npi": [1770586794]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 652.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.84, "providers": [{"billed_charge": 466.0, "npi": [1144514332, 1205851565, 1174866263]}]}, {"allowed_amount": 119.08, "providers": [{"billed_charge": 466.0, "npi": [1881825461]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "providers": [{"billed_charge": 212.0, "npi": [1437688215, 1114156783]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 212.0, "npi": [1174732705, 1184944357, 1730329798, 1790138279]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "providers": [{"billed_charge": 325.0, "npi": [1710552377]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.74, "providers": [{"billed_charge": 134.0, "npi": [1467871269]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.38, "providers": [{"billed_charge": 1756.44, "npi": [1932112125]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 963.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 963.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.38, "providers": [{"billed_charge": 1213.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "providers": [{"billed_charge": 212.0, "npi": [1174732705, 1730616996, 1861838823, 1275986861, 1467627729, 1700140092]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 212.0, "npi": [1174732705, 1912262098, 1124559828, 1437688215, 1154650943]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "providers": [{"billed_charge": 212.0, "npi": [1407484074, 1124559828, 1932143740, 1386385862]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 212.0, "npi": [1184944357, 1386385862, 1407484074, 1700140092, 1437688215, 1841876315, 1932143740]}]}]}, {"tin": {"type": "ein", "value": "853777599"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 503.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 719.0, "npi": [1376139139]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 541.0, "npi": [1821733312]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.36, "providers": [{"billed_charge": 826.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 763.0, "npi": [1326022286, 1518234111]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "910564748"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 378.0, "providers": [{"billed_charge": 939.3, "npi": [1467536276]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 609.0, "npi": [1184853004, 1740226190]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 609.0, "npi": [1306473624, 1083191092]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.77, "providers": [{"billed_charge": 237.0, "npi": [1649684051]}]}, {"allowed_amount": 55.45, "providers": [{"billed_charge": 237.0, "npi": [1275586315, 1710579198]}]}, {"allowed_amount": 59.65, "providers": [{"billed_charge": 237.0, "npi": [1790032530]}]}, {"allowed_amount": 60.21, "providers": [{"billed_charge": 237.0, "npi": [1235916073]}]}, {"allowed_amount": 60.84, "providers": [{"billed_charge": 237.0, "npi": [1215517537, 1639810989, 1588694798, 1265484562, 1467062323, 1659012052, 1043819675, 1871122622, 1205900446]}]}, {"allowed_amount": 64.78, "providers": [{"billed_charge": 237.0, "npi": [1962631648, 1295485431, 1801258884, 1225665003, 1386267474, 1902435027, 1457552531, 1881825461, 1144960758, 1750842902, 1194245464, 1164476313, 1043956022, 1043893118, 1386799039]}]}, {"allowed_amount": 69.54, "providers": [{"billed_charge": 237.0, "npi": [1649536608]}]}, {"allowed_amount": 89.77, "providers": [{"billed_charge": 237.0, "npi": [1811615297, 1669003273, 1306673017]}]}, {"allowed_amount": 97.13, "providers": [{"billed_charge": 237.0, "npi": [1265722920]}]}, {"allowed_amount": 100.48, "providers": [{"billed_charge": 237.0, "npi": [1003658907, 1215739164]}]}, {"allowed_amount": 114.27, "providers": [{"billed_charge": 237.0, "npi": [1740868892]}]}, {"allowed_amount": 119.08, "providers": [{"billed_charge": 237.0, "npi": [1063158533, 1205407624, 1992999437, 1396107538, 1659012052, 1871176149, 1760122774, 1295354777, 1548919707, 1285089789]}]}, {"allowed_amount": 126.32, "providers": [{"billed_charge": 237.0, "npi": [1952988131, 1295485431, 1801258884, 1619585510, 1245639624, 1669608618, 1225665003, 1295319440, 1043893118, 1457552531, 1902435027, 1881825461, 1043956022, 1750842902, 1306473624, 1164476313, 1841861820, 1538113790]}]}, {"allowed_amount": 212.95, "providers": [{"billed_charge": 237.0, "npi": [1427445642]}]}]}, {"tin": {"type": "ein", "value": "922156815"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.46, "providers": [{"billed_charge": 252.0, "npi": [1194950899]}]}]}, {"tin": {"type": "ein", "value": "922826272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.41, "providers": [{"billed_charge": 343.0, "npi": [1477225803]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.84, "providers": [{"billed_charge": 323.0, "npi": [1083649602, 1619408739, 1336725225, 1750382420, 1003076183, 1962441048]}]}, {"allowed_amount": 114.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 323.0, "npi": [1417925876]}]}, {"allowed_amount": 119.08, "providers": [{"billed_charge": 323.0, "npi": [1962441048, 1649202961, 1083649602, 1750382420]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1527.0, "providers": [{"billed_charge": 1527.0, "npi": [1811946734]}]}]}, {"tin": {"type": "ein", "value": "942728480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.6, "providers": [{"billed_charge": 272.0, "npi": [1710065503]}]}]}, {"tin": {"type": "ein", "value": "946000533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2479.72, "providers": [{"billed_charge": 2750.0, "npi": [1063406551]}]}]}, {"tin": {"type": "ein", "value": "956000927"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1226.0, "providers": [{"billed_charge": 1226.0, "npi": [1699986331]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 95.0, "npi": [1013574912]}]}, {"allowed_amount": 52.48, "providers": [{"billed_charge": 95.0, "npi": [1265241210]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.52, "providers": [{"billed_charge": 1614.0, "npi": [1427806025]}]}, {"allowed_amount": 995.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1614.0, "npi": [1427806025, 1780429076, 1366281750]}]}]}]}, {"name": "Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "92978", "billing_code_type_version": "2022", "description": "ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 262.0, "npi": [1215425319]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 254.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 320.0, "npi": [1700235405, 1245460526, 1528350543, 1558337329, 1851753917, 1972761567]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.15, "providers": [{"billed_charge": 294.0, "npi": [1083844278]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.18, "providers": [{"billed_charge": 215.0, "npi": [1609215771]}]}, {"allowed_amount": 157.0, "providers": [{"billed_charge": 215.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.71, "providers": [{"billed_charge": 292.0, "npi": [1720423601]}]}]}, {"tin": {"type": "ein", "value": "630889615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.51, "providers": [{"billed_charge": 210.0, "npi": [1922469147]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 220.0, "npi": [1427554856]}]}]}]}, {"name": "Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)", "billing_code_type": "CPT", "billing_code": "43264", "billing_code_type_version": "2022", "description": "ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 644.81, "providers": [{"billed_charge": 5223.0, "npi": [1932299765]}]}]}, {"tin": {"type": "ein", "value": "133006635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.18, "providers": [{"billed_charge": 10000.0, "npi": [1336178581]}]}, {"allowed_amount": 250.08, "providers": [{"billed_charge": 10000.0, "npi": [1336178581]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 472.85, "providers": [{"billed_charge": 1605.0, "npi": [1568681740]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 472.85, "providers": [{"billed_charge": 1892.29, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.43, "providers": [{"billed_charge": 1146.16, "npi": [1912091794]}]}, {"allowed_amount": 472.85, "providers": [{"billed_charge": 1146.16, "npi": [1912091794]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 845.1, "providers": [{"billed_charge": 1878.0, "npi": [1336317171, 1346553294]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2502.83, "providers": [{"billed_charge": 5561.85, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "650710550"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 45.18, "providers": [{"billed_charge": 838.0, "npi": [1205815529]}]}, {"allowed_amount": 385.84, "providers": [{"billed_charge": 838.0, "npi": [1205815529]}]}, {"allowed_amount": 500.16, "providers": [{"billed_charge": 838.0, "npi": [1205815529]}]}]}, {"tin": {"type": "ein", "value": "752660403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 419.88, "providers": [{"billed_charge": 1153.22, "npi": [1275982241]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.48, "providers": [{"billed_charge": 2109.0, "npi": [1689136442]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 625.21, "providers": [{"billed_charge": 1108.0, "npi": [1194979591]}]}]}]}, {"name": "Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "33508", "billing_code_type_version": "2022", "description": "NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG", "allowed_amounts": [{"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.23, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 70.0, "npi": [1508737255, 1659259679]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.7, "providers": [{"billed_charge": 66.0, "npi": [1083779888, 1619217049]}]}]}, {"tin": {"type": "ein", "value": "593338654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 7.0, "npi": [1629845128]}]}, {"allowed_amount": 21.63, "providers": [{"billed_charge": 51.0, "npi": [1598799942]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 8.68, "npi": [1831418458]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2.51, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1538621123]}]}, {"allowed_amount": 2.77, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1093491144, 1518130947]}]}, {"allowed_amount": 2.78, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1043102858, 1447862859, 1528670338]}]}, {"allowed_amount": 3.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1649206517]}]}, {"allowed_amount": 3.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1205957784]}]}, {"allowed_amount": 3.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1447862859]}]}, {"allowed_amount": 22.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1093491144, 1205957784]}]}, {"allowed_amount": 23.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 23.0, "npi": [1528670338, 1841369410, 1043102858, 1447862859, 1649206517]}]}]}]}, {"name": "Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen", "billing_code_type": "CPT", "billing_code": "82657", "billing_code_type_version": "2022", "description": "NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.17, "providers": [{"billed_charge": 22.17, "npi": [1518983642]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.18, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 525.19, "npi": [1255314704]}]}, {"allowed_amount": 22.17, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 525.19, "npi": [1255314704]}]}]}]}, {"name": "Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code": "43235", "billing_code_type_version": "2022", "description": "ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949875"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.08, "providers": [{"billed_charge": 485.0, "npi": [1508840430]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2054.37, "providers": [{"billed_charge": 4215.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "270709861"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 221.09, "providers": [{"billed_charge": 632.0, "npi": [1336162916]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.5, "providers": [{"billed_charge": 807.0, "npi": [1407169113]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 465.26, "providers": [{"billed_charge": 901.29, "npi": [1518953025, 1114075785]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.0, "providers": [{"billed_charge": 420.0, "npi": [1205255783]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 201.0, "providers": [{"billed_charge": 630.0, "npi": [1790961662]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 465.26, "providers": [{"billed_charge": 836.0, "npi": [1346525128]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.23, "providers": [{"billed_charge": 736.0, "npi": [1174592125]}]}, {"allowed_amount": 231.81, "providers": [{"billed_charge": 736.0, "npi": [1518427889]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.13, "providers": [{"billed_charge": 650.0, "npi": [1720041247]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.0, "providers": [{"billed_charge": 283.0, "npi": [1306055009]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.84, "providers": [{"billed_charge": 854.0, "npi": [1174818058]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.5, "providers": [{"billed_charge": 306.0, "npi": [1538144613]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 321.9, "providers": [{"billed_charge": 836.0, "npi": [1497114649]}]}]}, {"tin": {"type": "ein", "value": "650085794"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 129.23, "providers": [{"billed_charge": 365.0, "npi": [1407882483]}]}, {"allowed_amount": 365.0, "providers": [{"billed_charge": 365.0, "npi": [1407882483]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 483.03, "providers": [{"billed_charge": 560.0, "npi": [1003268715]}]}]}, {"tin": {"type": "ein", "value": "650332593"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1295881365]}]}]}, {"tin": {"type": "ein", "value": "650450662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 445.47, "providers": [{"billed_charge": 445.47, "npi": [1346363967]}]}]}, {"tin": {"type": "ein", "value": "650710550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.08, "providers": [{"billed_charge": 616.0, "npi": [1205815529]}]}, {"allowed_amount": 134.16, "providers": [{"billed_charge": 616.0, "npi": [1205815529]}]}]}, {"tin": {"type": "ein", "value": "650770715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.72, "providers": [{"billed_charge": 500.0, "npi": [1164430716]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.1, "providers": [{"billed_charge": 8174.39, "npi": [1194258350]}]}]}]}, {"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": "133006635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 624.75, "providers": [{"billed_charge": 6000.0, "npi": [1336178581]}]}]}, {"tin": {"type": "ein", "value": "204949875"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 575.0, "npi": [1508840430]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.24, "providers": [{"billed_charge": 1286.76, "npi": [1841252657]}]}, {"allowed_amount": 144.49, "providers": [{"billed_charge": 1286.76, "npi": [1841252657]}]}, {"allowed_amount": 301.32, "providers": [{"billed_charge": 1286.76, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "270709861"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 187.22, "providers": [{"billed_charge": 818.0, "npi": [1336162916]}]}, {"allowed_amount": 221.38, "providers": [{"billed_charge": 818.0, "npi": [1760702302]}]}, {"allowed_amount": 572.29, "providers": [{"billed_charge": 818.0, "npi": [1649273871]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 246.94, "providers": [{"billed_charge": 1052.0, "npi": [1376550285]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3078.24, "providers": [{"billed_charge": 2235.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 219.35, "providers": [{"billed_charge": 565.0, "npi": [1720292741]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 1175.99, "npi": [1306133988]}]}, {"allowed_amount": 177.32, "providers": [{"billed_charge": 1175.99, "npi": [1306133988]}]}, {"allowed_amount": 301.32, "providers": [{"billed_charge": 1175.99, "npi": [1114075785, 1912091794]}]}, {"allowed_amount": 602.63, "providers": [{"billed_charge": 1175.99, "npi": [1114075785, 1912091794, 1306133988]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 279.9, "providers": [{"billed_charge": 622.0, "npi": [1801392295, 1205255783, 1346553294, 1902057326, 1518200401, 1336317171, 1518199702, 1750736542]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.08, "providers": [{"billed_charge": 280.0, "npi": [1942244934]}]}]}, {"tin": {"type": "ein", "value": "562319289"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 905.0, "npi": [1831156066]}]}]}, {"tin": {"type": "ein", "value": "582211582"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 206.3, "providers": [{"billed_charge": 650.0, "npi": [1437142320]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.0, "providers": [{"billed_charge": 1389.0, "npi": [1538131313]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1059.85, "providers": [{"billed_charge": 2355.22, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5682.9, "providers": [{"billed_charge": 9334.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 307.36, "providers": [{"billed_charge": 1052.0, "npi": [1932410370, 1376864157]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3457.1, "providers": [{"billed_charge": 5100.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 120.18, "providers": [{"billed_charge": 650.0, "npi": [1285195057, 1205106796]}]}, {"allowed_amount": 572.29, "providers": [{"billed_charge": 650.0, "npi": [1205106796]}]}]}, {"tin": {"type": "ein", "value": "591934417"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1205870110]}]}]}, {"tin": {"type": "ein", "value": "591943602"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.04, "providers": [{"billed_charge": 1362.0, "npi": [1780779355]}]}]}, {"tin": {"type": "ein", "value": "592751388"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 100.69, "providers": [{"billed_charge": 1400.0, "npi": [1922335900]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.69, "providers": [{"billed_charge": 317.0, "npi": [1699125559]}]}]}, {"tin": {"type": "ein", "value": "621822362"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.43, "providers": [{"billed_charge": 1002.0, "npi": [1598763757]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.49, "providers": [{"billed_charge": 1052.0, "npi": [1174586853]}]}]}, {"tin": {"type": "ein", "value": "650085794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.49, "providers": [{"billed_charge": 420.0, "npi": [1407882483]}]}, {"allowed_amount": 301.32, "providers": [{"billed_charge": 420.0, "npi": [1407882483]}]}]}, {"tin": {"type": "ein", "value": "650118506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 400.0, "npi": [1811929029]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 626.0, "npi": [1003268715]}]}, {"allowed_amount": 149.99, "providers": [{"billed_charge": 626.0, "npi": [1003268715]}, {"billed_charge": 757.0, "npi": [1003268715]}]}, {"allowed_amount": 624.75, "providers": [{"billed_charge": 626.0, "npi": [1003268715]}]}]}, {"tin": {"type": "ein", "value": "650450662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.49, "providers": [{"billed_charge": 591.0, "npi": [1346363967]}]}, {"allowed_amount": 301.32, "providers": [{"billed_charge": 591.0, "npi": [1346363967]}]}, {"allowed_amount": 591.0, "providers": [{"billed_charge": 591.0, "npi": [1346363967]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1608.84, "providers": [{"billed_charge": 4227.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650710550"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.99, "providers": [{"billed_charge": 1077.84, "npi": [1205815529]}]}, {"allowed_amount": 624.75, "providers": [{"billed_charge": 1077.84, "npi": [1205815529]}]}]}, {"tin": {"type": "ein", "value": "811894645"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 800.0, "npi": [1215994447]}]}]}, {"tin": {"type": "ein", "value": "843845474"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 624.75, "providers": [{"billed_charge": 1270.0, "npi": [1174125512]}]}]}, {"tin": {"type": "ein", "value": "853888725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.66, "providers": [{"billed_charge": 295.0, "npi": [1558801159]}]}, {"allowed_amount": 243.04, "providers": [{"billed_charge": 295.0, "npi": [1558801159]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.3, "providers": [{"billed_charge": 1340.0, "npi": [1568616498]}]}]}, {"tin": {"type": "ein", "value": "882780773"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.14, "providers": [{"billed_charge": 470.0, "npi": [1720222102]}]}]}, {"tin": {"type": "ein", "value": "883946897"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.76, "providers": [{"billed_charge": 425.16, "npi": [1316457914]}]}, {"allowed_amount": 425.16, "providers": [{"billed_charge": 425.16, "npi": [1316457914]}]}]}, {"tin": {"type": "ein", "value": "922866765"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.36, "providers": [{"billed_charge": 1229.73, "npi": [1457714024]}]}]}, {"tin": {"type": "ein", "value": "934292769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 1221.0, "npi": [1598514291]}]}, {"allowed_amount": 159.71, "providers": [{"billed_charge": 626.0, "npi": [1598514291]}, {"billed_charge": 1221.0, "npi": [1598514291]}]}, {"allowed_amount": 513.19, "providers": [{"billed_charge": 1221.0, "npi": [1598514291]}]}, {"allowed_amount": 572.53, "providers": [{"billed_charge": 626.0, "npi": [1598514291]}]}, {"allowed_amount": 1065.63, "providers": [{"billed_charge": 1221.0, "npi": [1598514291]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.59, "providers": [{"billed_charge": 623.0, "npi": [1841421534]}]}]}]}, {"name": "Evacuation of subungual hematoma", "billing_code_type": "CPT", "billing_code": "11740", "billing_code_type_version": "2022", "description": "EVACUATION SUBUNGUAL HEMATOMA", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 19.63, "providers": [{"billed_charge": 132.0, "npi": [1205417474]}]}, {"allowed_amount": 29.47, "providers": [{"billed_charge": 132.0, "npi": [1235189358, 1780062414]}]}, {"allowed_amount": 85.12, "providers": [{"billed_charge": 132.0, "npi": [1952921025, 1023052644]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.98, "providers": [{"billed_charge": 106.0, "npi": [1407029523]}]}, {"allowed_amount": 85.12, "providers": [{"billed_charge": 88.0, "npi": [1316912157]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 91.0, "providers": [{"billed_charge": 91.0, "npi": [1467073254]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.98, "providers": [{"billed_charge": 160.0, "npi": [1821599309]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.86, "providers": [{"billed_charge": 317.0, "npi": [1922879113]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.77, "providers": [{"billed_charge": 355.0, "npi": [1669608618]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.58, "providers": [{"billed_charge": 307.0, "npi": [1205454162]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.54, "providers": [{"billed_charge": 271.0, "npi": [1740260538]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 106.4, "providers": [{"billed_charge": 146.45, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 82.38, "providers": [{"billed_charge": 151.0, "npi": [1225899826]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 71.2, "providers": [{"billed_charge": 190.0, "npi": [1700405818]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.37, "providers": [{"billed_charge": 160.0, "npi": [1124547336]}]}, {"allowed_amount": 85.12, "providers": [{"billed_charge": 160.0, "npi": [1376250290]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.46, "providers": [{"billed_charge": 186.0, "npi": [1326011784]}]}, {"allowed_amount": 82.38, "providers": [{"billed_charge": 186.0, "npi": [1548919707]}]}]}]}, {"name": "Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis)", "billing_code_type": "CPT", "billing_code": "88363", "billing_code_type_version": "2022", "description": "EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSI", "allowed_amounts": [{"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.38, "providers": [{"billed_charge": 110.0, "npi": [1740422872]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.14, "providers": [{"billed_charge": 226.0, "npi": [1982920823]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.23, "providers": [{"billed_charge": 100.0, "npi": [1790865467]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.65, "providers": [{"billed_charge": 134.0, "npi": [1700994431]}]}, {"allowed_amount": 20.72, "providers": [{"billed_charge": 134.0, "npi": [1164402152, 1851529945, 1669675153, 1821258211]}]}, {"allowed_amount": 23.38, "providers": [{"billed_charge": 134.0, "npi": [1194797985, 1821258211, 1619920204, 1669675153, 1114999091, 1386140663, 1851529945, 1518900315, 1902096894, 1700994431]}]}, {"allowed_amount": 23.93, "providers": [{"billed_charge": 134.0, "npi": [1194797985, 1609161892, 1619920204, 1114999091, 1518900315]}]}, {"allowed_amount": 28.88, "providers": [{"billed_charge": 134.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 23.38, "providers": [{"billed_charge": 126.0, "npi": [1841441490, 1922070259, 1831240142]}]}, {"allowed_amount": 23.93, "providers": [{"billed_charge": 126.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}, {"billed_charge": 252.0, "npi": [1215909536]}]}, {"allowed_amount": 35.07, "providers": [{"billed_charge": 126.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.38, "providers": [{"billed_charge": 111.0, "npi": [1538115852]}]}, {"allowed_amount": 23.93, "providers": [{"billed_charge": 111.0, "npi": [1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 35.07, "providers": [{"billed_charge": 111.0, "npi": [1689614620]}]}]}]}, {"name": "Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "33268", "billing_code_type_version": "2022", "description": "EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.04, "providers": [{"billed_charge": 535.0, "npi": [1982127437]}]}]}, {"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 207.24, "providers": [{"billed_charge": 600.0, "npi": [1508737255]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.7, "providers": [{"billed_charge": 159.0, "npi": [1093491144, 1518130947]}]}, {"allowed_amount": 22.8, "providers": [{"billed_charge": 159.0, "npi": [1528670338, 1447862859]}]}, {"allowed_amount": 24.84, "providers": [{"billed_charge": 159.0, "npi": [1649206517]}]}, {"allowed_amount": 28.18, "providers": [{"billed_charge": 159.0, "npi": [1447862859, 1972099455]}]}, {"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1093491144, 1528670338, 1447862859, 1649206517]}]}]}]}, {"name": "Extracorporeal shock wave involving musculoskeletal system, not otherwise specified", "billing_code_type": "CPT", "billing_code": "0101T", "billing_code_type_version": "2022", "description": "EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.62, "providers": [{"billed_charge": 400.0, "npi": [1902994908]}, {"billed_charge": 450.0, "npi": [1902994908]}]}, {"allowed_amount": 50.63, "providers": [{"billed_charge": 450.0, "npi": [1902994908]}]}, {"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1902994908]}]}, {"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1902994908]}]}]}]}, {"name": "Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutes", "billing_code_type": "CPT", "billing_code": "97156", "billing_code_type_version": "2022", "description": "FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "473572561"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 16.21, "providers": [{"billed_charge": 19.05, "npi": [1679238455]}]}]}, {"tin": {"type": "ein", "value": "822707687"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.9, "providers": [{"billed_charge": 19.05, "npi": [1235778457]}]}]}, {"tin": {"type": "ein", "value": "824091350"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.21, "providers": [{"billed_charge": 16.45, "npi": [1861849713, 1285084475]}]}]}, {"tin": {"type": "ein", "value": "843701768"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 16.21, "providers": [{"billed_charge": 19.05, "npi": [1588531115]}]}]}, {"tin": {"type": "ein", "value": "852969734"}, "billing_class": "professional", "service_codes": ["12", "03"], "payments": [{"allowed_amount": 14.88, "providers": [{"billed_charge": 14.88, "npi": [1477168466]}]}, {"allowed_amount": 17.51, "providers": [{"billed_charge": 17.51, "npi": [1477168466]}]}]}, {"tin": {"type": "ein", "value": "853414783"}, "billing_class": "professional", "service_codes": ["12", "03"], "payments": [{"allowed_amount": 16.21, "providers": [{"billed_charge": 31.25, "npi": [1639528433]}]}]}, {"tin": {"type": "ein", "value": "863598471"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 19.2, "providers": [{"billed_charge": 40.0, "npi": [1982192472]}]}]}, {"tin": {"type": "ein", "value": "863902386"}, "billing_class": "professional", "service_codes": ["10", "02", "12", "11", "99"], "payments": [{"allowed_amount": 28.8, "providers": [{"billed_charge": 450.0, "npi": [1417101585]}]}, {"allowed_amount": 125.0, "providers": [{"billed_charge": 450.0, "npi": [1588168728, 1417101585, 1588263826, 1841169406]}]}]}, {"tin": {"type": "ein", "value": "921306962"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 17.51, "providers": [{"billed_charge": 19.05, "npi": [1841824554]}]}]}, {"tin": {"type": "ein", "value": "921877564"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 14.88, "providers": [{"billed_charge": 14.88, "npi": [1225543994]}]}]}]}, {"name": "Ferritin", "billing_code_type": "CPT", "billing_code": "82728", "billing_code_type_version": "2022", "description": "ASSAY OF FERRITIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.48, "providers": [{"billed_charge": 249.96, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.63, "providers": [{"billed_charge": 306.05, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.99, "providers": [{"billed_charge": 229.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.63, "providers": [{"billed_charge": 77.2, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.08, "providers": [{"billed_charge": 164.0, "npi": [1982606992]}]}]}]}, {"name": "Fetal biophysical profile; with non-stress testing", "billing_code_type": "CPT", "billing_code": "76818", "billing_code_type_version": "2022", "description": "FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 71.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 312.0, "npi": [1225069776]}]}, {"allowed_amount": 77.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 312.0, "npi": [1225069776, 1780864033, 1598913980]}]}, {"allowed_amount": 93.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 312.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 69.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 479.0, "npi": [1104986892, 1033189014]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 2450.0, "npi": [1679528889]}]}]}]}, {"name": "Fetal biophysical profile; without non-stress testing", "billing_code_type": "CPT", "billing_code": "76819", "billing_code_type_version": "2022", "description": "FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 52.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1225069776]}]}, {"allowed_amount": 56.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1225069776, 1598913980]}]}, {"allowed_amount": 68.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1508819970, 1619268182]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 51.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1053383786, 1013969294]}]}, {"allowed_amount": 69.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1265457485, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 92.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1578079562, 1841675642, 1043474190]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 46.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1053585380]}]}, {"allowed_amount": 49.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1053585380, 1851826440, 1215024971, 1538588207, 1891996047, 1235767062, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 53.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1851826440, 1215024971, 1891996047, 1073017174, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.2, "providers": [{"billed_charge": 813.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1780846204]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 69.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1497929954, 1407275118]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 49.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1487151536, 1295729689]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1649478702]}]}]}, {"tin": {"type": "ein", "value": "593398308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1063471092, 1528358397]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1497117865, 1295398980]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 1537.0, "npi": [1427806025]}]}]}]}, {"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": "160743209"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 396.22, "providers": [{"billed_charge": 964.0, "npi": [1346285657]}]}]}, {"tin": {"type": "ein", "value": "205873288"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 33.81, "providers": [{"billed_charge": 74.0, "npi": [1043502800]}]}]}, {"tin": {"type": "ein", "value": "223385574"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.9, "providers": [{"billed_charge": 145.0, "npi": [1336173723]}]}]}, {"tin": {"type": "ein", "value": "232825878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 716.13, "providers": [{"billed_charge": 1077.0, "npi": [1932813789]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.86, "providers": [{"billed_charge": 150.74, "npi": [1891051769, 1215329354, 1831204452]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.98, "providers": [{"billed_charge": 254.75, "npi": [1225039985]}]}, {"allowed_amount": 46.2, "providers": [{"billed_charge": 254.75, "npi": [1073593471]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.47, "providers": [{"billed_charge": 1759.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352445106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 803.5, "providers": [{"billed_charge": 803.5, "npi": [1124374079]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.8, "providers": [{"billed_charge": 106.0, "npi": [1184823825, 1417989468, 1578983847]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 106.0, "npi": [1639439896, 1669811667, 1114293172, 1215106216]}]}, {"allowed_amount": 22.72, "providers": [{"billed_charge": 106.0, "npi": [1619964228]}]}, {"allowed_amount": 22.86, "providers": [{"billed_charge": 62.0, "npi": [1013341080]}]}, {"allowed_amount": 34.08, "providers": [{"billed_charge": 106.0, "npi": [1497786891, 1871273326, 1811048531, 1033538707, 1366080855]}]}, {"allowed_amount": 37.95, "providers": [{"billed_charge": 62.0, "npi": [1669446449, 1154640100]}]}, {"allowed_amount": 39.6, "providers": [{"billed_charge": 106.0, "npi": [1184823825, 1417989468, 1578983847]}]}, {"allowed_amount": 39.99, "providers": [{"billed_charge": 106.0, "npi": [1639439896]}]}, {"allowed_amount": 45.44, "providers": [{"billed_charge": 106.0, "npi": [1619964228]}]}, {"allowed_amount": 45.72, "providers": [{"billed_charge": 62.0, "npi": [1316432784, 1669196754, 1447883756]}]}, {"allowed_amount": 46.2, "providers": [{"billed_charge": 62.0, "npi": [1821741216, 1467096321, 1154640100, 1710074182, 1497786891, 1447883756, 1366847147, 1316432784, 1912102104]}, {"billed_charge": 106.0, "npi": [1225244007, 1578983847, 1497786891, 1871273326, 1184823825, 1033538707, 1366080855, 1417989468]}]}, {"allowed_amount": 50.89, "providers": [{"billed_charge": 106.0, "npi": [1639439896, 1447781877]}]}, {"allowed_amount": 62.0, "providers": [{"billed_charge": 62.0, "npi": [1912102104]}]}, {"allowed_amount": 68.16, "providers": [{"billed_charge": 106.0, "npi": [1497786891, 1871273326, 1811048531, 1033538707, 1366080855]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 40.35, "providers": [{"billed_charge": 140.0, "npi": [1588265037]}]}, {"allowed_amount": 47.47, "providers": [{"billed_charge": 140.0, "npi": [1356968978]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 601.17, "providers": [{"billed_charge": 1058.0, "npi": [1487866315]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.14, "providers": [{"billed_charge": 644.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.95, "providers": [{"billed_charge": 1326.0, "npi": [1184709057]}]}, {"allowed_amount": 717.9, "providers": [{"billed_charge": 2652.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.98, "providers": [{"billed_charge": 291.0, "npi": [1285684597, 1649275249, 1952313173]}]}, {"allowed_amount": 19.8, "providers": [{"billed_charge": 291.0, "npi": [1083077507, 1336119783, 1578958443, 1386844140, 1669637419, 1386633774, 1396108635, 1700837044, 1962852251, 1275809469]}]}, {"allowed_amount": 37.95, "providers": [{"billed_charge": 291.0, "npi": [1952313173]}]}, {"allowed_amount": 39.6, "providers": [{"billed_charge": 291.0, "npi": [1083077507, 1336119783, 1669637419, 1578958443, 1396108635, 1700837044, 1962852251]}]}, {"allowed_amount": 43.74, "providers": [{"billed_charge": 291.0, "npi": [1104986892, 1033189014]}]}, {"allowed_amount": 46.2, "providers": [{"billed_charge": 291.0, "npi": [1083077507, 1962852251, 1851407431, 1336119783, 1578958443, 1669637419, 1629262126, 1386633774, 1649275249, 1285950931, 1700837044, 1952313173, 1285684597, 1164564696, 1396108635, 1275809469]}]}, {"allowed_amount": 76.89, "providers": [{"billed_charge": 291.0, "npi": [1952313173]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.18, "providers": [{"billed_charge": 92.0, "npi": [1679869465]}]}, {"allowed_amount": 44.36, "providers": [{"billed_charge": 92.0, "npi": [1013225317]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.95, "providers": [{"billed_charge": 1326.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593606752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.67, "providers": [{"billed_charge": 75.0, "npi": [1902895576]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.76, "providers": [{"billed_charge": 100.0, "npi": [1710552377]}]}]}, {"tin": {"type": "ein", "value": "934489868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 90.0, "npi": [1811269962]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.55, "providers": [{"billed_charge": 76.0, "npi": [1548619596]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.53, "providers": [{"billed_charge": 357.0, "npi": [1427806025]}]}, {"allowed_amount": 1311.06, "providers": [{"billed_charge": 357.0, "npi": [1427806025]}]}]}]}, {"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": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.05, "providers": [{"billed_charge": 1243.0, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.79, "providers": [{"billed_charge": 51.79, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520608007"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.1, "providers": [{"billed_charge": 32.1, "npi": [1184712085]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.64, "providers": [{"billed_charge": 273.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.92, "providers": [{"billed_charge": 175.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.42, "providers": [{"billed_charge": 418.7, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 512.16, "providers": [{"billed_charge": 1219.43, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.13, "providers": [{"billed_charge": 261.0, "npi": [1184709057]}]}, {"allowed_amount": 70.65, "providers": [{"billed_charge": 261.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.7, "providers": [{"billed_charge": 149.35, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.15, "providers": [{"billed_charge": 689.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.1, "providers": [{"billed_charge": 15.1, "npi": [1083931489]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.65, "providers": [{"billed_charge": 261.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.88, "providers": [{"billed_charge": 364.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.88, "providers": [{"billed_charge": 140.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.82, "providers": [{"billed_charge": 50.0, "npi": [1457007478]}]}]}]}, {"name": "Fibrinolysins or coagulopathy screen, interpretation and report", "billing_code_type": "CPT", "billing_code": "85390", "billing_code_type_version": "2022", "description": "FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 22.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1659337251, 1346336674, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1538196944]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 53.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1326402371, 1538115852]}]}]}]}, {"name": "Fine needle aspiration biopsy, including ultrasound guidance; first lesion", "billing_code_type": "CPT", "billing_code": "10005", "billing_code_type_version": "2022", "description": "FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION", "allowed_amounts": [{"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.14, "providers": [{"billed_charge": 689.0, "npi": [1922083120]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.11, "providers": [{"billed_charge": 179.0, "npi": [1538588207]}]}, {"allowed_amount": 103.72, "providers": [{"billed_charge": 179.0, "npi": [1700315025, 1619497567, 1538588207]}]}, {"allowed_amount": 179.0, "providers": [{"billed_charge": 179.0, "npi": [1104288836, 1538588207, 1700315025, 1235517558, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.49, "providers": [{"billed_charge": 470.0, "npi": [1780662700, 1962834671]}]}, {"allowed_amount": 163.22, "providers": [{"billed_charge": 470.0, "npi": [1477883189]}]}, {"allowed_amount": 186.14, "providers": [{"billed_charge": 470.0, "npi": [1477883189]}]}]}]}, {"name": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)", "billing_code_type": "CPT", "billing_code": "88185", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.65, "providers": [{"billed_charge": 151.35, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 34.79, "providers": [{"billed_charge": 104.0, "npi": [1134107857]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22"], "payments": [{"allowed_amount": 11.31, "providers": [{"billed_charge": 70.0, "npi": [1396408829]}]}, {"allowed_amount": 14.75, "providers": [{"billed_charge": 70.0, "npi": [1396408829]}]}, {"allowed_amount": 18.33, "providers": [{"billed_charge": 70.0, "npi": [1396408829]}]}, {"allowed_amount": 18.77, "providers": [{"billed_charge": 70.0, "npi": [1003245317]}]}, {"allowed_amount": 19.38, "providers": [{"billed_charge": 70.0, "npi": [1396408829]}]}, {"allowed_amount": 23.35, "providers": [{"billed_charge": 70.0, "npi": [1396408829]}]}, {"allowed_amount": 44.16, "providers": [{"billed_charge": 70.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.23, "providers": [{"billed_charge": 161.12, "npi": [1487657573]}]}, {"allowed_amount": 19.38, "providers": [{"billed_charge": 161.12, "npi": [1487657573]}]}, {"allowed_amount": 22.03, "providers": [{"billed_charge": 161.12, "npi": [1487657573]}]}, {"allowed_amount": 23.35, "providers": [{"billed_charge": 161.12, "npi": [1487657573]}]}]}]}, {"name": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker", "billing_code_type": "CPT", "billing_code": "88184", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 156.56, "providers": [{"billed_charge": 471.23, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 123.96, "providers": [{"billed_charge": 171.0, "npi": [1134107857]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22"], "payments": [{"allowed_amount": 66.3, "providers": [{"billed_charge": 196.0, "npi": [1003245317]}]}, {"allowed_amount": 68.68, "providers": [{"billed_charge": 196.0, "npi": [1396408829]}]}, {"allowed_amount": 82.75, "providers": [{"billed_charge": 196.0, "npi": [1396408829]}]}, {"allowed_amount": 154.99, "providers": [{"billed_charge": 196.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 68.68, "providers": [{"billed_charge": 242.34, "npi": [1487657573]}]}, {"allowed_amount": 77.96, "providers": [{"billed_charge": 242.34, "npi": [1487657573]}]}, {"allowed_amount": 82.75, "providers": [{"billed_charge": 242.34, "npi": [1487657573]}]}]}]}, {"name": "Flow cytometry, interpretation; 16 or more markers", "billing_code_type": "CPT", "billing_code": "88189", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY INTERPRETATION 16/> MARKERS", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.78, "providers": [{"billed_charge": 1165.0, "npi": [1689817397]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 40.66, "providers": [{"billed_charge": 317.0, "npi": [1477608628]}]}, {"allowed_amount": 81.33, "providers": [{"billed_charge": 317.0, "npi": [1346336674, 1659337251, 1750664132, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 151.27, "providers": [{"billed_charge": 317.0, "npi": [1346336674, 1659337251, 1750664132, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.23, "providers": [{"billed_charge": 500.0, "npi": [1134107857, 1023032190]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 121.23, "providers": [{"billed_charge": 209.0, "npi": [1134107857]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.23, "providers": [{"billed_charge": 761.0, "npi": [1154596468, 1679794671]}]}]}, {"tin": {"type": "ein", "value": "591263616"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 802.0, "npi": [1982016044]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 250.9, "providers": [{"billed_charge": 380.0, "npi": [1790865467, 1790170819]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 81.33, "providers": [{"billed_charge": 707.0, "npi": [1821258211, 1609161892, 1386964815, 1437126612, 1396044574, 1700994431]}]}, {"allowed_amount": 94.48, "providers": [{"billed_charge": 707.0, "npi": [1700994431]}]}, {"allowed_amount": 105.73, "providers": [{"billed_charge": 707.0, "npi": [1669675153]}]}, {"allowed_amount": 121.23, "providers": [{"billed_charge": 707.0, "npi": [1609161892, 1396044574]}]}, {"allowed_amount": 122.0, "providers": [{"billed_charge": 707.0, "npi": [1821258211, 1396044574]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 60.36, "providers": [{"billed_charge": 205.0, "npi": [1205063294]}]}, {"allowed_amount": 65.87, "providers": [{"billed_charge": 205.0, "npi": [1003245317]}]}, {"allowed_amount": 67.5, "providers": [{"billed_charge": 205.0, "npi": [1396408829, 1073549663]}]}, {"allowed_amount": 81.33, "providers": [{"billed_charge": 205.0, "npi": [1073549663]}]}, {"allowed_amount": 135.98, "providers": [{"billed_charge": 205.0, "npi": [1740240753]}]}, {"allowed_amount": 136.99, "providers": [{"billed_charge": 205.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.33, "providers": [{"billed_charge": 1030.0, "npi": [1326402371]}]}, {"allowed_amount": 121.23, "providers": [{"billed_charge": 1030.0, "npi": [1326402371]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.25, "providers": [{"billed_charge": 397.0, "npi": [1366964470]}]}]}]}, {"name": "Flow cytometry, interpretation; 2 to 8 markers", "billing_code_type": "CPT", "billing_code": "88187", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY INTERPJ 2-8 MARKERS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 60.43, "providers": [{"billed_charge": 214.0, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 36.01, "providers": [{"billed_charge": 461.0, "npi": [1609161892, 1396044574, 1700994431]}]}, {"allowed_amount": 41.82, "providers": [{"billed_charge": 461.0, "npi": [1700994431]}]}, {"allowed_amount": 53.66, "providers": [{"billed_charge": 461.0, "npi": [1609161892, 1396044574]}]}, {"allowed_amount": 54.02, "providers": [{"billed_charge": 461.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.01, "providers": [{"billed_charge": 312.0, "npi": [1154462380]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.17, "providers": [{"billed_charge": 153.0, "npi": [1003245317]}]}, {"allowed_amount": 36.01, "providers": [{"billed_charge": 153.0, "npi": [1396408829]}]}, {"allowed_amount": 60.43, "providers": [{"billed_charge": 153.0, "npi": [1740240753]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.89, "providers": [{"billed_charge": 463.9, "npi": [1487657573]}]}, {"allowed_amount": 36.01, "providers": [{"billed_charge": 463.9, "npi": [1487657573]}]}]}]}, {"name": "Flow cytometry, interpretation; 9 to 15 markers", "billing_code_type": "CPT", "billing_code": "88188", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY INTERPJ 9-15 MARKERS", "allowed_amounts": [{"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 60.3, "providers": [{"billed_charge": 583.0, "npi": [1609161892, 1396044574, 1700994431]}]}, {"allowed_amount": 70.32, "providers": [{"billed_charge": 583.0, "npi": [1700994431]}]}, {"allowed_amount": 90.23, "providers": [{"billed_charge": 583.0, "npi": [1609161892, 1396044574]}]}, {"allowed_amount": 90.45, "providers": [{"billed_charge": 583.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.62, "providers": [{"billed_charge": 153.0, "npi": [1740240753]}]}, {"allowed_amount": 101.35, "providers": [{"billed_charge": 153.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 60.3, "providers": [{"billed_charge": 589.0, "npi": [1972654846, 1144292855]}]}, {"allowed_amount": 90.23, "providers": [{"billed_charge": 589.0, "npi": [1659573715]}]}]}]}, {"name": "Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "77001", "billing_code_type_version": "2022", "description": "FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1740028687]}]}]}, {"tin": {"type": "ein", "value": "204435929"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 25.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1174513709]}]}, {"allowed_amount": 29.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1174513709]}]}, {"allowed_amount": 43.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1205891140]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1881956944]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 31.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1235532474]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1053327114]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 24.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1023570827, 1982832572]}]}, {"allowed_amount": 57.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1023570827, 1417158452, 1427580331]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1346714128]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 25.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1497929954]}]}, {"allowed_amount": 43.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1588084073]}]}, {"allowed_amount": 34.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1588084073]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1669498952]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1518126523, 1386090702]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 167.0, "npi": [1326240417]}]}, {"allowed_amount": 43.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 167.0, "npi": [1326240417, 1578817219]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 25.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1780662700, 1962834671]}]}, {"allowed_amount": 43.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1619214707, 1487996518]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2775.1, "npi": [1194258350]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1306158191]}]}]}]}, {"name": "Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time", "billing_code_type": "CPT", "billing_code": "76000", "billing_code_type_version": "2022", "description": "FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME", "allowed_amounts": [{"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 21.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1093748840, 1013969294]}]}, {"allowed_amount": 29.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "473033715"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 21.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.69, "npi": [1134353345, 1679546402, 1326542739]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 3.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1891996047]}]}, {"allowed_amount": 19.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053585380]}]}, {"allowed_amount": 21.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 21.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053585380]}]}, {"allowed_amount": 21.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053585380]}]}, {"allowed_amount": 22.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1891996047, 1770646457, 1104288836, 1619497567]}]}, {"allowed_amount": 23.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053585380, 1619497567, 1891996047]}]}, {"allowed_amount": 24.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1104288836, 1891996047]}]}, {"allowed_amount": 25.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053585380]}]}]}, {"tin": {"type": "ein", "value": "650327403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 388.0, "npi": [1912498874]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 20.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 750.0, "npi": [1285875609]}]}, {"allowed_amount": 21.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 750.0, "npi": [1801835418, 1033159355, 1558302653]}]}, {"allowed_amount": 27.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 750.0, "npi": [1801835418, 1033159355, 1558302653]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 23.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 24.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "820788461"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1447450424]}]}]}, {"tin": {"type": "ein", "value": "850897854"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1306167614]}]}, {"allowed_amount": 21.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1306167614]}]}]}]}, {"name": "Folic acid; serum", "billing_code_type": "CPT", "billing_code": "82746", "billing_code_type_version": "2022", "description": "ASSAY OF FOLIC ACID SERUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.1, "providers": [{"billed_charge": 222.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.48, "providers": [{"billed_charge": 249.96, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.1, "providers": [{"billed_charge": 222.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.2, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 135.35, "npi": [1366150773]}]}, {"allowed_amount": 14.7, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 135.35, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.2, "providers": [{"billed_charge": 76.44, "npi": [1609596907]}]}, {"allowed_amount": 14.7, "providers": [{"billed_charge": 76.44, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 23.81, "providers": [{"billed_charge": 177.0, "npi": [1982606992]}]}]}]}, {"name": "Galactose-1-phosphate uridyl transferase; quantitative", "billing_code_type": "CPT", "billing_code": "82775", "billing_code_type_version": "2022", "description": "GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.07, "providers": [{"billed_charge": 21.07, "npi": [1518983642]}]}]}]}, {"name": "Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes", "billing_code_type": "CPT", "billing_code": "94727", "billing_code_type_version": "2022", "description": "GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&V", "allowed_amounts": [{"tin": {"type": "ein", "value": "202823061"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1043272115]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1043272115]}]}]}, {"tin": {"type": "ein", "value": "263082994"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 15.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1003894692]}]}, {"allowed_amount": 22.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1003894692]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1760700348]}]}]}, {"tin": {"type": "ein", "value": "650507012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1720131998]}]}]}, {"tin": {"type": "ein", "value": "811831574"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.12, "npi": [1356667430]}]}, {"allowed_amount": 65.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.12, "npi": [1356667430]}]}]}]}, {"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": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.2, "providers": [{"billed_charge": 30.0, "npi": [1881141570]}]}, {"allowed_amount": 26.07, "providers": [{"billed_charge": 30.0, "npi": [1558700807, 1528338316, 1255062030, 1568193936, 1881964690, 1699470997, 1487180824, 1932636578, 1215601828, 1912755380, 1184977977, 1598442303, 1962802496, 1669296588, 1376818898, 1427335637, 1588285928, 1518662121, 1538029418, 1720439276, 1891662193]}]}, {"allowed_amount": 26.59, "providers": [{"billed_charge": 30.0, "npi": [1649084328, 1962052654, 1255062030]}]}, {"allowed_amount": 28.68, "providers": [{"billed_charge": 30.0, "npi": [1033636097, 1932636578, 1073990081, 1417630278, 1558700807, 1003359464, 1538029418, 1932444619, 1720439276, 1881964690, 1427335637, 1164816351, 1114548765, 1225309503]}]}, {"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1043826886]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.28, "providers": [{"billed_charge": 351.73, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1639152366]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.0, "providers": [{"billed_charge": 1620.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1215909536]}]}]}]}, {"name": "General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)", "billing_code_type": "CPT", "billing_code": "80050", "billing_code_type_version": "2022", "description": "GENERAL HEALTH PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 115.14, "providers": [{"billed_charge": 140.52, "npi": [1225110497]}]}, {"allowed_amount": 124.53, "providers": [{"billed_charge": 140.52, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.07, "providers": [{"billed_charge": 861.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.54, "providers": [{"billed_charge": 1191.0, "npi": [1699541870]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.02, "providers": [{"billed_charge": 422.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "474332775"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 115.14, "providers": [{"billed_charge": 327.74, "npi": [1285018523]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.0, "providers": [{"billed_charge": 433.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.07, "providers": [{"billed_charge": 861.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 112.74, "providers": [{"billed_charge": 150.0, "npi": [1831228709]}]}, {"allowed_amount": 120.57, "providers": [{"billed_charge": 150.0, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.07, "providers": [{"billed_charge": 861.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 286.1, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 128.34, "providers": [{"billed_charge": 198.88, "npi": [1609596907]}]}, {"allowed_amount": 137.12, "providers": [{"billed_charge": 198.88, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1619931409, 1154385946]}]}, {"allowed_amount": 214.42, "providers": [{"billed_charge": 496.0, "npi": [1154385946]}]}]}]}, {"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": "204148930"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 500.0, "npi": [1326215690]}]}]}, {"tin": {"type": "ein", "value": "205777216"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1639113848]}]}]}, {"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 155.0, "providers": [{"billed_charge": 260.0, "npi": [1134862246]}]}]}, {"tin": {"type": "ein", "value": "270851352"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 290.6, "providers": [{"billed_charge": 500.0, "npi": [1649770769]}]}, {"allowed_amount": 372.54, "providers": [{"billed_charge": 500.0, "npi": [1134452865]}]}, {"allowed_amount": 383.58, "providers": [{"billed_charge": 500.0, "npi": [1134452865]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.0, "providers": [{"billed_charge": 318.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "453676951"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 384.0, "npi": [1427044825]}]}, {"allowed_amount": 260.0, "providers": [{"billed_charge": 260.0, "npi": [1629933049]}]}]}, {"tin": {"type": "ein", "value": "463427848"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 175.0, "npi": [1437575891]}]}]}, {"tin": {"type": "ein", "value": "465409110"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1447783303]}]}]}, {"tin": {"type": "ein", "value": "470964762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 334.64, "providers": [{"billed_charge": 1500.0, "npi": [1982651915]}]}]}, {"tin": {"type": "ein", "value": "471198641"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1326688318, 1881424497, 1255067427, 1306261086]}]}]}, {"tin": {"type": "ein", "value": "471982222"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1225004708]}]}]}, {"tin": {"type": "ein", "value": "521175337"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.0, "providers": [{"billed_charge": 241.0, "npi": [1811730971]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "814073032"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1780541151]}]}]}, {"tin": {"type": "ein", "value": "822818022"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 294.22, "providers": [{"billed_charge": 500.0, "npi": [1447769559]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.5, "providers": [{"billed_charge": 503.0, "npi": [1285102491]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 297.93, "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 307.6, "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 327.55, "providers": [{"billed_charge": 350.0, "npi": [1386954055]}]}, {"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "851739802"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1346858255]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 500.0, "npi": [1205061744, 1982200705]}]}, {"allowed_amount": 201.25, "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 207.28, "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 217.03, "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 223.54, "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 245.9, "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 266.36, "providers": [{"billed_charge": 500.0, "npi": [1689646440, 1558970129, 1033492434, 1710972534]}]}, {"allowed_amount": 274.35, "providers": [{"billed_charge": 500.0, "npi": [1689646440, 1881220846, 1205061744, 1558970129, 1710972534]}]}, {"allowed_amount": 282.14, "providers": [{"billed_charge": 500.0, "npi": [1992043715]}]}, {"allowed_amount": 290.6, "providers": [{"billed_charge": 500.0, "npi": [1992043715, 1750072583]}]}, {"allowed_amount": 321.6, "providers": [{"billed_charge": 500.0, "npi": [1982200705, 1477284743, 1366849069, 1154054260, 1780567255, 1568899961, 1497212799, 1770152415]}]}, {"allowed_amount": 331.25, "providers": [{"billed_charge": 500.0, "npi": [1396267373, 1275669780, 1154054260, 1780567255, 1568899961, 1770152415]}]}, {"allowed_amount": 357.71, "providers": [{"billed_charge": 500.0, "npi": [1235261900]}]}, {"allowed_amount": 475.53, "providers": [{"billed_charge": 500.0, "npi": [1689646440]}]}, {"allowed_amount": 479.44, "providers": [{"billed_charge": 500.0, "npi": [1275669780]}]}, {"allowed_amount": 493.82, "providers": [{"billed_charge": 500.0, "npi": [1275669780]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1750905568, 1992043715, 1841317989, 1750072583, 1821248840, 1073676235, 1417108812, 1578631925, 1750387254, 1275707895, 1801351093, 1083254940, 1528218815]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 354.93, "providers": [{"billed_charge": 354.93, "npi": [1891716908]}]}, {"allowed_amount": 371.25, "providers": [{"billed_charge": 386.6, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "934104475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1922347749, 1184265126, 1306452073, 1568075950, 1982955761, 1306203443, 1528075066, 1417341405]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 204.51, "providers": [{"billed_charge": 335.0, "npi": [1942671425, 1477245868, 1205283561, 1033592415]}, {"billed_charge": 430.0, "npi": [1396586715, 1669249652]}]}, {"allowed_amount": 212.51, "providers": [{"billed_charge": 430.0, "npi": [1114798071]}]}]}]}, {"name": "Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use", "billing_code_type": "CPT", "billing_code": "82962", "billing_code_type_version": "2022", "description": "GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.2, "providers": [{"billed_charge": 11.99, "npi": [1427616002, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 18.0, "npi": [1649984089]}]}, {"allowed_amount": 6.0, "providers": [{"billed_charge": 18.0, "npi": [1629880067]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 20.0, "npi": [1750084265]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 25.0, "npi": [1902003635]}]}, {"allowed_amount": 8.95, "providers": [{"billed_charge": 25.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.78, "providers": [{"billed_charge": 62.0, "npi": [1164478442]}]}, {"allowed_amount": 16.79, "providers": [{"billed_charge": 62.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 30.0, "npi": [1720655582, 1346087350]}]}, {"allowed_amount": 8.92, "providers": [{"billed_charge": 30.0, "npi": [1821649021]}]}, {"allowed_amount": 10.99, "providers": [{"billed_charge": 30.0, "npi": [1497707327]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 15.0, "npi": [1477265114]}]}, {"allowed_amount": 8.92, "providers": [{"billed_charge": 15.0, "npi": [1811391352]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.69, "providers": [{"billed_charge": 73.25, "npi": [1982273678]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 45.0, "npi": [1457705618]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.24, "providers": [{"billed_charge": 36.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 10.0, "npi": [1780373209, 1588533509, 1194518241]}]}, {"allowed_amount": 4.07, "providers": [{"billed_charge": 10.0, "npi": [1538051990]}]}, {"allowed_amount": 5.35, "providers": [{"billed_charge": 10.0, "npi": [1780373209]}]}, {"allowed_amount": 7.97, "providers": [{"billed_charge": 10.0, "npi": [1194518241, 1215675988]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 39.0, "npi": [1326017468]}]}, {"allowed_amount": 8.99, "providers": [{"billed_charge": 39.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 7.0, "npi": [1093700346]}]}, {"allowed_amount": 5.74, "providers": [{"billed_charge": 7.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "471705113"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 19.0, "npi": [1528848025]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.38, "providers": [{"billed_charge": 6.38, "npi": [1164149597]}]}]}, {"tin": {"type": "ein", "value": "586002830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1306890942]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.78, "providers": [{"billed_charge": 62.0, "npi": [1184709057]}]}, {"allowed_amount": 16.79, "providers": [{"billed_charge": 62.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 67.53, "npi": [1942567375]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 17.0, "npi": [1275627622]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 21.63, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.08, "providers": [{"billed_charge": 11.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.78, "providers": [{"billed_charge": 62.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "842504013"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 10.0, "npi": [1821671157]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 10.0, "npi": [1093315947]}]}, {"allowed_amount": 7.97, "providers": [{"billed_charge": 10.0, "npi": [1386324051, 1093315947]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 36.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 4.76, "providers": [{"billed_charge": 36.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 60.0, "npi": [1205061744, 1992043715, 1154054260]}]}, {"allowed_amount": 5.35, "providers": [{"billed_charge": 60.0, "npi": [1154054260]}]}, {"allowed_amount": 8.92, "providers": [{"billed_charge": 20.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 12.0, "npi": [1114696176, 1922436922]}]}, {"allowed_amount": 3.97, "providers": [{"billed_charge": 12.0, "npi": [1205156643]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 7.0, "npi": [1952362949]}]}, {"allowed_amount": 5.32, "providers": [{"billed_charge": 7.0, "npi": [1952362949]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 11.0, "npi": [1467804930]}]}]}]}, {"name": "Glucose; blood, reagent strip", "billing_code_type": "CPT", "billing_code": "82948", "billing_code_type_version": "2022", "description": "GLUCOSE BLOOD REAGENT STRIP", "allowed_amounts": [{"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.49, "providers": [{"billed_charge": 30.0, "npi": [1881141570]}]}, {"allowed_amount": 5.04, "providers": [{"billed_charge": 30.0, "npi": [1962802496, 1215601828, 1558700807, 1538029418, 1528338316, 1255062030, 1376818898, 1881964690, 1184977977, 1598442303]}]}, {"allowed_amount": 5.14, "providers": [{"billed_charge": 30.0, "npi": [1649084328, 1962052654]}]}, {"allowed_amount": 5.54, "providers": [{"billed_charge": 30.0, "npi": [1073990081, 1033636097, 1932636578, 1003359464, 1538029418, 1932444619, 1881964690, 1164816351, 1114548765, 1225309503]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "460570398"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.16, "providers": [{"billed_charge": 9.0, "npi": [1225990575]}]}]}, {"tin": {"type": "ein", "value": "473832952"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.16, "providers": [{"billed_charge": 10.0, "npi": [1689667164]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.2, "providers": [{"billed_charge": 14.2, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "760594559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.35, "providers": [{"billed_charge": 70.35, "npi": [1417957473]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.04, "providers": [{"billed_charge": 13.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "830705469"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.96, "providers": [{"billed_charge": 22.0, "npi": [1659721975]}]}]}]}, {"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": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.33, "providers": [{"billed_charge": 16.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 13.36, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 74.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "141338467"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 17.0, "npi": [1124072715]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.76, "providers": [{"billed_charge": 146.0, "npi": [1992799050]}]}, {"allowed_amount": 8.77, "providers": [{"billed_charge": 146.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "311340739"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.48, "providers": [{"billed_charge": 35.0, "npi": [1447359997]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.48, "providers": [{"billed_charge": 9.0, "npi": [1467484972, 1255377149]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 353.5, "providers": [{"billed_charge": 63.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371829497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.01, "providers": [{"billed_charge": 35.0, "npi": [1093251860]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.93, "providers": [{"billed_charge": 14.96, "npi": [1417819806]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.33, "providers": [{"billed_charge": 22.0, "npi": [1659435840]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.76, "providers": [{"billed_charge": 123.57, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.58, "providers": [{"billed_charge": 95.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.34, "providers": [{"billed_charge": 44.0, "npi": [1891782470]}]}, {"allowed_amount": 378.52, "providers": [{"billed_charge": 44.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.77, "providers": [{"billed_charge": 9.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.19, "providers": [{"billed_charge": 29.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.34, "providers": [{"billed_charge": 41.18, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.02, "providers": [{"billed_charge": 148.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.93, "providers": [{"billed_charge": 88.16, "npi": [1245720820]}]}, {"allowed_amount": 4.56, "providers": [{"billed_charge": 88.16, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.04, "providers": [{"billed_charge": 81.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 19.0, "npi": [1801452693]}]}]}, {"tin": {"type": "ein", "value": "611293786"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.33, "providers": [{"billed_charge": 23.0, "npi": [1861554438]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.27, "providers": [{"billed_charge": 41.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 12.0, "npi": [1932152337, 1730132234]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 51.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 416.0, "npi": [1871619254]}]}]}, {"tin": {"type": "ein", "value": "813935393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.04, "providers": [{"billed_charge": 47.96, "npi": [1861994808]}]}]}, {"tin": {"type": "ein", "value": "834546114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 225.6, "npi": [1972258580]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.93, "providers": [{"billed_charge": 100.0, "npi": [1457812273]}]}, {"allowed_amount": 6.88, "providers": [{"billed_charge": 100.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "940562680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.0, "providers": [{"billed_charge": 114.0, "npi": [1740348929]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.15, "providers": [{"billed_charge": 51.0, "npi": [1134274897]}]}, {"allowed_amount": 51.0, "providers": [{"billed_charge": 51.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 48.0, "npi": [1982606992]}]}]}]}, {"name": "Glutamyltransferase, gamma (GGT)", "billing_code_type": "CPT", "billing_code": "82977", "billing_code_type_version": "2022", "description": "ASSAY OF GLUTAMYLTRASE GAMMA", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.04, "providers": [{"billed_charge": 28.8, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.05, "providers": [{"billed_charge": 235.66, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.84, "providers": [{"billed_charge": 125.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.2, "providers": [{"billed_charge": 161.73, "npi": [1245720820]}]}, {"allowed_amount": 8.35, "providers": [{"billed_charge": 161.73, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.2, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 19.66, "providers": [{"billed_charge": 20.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.66, "providers": [{"billed_charge": 87.0, "npi": [1982606992]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.01, "providers": [{"billed_charge": 234.31, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.19, "providers": [{"billed_charge": 246.19, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.0, "providers": [{"billed_charge": 314.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "320443777"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.1, "providers": [{"billed_charge": 32.1, "npi": [1174660120]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.09, "providers": [{"billed_charge": 52.0, "npi": [1417581463]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.95, "providers": [{"billed_charge": 36.95, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.6, "providers": [{"billed_charge": 158.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.53, "providers": [{"billed_charge": 550.0, "npi": [1700979465]}]}, {"allowed_amount": 997.64, "providers": [{"billed_charge": 550.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.65, "providers": [{"billed_charge": 32.49, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 314.0, "npi": [1184709057]}]}, {"allowed_amount": 85.0, "providers": [{"billed_charge": 314.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592425149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.47, "providers": [{"billed_charge": 292.0, "npi": [1912918277]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.69, "providers": [{"billed_charge": 84.46, "npi": [1215960315]}]}, {"allowed_amount": 60.03, "providers": [{"billed_charge": 92.7, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.55, "providers": [{"billed_charge": 110.15, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.8, "providers": [{"billed_charge": 448.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.6, "providers": [{"billed_charge": 696.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.87, "providers": [{"billed_charge": 608.19, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.0, "providers": [{"billed_charge": 314.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.05, "providers": [{"billed_charge": 63.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.59, "providers": [{"billed_charge": 495.98, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.72, "providers": [{"billed_charge": 35.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.52, "providers": [{"billed_charge": 27.0, "npi": [1932680022]}]}, {"allowed_amount": 11.28, "providers": [{"billed_charge": 27.0, "npi": [1306332333]}]}, {"allowed_amount": 12.26, "providers": [{"billed_charge": 27.0, "npi": [1932680022]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.0, "providers": [{"billed_charge": 280.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 247.36, "providers": [{"billed_charge": 247.36, "npi": [1518951300]}]}]}]}, {"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": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.44, "providers": [{"billed_charge": 253.05, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.0, "providers": [{"billed_charge": 154.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.2, "providers": [{"billed_charge": 85.2, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.57, "providers": [{"billed_charge": 507.94, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.95, "providers": [{"billed_charge": 108.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.0, "providers": [{"billed_charge": 447.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.7, "providers": [{"billed_charge": 115.36, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.05, "providers": [{"billed_charge": 129.37, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "753013577"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.59, "providers": [{"billed_charge": 83.24, "npi": [1982021564]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.0, "providers": [{"billed_charge": 447.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 24.38, "providers": [{"billed_charge": 29.5, "npi": [1467679399]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.49, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 138.6, "npi": [1366150773]}]}, {"allowed_amount": 15.05, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 138.6, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.49, "providers": [{"billed_charge": 85.32, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.0, "providers": [{"billed_charge": 520.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.0, "providers": [{"billed_charge": 136.0, "npi": [1427806025]}]}, {"allowed_amount": 496.41, "providers": [{"billed_charge": 136.0, "npi": [1427806025]}]}]}]}, {"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": "016000440"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 19.0, "npi": [1790719706]}]}]}, {"tin": {"type": "ein", "value": "042482001"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 65.0, "npi": [1568416279]}]}]}, {"tin": {"type": "ein", "value": "042574482"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 98.21, "npi": [1619911971]}]}]}, {"tin": {"type": "ein", "value": "042621862"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 100.46, "npi": [1952386153]}]}]}, {"tin": {"type": "ein", "value": "043171173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 25.21, "npi": [1366492910]}]}]}, {"tin": {"type": "ein", "value": "056000329"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 34.0, "npi": [1497974687]}]}]}, {"tin": {"type": "ein", "value": "060646718"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 32.61, "providers": [{"billed_charge": 24.21, "npi": [1710370390]}]}]}, {"tin": {"type": "ein", "value": "060795431"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 27.74, "npi": [1194842781]}]}]}, {"tin": {"type": "ein", "value": "061356148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 35.91, "npi": [1043243538]}]}, {"allowed_amount": 359.76, "providers": [{"billed_charge": 35.91, "npi": [1043243538]}]}]}, {"tin": {"type": "ein", "value": "061557358"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 25.36, "npi": [1063529741]}]}]}, {"tin": {"type": "ein", "value": "111562701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.33, "providers": [{"billed_charge": 34.95, "npi": [1366459570]}]}, {"allowed_amount": 34.34, "providers": [{"billed_charge": 34.95, "npi": [1366459570]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.65, "providers": [{"billed_charge": 17.0, "npi": [1245370717]}]}, {"allowed_amount": 22.18, "providers": [{"billed_charge": 17.0, "npi": [1245370717]}]}]}, {"tin": {"type": "ein", "value": "112125662"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 33.0, "npi": [1649356791]}]}, {"allowed_amount": 16.02, "providers": [{"billed_charge": 33.0, "npi": [1649356791]}]}]}, {"tin": {"type": "ein", "value": "112420013"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 25.0, "npi": [1033343389]}]}]}, {"tin": {"type": "ein", "value": "116076987"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 38.0, "npi": [1942942461]}]}]}, {"tin": {"type": "ein", "value": "116080443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.01, "providers": [{"billed_charge": 35.0, "npi": [1700481173]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.65, "providers": [{"billed_charge": 67.0, "npi": [1568601342]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 20.0, "npi": [1083715460]}]}, {"allowed_amount": 16.01, "providers": [{"billed_charge": 20.0, "npi": [1083715460]}]}]}, {"tin": {"type": "ein", "value": "141745417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 34.95, "npi": [1306839337]}]}]}, {"tin": {"type": "ein", "value": "146002237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 40.0, "npi": [1124150958]}]}]}, {"tin": {"type": "ein", "value": "146002472"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 85.86, "providers": [{"billed_charge": 41.0, "npi": [1164410510]}]}]}, {"tin": {"type": "ein", "value": "146003838"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 28.0, "npi": [1801188404]}]}]}, {"tin": {"type": "ein", "value": "146028159"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.02, "providers": [{"billed_charge": 34.0, "npi": [1851467971]}]}]}, {"tin": {"type": "ein", "value": "160954422"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.03, "providers": [{"billed_charge": 47.4, "npi": [1366419509]}]}]}, {"tin": {"type": "ein", "value": "161451102"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 40.43, "npi": [1255424800]}]}, {"allowed_amount": 16.01, "providers": [{"billed_charge": 40.43, "npi": [1255424800]}]}, {"allowed_amount": 16.02, "providers": [{"billed_charge": 40.43, "npi": [1255424800]}]}]}, {"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 24.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "200639479"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.7, "providers": [{"billed_charge": 17.7, "npi": [1477553980]}]}]}, {"tin": {"type": "ein", "value": "200817213"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 30.9, "npi": [1285630459]}]}]}, {"tin": {"type": "ein", "value": "201919780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 30.4, "npi": [1952995888]}]}]}, {"tin": {"type": "ein", "value": "202081121"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 24.27, "npi": [1265542765]}]}, {"allowed_amount": 16.01, "providers": [{"billed_charge": 24.27, "npi": [1265542765]}]}]}, {"tin": {"type": "ein", "value": "203434780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 20.45, "npi": [1972657914]}, {"billed_charge": 25.5, "npi": [1972657914]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 20.45, "npi": [1972657914]}, {"billed_charge": 25.5, "npi": [1972657914]}]}]}, {"tin": {"type": "ein", "value": "203948307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 24.25, "npi": [1376644609]}]}]}, {"tin": {"type": "ein", "value": "204560963"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.5, "npi": [1013104116]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.5, "npi": [1013104116]}]}, {"allowed_amount": 12.5, "providers": [{"billed_charge": 12.5, "npi": [1013104116]}]}]}, {"tin": {"type": "ein", "value": "204938649"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 29.0, "npi": [1497808711]}]}]}, {"tin": {"type": "ein", "value": "208201707"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.7, "providers": [{"billed_charge": 18.0, "npi": [1740496934]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 85.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "208895318"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 35.0, "npi": [1902025398]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.99, "providers": [{"billed_charge": 42.47, "npi": [1528064409]}]}, {"allowed_amount": 43.1, "providers": [{"billed_charge": 41.4, "npi": [1528064409]}, {"billed_charge": 42.47, "npi": [1528064409]}, {"billed_charge": 43.71, "npi": [1528064409]}, {"billed_charge": 45.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "210733189"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1811013873]}]}]}, {"tin": {"type": "ein", "value": "216000660"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.42, "providers": [{"billed_charge": 22.95, "npi": [1770777674]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.28, "providers": [{"billed_charge": 42.0, "npi": [1922095116]}]}]}, {"tin": {"type": "ein", "value": "221713685"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 51.5, "providers": [{"billed_charge": 30.0, "npi": [1962726638]}]}, {"allowed_amount": 101.5, "providers": [{"billed_charge": 30.0, "npi": [1962726638]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.28, "providers": [{"billed_charge": 28.56, "npi": [1215998323]}]}, {"allowed_amount": 28.56, "providers": [{"billed_charge": 28.56, "npi": [1215998323]}]}, {"allowed_amount": 97.33, "providers": [{"billed_charge": 28.56, "npi": [1215998323]}]}, {"allowed_amount": 284.0, "providers": [{"billed_charge": 28.56, "npi": [1215998323]}]}, {"allowed_amount": 319.84, "providers": [{"billed_charge": 28.56, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "222282100"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.21, "providers": [{"billed_charge": 25.0, "npi": [1891119632]}]}]}, {"tin": {"type": "ein", "value": "222560963"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 63.0, "npi": [1306808753]}]}, {"allowed_amount": 16.01, "providers": [{"billed_charge": 63.0, "npi": [1306808753]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.16, "providers": [{"billed_charge": 53.5, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223200859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1760713911]}]}]}, {"tin": {"type": "ein", "value": "223420314"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.98, "providers": [{"billed_charge": 53.5, "npi": [1811055569]}]}, {"allowed_amount": 26.49, "providers": [{"billed_charge": 53.5, "npi": [1811055569]}]}, {"allowed_amount": 35.37, "providers": [{"billed_charge": 53.5, "npi": [1811055569]}]}, {"allowed_amount": 42.15, "providers": [{"billed_charge": 53.5, "npi": [1811055569]}]}, {"allowed_amount": 180.26, "providers": [{"billed_charge": 53.5, "npi": [1811055569]}]}]}, {"tin": {"type": "ein", "value": "223641957"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1467432526]}]}, {"allowed_amount": 30.75, "providers": [{"billed_charge": 31.9, "npi": [1467432526]}]}]}, {"tin": {"type": "ein", "value": "223747643"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.98, "providers": [{"billed_charge": 51.75, "npi": [1225010838]}]}]}, {"tin": {"type": "ein", "value": "226043859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.83, "providers": [{"billed_charge": 44.0, "npi": [1023097268]}]}]}, {"tin": {"type": "ein", "value": "231740898"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.88, "providers": [{"billed_charge": 20.0, "npi": [1114919396]}]}]}, {"tin": {"type": "ein", "value": "232390018"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.74, "providers": [{"billed_charge": 16.0, "npi": [1235113986]}]}]}, {"tin": {"type": "ein", "value": "236003047"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1255468435]}]}, {"allowed_amount": 572.05, "providers": [{"billed_charge": 10.0, "npi": [1255468435]}]}, {"allowed_amount": 965.0, "providers": [{"billed_charge": 15.0, "npi": [1255468435]}]}]}, {"tin": {"type": "ein", "value": "237089805"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.86, "providers": [{"billed_charge": 23.0, "npi": [1285622647]}]}, {"allowed_amount": 16.01, "providers": [{"billed_charge": 23.0, "npi": [1285622647]}]}]}, {"tin": {"type": "ein", "value": "237125570"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.21, "providers": [{"billed_charge": 25.0, "npi": [1730564436]}]}]}, {"tin": {"type": "ein", "value": "237240541"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.74, "providers": [{"billed_charge": 54.0, "npi": [1639156623]}]}]}, {"tin": {"type": "ein", "value": "251272075"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.88, "providers": [{"billed_charge": 15.0, "npi": [1154303212]}]}]}, {"tin": {"type": "ein", "value": "256000879"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.88, "providers": [{"billed_charge": 20.5, "npi": [1992773790]}]}]}, {"tin": {"type": "ein", "value": "260058225"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.83, "providers": [{"billed_charge": 30.0, "npi": [1952588352]}]}]}, {"tin": {"type": "ein", "value": "261698687"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.63, "providers": [{"billed_charge": 22.03, "npi": [1265933980]}]}]}, {"tin": {"type": "ein", "value": "261706720"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1295113868]}]}]}, {"tin": {"type": "ein", "value": "262219376"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 8.0, "npi": [1457175655]}, {"billed_charge": 25.0, "npi": [1457175655]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 8.0, "npi": [1457175655]}]}, {"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1457175655]}]}]}, {"tin": {"type": "ein", "value": "263403024"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 16.0, "npi": [1225288681]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 4.67, "providers": [{"billed_charge": 35.0, "npi": [1871724864]}]}, {"allowed_amount": 15.11, "providers": [{"billed_charge": 35.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "270851187"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 30.19, "npi": [1164759726]}]}]}, {"tin": {"type": "ein", "value": "271466450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 38.35, "npi": [1881915155]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 38.35, "npi": [1881915155]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 38.35, "npi": [1881915155]}]}, {"allowed_amount": 25.58, "providers": [{"billed_charge": 38.35, "npi": [1881915155]}]}]}, {"tin": {"type": "ein", "value": "271670174"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 18.69, "npi": [1902120397]}]}]}, {"tin": {"type": "ein", "value": "271720808"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.09, "providers": [{"billed_charge": 1.09, "npi": [1902118805]}]}, {"allowed_amount": 1.42, "providers": [{"billed_charge": 1.42, "npi": [1902118805]}]}, {"allowed_amount": 6.72, "providers": [{"billed_charge": 10.85, "npi": [1902118805]}]}, {"allowed_amount": 6.73, "providers": [{"billed_charge": 10.87, "npi": [1902118805]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 10.85, "npi": [1902118805]}, {"billed_charge": 11.66, "npi": [1902118805]}]}, {"allowed_amount": 8.4, "providers": [{"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 10.85, "npi": [1902118805]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 10.85, "npi": [1902118805]}, {"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 10.85, "npi": [1902118805]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 10.85, "npi": [1902118805]}, {"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 10.85, "providers": [{"billed_charge": 10.85, "npi": [1902118805]}]}, {"allowed_amount": 10.87, "providers": [{"billed_charge": 10.87, "npi": [1902118805]}]}, {"allowed_amount": 11.91, "providers": [{"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 12.32, "providers": [{"billed_charge": 14.2, "npi": [1902118805]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.2, "npi": [1902118805]}]}]}, {"tin": {"type": "ein", "value": "273054181"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.3, "providers": [{"billed_charge": 30.98, "npi": [1659685964]}]}]}, {"tin": {"type": "ein", "value": "273923442"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.13, "providers": [{"billed_charge": 16.02, "npi": [1376845008]}]}]}, {"tin": {"type": "ein", "value": "300328092"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.88, "providers": [{"billed_charge": 20.0, "npi": [1124039896]}]}]}, {"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.26, "providers": [{"billed_charge": 25.39, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "311113219"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.89, "providers": [{"billed_charge": 25.0, "npi": [1306895248]}]}]}, {"tin": {"type": "ein", "value": "311836178"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 4.67, "providers": [{"billed_charge": 4.67, "npi": [1821028945]}]}, {"allowed_amount": 13.9, "providers": [{"billed_charge": 42.55, "npi": [1821028945]}]}]}, {"tin": {"type": "ein", "value": "316000175"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.76, "providers": [{"billed_charge": 11.78, "npi": [1265433130]}]}]}, {"tin": {"type": "ein", "value": "316001090"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 18.27, "npi": [1255333621]}]}]}, {"tin": {"type": "ein", "value": "316007853"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.76, "providers": [{"billed_charge": 15.5, "npi": [1922097427]}]}]}, {"tin": {"type": "ein", "value": "316400223"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 13.34, "npi": [1811028269]}]}]}, {"tin": {"type": "ein", "value": "316401113"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 14.52, "npi": [1003047390]}]}]}, {"tin": {"type": "ein", "value": "330753384"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 39.58, "npi": [1558479543]}]}]}, {"tin": {"type": "ein", "value": "330829318"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 30.0, "npi": [1053453951]}]}]}, {"tin": {"type": "ein", "value": "331104558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 24.0, "npi": [1225070840]}]}]}, {"tin": {"type": "ein", "value": "341633071"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 25.0, "npi": [1649201492]}]}]}, {"tin": {"type": "ein", "value": "341818389"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 26.0, "npi": [1104872142]}]}]}, {"tin": {"type": "ein", "value": "346000646"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 16.04, "npi": [1699867077]}]}]}, {"tin": {"type": "ein", "value": "346001195"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 16.5, "npi": [1588706808]}]}]}, {"tin": {"type": "ein", "value": "346001656"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 15.03, "npi": [1821014978]}]}]}, {"tin": {"type": "ein", "value": "346002695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.76, "providers": [{"billed_charge": 12.0, "npi": [1740344274]}]}]}, {"tin": {"type": "ein", "value": "346400022"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.76, "providers": [{"billed_charge": 15.0, "npi": [1295921930]}]}]}, {"tin": {"type": "ein", "value": "351494500"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 52.37, "npi": [1376576181]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 36.85, "npi": [1376576181]}]}]}, {"tin": {"type": "ein", "value": "351941122"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 73.99, "npi": [1174528335]}]}]}, {"tin": {"type": "ein", "value": "352056396"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 35.88, "npi": [1245569144]}]}]}, {"tin": {"type": "ein", "value": "356003121"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 20.0, "npi": [1649227364]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.78, "providers": [{"billed_charge": 45.75, "npi": [1568407310]}, {"billed_charge": 45.8, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "362698031"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 16.0, "npi": [1982656369]}]}]}, {"tin": {"type": "ein", "value": "366005820"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 19.0, "npi": [1376554592]}]}]}, {"tin": {"type": "ein", "value": "366006103"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.31, "providers": [{"billed_charge": 15.0, "npi": [1942397013]}]}]}, {"tin": {"type": "ein", "value": "372039688"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.78, "providers": [{"billed_charge": 17.0, "npi": [1346830676]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 11.5, "npi": [1346830676]}, {"billed_charge": 18.49, "npi": [1346830676]}]}, {"allowed_amount": 11.5, "providers": [{"billed_charge": 11.5, "npi": [1346830676]}]}, {"allowed_amount": 13.79, "providers": [{"billed_charge": 17.0, "npi": [1346830676]}]}, {"allowed_amount": 14.52, "providers": [{"billed_charge": 17.0, "npi": [1346830676]}]}]}, {"tin": {"type": "ein", "value": "382142110"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.72, "providers": [{"billed_charge": 44.36, "npi": [1881627503]}]}, {"allowed_amount": 130.18, "providers": [{"billed_charge": 44.36, "npi": [1881627503]}]}]}, {"tin": {"type": "ein", "value": "382638284"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 130.75, "providers": [{"billed_charge": 24.53, "npi": [1336130848]}]}]}, {"tin": {"type": "ein", "value": "383198397"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.6, "providers": [{"billed_charge": 23.0, "npi": [1306887260]}]}]}, {"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": "386004611"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 97.05, "providers": [{"billed_charge": 16.0, "npi": [1154172435]}]}]}, {"tin": {"type": "ein", "value": "391803570"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 25.04, "npi": [1437265857]}]}]}, {"tin": {"type": "ein", "value": "396005532"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 21.2, "npi": [1487783361]}]}]}, {"tin": {"type": "ein", "value": "416005521"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 19.0, "npi": [1346213899]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.78, "providers": [{"billed_charge": 52.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "426004734"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1730861048]}]}]}, {"tin": {"type": "ein", "value": "426004806"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.61, "providers": [{"billed_charge": 24.78, "npi": [1851370134]}]}, {"allowed_amount": 16.77, "providers": [{"billed_charge": 19.66, "npi": [1851370134]}]}]}, {"tin": {"type": "ein", "value": "430375415"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1710061775]}]}]}, {"tin": {"type": "ein", "value": "430747092"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.13, "providers": [{"billed_charge": 17.88, "npi": [1801810429]}]}]}, {"tin": {"type": "ein", "value": "431496774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.13, "providers": [{"billed_charge": 30.39, "npi": [1578613253]}, {"billed_charge": 34.29, "npi": [1578613253]}]}]}, {"tin": {"type": "ein", "value": "436003231"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1952490682]}]}, {"allowed_amount": 12.13, "providers": [{"billed_charge": 12.48, "npi": [1952490682]}]}]}, {"tin": {"type": "ein", "value": "452393528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.04, "providers": [{"billed_charge": 45.0, "npi": [1639462476]}]}]}, {"tin": {"type": "ein", "value": "453639743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1477830164]}]}, {"allowed_amount": 14.04, "providers": [{"billed_charge": 35.7, "npi": [1477830164]}]}]}, {"tin": {"type": "ein", "value": "454583361"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 45.0, "npi": [1023632890]}]}]}, {"tin": {"type": "ein", "value": "454597543"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 17.42, "npi": [1982978375]}]}]}, {"tin": {"type": "ein", "value": "454662986"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 14.2, "npi": [1568711299, 1205183605, 1649959883]}]}, {"allowed_amount": 11.3, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 11.91, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 11.92, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 14.2, "npi": [1205183605]}]}, {"allowed_amount": 12.08, "providers": [{"billed_charge": 14.2, "npi": [1568711299]}]}, {"allowed_amount": 12.26, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 12.31, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 12.42, "providers": [{"billed_charge": 14.2, "npi": [1568711299]}]}, {"allowed_amount": 12.43, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 12.45, "providers": [{"billed_charge": 14.2, "npi": [1205183605]}]}, {"allowed_amount": 12.51, "providers": [{"billed_charge": 14.2, "npi": [1568711299]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 14.2, "npi": [1649959883]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.2, "npi": [1568711299, 1649959883]}]}]}, {"tin": {"type": "ein", "value": "454663109"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 42.95, "providers": [{"billed_charge": 102.21, "npi": [1386905016]}]}]}, {"tin": {"type": "ein", "value": "460506871"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1821043910]}]}]}, {"tin": {"type": "ein", "value": "465619548"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 53.07, "providers": [{"billed_charge": 17.6, "npi": [1013316009]}]}]}, {"tin": {"type": "ein", "value": "470829179"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.87, "providers": [{"billed_charge": 36.6, "npi": [1871991125]}]}]}, {"tin": {"type": "ein", "value": "473265252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 37.19, "npi": [1528446820]}]}]}, {"tin": {"type": "ein", "value": "510176168"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.82, "providers": [{"billed_charge": 49.0, "npi": [1356377964]}]}]}, {"tin": {"type": "ein", "value": "516029078"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 24.0, "npi": [1871691899]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 24.0, "npi": [1871691899]}]}]}, {"tin": {"type": "ein", "value": "521513553"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1386828283]}]}]}, {"tin": {"type": "ein", "value": "526000889"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1821464678]}]}]}, {"tin": {"type": "ein", "value": "526000980"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 20.0, "npi": [1851635882]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 20.0, "npi": [1851635882]}]}]}, {"tin": {"type": "ein", "value": "536001131"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 30.0, "npi": [1992805022]}]}]}, {"tin": {"type": "ein", "value": "541533323"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.04, "providers": [{"billed_charge": 31.0, "npi": [1134124431]}]}]}, {"tin": {"type": "ein", "value": "546001123"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1255342648]}]}]}, {"tin": {"type": "ein", "value": "546001188"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.5, "providers": [{"billed_charge": 14.5, "npi": [1164648317]}]}]}, {"tin": {"type": "ein", "value": "546001208"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.6, "providers": [{"billed_charge": 12.6, "npi": [1174578702]}]}]}, {"tin": {"type": "ein", "value": "546001636"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1639260094]}]}]}, {"tin": {"type": "ein", "value": "550578133"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 30.32, "npi": [1275690737]}]}]}, {"tin": {"type": "ein", "value": "556000305"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1801808456]}]}]}, {"tin": {"type": "ein", "value": "561989558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 29.0, "npi": [1336226034]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 29.0, "npi": [1336226034]}]}]}, {"tin": {"type": "ein", "value": "562332847"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 21.0, "npi": [1356326615]}]}]}, {"tin": {"type": "ein", "value": "562588289"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.01, "providers": [{"billed_charge": 30.0, "npi": [1306891882]}]}]}, {"tin": {"type": "ein", "value": "566000271"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 18.3, "npi": [1952406779]}]}]}, {"tin": {"type": "ein", "value": "566000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 17.88, "npi": [1073574786]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 17.88, "npi": [1073574786]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 17.88, "npi": [1073574786]}]}, {"allowed_amount": 15.27, "providers": [{"billed_charge": 17.88, "npi": [1073574786]}]}]}, {"tin": {"type": "ein", "value": "566000285"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1386691152]}]}]}, {"tin": {"type": "ein", "value": "566000300"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 23.5, "npi": [1932258506]}]}]}, {"tin": {"type": "ein", "value": "566000306"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.33, "providers": [{"billed_charge": 13.33, "npi": [1588626519]}]}]}, {"tin": {"type": "ein", "value": "566000307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 17.88, "npi": [1891825782]}]}]}, {"tin": {"type": "ein", "value": "566000309"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.73, "providers": [{"billed_charge": 13.73, "npi": [1952349847]}]}]}, {"tin": {"type": "ein", "value": "566000326"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.5, "providers": [{"billed_charge": 11.5, "npi": [1720027147]}]}]}, {"tin": {"type": "ein", "value": "566000337"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 19.0, "npi": [1225083413]}]}]}, {"tin": {"type": "ein", "value": "566000339"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 65.37, "providers": [{"billed_charge": 15.0, "npi": [1114924644]}]}]}, {"tin": {"type": "ein", "value": "566000341"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 21.0, "npi": [1306843107]}]}]}, {"tin": {"type": "ein", "value": "566000347"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 17.88, "npi": [1922098029]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 17.88, "npi": [1922098029]}]}]}, {"tin": {"type": "ein", "value": "566000348"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.97, "providers": [{"billed_charge": 11.97, "npi": [1750463873]}]}]}, {"tin": {"type": "ein", "value": "566000349"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1790821817]}]}]}, {"tin": {"type": "ein", "value": "566000450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.73, "providers": [{"billed_charge": 13.73, "npi": [1043250350]}]}]}, {"tin": {"type": "ein", "value": "566001520"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1154363380]}]}]}, {"tin": {"type": "ein", "value": "576000311"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.25, "providers": [{"billed_charge": 17.25, "npi": [1821073115]}]}]}, {"tin": {"type": "ein", "value": "576000339"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1427154780]}]}]}, {"tin": {"type": "ein", "value": "576000351"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1205887874]}]}]}, {"tin": {"type": "ein", "value": "576000366"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 18.3, "npi": [1255333548]}]}]}, {"tin": {"type": "ein", "value": "576000775"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1225021504]}]}]}, {"tin": {"type": "ein", "value": "576001084"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.25, "providers": [{"billed_charge": 9.25, "npi": [1275532855]}]}]}, {"tin": {"type": "ein", "value": "576001289"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.75, "providers": [{"billed_charge": 11.75, "npi": [1376546788]}]}]}, {"tin": {"type": "ein", "value": "581036407"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 38.85, "npi": [1962452870]}]}, {"allowed_amount": 14.03, "providers": [{"billed_charge": 38.85, "npi": [1962452870]}]}, {"allowed_amount": 14.04, "providers": [{"billed_charge": 38.85, "npi": [1962452870]}]}]}, {"tin": {"type": "ein", "value": "581282570"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.03, "providers": [{"billed_charge": 47.82, "npi": [1396950770]}]}, {"allowed_amount": 14.04, "providers": [{"billed_charge": 47.82, "npi": [1396950770]}]}]}, {"tin": {"type": "ein", "value": "581313603"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.66, "providers": [{"billed_charge": 23.92, "npi": [1295760304]}]}]}, {"tin": {"type": "ein", "value": "581608892"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 68.0, "npi": [1538211081]}]}, {"allowed_amount": 14.04, "providers": [{"billed_charge": 68.0, "npi": [1538211081]}]}]}, {"tin": {"type": "ein", "value": "581923254"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 38.85, "npi": [1730156266]}]}]}, {"tin": {"type": "ein", "value": "582175978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.5, "providers": [{"billed_charge": 16.5, "npi": [1962478511]}]}]}, {"tin": {"type": "ein", "value": "582465552"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 40.02, "npi": [1891782595]}]}]}, {"tin": {"type": "ein", "value": "582612884"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.55, "providers": [{"billed_charge": 32.0, "npi": [1982674636]}]}, {"allowed_amount": 14.56, "providers": [{"billed_charge": 32.0, "npi": [1982674636]}]}, {"allowed_amount": 14.7, "providers": [{"billed_charge": 32.0, "npi": [1982674636]}]}]}, {"tin": {"type": "ein", "value": "586000792"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.94, "providers": [{"billed_charge": 13.94, "npi": [1093782732]}]}]}, {"tin": {"type": "ein", "value": "586000802"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.04, "providers": [{"billed_charge": 15.0, "npi": [1073683603]}]}]}, {"tin": {"type": "ein", "value": "586000809"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1225436033]}]}]}, {"tin": {"type": "ein", "value": "586000817"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.5, "providers": [{"billed_charge": 13.5, "npi": [1972608644]}]}]}, {"tin": {"type": "ein", "value": "586000835"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 15.0, "npi": [1316052566]}]}, {"allowed_amount": 14.04, "providers": [{"billed_charge": 15.0, "npi": [1316052566]}]}]}, {"tin": {"type": "ein", "value": "586000842"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.0, "providers": [{"billed_charge": 13.0, "npi": [1952363301]}]}]}, {"tin": {"type": "ein", "value": "586000860"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.76, "providers": [{"billed_charge": 30.0, "npi": [1225100589]}]}]}, {"tin": {"type": "ein", "value": "586000884"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1821274200]}]}]}, {"tin": {"type": "ein", "value": "586004467"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.77, "providers": [{"billed_charge": 20.0, "npi": [1558141671]}]}]}, {"tin": {"type": "ein", "value": "586012659"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.5, "providers": [{"billed_charge": 7.5, "npi": [1942386289]}]}, {"allowed_amount": 14.04, "providers": [{"billed_charge": 15.0, "npi": [1942386289]}]}]}, {"tin": {"type": "ein", "value": "586021364"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1831231042]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 10.85, "npi": [1255668331]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 10.85, "npi": [1255668331]}]}, {"allowed_amount": 10.85, "providers": [{"billed_charge": 10.85, "npi": [1255668331]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 32.7, "npi": [1255668331]}]}]}, {"tin": {"type": "ein", "value": "590908106"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.63, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 7.0, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 8.4, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 8.69, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.26, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.28, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.8, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.86, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 11.11, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 11.87, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1710028410]}]}]}, {"tin": {"type": "ein", "value": "590944587"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1033280904]}]}]}, {"tin": {"type": "ein", "value": "590951822"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1487336020]}]}]}, {"tin": {"type": "ein", "value": "590977961"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 13.5, "npi": [1790848232]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 13.5, "npi": [1790848232]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 13.5, "npi": [1790848232]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 13.5, "npi": [1790848232]}]}]}, {"tin": {"type": "ein", "value": "591039552"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1962414946]}]}]}, {"tin": {"type": "ein", "value": "591101138"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 21.0, "npi": [1821104415]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 21.0, "npi": [1821104415]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 21.0, "npi": [1821104415]}]}]}, {"tin": {"type": "ein", "value": "591107347"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 15.5, "npi": [1578535571]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.5, "npi": [1578535571]}]}]}, {"tin": {"type": "ein", "value": "591113462"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2.03, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 7.0, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}, {"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 7.41, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 7.87, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 8.4, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 8.69, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}, {"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}, {"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}, {"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 9.94, "providers": [{"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.21, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.26, "providers": [{"billed_charge": 13.32, "npi": [1245241603]}, {"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.28, "providers": [{"billed_charge": 13.32, "npi": [1245241603]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.72, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.8, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 10.86, "providers": [{"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}, {"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 11.66, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 12.17, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 12.29, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}, {"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}, {"billed_charge": 14.13, "npi": [1245241603]}]}, {"allowed_amount": 13.32, "providers": [{"billed_charge": 13.32, "npi": [1245241603]}]}, {"allowed_amount": 13.33, "providers": [{"billed_charge": 13.33, "npi": [1245241603]}]}, {"allowed_amount": 14.13, "providers": [{"billed_charge": 14.13, "npi": [1245241603]}]}]}, {"tin": {"type": "ein", "value": "591155275"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.41, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1326044793]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 9.94, "providers": [{"billed_charge": 12.0, "npi": [1326044793]}, {"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 12.0, "npi": [1326044793]}]}, {"allowed_amount": 10.21, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 12.0, "npi": [1326044793]}, {"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 10.67, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 10.86, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 12.0, "npi": [1326044793]}, {"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.05, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.32, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.6, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.66, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.76, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 12.0, "npi": [1326044793]}, {"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 11.87, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.14, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.35, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.39, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.4, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.41, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.44, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1326044793]}]}]}, {"tin": {"type": "ein", "value": "591205666"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.17, "providers": [{"billed_charge": 14.61, "npi": [1922019249]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 14.61, "npi": [1922019249]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 14.61, "npi": [1922019249]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.61, "npi": [1922019249]}]}, {"allowed_amount": 14.61, "providers": [{"billed_charge": 14.61, "npi": [1922019249]}]}]}, {"tin": {"type": "ein", "value": "591227491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.17, "providers": [{"billed_charge": 15.0, "npi": [1528733623]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 15.0, "npi": [1528733623]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1528733623]}]}]}, {"tin": {"type": "ein", "value": "591415030"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.27, "providers": [{"billed_charge": 15.0, "npi": [1033229497]}]}, {"allowed_amount": 10.72, "providers": [{"billed_charge": 15.0, "npi": [1033229497]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1033229497]}]}]}, {"tin": {"type": "ein", "value": "591682537"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.78, "providers": [{"billed_charge": 14.0, "npi": [1639178791]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 14.0, "npi": [1639178791]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1639178791]}]}]}, {"tin": {"type": "ein", "value": "591785265"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 14.0, "npi": [1073630182]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1073630182]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 14.0, "npi": [1073630182]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 14.0, "npi": [1073630182]}]}, {"allowed_amount": 12.42, "providers": [{"billed_charge": 14.0, "npi": [1073630182]}]}]}, {"tin": {"type": "ein", "value": "591863042"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 10.5, "npi": [1164422747]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 10.5, "npi": [1164422747]}]}]}, {"tin": {"type": "ein", "value": "591892079"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 10.85, "npi": [1467402883]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 10.85, "npi": [1467402883]}]}, {"allowed_amount": 10.85, "providers": [{"billed_charge": 10.85, "npi": [1467402883]}]}]}, {"tin": {"type": "ein", "value": "592333374"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1386663730]}]}]}, {"tin": {"type": "ein", "value": "592787534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.57, "providers": [{"billed_charge": 15.0, "npi": [1427053420]}]}]}, {"tin": {"type": "ein", "value": "592908075"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 14.3, "npi": [1235103029]}, {"billed_charge": 15.11, "npi": [1235103029]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.11, "npi": [1235103029]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.11, "npi": [1235103029]}]}]}, {"tin": {"type": "ein", "value": "593051173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 14.39, "npi": [1992973499]}]}, {"allowed_amount": 14.39, "providers": [{"billed_charge": 14.39, "npi": [1992973499]}]}]}, {"tin": {"type": "ein", "value": "596000265"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 14.0, "npi": [1083728588]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.0, "npi": [1083728588]}]}]}, {"tin": {"type": "ein", "value": "596000279"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1679584007]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1679584007]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1679584007]}]}]}, {"tin": {"type": "ein", "value": "596000282"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 17.0, "npi": [1699702134]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 17.0, "npi": [1699702134]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 17.0, "npi": [1699702134]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 17.0, "npi": [1699702134]}]}]}, {"tin": {"type": "ein", "value": "596000293"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 15.0, "npi": [1316162266]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 15.0, "npi": [1316162266]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1316162266]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1316162266]}]}]}, {"tin": {"type": "ein", "value": "596000308"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.87, "providers": [{"billed_charge": 14.0, "npi": [1679505432]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 14.0, "npi": [1679505432]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1679505432]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 14.0, "npi": [1679505432]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.0, "npi": [1679505432]}]}]}, {"tin": {"type": "ein", "value": "596000319"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.17, "providers": [{"billed_charge": 13.0, "npi": [1649281924]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 13.0, "npi": [1649281924]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 13.0, "npi": [1649281924]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 13.0, "npi": [1649281924]}]}]}, {"tin": {"type": "ein", "value": "596000335"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 15.0, "npi": [1780788463]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 15.0, "npi": [1780788463]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1780788463]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1780788463]}]}]}, {"tin": {"type": "ein", "value": "596000338"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.88, "providers": [{"billed_charge": 1.88, "npi": [1962409912]}]}, {"allowed_amount": 3.75, "providers": [{"billed_charge": 3.75, "npi": [1962409912]}]}, {"allowed_amount": 7.5, "providers": [{"billed_charge": 7.5, "npi": [1962409912]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1962409912]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 12.75, "npi": [1962409912]}, {"billed_charge": 16.88, "npi": [1962409912]}, {"billed_charge": 17.0, "npi": [1962409912]}, {"billed_charge": 17.25, "npi": [1962409912]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 12.0, "npi": [1962409912]}, {"billed_charge": 12.5, "npi": [1962409912]}, {"billed_charge": 12.75, "npi": [1962409912]}, {"billed_charge": 13.0, "npi": [1962409912]}, {"billed_charge": 13.13, "npi": [1962409912]}, {"billed_charge": 13.5, "npi": [1962409912]}, {"billed_charge": 14.0, "npi": [1962409912]}, {"billed_charge": 14.25, "npi": [1962409912]}, {"billed_charge": 14.4, "npi": [1962409912]}, {"billed_charge": 14.5, "npi": [1962409912]}, {"billed_charge": 14.63, "npi": [1962409912]}, {"billed_charge": 15.0, "npi": [1962409912]}, {"billed_charge": 15.5, "npi": [1962409912]}, {"billed_charge": 15.6, "npi": [1962409912]}, {"billed_charge": 15.94, "npi": [1962409912]}, {"billed_charge": 16.0, "npi": [1962409912]}, {"billed_charge": 16.25, "npi": [1962409912]}, {"billed_charge": 16.5, "npi": [1962409912]}, {"billed_charge": 16.88, "npi": [1962409912]}, {"billed_charge": 17.0, "npi": [1962409912]}, {"billed_charge": 17.25, "npi": [1962409912]}, {"billed_charge": 18.0, "npi": [1962409912]}, {"billed_charge": 18.75, "npi": [1962409912]}, {"billed_charge": 19.5, "npi": [1962409912]}, {"billed_charge": 19.88, "npi": [1962409912]}, {"billed_charge": 20.0, "npi": [1962409912]}, {"billed_charge": 20.16, "npi": [1962409912]}, {"billed_charge": 20.63, "npi": [1962409912]}, {"billed_charge": 21.0, "npi": [1962409912]}, {"billed_charge": 21.57, "npi": [1962409912]}, {"billed_charge": 22.5, "npi": [1962409912]}]}, {"allowed_amount": 12.5, "providers": [{"billed_charge": 12.5, "npi": [1962409912]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1962409912]}, {"billed_charge": 15.25, "npi": [1962409912]}, {"billed_charge": 15.75, "npi": [1962409912]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 13.5, "npi": [1962409912]}, {"billed_charge": 14.0, "npi": [1962409912]}, {"billed_charge": 14.25, "npi": [1962409912]}, {"billed_charge": 14.36, "npi": [1962409912]}, {"billed_charge": 15.0, "npi": [1962409912]}, {"billed_charge": 15.38, "npi": [1962409912]}, {"billed_charge": 15.64, "npi": [1962409912]}, {"billed_charge": 16.5, "npi": [1962409912]}, {"billed_charge": 16.88, "npi": [1962409912]}, {"billed_charge": 17.25, "npi": [1962409912]}, {"billed_charge": 17.34, "npi": [1962409912]}, {"billed_charge": 17.81, "npi": [1962409912]}, {"billed_charge": 18.0, "npi": [1962409912]}, {"billed_charge": 18.75, "npi": [1962409912]}, {"billed_charge": 19.38, "npi": [1962409912]}, {"billed_charge": 19.69, "npi": [1962409912]}, {"billed_charge": 20.0, "npi": [1962409912]}, {"billed_charge": 20.63, "npi": [1962409912]}, {"billed_charge": 21.0, "npi": [1962409912]}, {"billed_charge": 21.25, "npi": [1962409912]}, {"billed_charge": 22.5, "npi": [1962409912]}]}, {"allowed_amount": 12.75, "providers": [{"billed_charge": 12.75, "npi": [1962409912]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 16.0, "npi": [1962409912]}]}]}, {"tin": {"type": "ein", "value": "596000344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 10.0, "npi": [1356341531]}]}, {"allowed_amount": 9.41, "providers": [{"billed_charge": 10.0, "npi": [1356341531]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 10.0, "npi": [1356341531]}]}, {"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1356341531]}]}]}, {"tin": {"type": "ein", "value": "596000346"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.78, "providers": [{"billed_charge": 14.5, "npi": [1205224656]}]}, {"allowed_amount": 14.5, "providers": [{"billed_charge": 14.5, "npi": [1205224656]}]}]}, {"tin": {"type": "ein", "value": "596000348"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 13.0, "npi": [1891880605]}]}]}, {"tin": {"type": "ein", "value": "596000368"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 10.5, "npi": [1942306071]}]}]}, {"tin": {"type": "ein", "value": "596000372"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 15.0, "npi": [1700980489]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 15.0, "npi": [1700980489]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1700980489]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1700980489]}]}]}, {"tin": {"type": "ein", "value": "596000375"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 15.0, "npi": [1821109612]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 15.0, "npi": [1821109612]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1821109612]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1821109612]}]}, {"allowed_amount": 13.99, "providers": [{"billed_charge": 15.0, "npi": [1821109612]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1821109612]}]}]}, {"tin": {"type": "ein", "value": "596000391"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.63, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 7.0, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 9.94, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 10.8, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 11.05, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 11.16, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 11.3, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 20.0, "npi": [1003958471]}]}]}, {"tin": {"type": "ein", "value": "596000396"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 13.05, "npi": [1508167040]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 13.05, "npi": [1508167040]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 13.05, "npi": [1508167040]}]}]}, {"tin": {"type": "ein", "value": "596000399"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 13.0, "npi": [1851502116]}]}]}, {"tin": {"type": "ein", "value": "596000402"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1497801583]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1497801583]}]}]}, {"tin": {"type": "ein", "value": "596000410"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1538134358]}]}]}, {"tin": {"type": "ein", "value": "596000411"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.7, "providers": [{"billed_charge": 9.7, "npi": [1891790424]}]}, {"allowed_amount": 9.89, "providers": [{"billed_charge": 9.89, "npi": [1891790424]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 19.91, "npi": [1891790424]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 19.91, "npi": [1891790424]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 19.91, "npi": [1891790424]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 19.91, "npi": [1891790424]}]}]}, {"tin": {"type": "ein", "value": "596000417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 14.0, "npi": [1194736207]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1194736207]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 14.0, "npi": [1194736207]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.0, "npi": [1194736207]}]}]}, {"tin": {"type": "ein", "value": "596000421"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1730262619]}]}]}, {"tin": {"type": "ein", "value": "596000425"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1134114945]}]}]}, {"tin": {"type": "ein", "value": "596000433"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 13.72, "npi": [1649270216]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 13.72, "npi": [1649270216]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 13.72, "npi": [1649270216]}]}]}, {"tin": {"type": "ein", "value": "596000439"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.45, "providers": [{"billed_charge": 13.0, "npi": [1134177389]}]}]}, {"tin": {"type": "ein", "value": "596000448"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2.35, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 7.0, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 7.41, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 7.87, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 8.4, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 8.69, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.34, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.41, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.43, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 9.94, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.28, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.67, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.72, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.8, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.86, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.11, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.3, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.63, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.66, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.77, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.88, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 11.93, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1215071964]}]}]}, {"tin": {"type": "ein", "value": "596000454"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.45, "providers": [{"billed_charge": 12.0, "npi": [1447394952]}]}]}, {"tin": {"type": "ein", "value": "596000501"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.41, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 7.87, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.6, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.63, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.66, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 11.83, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 12.22, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 12.37, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 12.53, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 18.66, "npi": [1780610287]}]}, {"allowed_amount": 18.67, "providers": [{"billed_charge": 18.67, "npi": [1780610287]}]}]}, {"tin": {"type": "ein", "value": "596000512"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 20.27, "npi": [1134460801]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 20.27, "npi": [1134460801]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 20.27, "npi": [1134460801]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 20.27, "npi": [1134460801]}]}]}, {"tin": {"type": "ein", "value": "596000519"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1861437774]}]}]}, {"tin": {"type": "ein", "value": "596000523"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.87, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 7.0, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 7.41, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}, {"billed_charge": 15.12, "npi": [1194821595]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 10.0, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 11.91, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 12.14, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 12.29, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 15.11, "npi": [1194821595]}]}, {"allowed_amount": 15.1, "providers": [{"billed_charge": 15.1, "npi": [1194821595]}]}]}, {"tin": {"type": "ein", "value": "596000534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1437262565]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 12.0, "npi": [1437262565]}, {"billed_charge": 12.5, "npi": [1437262565]}, {"billed_charge": 15.0, "npi": [1437262565]}, {"billed_charge": 27.5, "npi": [1437262565]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 12.0, "npi": [1437262565]}, {"billed_charge": 12.5, "npi": [1437262565]}, {"billed_charge": 15.0, "npi": [1437262565]}, {"billed_charge": 27.5, "npi": [1437262565]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1437262565]}]}, {"allowed_amount": 12.5, "providers": [{"billed_charge": 12.5, "npi": [1437262565]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1437262565]}, {"billed_charge": 27.5, "npi": [1437262565]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1437262565]}, {"billed_charge": 27.5, "npi": [1437262565]}]}]}, {"tin": {"type": "ein", "value": "596000541"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1407962095]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1407962095]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1407962095]}]}]}, {"tin": {"type": "ein", "value": "596000548"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 10.21, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 11.88, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 12.14, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 12.53, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1568129971]}]}]}, {"tin": {"type": "ein", "value": "596000553"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.87, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 10.8, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 11.3, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 11.32, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 11.9, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 12.08, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 12.25, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 12.47, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1548242571]}]}]}, {"tin": {"type": "ein", "value": "596000558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.17, "providers": [{"billed_charge": 15.0, "npi": [1083674519]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1083674519]}]}]}, {"tin": {"type": "ein", "value": "596000573"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.72, "providers": [{"billed_charge": 15.0, "npi": [1588768279]}]}, {"allowed_amount": 6.78, "providers": [{"billed_charge": 15.0, "npi": [1588768279]}]}, {"allowed_amount": 9.7, "providers": [{"billed_charge": 15.0, "npi": [1588768279]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1588768279]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1588768279]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 15.0, "npi": [1588768279]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1588768279]}]}]}, {"tin": {"type": "ein", "value": "596000598"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.4, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 8.69, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 9.46, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1518960426]}]}]}, {"tin": {"type": "ein", "value": "596000605"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.6, "providers": [{"billed_charge": 14.0, "npi": [1851400881]}]}]}, {"tin": {"type": "ein", "value": "596000628"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1003851767]}]}]}, {"tin": {"type": "ein", "value": "596000639"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1639103005]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1639103005]}]}]}, {"tin": {"type": "ein", "value": "596000655"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 15.0, "npi": [1588676290]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 15.0, "npi": [1588676290]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 15.0, "npi": [1588676290]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 15.0, "npi": [1588676290]}]}, {"allowed_amount": 12.42, "providers": [{"billed_charge": 15.0, "npi": [1588676290]}]}, {"allowed_amount": 12.44, "providers": [{"billed_charge": 15.0, "npi": [1588676290]}]}]}, {"tin": {"type": "ein", "value": "596000661"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1275578437]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1275578437]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1275578437]}]}]}, {"tin": {"type": "ein", "value": "596000674"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 13.73, "npi": [1497856033]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 13.73, "npi": [1497856033]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 13.73, "npi": [1497856033]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 13.73, "npi": [1497856033]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 13.73, "npi": [1497856033]}]}]}, {"tin": {"type": "ein", "value": "596000681"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.88, "providers": [{"billed_charge": 28.26, "npi": [1982640397]}]}]}, {"tin": {"type": "ein", "value": "596000692"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 20.0, "npi": [1942406475]}]}]}, {"tin": {"type": "ein", "value": "596000695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.32, "providers": [{"billed_charge": 11.0, "npi": [1811476930]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 11.0, "npi": [1811476930]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 11.0, "npi": [1811476930]}]}, {"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1811476930]}]}]}, {"tin": {"type": "ein", "value": "596000702"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 11.6, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 11.63, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1477663839]}]}]}, {"tin": {"type": "ein", "value": "596000708"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 18.3, "npi": [1215047675]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 18.3, "npi": [1215047675]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 18.3, "npi": [1215047675]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 18.3, "npi": [1215047675]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 18.3, "npi": [1215047675]}]}]}, {"tin": {"type": "ein", "value": "596000717"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.6, "providers": [{"billed_charge": 14.65, "npi": [1295872331]}]}]}, {"tin": {"type": "ein", "value": "596000722"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.04, "providers": [{"billed_charge": 18.04, "npi": [1700865870]}]}]}, {"tin": {"type": "ein", "value": "596000727"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.63, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 8.69, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 11.05, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 15.75, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1639271885]}]}]}, {"tin": {"type": "ein", "value": "596000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.5, "npi": [1700050705]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.5, "npi": [1700050705]}]}, {"allowed_amount": 12.5, "providers": [{"billed_charge": 12.5, "npi": [1700050705]}]}]}, {"tin": {"type": "ein", "value": "596000743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 10.21, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 11.3, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 12.05, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 12.15, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 12.29, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 12.49, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 13.84, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 14.58, "providers": [{"billed_charge": 14.58, "npi": [1255331187]}]}, {"allowed_amount": 14.59, "providers": [{"billed_charge": 14.59, "npi": [1255331187]}]}]}, {"tin": {"type": "ein", "value": "596000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.78, "providers": [{"billed_charge": 14.5, "npi": [1639180979]}]}, {"allowed_amount": 14.5, "providers": [{"billed_charge": 14.5, "npi": [1639180979]}]}]}, {"tin": {"type": "ein", "value": "596000765"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 18.0, "npi": [1649292756]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 18.0, "npi": [1649292756]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 18.0, "npi": [1649292756]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 18.0, "npi": [1649292756]}, {"billed_charge": 26.0, "npi": [1649292756]}]}]}, {"tin": {"type": "ein", "value": "596000768"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1013129147]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1013129147]}]}]}, {"tin": {"type": "ein", "value": "596000773"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 17.0, "npi": [1033215348]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 17.0, "npi": [1033215348]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 17.0, "npi": [1033215348]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 17.0, "npi": [1033215348]}]}]}, {"tin": {"type": "ein", "value": "596000780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1639264468]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1639264468]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1639264468]}]}]}, {"tin": {"type": "ein", "value": "596000785"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2.83, "providers": [{"billed_charge": 15.0, "npi": [1962412072]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 15.0, "npi": [1962412072]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 15.0, "npi": [1962412072]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1962412072]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1962412072]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 15.0, "npi": [1962412072]}]}, {"allowed_amount": 14.13, "providers": [{"billed_charge": 15.0, "npi": [1962412072]}]}]}, {"tin": {"type": "ein", "value": "596000793"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 15.71, "npi": [1134122146]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 15.71, "npi": [1134122146]}]}, {"allowed_amount": 11.05, "providers": [{"billed_charge": 15.71, "npi": [1134122146]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 15.71, "npi": [1134122146]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 15.71, "npi": [1134122146]}]}, {"allowed_amount": 12.29, "providers": [{"billed_charge": 15.71, "npi": [1134122146]}]}, {"allowed_amount": 12.42, "providers": [{"billed_charge": 15.71, "npi": [1134122146]}]}]}, {"tin": {"type": "ein", "value": "596000800"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 10.72, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 11.66, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 12.25, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 12.31, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 20.16, "npi": [1679520571]}]}, {"allowed_amount": 20.17, "providers": [{"billed_charge": 20.17, "npi": [1679520571]}]}, {"allowed_amount": 20.2, "providers": [{"billed_charge": 20.2, "npi": [1679520571]}]}]}, {"tin": {"type": "ein", "value": "596000809"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1548296338]}]}]}, {"tin": {"type": "ein", "value": "596000816"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 13.21, "npi": [1659362986]}]}, {"allowed_amount": 13.21, "providers": [{"billed_charge": 13.21, "npi": [1659362986]}]}]}, {"tin": {"type": "ein", "value": "596000825"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1720071343]}]}]}, {"tin": {"type": "ein", "value": "596000848"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.87, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 10.8, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 11.3, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 11.45, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1619036050]}]}]}, {"tin": {"type": "ein", "value": "596000856"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 13.0, "npi": [1487750592]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 13.0, "npi": [1487750592]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 13.0, "npi": [1487750592]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 13.0, "npi": [1487750592]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 13.0, "npi": [1487750592]}]}]}, {"tin": {"type": "ein", "value": "596000865"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1942943469]}]}]}, {"tin": {"type": "ein", "value": "596000873"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 20.79, "npi": [1427087717]}]}, {"allowed_amount": 16.44, "providers": [{"billed_charge": 20.79, "npi": [1427087717]}]}]}, {"tin": {"type": "ein", "value": "596000885"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 14.0, "npi": [1487933248]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1487933248]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.0, "npi": [1487933248]}]}]}, {"tin": {"type": "ein", "value": "596000897"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 15.0, "npi": [1609306620]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1609306620]}]}]}, {"tin": {"type": "ein", "value": "596000899"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 17.0, "npi": [1851514160]}]}]}, {"tin": {"type": "ein", "value": "596013450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.63, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 7.41, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 8.4, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 8.69, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 10.08, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 10.95, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}, {"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1649261744]}]}]}, {"tin": {"type": "ein", "value": "596015967"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.17, "providers": [{"billed_charge": 15.0, "npi": [1558372656]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 15.0, "npi": [1558372656]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1558372656]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1558372656]}]}]}, {"tin": {"type": "ein", "value": "596017151"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.08, "providers": [{"billed_charge": 12.0, "npi": [1679584973]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1679584973]}]}]}, {"tin": {"type": "ein", "value": "596017775"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.17, "providers": [{"billed_charge": 15.0, "npi": [1225040827]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 15.0, "npi": [1225040827]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 15.0, "npi": [1225040827]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1225040827]}]}]}, {"tin": {"type": "ein", "value": "596017984"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1386777340]}]}, {"allowed_amount": 9.69, "providers": [{"billed_charge": 14.0, "npi": [1386777340]}]}, {"allowed_amount": 10.5, "providers": [{"billed_charge": 14.0, "npi": [1386777340]}]}]}, {"tin": {"type": "ein", "value": "596019762"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1356348312]}]}]}, {"tin": {"type": "ein", "value": "596019764"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.66, "providers": [{"billed_charge": 17.0, "npi": [1487916219]}]}]}, {"tin": {"type": "ein", "value": "596044081"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 14.0, "npi": [1821098492]}]}, {"allowed_amount": 11.81, "providers": [{"billed_charge": 14.0, "npi": [1821098492]}]}]}, {"tin": {"type": "ein", "value": "596044104"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1114937422]}]}]}, {"tin": {"type": "ein", "value": "596045863"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 4.67, "providers": [{"billed_charge": 12.0, "npi": [1669408233]}]}, {"allowed_amount": 9.33, "providers": [{"billed_charge": 12.0, "npi": [1669408233]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 12.0, "npi": [1669408233]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1669408233]}]}]}, {"tin": {"type": "ein", "value": "596046527"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 18.66, "npi": [1003827130]}]}, {"allowed_amount": 10.17, "providers": [{"billed_charge": 15.0, "npi": [1003827130]}, {"billed_charge": 19.44, "npi": [1003827130]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 15.0, "npi": [1003827130]}, {"billed_charge": 19.44, "npi": [1003827130]}]}, {"allowed_amount": 12.59, "providers": [{"billed_charge": 19.44, "npi": [1003827130]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 15.0, "npi": [1003827130]}, {"billed_charge": 18.66, "npi": [1003827130]}, {"billed_charge": 19.44, "npi": [1003827130]}]}]}, {"tin": {"type": "ein", "value": "596072227"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 14.38, "npi": [1619071396]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 14.38, "npi": [1619071396]}]}]}, {"tin": {"type": "ein", "value": "616000756"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 25.0, "npi": [1104887975]}]}]}, {"tin": {"type": "ein", "value": "616001826"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 16.2, "npi": [1629034350]}]}]}, {"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": "621623714"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.5, "providers": [{"billed_charge": 28.45, "npi": [1366487944]}]}, {"allowed_amount": 19.69, "providers": [{"billed_charge": 28.45, "npi": [1366487944]}]}]}, {"tin": {"type": "ein", "value": "626000295"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1346246550]}]}]}, {"tin": {"type": "ein", "value": "626000361"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.5, "providers": [{"billed_charge": 20.0, "npi": [1942381819]}]}, {"allowed_amount": 19.69, "providers": [{"billed_charge": 20.0, "npi": [1942381819]}]}]}, {"tin": {"type": "ein", "value": "626000541"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1750380978]}]}]}, {"tin": {"type": "ein", "value": "630725492"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.3, "providers": [{"billed_charge": 32.7, "npi": [1386710515]}]}]}, {"tin": {"type": "ein", "value": "630779256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 16.0, "npi": [1194737460]}]}]}, {"tin": {"type": "ein", "value": "630818351"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1437152212]}]}]}, {"tin": {"type": "ein", "value": "631058881"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.58, "providers": [{"billed_charge": 14.58, "npi": [1538236211]}]}]}, {"tin": {"type": "ein", "value": "631189629"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.73, "providers": [{"billed_charge": 13.73, "npi": [1801996145]}]}]}, {"tin": {"type": "ein", "value": "650145123"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 23.1, "npi": [1164162558]}]}, {"allowed_amount": 11.28, "providers": [{"billed_charge": 23.1, "npi": [1164162558]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 23.1, "npi": [1164162558]}]}]}, {"tin": {"type": "ein", "value": "650291811"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.78, "providers": [{"billed_charge": 15.0, "npi": [1578655338]}]}, {"allowed_amount": 12.47, "providers": [{"billed_charge": 15.0, "npi": [1578655338]}]}]}, {"tin": {"type": "ein", "value": "650366077"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1548908551]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.63, "providers": [{"billed_charge": 27.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650571130"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 20.6, "npi": [1255376497]}]}]}, {"tin": {"type": "ein", "value": "650830851"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1912905829]}]}]}, {"tin": {"type": "ein", "value": "650984873"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.15, "providers": [{"billed_charge": 12.15, "npi": [1780677021]}]}]}, {"tin": {"type": "ein", "value": "651193452"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 26.0, "npi": [1699760892]}]}]}, {"tin": {"type": "ein", "value": "726000499"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 35.0, "npi": [1053373670]}]}]}, {"tin": {"type": "ein", "value": "726001326"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 26.25, "npi": [1396861415]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.93, "providers": [{"billed_charge": 18.0, "npi": [1770626608]}]}]}, {"tin": {"type": "ein", "value": "731038915"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.85, "providers": [{"billed_charge": 19.0, "npi": [1457378150]}]}, {"allowed_amount": 11.96, "providers": [{"billed_charge": 19.0, "npi": [1457378150]}]}]}, {"tin": {"type": "ein", "value": "731139487"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.96, "providers": [{"billed_charge": 22.0, "npi": [1366499121]}]}]}, {"tin": {"type": "ein", "value": "731601148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.24, "providers": [{"billed_charge": 40.0, "npi": [1114006939]}]}, {"allowed_amount": 12.25, "providers": [{"billed_charge": 50.0, "npi": [1114006939]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 23.0, "npi": [1083744940]}]}]}, {"tin": {"type": "ein", "value": "742276859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 23.0, "npi": [1134279425]}]}]}, {"tin": {"type": "ein", "value": "746000341"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.55, "providers": [{"billed_charge": 27.76, "npi": [1861410664]}]}]}, {"tin": {"type": "ein", "value": "746000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.8, "providers": [{"billed_charge": 19.0, "npi": [1306909395]}]}]}, {"tin": {"type": "ein", "value": "746001164"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 16.52, "npi": [1447375282]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 16.52, "npi": [1447375282]}]}]}, {"tin": {"type": "ein", "value": "746001468"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 20.0, "npi": [1629007547]}]}]}, {"tin": {"type": "ein", "value": "746001490"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 34.65, "npi": [1730186636]}]}]}, {"tin": {"type": "ein", "value": "746001969"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 35.7, "npi": [1457322885]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "752313255"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 21.62, "providers": [{"billed_charge": 24.0, "npi": [1689650921]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 19.56, "npi": [1790708709]}, {"billed_charge": 68.2, "npi": [1578597886]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 22.03, "npi": [1881628014]}, {"billed_charge": 23.0, "npi": [1194750802]}, {"billed_charge": 54.45, "npi": [1689608820]}, {"billed_charge": 81.5, "npi": [1184732091]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 26.03, "npi": [1194750802]}, {"billed_charge": 77.35, "npi": [1194833939]}]}]}, {"tin": {"type": "ein", "value": "756000508"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1861530990]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 27.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000583"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1871623470]}]}]}, {"tin": {"type": "ein", "value": "770324739"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 105.43, "npi": [1659305902]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 97.19, "npi": [1386678605]}]}, {"allowed_amount": 29.17, "providers": [{"billed_charge": 92.04, "npi": [1578597803]}]}]}, {"tin": {"type": "ein", "value": "800553448"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 65.0, "npi": [1760707582]}]}]}, {"tin": {"type": "ein", "value": "810331365"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.89, "providers": [{"billed_charge": 35.0, "npi": [1235178906]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.8, "providers": [{"billed_charge": 45.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "813286384"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.01, "providers": [{"billed_charge": 28.5, "npi": [1407390537]}]}]}, {"tin": {"type": "ein", "value": "814571957"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 28.25, "npi": [1164966164]}]}, {"allowed_amount": 14.04, "providers": [{"billed_charge": 28.25, "npi": [1164966164]}]}]}, {"tin": {"type": "ein", "value": "823766702"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 36.6, "npi": [1124594619]}]}]}, {"tin": {"type": "ein", "value": "824030857"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.04, "providers": [{"billed_charge": 42.0, "npi": [1730697335]}]}]}, {"tin": {"type": "ein", "value": "824503842"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 25.0, "npi": [1992208565]}]}]}, {"tin": {"type": "ein", "value": "832237450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.72, "providers": [{"billed_charge": 31.09, "npi": [1205439965]}]}]}, {"tin": {"type": "ein", "value": "832499630"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 20.0, "npi": [1700350642]}]}]}, {"tin": {"type": "ein", "value": "841262971"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 71.52, "providers": [{"billed_charge": 41.0, "npi": [1881232692]}]}, {"allowed_amount": 199.71, "providers": [{"billed_charge": 41.0, "npi": [1881232692]}]}, {"allowed_amount": 331.96, "providers": [{"billed_charge": 41.0, "npi": [1881232692]}]}]}, {"tin": {"type": "ein", "value": "841657548"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.6, "providers": [{"billed_charge": 15.5, "npi": [1871898452]}]}]}, {"tin": {"type": "ein", "value": "842463457"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.33, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 9.42, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 11.11, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 11.32, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 11.43, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 11.72, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 11.9, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 12.04, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 12.26, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 12.37, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 14.13, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}, {"allowed_amount": 15.75, "providers": [{"billed_charge": 42.0, "npi": [1568008977]}]}]}, {"tin": {"type": "ein", "value": "842568754"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.53, "providers": [{"billed_charge": 20.0, "npi": [1588215628]}]}]}, {"tin": {"type": "ein", "value": "843941942"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 27.99, "npi": [1336789304]}]}, {"allowed_amount": 12.45, "providers": [{"billed_charge": 27.99, "npi": [1336789304]}]}, {"allowed_amount": 12.47, "providers": [{"billed_charge": 27.99, "npi": [1336789304]}]}, {"allowed_amount": 12.57, "providers": [{"billed_charge": 27.99, "npi": [1336789304]}]}, {"allowed_amount": 12.6, "providers": [{"billed_charge": 27.99, "npi": [1336789304]}]}]}, {"tin": {"type": "ein", "value": "846000721"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1538149315]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.26, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860270029"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.36, "providers": [{"billed_charge": 16.22, "npi": [1750349221]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.26, "providers": [{"billed_charge": 24.94, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.26, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}, {"billed_charge": 25.39, "npi": [1982781571]}]}, {"allowed_amount": 10.27, "providers": [{"billed_charge": 25.39, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866003634"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.26, "providers": [{"billed_charge": 24.94, "npi": [1336692342]}]}]}, {"tin": {"type": "ein", "value": "880125707"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 38.35, "npi": [1235232562]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 38.35, "npi": [1235232562]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 38.35, "npi": [1235232562]}]}, {"allowed_amount": 67.27, "providers": [{"billed_charge": 38.35, "npi": [1235232562]}]}]}, {"tin": {"type": "ein", "value": "886000039"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.89, "providers": [{"billed_charge": 50.0, "npi": [1588765127]}]}]}, {"tin": {"type": "ein", "value": "886000088"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.89, "providers": [{"billed_charge": 34.0, "npi": [1699899229]}]}]}, {"tin": {"type": "ein", "value": "886000198"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 38.35, "npi": [1336290964]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 38.35, "npi": [1336290964]}]}]}, {"tin": {"type": "ein", "value": "886000200"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 37.46, "npi": [1962608943]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 37.46, "npi": [1962608943]}]}]}, {"tin": {"type": "ein", "value": "900334466"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.12, "providers": [{"billed_charge": 48.0, "npi": [1497024731]}]}]}, {"tin": {"type": "ein", "value": "930567420"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 37.44, "npi": [1447200167]}]}]}, {"tin": {"type": "ein", "value": "931641861"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 42.0, "npi": [1386337657]}]}]}, {"tin": {"type": "ein", "value": "933288321"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.78, "providers": [{"billed_charge": 14.5, "npi": [1255101366]}]}]}, {"tin": {"type": "ein", "value": "933788510"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 18.66, "npi": [1255193140]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 18.66, "npi": [1255193140]}]}, {"allowed_amount": 15.26, "providers": [{"billed_charge": 18.66, "npi": [1255193140]}]}]}, {"tin": {"type": "ein", "value": "936002258"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 26.91, "npi": [1619925997]}]}, {"allowed_amount": 15.12, "providers": [{"billed_charge": 26.91, "npi": [1619925997]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 49.0, "npi": [1376600965]}]}, {"allowed_amount": 392.94, "providers": [{"billed_charge": 49.0, "npi": [1376600965]}]}]}, {"tin": {"type": "ein", "value": "952223085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 39.58, "npi": [1518075449]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.78, "providers": [{"billed_charge": 53.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "954357052"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 30.0, "npi": [1801854468]}]}]}, {"tin": {"type": "ein", "value": "956000701"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 32.77, "providers": [{"billed_charge": 30.0, "npi": [1871599001]}]}]}, {"tin": {"type": "ein", "value": "956000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 20.0, "npi": [1083789564]}, {"billed_charge": 29.0, "npi": [1083789564]}]}]}, {"tin": {"type": "ein", "value": "956000776"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 48.0, "npi": [1043904485]}]}]}, {"tin": {"type": "ein", "value": "956002748"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.06, "providers": [{"billed_charge": 39.58, "npi": [1700947488]}]}]}, {"tin": {"type": "ein", "value": "990611768"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.69, "providers": [{"billed_charge": 20.0, "npi": [1053172767]}]}]}, {"tin": {"type": "ein", "value": "990643623"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.72, "providers": [{"billed_charge": 42.0, "npi": [1457112534]}]}]}]}, {"name": "Hemodialysis procedure with single evaluation by a physician or other qualified health care professional", "billing_code_type": "CPT", "billing_code": "90935", "billing_code_type_version": "2022", "description": "HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "270075893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.39, "providers": [{"billed_charge": 200.0, "npi": [1366902439]}]}]}, {"tin": {"type": "ein", "value": "272626998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.91, "providers": [{"billed_charge": 220.0, "npi": [1225312648, 1871756387]}]}]}, {"tin": {"type": "ein", "value": "272969038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.48, "providers": [{"billed_charge": 156.0, "npi": [1396404646]}]}]}, {"tin": {"type": "ein", "value": "454216983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.14, "providers": [{"billed_charge": 153.0, "npi": [1245285212]}]}, {"allowed_amount": 79.7, "providers": [{"billed_charge": 153.0, "npi": [1245285212]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1095.89, "providers": [{"billed_charge": 1095.89, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.2, "providers": [{"billed_charge": 651.0, "npi": [1003010174]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.78, "providers": [{"billed_charge": 419.0, "npi": [1730110594, 1558585711]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.42, "providers": [{"billed_charge": 143.9, "npi": [1265427728]}]}, {"allowed_amount": 77.15, "providers": [{"billed_charge": 160.0, "npi": [1295267425]}]}, {"allowed_amount": 79.7, "providers": [{"billed_charge": 160.0, "npi": [1295267425]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.14, "providers": [{"billed_charge": 651.0, "npi": [1154551521, 1437643699, 1396240396]}]}, {"allowed_amount": 77.15, "providers": [{"billed_charge": 651.0, "npi": [1588903207, 1518259126, 1346431095, 1912170713, 1477500254]}]}, {"allowed_amount": 79.7, "providers": [{"billed_charge": 651.0, "npi": [1912170713, 1437643699, 1346431095]}]}]}, {"tin": {"type": "ein", "value": "651009275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.58, "providers": [{"billed_charge": 150.0, "npi": [1194759928]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.28, "providers": [{"billed_charge": 1837.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.2, "providers": [{"billed_charge": 133.0, "npi": [1124120019, 1811978950]}]}, {"allowed_amount": 75.42, "providers": [{"billed_charge": 133.0, "npi": [1134325004]}]}, {"allowed_amount": 77.91, "providers": [{"billed_charge": 133.0, "npi": [1801057096, 1073537650]}]}, {"allowed_amount": 79.7, "providers": [{"billed_charge": 133.0, "npi": [1043312853, 1811978950]}]}, {"allowed_amount": 133.0, "providers": [{"billed_charge": 133.0, "npi": [1801057096, 1073537650, 1417949611, 1124227319]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.54, "providers": [{"billed_charge": 97.34, "npi": [1396404646, 1548794878]}]}, {"allowed_amount": 82.48, "providers": [{"billed_charge": 97.34, "npi": [1073667770]}]}, {"allowed_amount": 97.34, "providers": [{"billed_charge": 97.34, "npi": [1073667770]}]}]}, {"tin": {"type": "ein", "value": "881963120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.48, "providers": [{"billed_charge": 140.0, "npi": [1679912117]}]}]}, {"tin": {"type": "ein", "value": "920741055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.98, "providers": [{"billed_charge": 140.0, "npi": [1174906861]}]}, {"allowed_amount": 82.48, "providers": [{"billed_charge": 140.0, "npi": [1174906861]}]}]}]}, {"name": "Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)", "billing_code_type": "CPT", "billing_code": "83021", "billing_code_type_version": "2022", "description": "HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY", "allowed_amounts": [{"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.88, "providers": [{"billed_charge": 151.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.06, "providers": [{"billed_charge": 18.06, "npi": [1518983642]}]}]}]}, {"name": "Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)", "billing_code_type": "CPT", "billing_code": "83020", "billing_code_type_version": "2022", "description": "HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS", "allowed_amounts": [{"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1609130681]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1659337251, 1477608628, 1427080951]}]}, {"allowed_amount": 27.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1659337251, 1477608628]}]}, {"allowed_amount": 33.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1427080951, 1346336674, 1659337251, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1942643226]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1497727895]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1396044574, 1497727895]}]}, {"allowed_amount": 26.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.62, "providers": [{"billed_charge": 320.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1720047046]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.95, "providers": [{"billed_charge": 99.85, "npi": [1427616002]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.8, "providers": [{"billed_charge": 38.84, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.42, "providers": [{"billed_charge": 153.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.71, "providers": [{"billed_charge": 45.0, "npi": [1457705618]}]}, {"allowed_amount": 22.72, "providers": [{"billed_charge": 45.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.53, "providers": [{"billed_charge": 60.53, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.55, "providers": [{"billed_charge": 73.0, "npi": [1578639779]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.75, "providers": [{"billed_charge": 605.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.92, "providers": [{"billed_charge": 70.93, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.42, "providers": [{"billed_charge": 153.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.71, "providers": [{"billed_charge": 218.05, "npi": [1245720820]}]}, {"allowed_amount": 11.26, "providers": [{"billed_charge": 218.05, "npi": [1245720820]}]}, {"allowed_amount": 14.57, "providers": [{"billed_charge": 218.05, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.83, "providers": [{"billed_charge": 17.86, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.31, "providers": [{"billed_charge": 43.7, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.71, "providers": [{"billed_charge": 81.94, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.8, "providers": [{"billed_charge": 9.71, "npi": [1831228709]}]}, {"allowed_amount": 9.71, "providers": [{"billed_charge": 9.71, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.4, "providers": [{"billed_charge": 14.4, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.42, "providers": [{"billed_charge": 153.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.6, "providers": [{"billed_charge": 156.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.71, "providers": [{"billed_charge": 20.0, "npi": [1669156121]}]}, {"allowed_amount": 15.83, "providers": [{"billed_charge": 20.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.71, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 89.25, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.06, "providers": [{"billed_charge": 29.13, "npi": [1609596907]}, {"billed_charge": 55.0, "npi": [1609596907]}]}, {"allowed_amount": 9.71, "providers": [{"billed_charge": 29.13, "npi": [1609596907]}, {"billed_charge": 55.0, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 117.0, "npi": [1982606992]}]}]}]}, {"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": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.72, "providers": [{"billed_charge": 32.68, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.72, "providers": [{"billed_charge": 73.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 60.0, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "474376020"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.17, "providers": [{"billed_charge": 27.0, "npi": [1710358932]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.86, "providers": [{"billed_charge": 35.86, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.0, "providers": [{"billed_charge": 695.55, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1184.19, "providers": [{"billed_charge": 2819.5, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.0, "providers": [{"billed_charge": 69.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 250.0, "npi": [1427055839]}]}]}]}, {"name": "Hepatitis B core antibody (HBcAb); total", "billing_code_type": "CPT", "billing_code": "86704", "billing_code_type_version": "2022", "description": "HEPATITIS B CORE ANTIBODY HBCAB TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.44, "providers": [{"billed_charge": 48.2, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.76, "providers": [{"billed_charge": 97.24, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 270.75, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 68.28, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.52, "providers": [{"billed_charge": 145.0, "npi": [1982606992]}]}]}]}, {"name": "Hepatitis B surface antibody (HBsAb)", "billing_code_type": "CPT", "billing_code": "86706", "billing_code_type_version": "2022", "description": "HEPATITIS B SURF ANTIBODY HBSAB", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.52, "providers": [{"billed_charge": 42.96, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.19, "providers": [{"billed_charge": 111.54, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.79, "providers": [{"billed_charge": 147.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.74, "providers": [{"billed_charge": 241.27, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.91, "providers": [{"billed_charge": 60.84, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.4, "providers": [{"billed_charge": 129.0, "npi": [1982606992]}]}]}]}, {"name": "Hepatitis C antibody;", "billing_code_type": "CPT", "billing_code": "86803", "billing_code_type_version": "2022", "description": "HEPATITIS C ANTIBODY", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.03, "providers": [{"billed_charge": 162.93, "npi": [1831910355, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.99, "providers": [{"billed_charge": 57.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "223620531"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.99, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 35.68, "npi": [1376587113]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.12, "providers": [{"billed_charge": 30.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.67, "providers": [{"billed_charge": 148.15, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.27, "providers": [{"billed_charge": 320.64, "npi": [1245720820]}]}, {"allowed_amount": 16.55, "providers": [{"billed_charge": 320.64, "npi": [1245720820]}]}, {"allowed_amount": 21.41, "providers": [{"billed_charge": 320.64, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.7, "providers": [{"billed_charge": 402.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.84, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 131.35, "npi": [1366150773]}]}, {"allowed_amount": 14.27, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 131.35, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.84, "providers": [{"billed_charge": 80.88, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 23.12, "providers": [{"billed_charge": 172.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.0, "providers": [{"billed_charge": 101.0, "npi": [1235290818]}]}]}]}, {"name": "Hepatobiliary system imaging, including gallbladder when present;", "billing_code_type": "CPT", "billing_code": "78226", "billing_code_type_version": "2022", "description": "HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 48.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 523.5, "npi": [1780864033, 1801899042, 1851569701, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 52.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 523.5, "npi": [1225069776, 1780864033, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1386694040]}]}, {"allowed_amount": 63.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1225089428, 1437125077, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1255364378, 1326343716, 1043474190, 1336347335]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1851826440]}]}, {"allowed_amount": 42.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1053585380]}]}, {"allowed_amount": 45.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1053585380]}]}, {"allowed_amount": 45.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1851826440, 1619497567, 1891996047]}]}, {"allowed_amount": 47.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1851826440]}]}, {"allowed_amount": 48.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1053585380, 1104288836, 1851826440, 1700315025, 1619497567]}]}, {"allowed_amount": 49.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1700315025, 1891996047]}]}, {"allowed_amount": 52.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1851826440, 1104288836]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1177.74, "providers": [{"billed_charge": 2617.19, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 45.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1780846204]}]}, {"allowed_amount": 106.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1306135777]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1295178630]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1578768156]}]}, {"allowed_amount": 47.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1508319815]}]}, {"allowed_amount": 63.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1447815089]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 42.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1841305851]}]}, {"allowed_amount": 47.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1841305851]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 48.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1053512889]}]}, {"allowed_amount": 52.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1053512889]}]}]}]}, {"name": "Heterophile antibodies; screening", "billing_code_type": "CPT", "billing_code": "86308", "billing_code_type_version": "2022", "description": "HETEROPHILE ANTIBODIES SCREEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.25, "providers": [{"billed_charge": 97.85, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 36.0, "npi": [1730631482]}]}]}, {"tin": {"type": "ein", "value": "222703314"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 25.0, "npi": [1629118302]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.09, "providers": [{"billed_charge": 50.0, "npi": [1033830427]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.22, "providers": [{"billed_charge": 64.0, "npi": [1942520093]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 20.0, "npi": [1760885420]}]}, {"allowed_amount": 14.09, "providers": [{"billed_charge": 20.0, "npi": [1902295538]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.93, "providers": [{"billed_charge": 22.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 61.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "581466368"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 27.0, "npi": [1679594105]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.71, "providers": [{"billed_charge": 248.25, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.74, "providers": [{"billed_charge": 143.0, "npi": [1184709057]}]}, {"allowed_amount": 38.71, "providers": [{"billed_charge": 143.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 13.0, "npi": [1457491839]}]}, {"allowed_amount": 13.0, "providers": [{"billed_charge": 13.0, "npi": [1780098095]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 21.0, "npi": [1780456475]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.71, "providers": [{"billed_charge": 143.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.41, "providers": [{"billed_charge": 13.0, "npi": [1114498730, 1811798275]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 20.0, "npi": [1386324051]}]}, {"allowed_amount": 6.27, "providers": [{"billed_charge": 20.0, "npi": [1639600414]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 180.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 7.51, "providers": [{"billed_charge": 180.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 75.0, "npi": [1154054260]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.41, "providers": [{"billed_charge": 18.0, "npi": [1538795075]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 47.0, "npi": [1932680022]}]}]}, {"tin": {"type": "ein", "value": "991776839"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 16.0, "npi": [1609133776]}]}]}]}, {"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": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.88, "providers": [{"billed_charge": 1066.0, "npi": [1104244581, 1124472261, 1760988455, 1336310572, 1669667796, 1780754358, 1427632538, 1770088635, 1932723293]}]}, {"allowed_amount": 366.63, "providers": [{"billed_charge": 1066.0, "npi": [1699975268, 1104244581, 1316113798, 1336310572, 1346560653, 1013534643, 1669667796, 1780754358, 1023302908]}]}, {"allowed_amount": 563.56, "providers": [{"billed_charge": 1066.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.13, "providers": [{"billed_charge": 852.0, "npi": [1013404201]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 241.85, "providers": [{"billed_charge": 912.0, "npi": [1992236640, 1649622176, 1821386723, 1093975658, 1326490806, 1467699926, 1841562014]}]}, {"allowed_amount": 249.85, "providers": [{"billed_charge": 912.0, "npi": [1992236640, 1821386723, 1104152677, 1265819270, 1275947434, 1619301389, 1467699926, 1013595289, 1902268154, 1679919963]}]}, {"allowed_amount": 412.85, "providers": [{"billed_charge": 912.0, "npi": [1417469941]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 153.45, "providers": [{"billed_charge": 800.0, "npi": [1821157504]}]}, {"allowed_amount": 241.85, "providers": [{"billed_charge": 869.0, "npi": [1134862642, 1740921691, 1831719582, 1235871591]}, {"billed_charge": 936.0, "npi": [1386264331, 1801477716]}]}, {"allowed_amount": 249.85, "providers": [{"billed_charge": 869.0, "npi": [1134862642, 1366690372]}, {"billed_charge": 891.0, "npi": [1366690372]}, {"billed_charge": 936.0, "npi": [1558854760, 1629509146, 1386264331, 1770166068]}]}, {"allowed_amount": 269.84, "providers": [{"billed_charge": 828.0, "npi": [1932669314]}]}, {"allowed_amount": 276.93, "providers": [{"billed_charge": 891.0, "npi": [1437802204]}]}]}, {"tin": {"type": "ein", "value": "260307415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 314.25, "providers": [{"billed_charge": 542.0, "npi": [1669649638]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 220.81, "providers": [{"billed_charge": 715.0, "npi": [1265999585, 1740008374]}]}, {"allowed_amount": 261.88, "providers": [{"billed_charge": 315.0, "npi": [1639305212, 1356879829]}]}, {"allowed_amount": 571.94, "providers": [{"billed_charge": 715.0, "npi": [1437968971, 1235574021, 1104846773]}]}]}, {"tin": {"type": "ein", "value": "271788250"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 241.85, "providers": [{"billed_charge": 325.0, "npi": [1578509642]}]}, {"allowed_amount": 249.85, "providers": [{"billed_charge": 325.0, "npi": [1578509642]}, {"billed_charge": 685.0, "npi": [1578509642]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 321.3, "providers": [{"billed_charge": 714.0, "npi": [1477087914]}]}]}, {"tin": {"type": "ein", "value": "452820011"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1699962639]}]}, {"allowed_amount": 249.85, "providers": [{"billed_charge": 325.0, "npi": [1699962639]}]}]}, {"tin": {"type": "ein", "value": "453245033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 269.84, "providers": [{"billed_charge": 451.0, "npi": [1114989605]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 249.85, "providers": [{"billed_charge": 407.0, "npi": [1669446449]}]}, {"allowed_amount": 261.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.0, "npi": [1639439896]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 249.85, "providers": [{"billed_charge": 1720.0, "npi": [1619264512]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 467.72, "providers": [{"billed_charge": 2057.0, "npi": [1467016923, 1063615516]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 242.84, "providers": [{"billed_charge": 887.0, "npi": [1871027623]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.86, "providers": [{"billed_charge": 1720.0, "npi": [1598252512]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 751.94, "providers": [{"billed_charge": 2018.0, "npi": [1568490027]}, {"billed_charge": 2265.0, "npi": [1326715418, 1982444204]}]}, {"allowed_amount": 884.63, "providers": [{"billed_charge": 2018.0, "npi": [1922684448, 1619543105, 1336382241, 1992791586, 1386094274, 1518184225, 1326074790, 1114303526, 1639585607, 1811510282, 1023645074, 1922376730]}, {"billed_charge": 2265.0, "npi": [1336382241, 1447375878, 1306499470, 1033146162, 1912403387]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 242.84, "providers": [{"billed_charge": 912.0, "npi": [1295793586]}]}, {"allowed_amount": 249.85, "providers": [{"billed_charge": 720.0, "npi": [1144585043]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 242.84, "providers": [{"billed_charge": 665.0, "npi": [1790751204]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 241.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1508506163, 1801116231]}, {"billed_charge": 800.0, "npi": [1730429762, 1679843494, 1508506163, 1154792059, 1467080796]}]}, {"allowed_amount": 249.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 800.0, "npi": [1821157504, 1588304539, 1295115012]}]}, {"allowed_amount": 269.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1801116231, 1891114823]}]}, {"allowed_amount": 415.75, "providers": [{"billed_charge": 450.0, "npi": [1821157504]}]}, {"allowed_amount": 421.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1013180843]}]}]}, {"tin": {"type": "ein", "value": "844991122"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 261.88, "providers": [{"billed_charge": 325.0, "npi": [1265769822]}, {"billed_charge": 685.0, "npi": [1265769822]}]}, {"allowed_amount": 325.0, "providers": [{"billed_charge": 325.0, "npi": [1265769822]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 326.0, "providers": [{"billed_charge": 1305.0, "npi": [1952728479]}]}, {"allowed_amount": 496.17, "providers": [{"billed_charge": 1305.0, "npi": [1982705778]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.88, "providers": [{"billed_charge": 635.0, "npi": [1902158934]}]}, {"allowed_amount": 366.63, "providers": [{"billed_charge": 635.0, "npi": [1598087520, 1902158934]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 220.81, "providers": [{"billed_charge": 1180.0, "npi": [1457179418]}]}, {"allowed_amount": 242.84, "providers": [{"billed_charge": 1180.0, "npi": [1144807983]}]}, {"allowed_amount": 261.88, "providers": [{"billed_charge": 1180.0, "npi": [1972243608, 1689061681, 1023647732, 1386104941]}]}, {"allowed_amount": 366.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1180.0, "npi": [1114554466, 1023647732, 1285384230]}]}, {"allowed_amount": 467.72, "providers": [{"billed_charge": 1180.0, "npi": [1144568973]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 469.72, "providers": [{"billed_charge": 804.0, "npi": [1679780274]}]}]}]}, {"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 moderate level of medical decision making. When using total time on the date of the encounter for code selection, 70 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99235", "billing_code_type_version": "2022", "description": "HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "052786130"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 261.0, "providers": [{"billed_charge": 1000.0, "npi": [1487822193]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.01, "providers": [{"billed_charge": 832.0, "npi": [1134294689, 1699975268, 1124472261, 1760988455, 1639562119, 1336310572, 1669667796, 1962066613, 1346746682, 1932723293]}]}, {"allowed_amount": 274.42, "providers": [{"billed_charge": 832.0, "npi": [1174817506, 1699975268, 1952930406, 1316113798, 1336310572, 1669667796, 1932723293, 1649614397]}]}, {"allowed_amount": 421.82, "providers": [{"billed_charge": 832.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 138.69, "providers": [{"billed_charge": 664.0, "npi": [1700349586]}]}, {"allowed_amount": 182.49, "providers": [{"billed_charge": 664.0, "npi": [1134772668]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 187.56, "providers": [{"billed_charge": 690.0, "npi": [1992236640]}, {"billed_charge": 711.0, "npi": [1033525316]}]}, {"allowed_amount": 309.93, "providers": [{"billed_charge": 725.0, "npi": [1619301389]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 181.56, "providers": [{"billed_charge": 687.0, "npi": [1740921691]}]}, {"allowed_amount": 187.56, "providers": [{"billed_charge": 757.0, "npi": [1124915400]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 196.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 241.0, "npi": [1861785313, 1407895402, 1740008374, 1447396023, 1013150044]}]}, {"allowed_amount": 241.0, "providers": [{"billed_charge": 241.0, "npi": [1730716721, 1174741078, 1578956025, 1487738654]}]}, {"allowed_amount": 428.09, "providers": [{"billed_charge": 559.0, "npi": [1730716721, 1639305212, 1174741078]}]}]}, {"tin": {"type": "ein", "value": "263792403"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 252.24, "providers": [{"billed_charge": 351.0, "npi": [1619236916]}]}]}, {"tin": {"type": "ein", "value": "330515386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.03, "providers": [{"billed_charge": 430.0, "npi": [1093931727]}]}]}, {"tin": {"type": "ein", "value": "453976574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 187.56, "providers": [{"billed_charge": 730.0, "npi": [1255393476, 1538470919, 1639608300, 1881788750, 1730996497, 1265827158, 1407134489, 1528229242]}]}, {"allowed_amount": 202.57, "providers": [{"billed_charge": 730.0, "npi": [1538470919, 1881788750, 1407134489, 1528229242, 1053351643]}]}, {"allowed_amount": 207.89, "providers": [{"billed_charge": 730.0, "npi": [1669604856]}]}]}, {"tin": {"type": "ein", "value": "464916622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 343.08, "providers": [{"billed_charge": 674.0, "npi": [1609367523]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 351.12, "providers": [{"billed_charge": 1296.0, "npi": [1043897119]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 148.32, "providers": [{"billed_charge": 1605.0, "npi": [1124409743]}]}, {"allowed_amount": 172.56, "providers": [{"billed_charge": 1605.0, "npi": [1629262126]}]}, {"allowed_amount": 187.56, "providers": [{"billed_charge": 1605.0, "npi": [1063615516]}]}, {"allowed_amount": 316.61, "providers": [{"billed_charge": 1605.0, "npi": [1679072367]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 351.12, "providers": [{"billed_charge": 1296.0, "npi": [1932410511]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 574.09, "providers": [{"billed_charge": 1094.0, "npi": [1568490027, 1316043805]}, {"billed_charge": 1760.0, "npi": [1326715418, 1982444204]}]}, {"allowed_amount": 675.4, "providers": [{"billed_charge": 1094.0, "npi": [1922684448, 1619543105, 1386094274, 1992791586, 1285715649, 1801139290, 1326074790, 1013307495, 1114303526, 1679518120, 1811510282, 1639585607, 1629657184, 1336382241, 1023645074, 1831413558, 1922376730, 1699851295]}, {"billed_charge": 1760.0, "npi": [1194074112, 1336382241, 1447375878, 1871750349, 1306499470, 1033146162, 1912403387, 1831237692]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 675.4, "providers": [{"billed_charge": 1812.0, "npi": [1730121211, 1235167453]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 138.69, "providers": [{"billed_charge": 517.0, "npi": [1447815444]}]}]}, {"tin": {"type": "ein", "value": "833359672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 205.05, "providers": [{"billed_charge": 477.0, "npi": [1649655226]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 115.63, "providers": [{"billed_charge": 600.0, "npi": [1366420754]}]}, {"allowed_amount": 181.56, "providers": [{"billed_charge": 600.0, "npi": [1508506163]}]}, {"allowed_amount": 187.56, "providers": [{"billed_charge": 600.0, "npi": [1033605605, 1104314889, 1275947434, 1962142828, 1861462384, 1366420754]}]}, {"allowed_amount": 202.57, "providers": [{"billed_charge": 365.0, "npi": [1942485289]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 261.0, "providers": [{"billed_charge": 1000.0, "npi": [1487822193]}]}, {"allowed_amount": 308.57, "providers": [{"billed_charge": 1000.0, "npi": [1295755486]}]}]}, {"tin": {"type": "ein", "value": "882357751"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 274.42, "providers": [{"billed_charge": 450.0, "npi": [1265993232]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 196.01, "providers": [{"billed_charge": 487.0, "npi": [1194979591]}]}, {"allowed_amount": 274.42, "providers": [{"billed_charge": 487.0, "npi": [1194979591]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 436.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3439.88, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "931655647"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 274.42, "providers": [{"billed_charge": 313.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 187.56, "providers": [{"billed_charge": 627.0, "npi": [1174937130, 1447605126]}]}]}]}, {"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 straightforward or low 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": "99234", "billing_code_type_version": "2022", "description": "HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "202098546"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.15, "providers": [{"billed_charge": 447.0, "npi": [1518221266]}]}]}, {"tin": {"type": "ein", "value": "205873288"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 102.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 197.0, "npi": [1043502800]}]}]}, {"tin": {"type": "ein", "value": "260593928"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 159.9, "providers": [{"billed_charge": 455.0, "npi": [1427199546]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1174741078]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 116.55, "providers": [{"billed_charge": 481.9, "npi": [1376108233]}]}]}, {"tin": {"type": "ein", "value": "270765771"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.5, "providers": [{"billed_charge": 251.0, "npi": [1588896120]}]}, {"allowed_amount": 171.5, "providers": [{"billed_charge": 251.0, "npi": [1588896120]}]}]}, {"tin": {"type": "ein", "value": "332294109"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 162.31, "providers": [{"billed_charge": 387.0, "npi": [1306474655]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 117.64, "providers": [{"billed_charge": 207.02, "npi": [1750022810]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 201.15, "providers": [{"billed_charge": 447.0, "npi": [1366893976]}]}]}, {"tin": {"type": "ein", "value": "475300786"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 157.99, "providers": [{"billed_charge": 190.0, "npi": [1518985373]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.18, "providers": [{"billed_charge": 800.0, "npi": [1679007843]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.16, "providers": [{"billed_charge": 870.0, "npi": [1578831954]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 359.5, "providers": [{"billed_charge": 864.0, "npi": [1568490027]}, {"billed_charge": 1392.0, "npi": [1326715418, 1982444204]}]}, {"allowed_amount": 422.94, "providers": [{"billed_charge": 1392.0, "npi": [1194074112, 1336382241, 1447375878]}]}]}, {"tin": {"type": "ein", "value": "650898836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.55, "providers": [{"billed_charge": 210.0, "npi": [1265419220]}]}]}, {"tin": {"type": "ein", "value": "651002758"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.5, "providers": [{"billed_charge": 300.0, "npi": [1649292012]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.5, "providers": [{"billed_charge": 368.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 112.82, "providers": [{"billed_charge": 275.0, "npi": [1801158969]}]}]}]}, {"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": "060646668"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 205.0, "npi": [1013327451]}]}]}, {"tin": {"type": "ein", "value": "098783528"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 27.01, "providers": [{"billed_charge": 187.95, "npi": [1609372820]}]}]}, {"tin": {"type": "ein", "value": "113312035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 228.0, "providers": [{"billed_charge": 228.0, "npi": [1558774968]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.67, "providers": [{"billed_charge": 265.0, "npi": [1588920805]}]}, {"allowed_amount": 170.81, "providers": [{"billed_charge": 300.0, "npi": [1962636878]}]}]}, {"tin": {"type": "ein", "value": "161774386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 390.0, "npi": [1417697210]}]}]}, {"tin": {"type": "ein", "value": "200704610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.75, "providers": [{"billed_charge": 115.0, "npi": [1700119948]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 360.0, "npi": [1134294689, 1073660445, 1912226275, 1699975268, 1104244581, 1760988455, 1336300938, 1336310572, 1346560653, 1932723293, 1609452341, 1134396724, 1669667796, 1649614397, 1548910623]}]}, {"allowed_amount": 122.7, "providers": [{"billed_charge": 360.0, "npi": [1134396724]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 360.0, "npi": [1316113798, 1700465671, 1336300938, 1346560653, 1427632538, 1922319003, 1073660445, 1548910623, 1134294689, 1336310572, 1134396724, 1609452341, 1780754358, 1649614397, 1699713214, 1467741249, 1831682772, 1669667796, 1932723293, 1912226275, 1699975268, 1104244581, 1659470201, 1609490044]}]}, {"allowed_amount": 220.04, "providers": [{"billed_charge": 360.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "201021229"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 43.86, "providers": [{"billed_charge": 95.0, "npi": [1154298560]}]}, {"allowed_amount": 66.58, "providers": [{"billed_charge": 95.0, "npi": [1154298560]}]}, {"allowed_amount": 94.5, "providers": [{"billed_charge": 95.0, "npi": [1154298560]}]}, {"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1154298560]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.12, "providers": [{"billed_charge": 285.0, "npi": [1376171041, 1538154596, 1902421894, 1396738183, 1790353928, 1841609351, 1023647351, 1982683595, 1376074351, 1720583792, 1215673264, 1700349586, 1538693650, 1932545175, 1083874879]}]}, {"allowed_amount": 87.31, "providers": [{"billed_charge": 285.0, "npi": [1972989523]}]}, {"allowed_amount": 94.9, "providers": [{"billed_charge": 285.0, "npi": [1902421894, 1376830984, 1912213133, 1477088656, 1538693650, 1518444181, 1932545175, 1104090141, 1053445791, 1376171041, 1164678843, 1043299134, 1982683595, 1174749139, 1972989523, 1457980641, 1538154596, 1730524133, 1811513708, 1376074351, 1720583792, 1093140592, 1023647351]}]}, {"allowed_amount": 155.64, "providers": [{"billed_charge": 285.0, "npi": [1104090141, 1417442823]}]}]}, {"tin": {"type": "ein", "value": "201508867"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.13, "providers": [{"billed_charge": 245.0, "npi": [1295702850]}]}]}, {"tin": {"type": "ein", "value": "203566888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.19, "providers": [{"billed_charge": 308.0, "npi": [1417314535]}]}, {"allowed_amount": 242.28, "providers": [{"billed_charge": 308.0, "npi": [1740662824]}]}]}, {"tin": {"type": "ein", "value": "204168057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.7, "providers": [{"billed_charge": 152.22, "npi": [1548298839]}]}]}, {"tin": {"type": "ein", "value": "204539852"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 152.52, "npi": [1245267442]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 15.67, "providers": [{"billed_charge": 308.0, "npi": [1619417227]}]}, {"allowed_amount": 94.78, "providers": [{"billed_charge": 308.0, "npi": [1265819270, 1619417227, 1326490806, 1932631579, 1063856318]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 308.0, "npi": [1619417227, 1619301389, 1326490806]}]}, {"allowed_amount": 161.79, "providers": [{"billed_charge": 308.0, "npi": [1619301389]}]}, {"allowed_amount": 285.7, "providers": [{"billed_charge": 308.0, "npi": [1053948422]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.78, "providers": [{"billed_charge": 293.0, "npi": [1710203161, 1326301789, 1659012375]}, {"billed_charge": 301.0, "npi": [1750775904, 1700047396, 1942732904, 1053666420, 1912402009, 1629509146]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 279.0, "npi": [1700317153, 1487159778, 1629323613]}, {"billed_charge": 293.0, "npi": [1750775904, 1205225794, 1215556261, 1437715398, 1306423173, 1528696457, 1427032473, 1952345324, 1235767534, 1568028942, 1831652882, 1114661204, 1356081236, 1184129207, 1659012375, 1053844696, 1710203161, 1780208538]}, {"billed_charge": 301.0, "npi": [1750775904, 1437715398, 1942732904, 1124915400, 1952345324, 1750927695, 1053666420, 1063925972, 1356920086, 1912402009, 1629509146, 1083973150]}]}, {"allowed_amount": 105.75, "providers": [{"billed_charge": 279.0, "npi": [1700317153, 1487159778, 1629323613]}, {"billed_charge": 293.0, "npi": [1306423173, 1518499979, 1568028942, 1275518607, 1427032473, 1780208538, 1215556261, 1740863786, 1336704683, 1184129207, 1205225794, 1902556236, 1295140051, 1356081236, 1053844696, 1750775904, 1285212266, 1952345324, 1538466412, 1235767534, 1841860475, 1386608255]}, {"billed_charge": 301.0, "npi": [1619527744, 1437715398, 1699237032, 1952345324, 1750886990, 1750927695, 1609809011]}]}, {"allowed_amount": 108.53, "providers": [{"billed_charge": 279.0, "npi": [1013759836]}, {"billed_charge": 293.0, "npi": [1659789261]}, {"billed_charge": 301.0, "npi": [1063925972]}]}, {"allowed_amount": 117.5, "providers": [{"billed_charge": 279.0, "npi": [1992306146]}]}, {"allowed_amount": 165.28, "providers": [{"billed_charge": 279.0, "npi": [1255951380]}]}]}, {"tin": {"type": "ein", "value": "205653775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.9, "providers": [{"billed_charge": 223.0, "npi": [1770966699]}]}]}, {"tin": {"type": "ein", "value": "208153119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 337.0, "npi": [1073179693]}]}]}, {"tin": {"type": "ein", "value": "223837962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.81, "providers": [{"billed_charge": 1617.21, "npi": [1295984300]}]}]}, {"tin": {"type": "ein", "value": "237098532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.78, "providers": [{"billed_charge": 310.0, "npi": [1659090157]}]}]}, {"tin": {"type": "ein", "value": "260419006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 330.09, "providers": [{"billed_charge": 800.0, "npi": [1891227625]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.98, "providers": [{"billed_charge": 217.0, "npi": [1851738793, 1558894683]}]}, {"allowed_amount": 102.25, "providers": [{"billed_charge": 217.0, "npi": [1457731994]}]}]}, {"tin": {"type": "ein", "value": "260800286"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1275567026]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 124.0, "npi": [1659769511, 1407895402, 1538652979, 1356879829, 1740008374, 1174741078, 1508134008]}]}, {"allowed_amount": 124.0, "providers": [{"billed_charge": 124.0, "npi": [1942242649, 1578956025, 1407895402]}]}, {"allowed_amount": 223.31, "providers": [{"billed_charge": 240.0, "npi": [1720002272, 1144412016, 1730716721, 1104846773, 1356879829, 1033796255]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.98, "providers": [{"billed_charge": 124.0, "npi": [1366614927]}]}, {"allowed_amount": 97.01, "providers": [{"billed_charge": 124.0, "npi": [1881100121, 1467600866, 1487390878]}]}, {"allowed_amount": 118.53, "providers": [{"billed_charge": 124.0, "npi": [1366614927]}]}, {"allowed_amount": 121.67, "providers": [{"billed_charge": 124.0, "npi": [1467600866, 1871872994, 1194212555, 1366614927, 1114135001]}, {"billed_charge": 170.0, "npi": [1619553567]}]}, {"allowed_amount": 124.0, "providers": [{"billed_charge": 124.0, "npi": [1194212555, 1366614927]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1194212555, 1366614927, 1114135001, 1487390878, 1619553567]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.68, "providers": [{"billed_charge": 223.0, "npi": [1124903646]}]}]}, {"tin": {"type": "ein", "value": "262129453"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 150.0, "npi": [1184895286]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 101.7, "providers": [{"billed_charge": 226.0, "npi": [1962701599]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.08, "providers": [{"billed_charge": 401.0, "npi": [1073593471]}]}]}, {"tin": {"type": "ein", "value": "263397636"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 220.0, "npi": [1285640169]}]}]}, {"tin": {"type": "ein", "value": "264076297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.42, "providers": [{"billed_charge": 340.0, "npi": [1679520472]}]}]}, {"tin": {"type": "ein", "value": "264181577"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 120.0, "npi": [1255597795, 1548532757]}]}, {"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1255597795]}]}]}, {"tin": {"type": "ein", "value": "264312435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.27, "providers": [{"billed_charge": 172.0, "npi": [1033150032]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 485.0, "npi": [1730152646]}]}]}, {"tin": {"type": "ein", "value": "271661214"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.72, "providers": [{"billed_charge": 504.0, "npi": [1588818777]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.5, "providers": [{"billed_charge": 164.0, "npi": [1275538944]}]}]}, {"tin": {"type": "ein", "value": "272599035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 117.49, "npi": [1730399437]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.42, "providers": [{"billed_charge": 225.35, "npi": [1316960941]}]}]}, {"tin": {"type": "ein", "value": "272927128"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.26, "providers": [{"billed_charge": 146.0, "npi": [1740710433]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.7, "providers": [{"billed_charge": 181.0, "npi": [1801994884]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.79, "providers": [{"billed_charge": 202.0, "npi": [1740251610]}]}]}, {"tin": {"type": "ein", "value": "320058309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.33, "providers": [{"billed_charge": 268.0, "npi": [1164834800]}]}]}, {"tin": {"type": "ein", "value": "332916607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.5, "providers": [{"billed_charge": 162.0, "npi": [1013365758]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 162.0, "npi": [1013365758]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.78, "providers": [{"billed_charge": 504.0, "npi": [1669452264, 1942466859]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 504.0, "npi": [1669452264]}]}]}, {"tin": {"type": "ein", "value": "341127097"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.83, "providers": [{"billed_charge": 201.0, "npi": [1205137965]}]}]}, {"tin": {"type": "ein", "value": "351693695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 98.11, "providers": [{"billed_charge": 186.0, "npi": [1316460959]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.21, "providers": [{"billed_charge": 186.0, "npi": [1356870034]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1841753423]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.97, "providers": [{"billed_charge": 285.0, "npi": [1689395295]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.56, "providers": [{"billed_charge": 312.0, "npi": [1942656715]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 117.61, "providers": [{"billed_charge": 243.0, "npi": [1629004569]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 101.7, "providers": [{"billed_charge": 226.0, "npi": [1366893976, 1568802304, 1447870738, 1205024254]}]}]}, {"tin": {"type": "ein", "value": "451846825"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.0, "providers": [{"billed_charge": 171.0, "npi": [1043876410]}]}]}, {"tin": {"type": "ein", "value": "452914168"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 152.0, "npi": [1760651285]}]}, {"allowed_amount": 152.0, "providers": [{"billed_charge": 152.0, "npi": [1760651285]}]}]}, {"tin": {"type": "ein", "value": "453245033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 120.0, "npi": [1114989605]}]}]}, {"tin": {"type": "ein", "value": "453976574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 380.0, "npi": [1255393476, 1366680357, 1972154565, 1932845864, 1780173997, 1407134489, 1609810878]}]}, {"allowed_amount": 105.75, "providers": [{"billed_charge": 380.0, "npi": [1255393476, 1932845864, 1699268649, 1881788750, 1407134489]}]}, {"allowed_amount": 165.28, "providers": [{"billed_charge": 380.0, "npi": [1609810878]}]}, {"allowed_amount": 181.1, "providers": [{"billed_charge": 380.0, "npi": [1972154565]}]}]}, {"tin": {"type": "ein", "value": "454070993"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 196.62, "providers": [{"billed_charge": 293.0, "npi": [1679710404]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 158.51, "providers": [{"billed_charge": 238.0, "npi": [1043367931]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.88, "providers": [{"billed_charge": 163.0, "npi": [1356578629]}]}, {"allowed_amount": 118.09, "providers": [{"billed_charge": 163.0, "npi": [1851836753]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 325.0, "npi": [1801006168]}]}]}, {"tin": {"type": "ein", "value": "464225758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.16, "providers": [{"billed_charge": 308.0, "npi": [1376577619]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.98, "providers": [{"billed_charge": 168.0, "npi": [1669811667]}]}, {"allowed_amount": 90.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 142.0, "npi": [1932276177, 1154640100, 1518249317, 1144304197]}]}, {"allowed_amount": 94.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 168.0, "npi": [1184823825]}]}, {"allowed_amount": 97.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 142.0, "npi": [1154640100, 1588105704, 1366847147, 1447883756, 1316432784, 1932276177, 1669196754, 1669446449, 1013341080, 1912102104]}, {"billed_charge": 168.0, "npi": [1184823825]}]}, {"allowed_amount": 102.25, "providers": [{"billed_charge": 168.0, "npi": [1447781877]}]}, {"allowed_amount": 108.53, "providers": [{"billed_charge": 142.0, "npi": [1316432784, 1447883756, 1013341080, 1821741216]}]}, {"allowed_amount": 142.0, "providers": [{"billed_charge": 142.0, "npi": [1912102104, 1710074182]}]}, {"allowed_amount": 161.79, "providers": [{"billed_charge": 168.0, "npi": [1497786891]}]}]}, {"tin": {"type": "ein", "value": "464916622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 325.0, "npi": [1619230612, 1437148574]}]}]}, {"tin": {"type": "ein", "value": "465091853"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 350.0, "npi": [1881687507]}]}]}, {"tin": {"type": "ein", "value": "465292740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.4, "providers": [{"billed_charge": 220.0, "npi": [1154945087]}]}]}, {"tin": {"type": "ein", "value": "465362272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.0, "providers": [{"billed_charge": 147.0, "npi": [1134179922]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.74, "providers": [{"billed_charge": 228.0, "npi": [1730773367]}]}]}, {"tin": {"type": "ein", "value": "472221436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.56, "providers": [{"billed_charge": 182.0, "npi": [1346654407]}]}]}, {"tin": {"type": "ein", "value": "472373604"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.01, "providers": [{"billed_charge": 175.0, "npi": [1548002884]}]}]}, {"tin": {"type": "ein", "value": "475656579"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.03, "providers": [{"billed_charge": 308.0, "npi": [1538691225]}]}]}, {"tin": {"type": "ein", "value": "480805658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.42, "providers": [{"billed_charge": 180.0, "npi": [1447562152]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.48, "providers": [{"billed_charge": 223.0, "npi": [1316966906, 1346635414]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.48, "providers": [{"billed_charge": 223.0, "npi": [1548260458, 1902407877]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.34, "providers": [{"billed_charge": 314.0, "npi": [1508445453]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 130.56, "providers": [{"billed_charge": 303.0, "npi": [1326607912]}]}]}, {"tin": {"type": "ein", "value": "582595293"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 143.15, "providers": [{"billed_charge": 148.64, "npi": [1841206000]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.63, "providers": [{"billed_charge": 400.0, "npi": [1104894328]}]}, {"allowed_amount": 106.29, "providers": [{"billed_charge": 400.0, "npi": [1720541584]}]}, {"allowed_amount": 138.93, "providers": [{"billed_charge": 400.0, "npi": [1285220186]}]}, {"allowed_amount": 179.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1083971808]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 600.0, "npi": [1578895066, 1518952571, 1851761100, 1306423645]}]}, {"allowed_amount": 183.29, "providers": [{"billed_charge": 600.0, "npi": [1306423645]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 240.0, "npi": [1902244197]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 314.0, "npi": [1750730792]}]}, {"allowed_amount": 155.64, "providers": [{"billed_charge": 314.0, "npi": [1043255839]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.12, "providers": [{"billed_charge": 241.0, "npi": [1760458186, 1407822828]}]}, {"allowed_amount": 206.5, "providers": [{"billed_charge": 241.0, "npi": [1801867999]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 157.08, "npi": [1114587599]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 157.08, "npi": [1164470811]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 58.19, "providers": [{"billed_charge": 696.0, "npi": [1629262126]}]}, {"allowed_amount": 77.63, "providers": [{"billed_charge": 696.0, "npi": [1306152400, 1972908978, 1972169779]}]}, {"allowed_amount": 90.08, "providers": [{"billed_charge": 696.0, "npi": [1285684597, 1649275249, 1952313173, 1629262126]}]}, {"allowed_amount": 94.0, "providers": [{"billed_charge": 696.0, "npi": [1083077507, 1235625443, 1962852251, 1982899399, 1851407431, 1578958443, 1669637419, 1245506161, 1972908978, 1700837044, 1972589943, 1073711768, 1003872409, 1164488698, 1639445851]}]}, {"allowed_amount": 94.78, "providers": [{"billed_charge": 696.0, "npi": [1003072760, 1699836858, 1306152400]}]}, {"allowed_amount": 94.9, "providers": [{"billed_charge": 696.0, "npi": [1902845043, 1730165655]}]}, {"allowed_amount": 95.21, "providers": [{"billed_charge": 696.0, "npi": [1851309587]}]}, {"allowed_amount": 97.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1063607810, 1083077507, 1306909189, 1093778318, 1275569683, 1003872409, 1821058587, 1962852251, 1629621917, 1417210527, 1548561186, 1699724195, 1417223728, 1972908978, 1972169779, 1144514738, 1699836858, 1396900924, 1457778748, 1275809469, 1881076412, 1154708550, 1982899399, 1114118478, 1881670735, 1306152400, 1154580561, 1053389650, 1285950931, 1952313173, 1215228374, 1639445851, 1770556508, 1427408863, 1710263009, 1235625443, 1477015139, 1700469350, 1598840167, 1477515112, 1679072367, 1245506161, 1972589943, 1164488698]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 696.0, "npi": [1902845043, 1730165655]}]}, {"allowed_amount": 102.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1679510242, 1306334628, 1932340155, 1124262290, 1437509080, 1437147931, 1700164670]}]}, {"allowed_amount": 105.75, "providers": [{"billed_charge": 696.0, "npi": [1841934171, 1881076412]}]}, {"allowed_amount": 108.1, "providers": [{"billed_charge": 696.0, "npi": [1699724195]}]}, {"allowed_amount": 117.5, "providers": [{"billed_charge": 696.0, "npi": [1477015139, 1013924356, 1154708550, 1417223728, 1972169779, 1760821235, 1992782742, 1215228374, 1164564696, 1417210527]}]}, {"allowed_amount": 127.68, "providers": [{"billed_charge": 696.0, "npi": [1770556508]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 696.0, "npi": [1386807857, 1437147931]}]}, {"allowed_amount": 161.79, "providers": [{"billed_charge": 696.0, "npi": [1275230138, 1063607810, 1629621917, 1881670735]}]}, {"allowed_amount": 162.93, "providers": [{"billed_charge": 696.0, "npi": [1487886016, 1306909189]}]}, {"allowed_amount": 165.28, "providers": [{"billed_charge": 696.0, "npi": [1598840167, 1477515112, 1093778318, 1679072367, 1154580561, 1396900924, 1427408863]}]}, {"allowed_amount": 214.62, "providers": [{"billed_charge": 696.0, "npi": [1366625733]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 132.86, "providers": [{"billed_charge": 190.0, "npi": [1861456790]}]}]}, {"tin": {"type": "ein", "value": "592795081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.0, "providers": [{"billed_charge": 153.0, "npi": [1982713632]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 186.0, "npi": [1073507000]}]}]}, {"tin": {"type": "ein", "value": "593398308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 302.0, "npi": [1104900570]}]}, {"allowed_amount": 118.09, "providers": [{"billed_charge": 302.0, "npi": [1609147412]}]}]}, {"tin": {"type": "ein", "value": "593577370"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.12, "providers": [{"billed_charge": 102.01, "npi": [1689819534]}]}, {"allowed_amount": 94.9, "providers": [{"billed_charge": 102.01, "npi": [1861498131, 1689819534]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.12, "providers": [{"billed_charge": 190.0, "npi": [1366670432, 1881662096, 1144422163, 1417114612, 1811382682, 1467643387]}]}, {"allowed_amount": 94.9, "providers": [{"billed_charge": 190.0, "npi": [1750377784, 1205807443, 1538327952]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 190.0, "npi": [1598298960]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 86.16, "providers": [{"billed_charge": 600.0, "npi": [1487985883]}]}, {"allowed_amount": 94.78, "providers": [{"billed_charge": 600.0, "npi": [1346203155]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 600.0, "npi": [1225329063, 1568777191, 1770070187, 1447889423, 1255437109, 1023406105, 1649658303]}]}, {"allowed_amount": 101.83, "providers": [{"billed_charge": 600.0, "npi": [1124349220, 1356439855]}]}, {"allowed_amount": 161.79, "providers": [{"billed_charge": 600.0, "npi": [1629472923]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.19, "providers": [{"billed_charge": 600.0, "npi": [1295795813]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 248.61, "npi": [1699234864]}, {"billed_charge": 330.7, "npi": [1588988000, 1700104874, 1548528342, 1558637272]}]}, {"allowed_amount": 101.83, "providers": [{"billed_charge": 330.7, "npi": [1699234864, 1215956115, 1003839309, 1548528342]}]}, {"allowed_amount": 117.5, "providers": [{"billed_charge": 330.7, "npi": [1821317264]}]}, {"allowed_amount": 130.81, "providers": [{"billed_charge": 248.61, "npi": [1699234864]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.81, "providers": [{"billed_charge": 248.61, "npi": [1225109440]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 341.94, "providers": [{"billed_charge": 599.0, "npi": [1124055959]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 150.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650868331"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 200.0, "npi": [1578537817]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 200.0, "npi": [1578537817]}]}]}, {"tin": {"type": "ein", "value": "650883043"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 200.0, "npi": [1356384291]}]}, {"allowed_amount": 177.65, "providers": [{"billed_charge": 200.0, "npi": [1356384291]}]}]}, {"tin": {"type": "ein", "value": "651002758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 350.0, "npi": [1649292012]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 350.0, "npi": [1649292012]}]}]}, {"tin": {"type": "ein", "value": "651020386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.04, "providers": [{"billed_charge": 120.0, "npi": [1043253479]}]}, {"allowed_amount": 102.25, "providers": [{"billed_charge": 120.0, "npi": [1043253479]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.98, "providers": [{"billed_charge": 196.0, "npi": [1457463010]}]}, {"allowed_amount": 102.25, "providers": [{"billed_charge": 196.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651143212"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.63, "providers": [{"billed_charge": 219.0, "npi": [1336415827]}]}]}, {"tin": {"type": "ein", "value": "651157149"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 120.0, "npi": [1689743445]}]}]}, {"tin": {"type": "ein", "value": "710290019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.32, "providers": [{"billed_charge": 135.0, "npi": [1558010561]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.91, "providers": [{"billed_charge": 315.0, "npi": [1780145102]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.19, "providers": [{"billed_charge": 696.0, "npi": [1003247974]}]}]}, {"tin": {"type": "ein", "value": "770631940"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 150.0, "npi": [1225057193]}]}]}, {"tin": {"type": "ein", "value": "800608796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.75, "providers": [{"billed_charge": 150.0, "npi": [1285725515]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 308.0, "npi": [1144815408]}]}, {"allowed_amount": 94.9, "providers": [{"billed_charge": 308.0, "npi": [1811048622, 1104168525, 1790930998, 1306596119]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 308.0, "npi": [1578907200, 1184042921, 1275160970, 1902433295, 1144815408, 1619996436, 1093839128]}]}, {"allowed_amount": 105.75, "providers": [{"billed_charge": 308.0, "npi": [1578907200, 1083985121, 1184042921, 1902433295, 1619996436, 1598144669, 1407115389]}]}, {"allowed_amount": 108.53, "providers": [{"billed_charge": 308.0, "npi": [1881065175]}]}, {"allowed_amount": 132.86, "providers": [{"billed_charge": 308.0, "npi": [1699425553]}]}, {"allowed_amount": 155.64, "providers": [{"billed_charge": 308.0, "npi": [1639116619]}]}, {"allowed_amount": 178.41, "providers": [{"billed_charge": 265.0, "npi": [1659936177]}]}, {"allowed_amount": 179.17, "providers": [{"billed_charge": 308.0, "npi": [1194799288, 1003235359]}]}, {"allowed_amount": 183.29, "providers": [{"billed_charge": 281.0, "npi": [1073254066]}]}]}, {"tin": {"type": "ein", "value": "815026620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 124.7, "providers": [{"billed_charge": 162.0, "npi": [1497729834]}]}]}, {"tin": {"type": "ein", "value": "815094291"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.16, "providers": [{"billed_charge": 293.0, "npi": [1407433816]}]}]}, {"tin": {"type": "ein", "value": "820821946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.28, "providers": [{"billed_charge": 380.0, "npi": [1689743239]}]}]}, {"tin": {"type": "ein", "value": "822847999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 250.0, "npi": [1801151899]}]}]}, {"tin": {"type": "ein", "value": "823352623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.56, "providers": [{"billed_charge": 250.0, "npi": [1992886667]}]}]}, {"tin": {"type": "ein", "value": "824392391"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 94.78, "providers": [{"billed_charge": 225.0, "npi": [1134407307]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 225.0, "npi": [1134407307]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.12, "providers": [{"billed_charge": 224.0, "npi": [1134105752]}]}]}, {"tin": {"type": "ein", "value": "831912307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 256.0, "npi": [1265453245]}]}]}, {"tin": {"type": "ein", "value": "831918740"}, "billing_class": "professional", "service_codes": ["55", "21"], "payments": [{"allowed_amount": 121.67, "providers": [{"billed_charge": 150.0, "npi": [1043299456]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1043299456]}]}]}, {"tin": {"type": "ein", "value": "833317873"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 253.79, "providers": [{"billed_charge": 275.0, "npi": [1306858352]}]}]}, {"tin": {"type": "ein", "value": "840974982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.91, "providers": [{"billed_charge": 150.0, "npi": [1811957707]}]}]}, {"tin": {"type": "ein", "value": "842840521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 113.0, "npi": [1871782268]}]}, {"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1871782268]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.52, "providers": [{"billed_charge": 313.0, "npi": [1235534215]}]}, {"allowed_amount": 94.0, "providers": [{"billed_charge": 313.0, "npi": [1689096604]}]}, {"allowed_amount": 94.78, "providers": [{"billed_charge": 200.0, "npi": [1114244993, 1326577925, 1801116231, 1083677322, 1952920779, 1629657135, 1417243536, 1114112240, 1801158969, 1154792059, 1619532124]}, {"billed_charge": 313.0, "npi": [1548413024, 1114244993, 1972243970, 1326577925, 1801158969, 1114501038, 1386118511, 1467080796, 1477085744, 1588957328, 1508506163, 1831350933, 1184236473, 1154792059, 1760794556, 1053666495]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 313.0, "npi": [1982050688, 1114244993, 1720665474, 1053744771, 1730717059, 1326577925, 1578541058, 1235534215, 1083677322, 1699962639, 1417243536, 1609454479, 1588957328, 1831350933, 1669863189, 1629714456, 1497261721, 1659990554, 1801121306, 1245693597, 1790425502, 1679843494, 1134625064, 1942485289, 1114501038, 1497495345, 1508506163, 1154645430, 1801158969, 1104566074, 1760794556, 1639273790, 1053666495, 1174792899, 1952987463, 1801116231, 1477752137, 1891114823, 1699017681, 1124475090, 1508284118, 1508001496, 1316180060, 1619532124, 1467080796, 1124006879, 1548413024, 1114504420, 1659663078, 1538491626, 1962142828, 1386118511, 1861462384, 1487232369, 1962039925, 1154792059]}]}, {"allowed_amount": 101.83, "providers": [{"billed_charge": 313.0, "npi": [1720665474]}]}, {"allowed_amount": 105.75, "providers": [{"billed_charge": 200.0, "npi": [1982050688, 1649665571, 1033605605, 1801116231, 1235534215, 1942485289, 1083677322, 1699962639, 1508506163, 1154645430, 1124006879]}, {"billed_charge": 313.0, "npi": [1578541058, 1174792899, 1790425502, 1891114823, 1932844040, 1942485289, 1083677322, 1477752137, 1699962639, 1124475090, 1962039925, 1154645430, 1952051831, 1801121306, 1104566074, 1639273790, 1124006879]}]}, {"allowed_amount": 117.5, "providers": [{"billed_charge": 313.0, "npi": [1699962639, 1124006879]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 200.0, "npi": [1801416623]}]}, {"allowed_amount": 165.28, "providers": [{"billed_charge": 313.0, "npi": [1013180843]}]}, {"allowed_amount": 214.62, "providers": [{"billed_charge": 313.0, "npi": [1134625064, 1508284118]}]}]}, {"tin": {"type": "ein", "value": "843653826"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 148.64, "npi": [1205260221]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 148.64, "npi": [1205260221]}]}]}, {"tin": {"type": "ein", "value": "844991122"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 170.0, "npi": [1265769822]}, {"billed_charge": 260.0, "npi": [1265769822]}, {"billed_charge": 275.0, "npi": [1265769822]}, {"billed_charge": 385.0, "npi": [1265769822]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 170.0, "npi": [1265769822]}, {"billed_charge": 275.0, "npi": [1265769822]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.06, "providers": [{"billed_charge": 214.05, "npi": [1427233006]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 214.05, "npi": [1215279625, 1174886386, 1225520901, 1427233006]}]}, {"allowed_amount": 130.81, "providers": [{"billed_charge": 214.05, "npi": [1215279625, 1427233006]}]}]}, {"tin": {"type": "ein", "value": "853646513"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 570.0, "npi": [1033267679]}]}, {"allowed_amount": 179.17, "providers": [{"billed_charge": 570.0, "npi": [1033267679]}]}]}, {"tin": {"type": "ein", "value": "853737205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 344.0, "npi": [1265432942]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.24, "providers": [{"billed_charge": 221.0, "npi": [1992934384]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 406.0, "npi": [1710202965, 1811444110]}]}, {"allowed_amount": 106.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 406.0, "npi": [1881199073]}]}]}, {"tin": {"type": "ein", "value": "880976503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.22, "providers": [{"billed_charge": 170.0, "npi": [1912464710]}]}, {"allowed_amount": 102.25, "providers": [{"billed_charge": 170.0, "npi": [1912464710]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.17, "providers": [{"billed_charge": 174.0, "npi": [1578637153]}]}]}, {"tin": {"type": "ein", "value": "881882871"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.9, "providers": [{"billed_charge": 161.98, "npi": [1528300365]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 391.63, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.0, "providers": [{"billed_charge": 215.0, "npi": [1518025675]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 243.0, "npi": [1366029092]}]}]}, {"tin": {"type": "ein", "value": "900743550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.0, "providers": [{"billed_charge": 139.0, "npi": [1932293727]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 252.0, "npi": [1194979591]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 252.0, "npi": [1821067299, 1801151899]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.12, "providers": [{"billed_charge": 406.0, "npi": [1780145763]}]}, {"allowed_amount": 94.9, "providers": [{"billed_charge": 406.0, "npi": [1396310405, 1346697927, 1801275276, 1780205740, 1043673932, 1902205552, 1376077172, 1477538197, 1578069175]}]}, {"allowed_amount": 97.91, "providers": [{"billed_charge": 406.0, "npi": [1629714456, 1568629897, 1609516426, 1154054807]}]}, {"allowed_amount": 102.25, "providers": [{"billed_charge": 406.0, "npi": [1427318880, 1881223360, 1033452677, 1508506288, 1689061681]}]}, {"allowed_amount": 107.81, "providers": [{"billed_charge": 406.0, "npi": [1477937829, 1790837086]}]}, {"allowed_amount": 132.86, "providers": [{"billed_charge": 406.0, "npi": [1902205552]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 406.0, "npi": [1427318880, 1033452677, 1689061681, 1477182806, 1972243608, 1073263067]}]}, {"allowed_amount": 178.41, "providers": [{"billed_charge": 406.0, "npi": [1801275276, 1427637644]}]}, {"allowed_amount": 179.17, "providers": [{"billed_charge": 406.0, "npi": [1508447087, 1780205740, 1679064604, 1578069175]}]}, {"allowed_amount": 183.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 406.0, "npi": [1609516426, 1912249756, 1093793853]}]}]}, {"tin": {"type": "ein", "value": "922116824"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 34.74, "providers": [{"billed_charge": 406.0, "npi": [1215634373]}]}]}, {"tin": {"type": "ein", "value": "922193137"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 158.51, "providers": [{"billed_charge": 406.0, "npi": [1588050637]}]}]}, {"tin": {"type": "ein", "value": "922465140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.31, "providers": [{"billed_charge": 406.0, "npi": [1437388022]}]}]}, {"tin": {"type": "ein", "value": "931357152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 5100.0, "npi": [1508285941]}]}]}, {"tin": {"type": "ein", "value": "931655647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.15, "providers": [{"billed_charge": 161.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.5, "providers": [{"billed_charge": 485.0, "npi": [1124272265]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1669849741]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.91, "providers": [{"billed_charge": 270.0, "npi": [1477631596, 1992479414]}]}, {"allowed_amount": 184.08, "providers": [{"billed_charge": 270.0, "npi": [1801114483, 1558566653]}]}]}, {"tin": {"type": "ein", "value": "993151146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.97, "providers": [{"billed_charge": 508.0, "npi": [1205363926]}]}]}]}, {"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": "010238552"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.98, "providers": [{"billed_charge": 254.0, "npi": [1801932884]}]}]}, {"tin": {"type": "ein", "value": "010651490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.53, "providers": [{"billed_charge": 192.0, "npi": [1497477376]}]}]}, {"tin": {"type": "ein", "value": "010720868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 195.0, "npi": [1952333775]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.85, "providers": [{"billed_charge": 340.0, "npi": [1255758355]}]}]}, {"tin": {"type": "ein", "value": "043170333"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 185.67, "providers": [{"billed_charge": 305.0, "npi": [1265711535]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 199.68, "providers": [{"billed_charge": 339.0, "npi": [1144488560]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.75, "providers": [{"billed_charge": 576.0, "npi": [1821138702]}]}]}, {"tin": {"type": "ein", "value": "141338373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 359.0, "npi": [1225652605]}]}]}, {"tin": {"type": "ein", "value": "141942527"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.67, "providers": [{"billed_charge": 237.0, "npi": [1376767988]}]}]}, {"tin": {"type": "ein", "value": "200409821"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 212.46, "npi": [1669491726]}]}]}, {"tin": {"type": "ein", "value": "200704610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.19, "providers": [{"billed_charge": 169.0, "npi": [1700119948, 1265438188]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.75, "providers": [{"billed_charge": 525.0, "npi": [1942943923]}]}, {"allowed_amount": 144.91, "providers": [{"billed_charge": 525.0, "npi": [1316113798, 1700465671, 1639562119, 1336300938, 1952877706, 1346560653, 1427632538, 1922319003, 1134294689, 1679150114, 1760988455, 1336310572, 1013534643, 1134396724, 1962066613, 1780754358, 1891229621, 1609452341, 1346746682, 1770088635, 1881679421, 1699713214, 1649614397, 1467741249, 1831682772, 1619400405, 1609490044, 1629053921, 1174817506, 1699975268, 1104244581, 1952930406, 1316399215, 1023302908]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 525.0, "npi": [1316113798, 1700465671, 1336300938, 1346560653, 1427632538, 1922319003, 1134294689, 1679150114, 1336310572, 1013534643, 1134396724, 1962066613, 1780754358, 1891229621, 1346746682, 1770088635, 1649614397, 1699713214, 1881679421, 1467741249, 1831682772, 1619400405, 1669667796, 1932723293, 1629053921, 1174817506, 1699975268, 1952930406, 1316399215, 1609490044]}]}, {"allowed_amount": 311.85, "providers": [{"billed_charge": 525.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "201202088"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.81, "providers": [{"billed_charge": 222.0, "npi": [1710555248]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.54, "providers": [{"billed_charge": 419.0, "npi": [1588755367, 1215592936, 1396738183, 1770151086, 1376074351, 1215673264, 1104563790, 1700349586, 1710627310, 1174749139, 1518444181, 1609201334]}]}, {"allowed_amount": 124.13, "providers": [{"billed_charge": 419.0, "npi": [1770014714]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 419.0, "npi": [1467024448, 1770232100, 1396738183, 1790353928, 1588755367, 1982683595, 1376074351, 1801988720, 1215673264, 1700349586, 1770014714, 1104090141, 1053445791]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 419.0, "npi": [1730524133]}]}, {"allowed_amount": 221.28, "providers": [{"billed_charge": 419.0, "npi": [1104090141]}]}]}, {"tin": {"type": "ein", "value": "201508867"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.84, "providers": [{"billed_charge": 347.0, "npi": [1013193044]}]}]}, {"tin": {"type": "ein", "value": "202425584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 180.0, "npi": [1043253479]}]}]}, {"tin": {"type": "ein", "value": "203279920"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 226.12, "providers": [{"billed_charge": 382.0, "npi": [1740250471]}]}]}, {"tin": {"type": "ein", "value": "203447115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.48, "providers": [{"billed_charge": 301.0, "npi": [1730423997]}]}]}, {"tin": {"type": "ein", "value": "203566888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.96, "providers": [{"billed_charge": 454.0, "npi": [1891314449]}]}, {"allowed_amount": 165.27, "providers": [{"billed_charge": 454.0, "npi": [1073856696, 1396934618, 1437162732]}]}, {"allowed_amount": 166.29, "providers": [{"billed_charge": 454.0, "npi": [1114554318]}]}]}, {"tin": {"type": "ein", "value": "203713889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.0, "providers": [{"billed_charge": 216.0, "npi": [1053751149, 1619974839]}]}]}, {"tin": {"type": "ein", "value": "204168057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.48, "providers": [{"billed_charge": 216.62, "npi": [1619290731, 1538789052]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.86, "providers": [{"billed_charge": 355.95, "npi": [1518581701]}]}]}, {"tin": {"type": "ein", "value": "204539852"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 226.26, "npi": [1245267442]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 226.26, "npi": [1245267442]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.25, "providers": [{"billed_charge": 454.0, "npi": [1740659168, 1043444508]}]}, {"allowed_amount": 114.42, "providers": [{"billed_charge": 454.0, "npi": [1225406937]}]}, {"allowed_amount": 133.5, "providers": [{"billed_charge": 454.0, "npi": [1265023451]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 454.0, "npi": [1265819270, 1619417227, 1013595289, 1932631579, 1689010076, 1043444508, 1255718045, 1649622176, 1386969376, 1114374311, 1326490806, 1932787512, 1063856318, 1023519683, 1942628805, 1346773447, 1639608649, 1821583956, 1679919963, 1992236640, 1740659168, 1609367523, 1093975658, 1902268154]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 454.0, "npi": [1265819270, 1619301389, 1013595289, 1932631579, 1689010076, 1255718045, 1043444508, 1649622176, 1386969376, 1114374311, 1932787512, 1023519683, 1033525316, 1942628805, 1346773447, 1639608649, 1821583956, 1225406937, 1679919963, 1992236640, 1609367523, 1093975658, 1396932216, 1902268154]}]}, {"allowed_amount": 229.79, "providers": [{"billed_charge": 454.0, "npi": [1619301389]}]}, {"allowed_amount": 304.83, "providers": [{"billed_charge": 454.0, "npi": [1033525316]}]}]}, {"tin": {"type": "ein", "value": "204600494"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.48, "providers": [{"billed_charge": 203.0, "npi": [1699118703]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 162.47, "providers": [{"billed_charge": 445.0, "npi": [1558708156]}]}, {"allowed_amount": 173.3, "providers": [{"billed_charge": 445.0, "npi": [1063619195]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.25, "providers": [{"billed_charge": 432.0, "npi": [1649809633, 1861012411]}]}, {"allowed_amount": 133.5, "providers": [{"billed_charge": 432.0, "npi": [1790359958]}, {"billed_charge": 438.0, "npi": [1659314979]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 432.0, "npi": [1528696457, 1205579414, 1659012375, 1316566680, 1710203161, 1710474010, 1902057243, 1437724317, 1851655203, 1578994984, 1609210665, 1144961707, 1316688310, 1508500026, 1861012411, 1841931581, 1053054924, 1114661204, 1326301789, 1447604319, 1649809633, 1881334761]}, {"billed_charge": 438.0, "npi": [1942732904, 1609210665, 1558854760, 1023690419, 1053666420, 1770166068, 1356920086, 1821594516, 1447810072, 1912402009, 1629509146, 1801477716, 1083973150, 1134431455]}]}, {"allowed_amount": 139.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 411.0, "npi": [1548836513, 1700317153, 1174185706, 1093395568, 1255951380, 1013759836]}, {"billed_charge": 432.0, "npi": [1306423173, 1528696457, 1205579414, 1790359958, 1316566680, 1710203161, 1710474010, 1659012375, 1851655203, 1689011108, 1578994984, 1609210665, 1336704683, 1144961707, 1316688310, 1184129207, 1508500026, 1861012411, 1841931581, 1114661204, 1356081236, 1447604319, 1649809633, 1992334817, 1881334761, 1952345324, 1235767534, 1518429562, 1841860475, 1386608255]}, {"billed_charge": 438.0, "npi": [1750775904, 1437715398, 1124915400, 1609210665, 1942732904, 1558854760, 1609809011, 1821594516, 1770166068, 1053666420, 1447810072, 1912402009, 1629509146, 1083973150, 1134431455]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 411.0, "npi": [1093395568, 1174185706]}, {"billed_charge": 432.0, "npi": [1689011108, 1306423173, 1437715398, 1285212266, 1336704683, 1518499979, 1235767534, 1275518607, 1750888111, 1568028942, 1356081236, 1861400343, 1184129207, 1518429562, 1841860475, 1386608255]}, {"billed_charge": 438.0, "npi": [1609809011, 1437715398]}]}, {"allowed_amount": 154.14, "providers": [{"billed_charge": 411.0, "npi": [1013759836]}, {"billed_charge": 438.0, "npi": [1124915400]}]}, {"allowed_amount": 166.88, "providers": [{"billed_charge": 432.0, "npi": [1336704683, 1689011108, 1841931581]}, {"billed_charge": 438.0, "npi": [1124915400]}]}, {"allowed_amount": 234.74, "providers": [{"billed_charge": 411.0, "npi": [1548836513, 1255951380]}]}]}, {"tin": {"type": "ein", "value": "204923281"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 228.0, "npi": [1477940856, 1093132383]}]}]}, {"tin": {"type": "ein", "value": "205036495"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.16, "providers": [{"billed_charge": 685.0, "npi": [1023638277]}]}, {"allowed_amount": 193.38, "providers": [{"billed_charge": 685.0, "npi": [1477900496, 1174757959]}]}, {"allowed_amount": 196.69, "providers": [{"billed_charge": 685.0, "npi": [1053637272]}]}]}, {"tin": {"type": "ein", "value": "205106086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.79, "providers": [{"billed_charge": 345.0, "npi": [1770042483, 1568985844]}]}]}, {"tin": {"type": "ein", "value": "205454152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 441.0, "npi": [1417205154]}]}, {"allowed_amount": 261.44, "providers": [{"billed_charge": 441.0, "npi": [1376612481, 1285788570]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.6, "providers": [{"billed_charge": 216.0, "npi": [1538410170]}]}]}, {"tin": {"type": "ein", "value": "205627654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.22, "providers": [{"billed_charge": 200.0, "npi": [1467604652]}]}]}, {"tin": {"type": "ein", "value": "208153119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 476.0, "npi": [1073179693]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 341.0, "npi": [1073179693]}, {"billed_charge": 476.0, "npi": [1073179693]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.05, "providers": [{"billed_charge": 346.13, "npi": [1992576193]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.53, "providers": [{"billed_charge": 389.0, "npi": [1437788189]}]}]}, {"tin": {"type": "ein", "value": "223310529"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.37, "providers": [{"billed_charge": 594.0, "npi": [1326508680]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.23, "providers": [{"billed_charge": 350.0, "npi": [1356966543]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.35, "providers": [{"billed_charge": 215.0, "npi": [1811659782]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 164.07, "providers": [{"billed_charge": 224.0, "npi": [1053845016, 1356080782]}]}]}, {"tin": {"type": "ein", "value": "232730785"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.76, "providers": [{"billed_charge": 212.0, "npi": [1902344807]}]}]}, {"tin": {"type": "ein", "value": "260307415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 298.0, "npi": [1215174537]}]}]}, {"tin": {"type": "ein", "value": "261474807"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 280.0, "npi": [1154435014]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 175.0, "npi": [1639305212, 1437529997]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.01, "providers": [{"billed_charge": 175.0, "npi": [1881100121]}]}, {"allowed_amount": 121.67, "providers": [{"billed_charge": 175.0, "npi": [1881100121]}]}]}, {"tin": {"type": "ein", "value": "262255271"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1790836997]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 222.0, "npi": [1790836997]}]}]}, {"tin": {"type": "ein", "value": "262356810"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.89, "providers": [{"billed_charge": 205.66, "npi": [1356503114]}]}]}, {"tin": {"type": "ein", "value": "263178257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1437402930]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 565.4, "npi": [1629430434, 1700318706, 1235300211, 1760986293, 1730543638, 1598299802, 1598283327]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 565.4, "npi": [1851786594, 1235300211, 1760986293, 1598299802, 1598283327]}]}, {"allowed_amount": 234.74, "providers": [{"billed_charge": 565.4, "npi": [1659724573]}]}]}, {"tin": {"type": "ein", "value": "263668328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1982990115]}]}, {"allowed_amount": 171.22, "providers": [{"billed_charge": 400.0, "npi": [1386376457, 1164713756]}]}]}, {"tin": {"type": "ein", "value": "263792403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.83, "providers": [{"billed_charge": 198.0, "npi": [1043607112]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 444.0, "providers": [{"billed_charge": 444.0, "npi": [1386134419, 1841759644]}]}]}, {"tin": {"type": "ein", "value": "270794018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1932300779]}]}]}, {"tin": {"type": "ein", "value": "271082084"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 148.0, "npi": [1649454091, 1316110653]}]}, {"allowed_amount": 148.0, "providers": [{"billed_charge": 148.0, "npi": [1316110653]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.37, "providers": [{"billed_charge": 275.0, "npi": [1386139483]}]}]}, {"tin": {"type": "ein", "value": "271602881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.86, "providers": [{"billed_charge": 237.72, "npi": [1093373185]}]}]}, {"tin": {"type": "ein", "value": "271788250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 385.0, "npi": [1578509642]}]}]}, {"tin": {"type": "ein", "value": "272481555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.7, "providers": [{"billed_charge": 194.0, "npi": [1346531464]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.13, "providers": [{"billed_charge": 235.0, "npi": [1760700348]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.74, "providers": [{"billed_charge": 331.0, "npi": [1306029293]}]}, {"allowed_amount": 192.79, "providers": [{"billed_charge": 331.0, "npi": [1558514232, 1477572618]}]}, {"allowed_amount": 200.37, "providers": [{"billed_charge": 331.0, "npi": [1629050844]}]}]}, {"tin": {"type": "ein", "value": "273899821"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.21, "providers": [{"billed_charge": 212.0, "npi": [1689985244]}]}]}, {"tin": {"type": "ein", "value": "274026658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.76, "providers": [{"billed_charge": 195.0, "npi": [1205569548]}]}]}, {"tin": {"type": "ein", "value": "274384326"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 203.75, "providers": [{"billed_charge": 486.0, "npi": [1053748236]}]}]}, {"tin": {"type": "ein", "value": "274828756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.27, "providers": [{"billed_charge": 216.1, "npi": [1265429047]}]}]}, {"tin": {"type": "ein", "value": "300891469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.79, "providers": [{"billed_charge": 500.0, "npi": [1104092048]}]}]}, {"tin": {"type": "ein", "value": "300995552"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.61, "providers": [{"billed_charge": 260.0, "npi": [1902884307]}]}]}, {"tin": {"type": "ein", "value": "311108118"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.45, "providers": [{"billed_charge": 212.0, "npi": [1295964997]}]}]}, {"tin": {"type": "ein", "value": "311185270"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 141.48, "providers": [{"billed_charge": 261.0, "npi": [1538849385]}]}, {"allowed_amount": 166.45, "providers": [{"billed_charge": 261.0, "npi": [1932475696]}]}]}, {"tin": {"type": "ein", "value": "311211500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.45, "providers": [{"billed_charge": 189.0, "npi": [1073692042]}]}]}, {"tin": {"type": "ein", "value": "311398575"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 110.53, "providers": [{"billed_charge": 180.0, "npi": [1659106417]}]}, {"allowed_amount": 130.04, "providers": [{"billed_charge": 180.0, "npi": [1942864350]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.93, "providers": [{"billed_charge": 250.0, "npi": [1891358529]}]}, {"allowed_amount": 226.12, "providers": [{"billed_charge": 250.0, "npi": [1598734006]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 130.04, "providers": [{"billed_charge": 211.74, "npi": [1740939867]}]}]}, {"tin": {"type": "ein", "value": "320135798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 135.0, "npi": [1871767426, 1588658819]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 182.95, "providers": [{"billed_charge": 401.0, "npi": [1861733727]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 133.5, "providers": [{"billed_charge": 210.0, "npi": [1467985416]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 210.0, "npi": [1568029825, 1043242878]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.36, "providers": [{"billed_charge": 737.0, "npi": [1801005418]}]}, {"allowed_amount": 102.54, "providers": [{"billed_charge": 737.0, "npi": [1053710913, 1710448642, 1437461282, 1386393510, 1487934568, 1326676586, 1396276143, 1821615824, 1245542703, 1154948818, 1871154260, 1083877112, 1659909851, 1295808830, 1548886047]}]}, {"allowed_amount": 124.13, "providers": [{"billed_charge": 737.0, "npi": [1407807043, 1285166157, 1063829927]}]}, {"allowed_amount": 130.61, "providers": [{"billed_charge": 737.0, "npi": [1053949073, 1902039530]}]}, {"allowed_amount": 133.5, "providers": [{"billed_charge": 737.0, "npi": [1528188034, 1871552356, 1659690089, 1679869549, 1821142126, 1447833918, 1255725503]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 737.0, "npi": [1922305440, 1386173185, 1366689028, 1588222343, 1073552360, 1669452264, 1255725503, 1669992590, 1699962639, 1336889070, 1831572510, 1144753310, 1265091391]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 737.0, "npi": [1427288612, 1487934568, 1326676586, 1396397675, 1285166157, 1689135790, 1699367599, 1053949073, 1871979732, 1083097240, 1295808830, 1639733983]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 737.0, "npi": [1033151873, 1528188034, 1366689028, 1588222343, 1669992590, 1699962639, 1144753310, 1831572510, 1922305440, 1447833918, 1255725503, 1265091391, 1871552356, 1073552360, 1659690089, 1801005418, 1669452264, 1679869549, 1821142126, 1336889070]}]}]}, {"tin": {"type": "ein", "value": "333473960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 260.0, "npi": [1316456528]}]}]}, {"tin": {"type": "ein", "value": "333969015"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 444.0, "npi": [1730568379]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 444.0, "npi": [1730568379]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.5, "providers": [{"billed_charge": 860.0, "npi": [1043676489]}]}]}, {"tin": {"type": "ein", "value": "340714593"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.5, "providers": [{"billed_charge": 860.0, "npi": [1073106720]}]}]}, {"tin": {"type": "ein", "value": "352051598"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.0, "providers": [{"billed_charge": 163.0, "npi": [1043278039]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 212.18, "providers": [{"billed_charge": 212.18, "npi": [1417594441]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 164.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.0, "npi": [1295963502]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 148.36, "providers": [{"billed_charge": 243.0, "npi": [1962813907, 1063973469]}]}]}, {"tin": {"type": "ein", "value": "364703756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.19, "providers": [{"billed_charge": 241.0, "npi": [1124300082]}]}]}, {"tin": {"type": "ein", "value": "371616845"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 115.92, "providers": [{"billed_charge": 237.0, "npi": [1790814713]}]}, {"allowed_amount": 127.52, "providers": [{"billed_charge": 237.0, "npi": [1750609244]}]}]}, {"tin": {"type": "ein", "value": "383317788"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 141.32, "providers": [{"billed_charge": 245.0, "npi": [1871117440]}]}]}, {"tin": {"type": "ein", "value": "392489217"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 260.0, "npi": [1316456528]}]}]}, {"tin": {"type": "ein", "value": "413202312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.86, "providers": [{"billed_charge": 592.0, "npi": [1508285453]}]}, {"allowed_amount": 177.48, "providers": [{"billed_charge": 592.0, "npi": [1659695989]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 152.56, "providers": [{"billed_charge": 461.0, "npi": [1477993830]}]}, {"allowed_amount": 179.48, "providers": [{"billed_charge": 461.0, "npi": [1962425785]}]}]}, {"tin": {"type": "ein", "value": "450559282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 175.0, "npi": [1760602049]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.85, "providers": [{"billed_charge": 333.0, "npi": [1679561609, 1912943010, 1992793939]}]}]}, {"tin": {"type": "ein", "value": "452526738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.0, "providers": [{"billed_charge": 254.0, "npi": [1952046401]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.24, "providers": [{"billed_charge": 249.0, "npi": [1043897481, 1689135063]}]}]}, {"tin": {"type": "ein", "value": "452820011"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 350.0, "npi": [1699962639]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 250.0, "npi": [1699962639]}, {"billed_charge": 350.0, "npi": [1699962639]}]}]}, {"tin": {"type": "ein", "value": "453245033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.64, "providers": [{"billed_charge": 178.0, "npi": [1114989605]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 178.0, "npi": [1114989605]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 178.0, "npi": [1114989605]}]}]}, {"tin": {"type": "ein", "value": "453782550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.04, "providers": [{"billed_charge": 737.0, "npi": [1689081168]}]}]}, {"tin": {"type": "ein", "value": "453976574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 20.53, "providers": [{"billed_charge": 540.0, "npi": [1801149992]}]}, {"allowed_amount": 24.15, "providers": [{"billed_charge": 540.0, "npi": [1922409564]}]}, {"allowed_amount": 89.0, "providers": [{"billed_charge": 540.0, "npi": [1255713806]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 540.0, "npi": [1578541058, 1538470919, 1255713806, 1033920145, 1730996497, 1407134489, 1255718045, 1215656350, 1447969316, 1366680357, 1659754919, 1376185256, 1932845864, 1801149992, 1467906552, 1780173997, 1588001325, 1649854001, 1477185973, 1134110521, 1619918141, 1609810878, 1255393476, 1689674574, 1558949842, 1356081236, 1265827158, 1326625625, 1588830426, 1053351643, 1922409564, 1992334817, 1487613410, 1750679908, 1639608300, 1952345324, 1235336819, 1104399864, 1528229242]}, {"billed_charge": 556.0, "npi": [1134110521]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 540.0, "npi": [1538470919, 1861402505, 1932548880, 1407134489, 1215656350, 1366680357, 1659754919, 1932845864, 1699268649, 1780173997, 1649854001, 1134110521, 1619918141, 1255393476, 1902910664, 1558949842, 1356081236, 1326625625, 1588830426, 1053351643, 1922409564, 1992334817, 1487613410, 1750679908, 1952345324, 1528229242]}]}, {"allowed_amount": 154.14, "providers": [{"billed_charge": 540.0, "npi": [1699556803, 1366963142, 1376185256, 1467906552, 1801149992, 1407252075, 1033920145, 1790344497, 1104399864]}]}, {"allowed_amount": 234.74, "providers": [{"billed_charge": 540.0, "npi": [1265827158, 1235336819, 1609810878, 1255713806]}]}, {"allowed_amount": 257.21, "providers": [{"billed_charge": 540.0, "npi": [1972154565]}]}]}, {"tin": {"type": "ein", "value": "454070993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.32, "providers": [{"billed_charge": 454.0, "npi": [1154841955]}]}]}, {"tin": {"type": "ein", "value": "455188506"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 467.0, "npi": [1346682853]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 467.0, "npi": [1548671415]}]}]}, {"tin": {"type": "ein", "value": "460552280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.06, "providers": [{"billed_charge": 248.0, "npi": [1063919538]}]}]}, {"tin": {"type": "ein", "value": "460938202"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 333.0, "npi": [1659950152, 1952938151]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 120.89, "providers": [{"billed_charge": 231.0, "npi": [1780047464, 1144632233, 1629247242, 1720461932, 1457857302, 1326277369]}]}, {"allowed_amount": 125.21, "providers": [{"billed_charge": 231.0, "npi": [1881027068]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 231.0, "npi": [1558773952, 1396373056, 1932636875, 1659765550, 1356441968, 1114380821, 1942467576, 1396157657]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.34, "providers": [{"billed_charge": 294.0, "npi": [1801277504]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.32, "providers": [{"billed_charge": 222.47, "npi": [1023159522, 1568803567]}]}]}, {"tin": {"type": "ein", "value": "461870079"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.9, "providers": [{"billed_charge": 216.0, "npi": [1790280600, 1295311934, 1902366735]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 462.0, "npi": [1275695306, 1871734749]}]}, {"allowed_amount": 161.91, "providers": [{"billed_charge": 462.0, "npi": [1174267892]}]}]}, {"tin": {"type": "ein", "value": "462748817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.01, "providers": [{"billed_charge": 940.36, "npi": [1932634805]}]}]}, {"tin": {"type": "ein", "value": "463077526"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 790.0, "npi": [1528371200, 1114125572, 1295212645, 1558591891, 1730683129]}]}, {"allowed_amount": 254.74, "providers": [{"billed_charge": 790.0, "npi": [1114125572]}]}]}, {"tin": {"type": "ein", "value": "463581525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 185.0, "npi": [1871789487]}]}]}, {"tin": {"type": "ein", "value": "463705561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.0, "providers": [{"billed_charge": 145.0, "npi": [1619230612]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 350.55, "npi": [1699038109, 1174564231]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.46, "providers": [{"billed_charge": 328.0, "npi": [1508344474]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 127.52, "providers": [{"billed_charge": 239.0, "npi": [1639439896]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 207.0, "npi": [1710074182]}]}, {"allowed_amount": 144.91, "providers": [{"billed_charge": 239.0, "npi": [1215106216]}]}]}, {"tin": {"type": "ein", "value": "465292740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.93, "providers": [{"billed_charge": 314.0, "npi": [1013448968, 1154945087]}]}]}, {"tin": {"type": "ein", "value": "465362272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.89, "providers": [{"billed_charge": 216.0, "npi": [1508830761, 1861473167]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 216.0, "npi": [1861473167]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 216.0, "npi": [1134179922, 1023423555]}]}]}, {"tin": {"type": "ein", "value": "473553486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.37, "providers": [{"billed_charge": 454.0, "npi": [1003349853]}]}]}, {"tin": {"type": "ein", "value": "510103684"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.75, "providers": [{"billed_charge": 314.24, "npi": [1851972855]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.63, "providers": [{"billed_charge": 306.0, "npi": [1356968978]}]}]}, {"tin": {"type": "ein", "value": "550829983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.55, "providers": [{"billed_charge": 522.0, "npi": [1770839490]}]}]}, {"tin": {"type": "ein", "value": "550891794"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 122.38, "providers": [{"billed_charge": 185.0, "npi": [1518992106]}]}, {"allowed_amount": 127.52, "providers": [{"billed_charge": 185.0, "npi": [1518992106]}]}, {"allowed_amount": 144.91, "providers": [{"billed_charge": 185.0, "npi": [1518992106]}]}]}, {"tin": {"type": "ein", "value": "561667838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.27, "providers": [{"billed_charge": 425.0, "npi": [1053673442]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.06, "providers": [{"billed_charge": 327.0, "npi": [1376079624]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.27, "providers": [{"billed_charge": 204.0, "npi": [1558504316]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.69, "providers": [{"billed_charge": 335.0, "npi": [1962663963]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 162.47, "providers": [{"billed_charge": 438.0, "npi": [1841687357]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.27, "providers": [{"billed_charge": 345.0, "npi": [1194045575]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 41.85, "providers": [{"billed_charge": 445.0, "npi": [1457516403]}]}, {"allowed_amount": 262.11, "providers": [{"billed_charge": 445.0, "npi": [1184988289]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.6, "providers": [{"billed_charge": 242.0, "npi": [1891283016]}]}]}, {"tin": {"type": "ein", "value": "582540964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.79, "providers": [{"billed_charge": 366.0, "npi": [1679917488]}]}]}, {"tin": {"type": "ein", "value": "582651479"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.38, "providers": [{"billed_charge": 175.0, "npi": [1770858953]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 588.0, "npi": [1689232506]}]}, {"allowed_amount": 175.94, "providers": [{"billed_charge": 588.0, "npi": [1285194597]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 860.0, "npi": [1467039008, 1871053249, 1508112772, 1295313591, 1639428394, 1013336171, 1588001325, 1265835854, 1851914766, 1457095218, 1053760249, 1639565047, 1508203225, 1003565151, 1013295161]}]}, {"allowed_amount": 166.88, "providers": [{"billed_charge": 860.0, "npi": [1679728091, 1851914766]}]}, {"allowed_amount": 205.81, "providers": [{"billed_charge": 860.0, "npi": [1902251721, 1639565047]}]}, {"allowed_amount": 260.33, "providers": [{"billed_charge": 860.0, "npi": [1174257430, 1417538711, 1063073658, 1992935852, 1659832749, 1588001325, 1457095218, 1821272758, 1871169342, 1932859840, 1871053249, 1477505873, 1912342866, 1508203225, 1306423645, 1255576286, 1003565151, 1285194720, 1760125793, 1598854754, 1407316326, 1639564263, 1013336171, 1104113786]}]}, {"allowed_amount": 790.65, "providers": [{"billed_charge": 860.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.4, "providers": [{"billed_charge": 444.0, "npi": [1699353383]}]}, {"allowed_amount": 221.28, "providers": [{"billed_charge": 444.0, "npi": [1457745499]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.54, "providers": [{"billed_charge": 329.0, "npi": [1790751907, 1407822828]}]}, {"allowed_amount": 130.61, "providers": [{"billed_charge": 329.0, "npi": [1003290214]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 221.78, "npi": [1073950200, 1083061246]}]}, {"allowed_amount": 221.78, "providers": [{"billed_charge": 221.78, "npi": [1063143832, 1346954146, 1730803180, 1871243006]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.55, "providers": [{"billed_charge": 1020.0, "npi": [1245506161, 1750585642, 1295056380]}]}, {"allowed_amount": 133.5, "providers": [{"billed_charge": 1020.0, "npi": [1073711768, 1245506161, 1639445851, 1316900525]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 1020.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 1020.0, "npi": [1700849387]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 1020.0, "npi": [1063607810, 1407344260, 1154708550, 1982899399, 1093778318, 1114118478, 1417223728, 1306152400, 1972908978, 1972169779, 1073711768, 1003872409, 1881076412, 1689617086, 1982656799]}]}, {"allowed_amount": 144.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1020.0, "npi": [1437391331, 1427467497, 1881645711, 1124262290, 1366561847, 1932340155, 1295056380, 1497714109, 1700164670]}]}, {"allowed_amount": 166.88, "providers": [{"billed_charge": 1020.0, "npi": [1477015139, 1154708550, 1417223728, 1972169779, 1760821235, 1215228374]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 1020.0, "npi": [1386807857, 1497714109]}]}, {"allowed_amount": 229.79, "providers": [{"billed_charge": 1020.0, "npi": [1063607810]}]}, {"allowed_amount": 231.4, "providers": [{"billed_charge": 1020.0, "npi": [1487886016, 1407344260]}]}, {"allowed_amount": 234.74, "providers": [{"billed_charge": 1020.0, "npi": [1053389650, 1396900924, 1093778318]}]}, {"allowed_amount": 260.33, "providers": [{"billed_charge": 1020.0, "npi": [1497731517]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.26, "providers": [{"billed_charge": 333.0, "npi": [1700230554]}]}]}, {"tin": {"type": "ein", "value": "593112205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.67, "providers": [{"billed_charge": 350.0, "npi": [1013014737]}]}, {"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1013014737]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 270.0, "npi": [1366722936, 1508442443, 1427707892]}]}, {"allowed_amount": 188.9, "providers": [{"billed_charge": 270.0, "npi": [1801965785, 1912312794, 1811065949, 1376840157]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 346.0, "npi": [1720532641, 1366516486, 1083841035, 1144511213, 1336113166, 1851300495, 1851779565, 1548428501, 1215336821, 1932549177]}]}, {"allowed_amount": 153.27, "providers": [{"billed_charge": 346.0, "npi": [1538628706, 1477932515, 1144511213, 1518587856, 1265660880, 1568758167, 1689293912, 1992876569, 1518440858, 1063671709, 1114369055]}]}, {"allowed_amount": 175.94, "providers": [{"billed_charge": 346.0, "npi": [1881077444, 1578978300]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.75, "providers": [{"billed_charge": 524.0, "npi": [1538646047]}]}, {"allowed_amount": 102.54, "providers": [{"billed_charge": 524.0, "npi": [1508358656]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 524.0, "npi": [1821729419, 1548640915]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 274.0, "npi": [1609144518, 1720466444, 1578191185, 1063745107, 1013440692]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 274.0, "npi": [1265676290]}]}, {"allowed_amount": 221.28, "providers": [{"billed_charge": 274.0, "npi": [1427345578, 1629489455, 1235338047]}]}]}, {"tin": {"type": "ein", "value": "593577370"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 148.9, "npi": [1184202806]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 78.67, "providers": [{"billed_charge": 270.0, "npi": [1598750085]}]}, {"allowed_amount": 102.54, "providers": [{"billed_charge": 270.0, "npi": [1902218274, 1306229059, 1922427236, 1063867554, 1598750085, 1538471438, 1720614670, 1336448976, 1205808623, 1235364563, 1457607988, 1487601209, 1386107514, 1215499389, 1528565694]}]}, {"allowed_amount": 124.13, "providers": [{"billed_charge": 270.0, "npi": [1326232216, 1003918673, 1639531601]}]}, {"allowed_amount": 130.61, "providers": [{"billed_charge": 270.0, "npi": [1689080475, 1023030012]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 270.0, "npi": [1538471438, 1689314833, 1356737308, 1275914269, 1487072948, 1457607988, 1952577595, 1528565694, 1912534595, 1306229059, 1689023814, 1265962443, 1336448976, 1689105116, 1609516004, 1205808623, 1306192372, 1023030012, 1215499389]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 270.0, "npi": [1598298960]}]}, {"allowed_amount": 221.28, "providers": [{"billed_charge": 270.0, "npi": [1386204915]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.63, "providers": [{"billed_charge": 336.0, "npi": [1447492913]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 166.58, "providers": [{"billed_charge": 374.0, "npi": [1558725838]}]}]}, {"tin": {"type": "ein", "value": "611300608"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 166.58, "providers": [{"billed_charge": 291.0, "npi": [1114980521]}]}]}, {"tin": {"type": "ein", "value": "612037805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 231.0, "npi": [1972022648, 1023285095, 1750027819, 1740898667, 1487688503, 1972009967, 1609156975, 1114658770, 1205586070, 1235639543, 1992725048, 1992754329, 1508516477]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 231.0, "npi": [1346999562, 1972008852, 1487688503]}]}, {"allowed_amount": 182.42, "providers": [{"billed_charge": 231.0, "npi": [1750027819, 1508516477]}]}, {"allowed_amount": 188.9, "providers": [{"billed_charge": 231.0, "npi": [1346999562, 1992725048, 1205586070, 1972022648, 1992754329, 1508516477]}]}, {"allowed_amount": 231.0, "providers": [{"billed_charge": 231.0, "npi": [1740898667, 1114658770, 1740916949, 1235639543, 1629666458]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.14, "providers": [{"billed_charge": 316.0, "npi": [1528451705]}]}]}, {"tin": {"type": "ein", "value": "621822362"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.91, "providers": [{"billed_charge": 269.0, "npi": [1720738503]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 133.5, "providers": [{"billed_charge": 860.0, "npi": [1467713776]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 860.0, "npi": [1225329063, 1154520104, 1881824621, 1366755472, 1386006385, 1811187925, 1962031930, 1487049086, 1649658303]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 860.0, "npi": [1548794563, 1225329063, 1154520104, 1528001740, 1881824621, 1841725199, 1467713776, 1366755472, 1386006385, 1073034039, 1962031930, 1255745501]}]}, {"allowed_amount": 166.88, "providers": [{"billed_charge": 860.0, "npi": [1770070187]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 860.0, "npi": [1972758779]}]}]}, {"tin": {"type": "ein", "value": "650145061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 150.0, "npi": [1881645729]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 413.62, "providers": [{"billed_charge": 917.0, "npi": [1568490027, 1316043805]}, {"billed_charge": 1024.0, "npi": [1316681265, 1093979650, 1326715418, 1982444204]}]}, {"allowed_amount": 486.61, "providers": [{"billed_charge": 917.0, "npi": [1629657184, 1619543105, 1992791586, 1336382241, 1386094274, 1922684448, 1114303526, 1639585607, 1679518120, 1013307495, 1811510282, 1023645074, 1922376730]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 335.04, "npi": [1558637272, 1548528342]}]}, {"allowed_amount": 144.63, "providers": [{"billed_charge": 335.04, "npi": [1821317264]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.63, "providers": [{"billed_charge": 335.04, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.63, "providers": [{"billed_charge": 222.5, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650879348"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 333.75, "npi": [1942381512]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.69, "providers": [{"billed_charge": 257.0, "npi": [1740676360]}]}]}, {"tin": {"type": "ein", "value": "760617615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.07, "providers": [{"billed_charge": 411.0, "npi": [1124198049]}]}]}, {"tin": {"type": "ein", "value": "800898187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.91, "providers": [{"billed_charge": 200.0, "npi": [1871856872]}]}]}, {"tin": {"type": "ein", "value": "800926662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.9, "providers": [{"billed_charge": 216.0, "npi": [1457309411]}]}]}, {"tin": {"type": "ein", "value": "811899661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.63, "providers": [{"billed_charge": 543.0, "npi": [1013588417]}]}]}, {"tin": {"type": "ein", "value": "812611928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 166.0, "npi": [1932548880]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 166.0, "npi": [1932548880]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 68.95, "providers": [{"billed_charge": 454.0, "npi": [1871925792]}]}, {"allowed_amount": 86.18, "providers": [{"billed_charge": 454.0, "npi": [1235870452]}]}, {"allowed_amount": 102.54, "providers": [{"billed_charge": 454.0, "npi": [1013591528]}]}, {"allowed_amount": 127.66, "providers": [{"billed_charge": 454.0, "npi": [1144815408]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 386.0, "npi": [1568844017]}, {"billed_charge": 454.0, "npi": [1992770085, 1710318472, 1932511821, 1790198000, 1699425553, 1376924308, 1720584758, 1730310137]}]}, {"allowed_amount": 139.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 454.0, "npi": [1871925792, 1992334817, 1083985121, 1275160970, 1659789261, 1902433295, 1144815408, 1235870452, 1619996436, 1881065175, 1093839128, 1982270393, 1639735962, 1598144669]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 454.0, "npi": [1578907200, 1083985121, 1992334817, 1184042921, 1275160970, 1902433295, 1619996436, 1235870452, 1639735962]}]}, {"allowed_amount": 154.14, "providers": [{"billed_charge": 454.0, "npi": [1871925792, 1164862215, 1659789261, 1881065175, 1164965182]}]}, {"allowed_amount": 188.9, "providers": [{"billed_charge": 454.0, "npi": [1699425553]}]}, {"allowed_amount": 254.74, "providers": [{"billed_charge": 454.0, "npi": [1790198000, 1710482161, 1174919898, 1376924308]}]}]}, {"tin": {"type": "ein", "value": "813158598"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1194815092]}]}]}, {"tin": {"type": "ein", "value": "813172922"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.61, "providers": [{"billed_charge": 468.0, "npi": [1578024600, 1710449731, 1932669983]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 468.0, "npi": [1912528704, 1710449731, 1720669260, 1184253296]}]}]}, {"tin": {"type": "ein", "value": "813669955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.38, "providers": [{"billed_charge": 289.8, "npi": [1558752618]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 289.8, "npi": [1558752618]}]}]}, {"tin": {"type": "ein", "value": "815026620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 177.48, "providers": [{"billed_charge": 234.0, "npi": [1871976589]}]}]}, {"tin": {"type": "ein", "value": "820821946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 540.0, "npi": [1871014324]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 540.0, "npi": [1366430274, 1083880926]}]}, {"allowed_amount": 234.74, "providers": [{"billed_charge": 540.0, "npi": [1689743239]}]}]}, {"tin": {"type": "ein", "value": "823352623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.83, "providers": [{"billed_charge": 366.0, "npi": [1770903031]}]}]}, {"tin": {"type": "ein", "value": "823362725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 949.85, "npi": [1710281027, 1386225332]}]}]}, {"tin": {"type": "ein", "value": "823454041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1881643195]}]}]}, {"tin": {"type": "ein", "value": "824392391"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.61, "providers": [{"billed_charge": 250.0, "npi": [1134407307]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 250.0, "npi": [1134407307]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["51", "22", "21"], "payments": [{"allowed_amount": 91.75, "providers": [{"billed_charge": 327.0, "npi": [1548007040, 1407374077]}]}, {"allowed_amount": 97.01, "providers": [{"billed_charge": 327.0, "npi": [1699203620]}]}, {"allowed_amount": 102.54, "providers": [{"billed_charge": 327.0, "npi": [1982991972, 1841224169, 1790434637, 1194465138, 1871955955, 1902427156, 1801080346, 1023020856, 1134105752, 1174085914, 1578146395, 1538488895]}]}, {"allowed_amount": 124.13, "providers": [{"billed_charge": 327.0, "npi": [1194711515, 1316516156]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 327.0, "npi": [1548007040, 1235754979, 1982991972, 1215941539, 1639331176, 1841224169, 1588922249, 1508144171, 1790434637, 1104830959, 1356534994, 1194465138, 1578146395, 1316516156, 1356441661, 1194132126]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 327.0, "npi": [1588922249]}]}, {"allowed_amount": 221.28, "providers": [{"billed_charge": 327.0, "npi": [1356534994, 1194711515, 1104830959]}]}, {"allowed_amount": 327.0, "providers": [{"billed_charge": 327.0, "npi": [1699203620, 1902772445]}]}]}, {"tin": {"type": "ein", "value": "831809129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.93, "providers": [{"billed_charge": 253.2, "npi": [1902989866]}]}]}, {"tin": {"type": "ein", "value": "831912307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 362.0, "npi": [1851611768, 1265453245]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 362.0, "npi": [1851611768, 1265453245]}]}]}, {"tin": {"type": "ein", "value": "832188056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.27, "providers": [{"billed_charge": 350.0, "npi": [1023371796]}]}]}, {"tin": {"type": "ein", "value": "832459808"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.53, "providers": [{"billed_charge": 454.0, "npi": [1669588299]}]}]}, {"tin": {"type": "ein", "value": "834031845"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 209.72, "npi": [1851196711]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.91, "providers": [{"billed_charge": 352.0, "npi": [1710244835]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.15, "providers": [{"billed_charge": 462.0, "npi": [1750642948]}]}]}, {"tin": {"type": "ein", "value": "842840521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 166.0, "npi": [1871782268]}]}, {"allowed_amount": 166.0, "providers": [{"billed_charge": 166.0, "npi": [1871782268]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1114244993, 1972243970, 1326577925, 1083677322, 1114999695, 1588957328, 1417243536, 1871768861, 1114501038, 1629657135, 1477085744, 1508506163, 1053666495, 1730429762, 1104404292, 1871881797, 1801116231, 1952920779, 1699017681, 1467080796, 1619532124, 1548413024, 1114112240, 1487232369, 1154792059]}, {"billed_charge": 445.0, "npi": [1972243970, 1326577925, 1609454479, 1588957328, 1114999695, 1871768861, 1629657135, 1508506163, 1154645430, 1760794556, 1730429762, 1104404292, 1871881797, 1801116231, 1952920779, 1467080796, 1548413024, 1235542507, 1114112240, 1487232369, 1386065142, 1154792059]}]}, {"allowed_amount": 139.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 445.0, "npi": [1972243970, 1730717059, 1326577925, 1609454479, 1699962639, 1588957328, 1952791824, 1114999695, 1669863189, 1831350933, 1659990554, 1588304539, 1801121306, 1245693597, 1871768861, 1053761064, 1942485289, 1134625064, 1356636971, 1013180843, 1114501038, 1508506163, 1801158969, 1730429762, 1104404292, 1871881797, 1174084420, 1891114823, 1952920779, 1699017681, 1316180060, 1467080796, 1366683997, 1124006879, 1548413024, 1659663078, 1235542507, 1962142828, 1386118511, 1114112240, 1487232369, 1861462384, 1164918645, 1386065142, 1154792059]}]}, {"allowed_amount": 144.91, "providers": [{"billed_charge": 445.0, "npi": [1104320043, 1700316379, 1831776020]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 300.0, "npi": [1578541058, 1649665571, 1174792899, 1033605605, 1245693597, 1801116231, 1033640743, 1942485289, 1083677322, 1356636971, 1891114823, 1619471935, 1699962639, 1801158969, 1659990554, 1316180060, 1366683997, 1124006879]}, {"billed_charge": 445.0, "npi": [1326301789, 1245693597, 1891114823, 1942485289, 1477752137, 1356636971, 1861462384, 1801121306, 1659990554, 1588304539, 1316180060, 1366683997, 1790425502, 1124006879]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 300.0, "npi": [1316569650]}]}, {"allowed_amount": 231.4, "providers": [{"billed_charge": 300.0, "npi": [1821157504]}]}, {"allowed_amount": 234.74, "providers": [{"billed_charge": 300.0, "npi": [1013180843]}, {"billed_charge": 445.0, "npi": [1013180843]}]}, {"allowed_amount": 304.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 445.0, "npi": [1134625064]}]}]}, {"tin": {"type": "ein", "value": "844424454"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.54, "providers": [{"billed_charge": 327.0, "npi": [1639174212, 1548433949, 1750791166]}]}, {"allowed_amount": 130.61, "providers": [{"billed_charge": 327.0, "npi": [1154826907]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 327.0, "npi": [1457664195, 1275948978, 1740206937, 1548433949, 1750791166]}]}]}, {"tin": {"type": "ein", "value": "844991122"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 260.0, "npi": [1265769822]}, {"billed_charge": 385.0, "npi": [1265769822]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 260.0, "npi": [1265769822]}, {"billed_charge": 385.0, "npi": [1265769822]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.17, "providers": [{"billed_charge": 729.0, "npi": [1568738268]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 315.93, "npi": [1174886386, 1225520901, 1972745438]}]}, {"allowed_amount": 185.79, "providers": [{"billed_charge": 315.93, "npi": [1174886386, 1225520901, 1972745438]}]}]}, {"tin": {"type": "ein", "value": "853646513"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.93, "providers": [{"billed_charge": 790.0, "npi": [1205282688, 1164877866, 1538725171, 1669975447, 1174919898, 1881643195]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 790.0, "npi": [1356307748]}]}, {"allowed_amount": 254.74, "providers": [{"billed_charge": 790.0, "npi": [1417452707, 1528371812, 1710188453, 1942733258, 1164877866, 1801233077, 1790930998, 1851910905]}]}]}, {"tin": {"type": "ein", "value": "861094148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1831149756]}]}]}, {"tin": {"type": "ein", "value": "861284506"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 300.0, "npi": [1689850182]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 300.0, "npi": [1689850182]}]}]}, {"tin": {"type": "ein", "value": "874573881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.14, "providers": [{"billed_charge": 717.0, "npi": [1073761565]}]}]}, {"tin": {"type": "ein", "value": "880599082"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1447709449]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.75, "providers": [{"billed_charge": 247.0, "npi": [1801016274]}]}]}, {"tin": {"type": "ein", "value": "881882871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.96, "providers": [{"billed_charge": 229.76, "npi": [1639482391]}]}]}, {"tin": {"type": "ein", "value": "883330119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 272.09, "npi": [1295995272]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 556.25, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.22, "providers": [{"billed_charge": 393.0, "npi": [1568586162]}]}]}, {"tin": {"type": "ein", "value": "900040953"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 140.0, "npi": [1669468864]}]}, {"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1669468864]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.6, "providers": [{"billed_charge": 343.0, "npi": [1861623019]}]}]}, {"tin": {"type": "ein", "value": "900743550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.0, "providers": [{"billed_charge": 193.0, "npi": [1649408659]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.6, "providers": [{"billed_charge": 343.0, "npi": [1003254566]}]}]}, {"tin": {"type": "ein", "value": "921178997"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.47, "providers": [{"billed_charge": 236.0, "npi": [1700184157]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 23.19, "providers": [{"billed_charge": 357.0, "npi": [1194979591]}]}, {"allowed_amount": 82.87, "providers": [{"billed_charge": 357.0, "npi": [1700041084]}]}, {"allowed_amount": 115.93, "providers": [{"billed_charge": 357.0, "npi": [1194979591]}]}, {"allowed_amount": 127.52, "providers": [{"billed_charge": 357.0, "npi": [1326159385]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 357.0, "npi": [1871578088, 1639513344, 1972724029, 1144882382]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 357.0, "npi": [1295935120]}]}, {"allowed_amount": 144.91, "providers": [{"billed_charge": 357.0, "npi": [1194979591, 1437773868, 1134418668, 1073179693, 1578555249, 1902158934, 1891116471, 1326159385, 1700041084]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 357.0, "npi": [1598087520, 1891116471, 1194979591, 1134418668, 1760845135, 1598087280, 1902158934, 1467871863, 1700041084]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 125.21, "providers": [{"billed_charge": 592.0, "npi": [1265847438, 1174018014]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 592.0, "npi": [1699234401, 1306586151]}]}, {"allowed_amount": 134.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 592.0, "npi": [1588012801, 1407016579, 1346697927, 1568520971, 1265847438, 1902205552, 1639130834]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 592.0, "npi": [1699234401, 1134782022, 1053994855, 1184201832, 1073142345, 1881213098, 1255999470, 1295475697, 1801237847, 1578144952, 1114677465, 1154942365]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 592.0, "npi": [1851742209, 1598992646]}]}, {"allowed_amount": 144.91, "providers": [{"billed_charge": 592.0, "npi": [1427318880, 1376865923, 1902547706, 1497496202, 1689061681, 1881859569, 1659012375, 1871234682, 1891186268, 1679100317]}]}, {"allowed_amount": 153.27, "providers": [{"billed_charge": 592.0, "npi": [1427551233, 1902365141, 1053872390]}]}, {"allowed_amount": 188.9, "providers": [{"billed_charge": 592.0, "npi": [1588012801, 1346697927, 1073998670, 1902205552, 1124433297, 1760715833]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 592.0, "npi": [1427318880, 1376865923, 1750958179, 1497496202, 1881859569, 1063916690, 1689061681, 1871234682, 1902547706, 1679100317]}]}, {"allowed_amount": 205.81, "providers": [{"billed_charge": 592.0, "npi": [1578144952, 1053994855]}]}, {"allowed_amount": 252.58, "providers": [{"billed_charge": 592.0, "npi": [1245681824]}]}, {"allowed_amount": 254.74, "providers": [{"billed_charge": 592.0, "npi": [1407016579, 1871012484]}]}, {"allowed_amount": 260.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 592.0, "npi": [1932786886, 1881213098, 1407505746, 1801237847, 1154942365, 1518292606]}]}, {"allowed_amount": 592.0, "providers": [{"billed_charge": 592.0, "npi": [1710684857]}]}]}, {"tin": {"type": "ein", "value": "922193137"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 226.12, "providers": [{"billed_charge": 592.0, "npi": [1205085651]}]}]}, {"tin": {"type": "ein", "value": "923763921"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 226.12, "providers": [{"billed_charge": 748.0, "npi": [1376907196]}]}]}, {"tin": {"type": "ein", "value": "931523968"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 227.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "931655647"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 144.91, "providers": [{"billed_charge": 227.0, "npi": [1346864931]}]}, {"allowed_amount": 202.88, "providers": [{"billed_charge": 227.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "933832553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 223.0, "npi": [1598905754]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.92, "providers": [{"billed_charge": 717.0, "npi": [1932791621]}]}, {"allowed_amount": 134.93, "providers": [{"billed_charge": 717.0, "npi": [1396940227, 1669102661, 1851898662, 1194385351, 1013463785, 1093014318, 1457871378, 1093342677, 1881818037, 1184991739]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 717.0, "npi": [1487398053]}]}, {"allowed_amount": 165.12, "providers": [{"billed_charge": 717.0, "npi": [1477900421]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 717.0, "npi": [1336580802]}]}, {"allowed_amount": 253.66, "providers": [{"billed_charge": 717.0, "npi": [1689134496, 1992371173, 1144884040, 1053755785, 1093342677, 1922520535, 1578531513, 1568923514]}]}, {"allowed_amount": 254.74, "providers": [{"billed_charge": 717.0, "npi": [1295857696, 1083291330, 1396940227, 1013463785, 1104576636]}]}, {"allowed_amount": 293.6, "providers": [{"billed_charge": 717.0, "npi": [1699787804]}]}]}, {"tin": {"type": "ein", "value": "943432525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.56, "providers": [{"billed_charge": 165.0, "npi": [1588631378]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.19, "providers": [{"billed_charge": 416.0, "npi": [1255502506, 1144781964]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.93, "providers": [{"billed_charge": 115.93, "npi": [1669849741]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.79, "providers": [{"billed_charge": 3256.96, "npi": [1699081117]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.69, "providers": [{"billed_charge": 200.0, "npi": [1417305509]}]}]}, {"tin": {"type": "ein", "value": "992522104"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 202.88, "providers": [{"billed_charge": 300.0, "npi": [1205414604]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 395.0, "npi": [1023141157, 1376306597, 1780160457, 1801050356, 1336674233, 1801165212, 1225324767]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 395.0, "npi": [1659900082]}]}, {"allowed_amount": 182.45, "providers": [{"billed_charge": 395.0, "npi": [1326509787, 1760779748, 1669407375]}]}, {"allowed_amount": 261.44, "providers": [{"billed_charge": 395.0, "npi": [1649569377, 1134431463, 1629698220, 1396911533, 1255957775, 1417352592, 1679193619, 1326542135]}]}]}]}, {"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": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.8, "providers": [{"billed_charge": 307.8, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.19, "providers": [{"billed_charge": 130.0, "npi": [1164478442]}]}, {"allowed_amount": 49.47, "providers": [{"billed_charge": 182.75, "npi": [1164478442]}]}, {"allowed_amount": 62.33, "providers": [{"billed_charge": 230.26, "npi": [1164478442]}]}, {"allowed_amount": 237.4, "providers": [{"billed_charge": 877.0, "npi": [1164478442]}]}, {"allowed_amount": 384.75, "providers": [{"billed_charge": 1421.33, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "237133975"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.32, "providers": [{"billed_charge": 36.32, "npi": [1700896354]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.82, "providers": [{"billed_charge": 78.27, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.05, "providers": [{"billed_charge": 94.4, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 36.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.13, "providers": [{"billed_charge": 97.13, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.73, "providers": [{"billed_charge": 92.73, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.0, "providers": [{"billed_charge": 89.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.52, "providers": [{"billed_charge": 78.94, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.69, "providers": [{"billed_charge": 233.69, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.56, "providers": [{"billed_charge": 12.56, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.61, "providers": [{"billed_charge": 99.07, "npi": [1841237930]}]}, {"allowed_amount": 86.49, "providers": [{"billed_charge": 205.92, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.31, "providers": [{"billed_charge": 126.75, "npi": [1184709057]}]}, {"allowed_amount": 35.19, "providers": [{"billed_charge": 130.0, "npi": [1184709057]}]}, {"allowed_amount": 36.83, "providers": [{"billed_charge": 136.06, "npi": [1184709057]}]}, {"allowed_amount": 41.69, "providers": [{"billed_charge": 154.0, "npi": [1184709057]}]}, {"allowed_amount": 78.52, "providers": [{"billed_charge": 290.07, "npi": [1184709057]}]}, {"allowed_amount": 85.3, "providers": [{"billed_charge": 315.1, "npi": [1184709057]}]}, {"allowed_amount": 87.81, "providers": [{"billed_charge": 324.38, "npi": [1184709057]}]}, {"allowed_amount": 121.37, "providers": [{"billed_charge": 448.36, "npi": [1184709057]}]}, {"allowed_amount": 123.09, "providers": [{"billed_charge": 454.71, "npi": [1184709057]}]}, {"allowed_amount": 126.9, "providers": [{"billed_charge": 468.77, "npi": [1184709057]}]}, {"allowed_amount": 131.73, "providers": [{"billed_charge": 486.63, "npi": [1184709057]}]}, {"allowed_amount": 140.76, "providers": [{"billed_charge": 520.0, "npi": [1184709057]}]}, {"allowed_amount": 186.85, "providers": [{"billed_charge": 690.25, "npi": [1184709057]}]}, {"allowed_amount": 209.41, "providers": [{"billed_charge": 773.6, "npi": [1184709057]}]}, {"allowed_amount": 213.94, "providers": [{"billed_charge": 790.33, "npi": [1184709057]}]}, {"allowed_amount": 237.4, "providers": [{"billed_charge": 877.0, "npi": [1184709057]}]}, {"allowed_amount": 398.61, "providers": [{"billed_charge": 1472.5, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.88, "providers": [{"billed_charge": 217.52, "npi": [1336221019]}]}, {"allowed_amount": 64.08, "providers": [{"billed_charge": 236.71, "npi": [1336221019]}]}, {"allowed_amount": 95.85, "providers": [{"billed_charge": 354.1, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.96, "providers": [{"billed_charge": 37.0, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.65, "providers": [{"billed_charge": 139.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.34, "providers": [{"billed_charge": 243.83, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.15, "providers": [{"billed_charge": 129.0, "npi": [1124074273]}]}, {"allowed_amount": 171.79, "providers": [{"billed_charge": 490.84, "npi": [1124074273]}]}, {"allowed_amount": 194.95, "providers": [{"billed_charge": 557.0, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.85, "providers": [{"billed_charge": 251.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.79, "providers": [{"billed_charge": 154.38, "npi": [1033475959]}]}, {"allowed_amount": 68.89, "providers": [{"billed_charge": 254.5, "npi": [1033475959]}]}, {"allowed_amount": 91.44, "providers": [{"billed_charge": 337.79, "npi": [1033475959]}]}, {"allowed_amount": 95.85, "providers": [{"billed_charge": 354.1, "npi": [1033475959]}]}, {"allowed_amount": 552.37, "providers": [{"billed_charge": 2040.5, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.68, "providers": [{"billed_charge": 147.65, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.0, "providers": [{"billed_charge": 475.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.0, "providers": [{"billed_charge": 88.0, "npi": [1427806025]}]}]}]}, {"name": "Hydroxyprogesterone, 17-d", "billing_code_type": "CPT", "billing_code": "83498", "billing_code_type_version": "2022", "description": "ASSAY OF HYDROXYPROGESTERONE 17-D", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.17, "providers": [{"billed_charge": 27.17, "npi": [1518983642]}]}]}]}, {"name": "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous", "billing_code_type": "CPT", "billing_code": "49406", "billing_code_type_version": "2022", "description": "IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.05, "providers": [{"billed_charge": 975.0, "npi": [1144416975]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 312.03, "providers": [{"billed_charge": 4290.0, "npi": [1922083120]}]}, {"allowed_amount": 1200.32, "providers": [{"billed_charge": 4290.0, "npi": [1922083120]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 274.11, "providers": [{"billed_charge": 473.0, "npi": [1700315025, 1104288836, 1538588207]}]}, {"allowed_amount": 473.0, "providers": [{"billed_charge": 473.0, "npi": [1235517558]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 410.09, "providers": [{"billed_charge": 1241.0, "npi": [1497929954]}]}, {"allowed_amount": 1200.32, "providers": [{"billed_charge": 1241.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 410.09, "providers": [{"billed_charge": 1760.0, "npi": [1649235029]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 410.09, "providers": [{"billed_charge": 1248.0, "npi": [1205815289, 1962834671]}]}, {"allowed_amount": 1200.32, "providers": [{"billed_charge": 1248.0, "npi": [1205815289, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 490.5, "providers": [{"billed_charge": 1090.0, "npi": [1417274481, 1225527898, 1861734253]}]}, {"allowed_amount": 981.0, "providers": [{"billed_charge": 2180.0, "npi": [1417274481]}]}]}, {"tin": {"type": "ein", "value": "994174677"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 326.29, "providers": [{"billed_charge": 16798.0, "npi": [1831154301]}]}]}]}, {"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": "020769966"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 56.0, "npi": [1316058217]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 67.0, "npi": [1982309795, 1437636503]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 64.53, "npi": [1730631482, 1942418579, 1144990557]}]}, {"allowed_amount": 32.27, "providers": [{"billed_charge": 64.53, "npi": [1396933057]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.33, "providers": [{"billed_charge": 55.0, "npi": [1902003635]}]}, {"allowed_amount": 55.0, "providers": [{"billed_charge": 55.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 38.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.2, "providers": [{"billed_charge": 41.04, "npi": [1801768577]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 30.42, "npi": [1285780387, 1710947940, 1467073254, 1790906154, 1891725164, 1194285486, 1043313232, 1669919155, 1073833653, 1235796277, 1457715096, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 30.42, "npi": [1669737953, 1174586465, 1710175526, 1508108390, 1508137670, 1194822353, 1669919155, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 30.42, "npi": [1285780387, 1710947940, 1700011335, 1649538828, 1912961293, 1891725164, 1669919155, 1497258164, 1073833653, 1699926774, 1235796277]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 30.42, "npi": [1174586465, 1780632612, 1710947940, 1508108390, 1700011335, 1790906154, 1558395434, 1396774956, 1912961293, 1043313232, 1194822353, 1073833653, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 40.0, "npi": [1407650658]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 30.42, "npi": [1508137670, 1508108390, 1710175526, 1790906154, 1396774956, 1912961293, 1346206257, 1073833653, 1528022332, 1235796277, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "264626264"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.65, "providers": [{"billed_charge": 70.0, "npi": [1437482817]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.84, "providers": [{"billed_charge": 59.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "273371022"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.81, "providers": [{"billed_charge": 32.0, "npi": [1093735425]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 30.42, "npi": [1467073254, 1508108390, 1508137670, 1669919155, 1073833653, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.03, "providers": [{"billed_charge": 50.0, "npi": [1457705618]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.4, "providers": [{"billed_charge": 85.0, "npi": [1417819806]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.2, "providers": [{"billed_charge": 86.0, "npi": [1558182824]}]}, {"allowed_amount": 46.52, "providers": [{"billed_charge": 86.0, "npi": [1215675988]}]}]}, {"tin": {"type": "ein", "value": "460714837"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.98, "providers": [{"billed_charge": 60.0, "npi": [1184971558]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 49.58, "npi": [1265167217]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.35, "providers": [{"billed_charge": 181.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562136828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.23, "providers": [{"billed_charge": 59.0, "npi": [1285364406]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.18, "providers": [{"billed_charge": 224.0, "npi": [1194744326]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 101.82, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 79.0, "npi": [1396267753, 1801231451]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.38, "providers": [{"billed_charge": 308.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.51, "providers": [{"billed_charge": 77.0, "npi": [1750353132]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.04, "providers": [{"billed_charge": 185.97, "npi": [1841722360, 1518277946, 1538663760]}]}, {"allowed_amount": 58.51, "providers": [{"billed_charge": 185.97, "npi": [1427286715]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.38, "providers": [{"billed_charge": 308.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1922020726]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.68, "providers": [{"billed_charge": 69.01, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.52, "providers": [{"billed_charge": 82.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "650574492"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.84, "providers": [{"billed_charge": 80.0, "npi": [1508872318]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.38, "providers": [{"billed_charge": 308.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.33, "providers": [{"billed_charge": 52.3, "npi": [1891735544]}]}, {"allowed_amount": 40.62, "providers": [{"billed_charge": 52.3, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.19, "providers": [{"billed_charge": 80.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.37, "providers": [{"billed_charge": 44.0, "npi": [1114498730, 1225899826]}]}, {"allowed_amount": 30.4, "providers": [{"billed_charge": 44.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.5, "providers": [{"billed_charge": 170.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "825131052"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.77, "providers": [{"billed_charge": 66.0, "npi": [1164433256]}]}]}, {"tin": {"type": "ein", "value": "830230892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.24, "providers": [{"billed_charge": 40.0, "npi": [1942648365]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.4, "providers": [{"billed_charge": 45.04, "npi": [1023650793]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.25, "providers": [{"billed_charge": 60.0, "npi": [1871681999]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.33, "providers": [{"billed_charge": 200.0, "npi": [1770084022]}]}, {"allowed_amount": 33.65, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.66, "providers": [{"billed_charge": 40.0, "npi": [1548221674]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.4, "providers": [{"billed_charge": 150.0, "npi": [1205061744, 1992043715, 1154054260, 1780567255]}]}, {"allowed_amount": 31.2, "providers": [{"billed_charge": 150.0, "npi": [1568899961, 1780567255]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.25, "providers": [{"billed_charge": 205.0, "npi": [1205156643]}]}, {"allowed_amount": 30.4, "providers": [{"billed_charge": 205.0, "npi": [1114696176, 1922436922, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1952040552]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.4, "providers": [{"billed_charge": 40.0, "npi": [1386487593, 1306332333]}]}, {"allowed_amount": 31.2, "providers": [{"billed_charge": 40.0, "npi": [1386487593]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.62, "providers": [{"billed_charge": 45.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "934104475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.0, "providers": [{"billed_charge": 61.0, "npi": [1134380678]}]}]}]}, {"name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified", "billing_code_type": "CPT", "billing_code": "83520", "billing_code_type_version": "2022", "description": "IMMUNOASSAY ANALYTE QUANTITATIVE NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.98, "providers": [{"billed_charge": 92.39, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "263844242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.16, "providers": [{"billed_charge": 43.0, "npi": [1346472859]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 149.85, "providers": [{"billed_charge": 9.32, "npi": [1518983642]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.04, "providers": [{"billed_charge": 44.53, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.27, "providers": [{"billed_charge": 17.27, "npi": [1518983642]}]}]}, {"tin": {"type": "ein", "value": "730580274"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.16, "providers": [{"billed_charge": 35.0, "npi": [1760583595]}]}]}]}, {"name": "Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)", "billing_code_type": "CPT", "billing_code": "86335", "billing_code_type_version": "2022", "description": "IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS", "allowed_amounts": [{"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1154596468, 1679794671]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1497727895, 1114999091, 1396044574, 1386964815]}]}, {"allowed_amount": 20.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1700994431]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "883107953"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1417923095]}]}]}]}, {"name": "Immunofixation electrophoresis; serum", "billing_code_type": "CPT", "billing_code": "86334", "billing_code_type_version": "2022", "description": "IMMUNOFIXJ ELECTROPHORESIS SERUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.5, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1154596468]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1194797985, 1386964815, 1114999091, 1497727895, 1396044574, 1700994431]}]}, {"allowed_amount": 20.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1700994431]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1396044574, 1497727895]}]}, {"allowed_amount": 32.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1215909536]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1215909536]}]}]}]}, {"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": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 234.73, "providers": [{"billed_charge": 234.73, "npi": [1548294465, 1184673634, 1790171916, 1649272022]}]}]}, {"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 76.94, "providers": [{"billed_charge": 220.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.11, "providers": [{"billed_charge": 150.0, "npi": [1518047018]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 408.0, "npi": [1083622427, 1760454516, 1326270125]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 408.0, "npi": [1477608628, 1326270125]}]}, {"allowed_amount": 50.38, "providers": [{"billed_charge": 408.0, "npi": [1760454516]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.01, "providers": [{"billed_charge": 105.0, "npi": [1457870719]}]}, {"allowed_amount": 27.09, "providers": [{"billed_charge": 105.0, "npi": [1346336674, 1659337251, 1750664132, 1477966984, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 50.38, "providers": [{"billed_charge": 105.0, "npi": [1477966984, 1659337251]}]}, {"allowed_amount": 50.39, "providers": [{"billed_charge": 105.0, "npi": [1659337251, 1750664132, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 250.0, "npi": [1356313548]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 250.0, "npi": [1134107857, 1356313548, 1023032190]}]}, {"allowed_amount": 40.64, "providers": [{"billed_charge": 250.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 68.35, "providers": [{"billed_charge": 84.0, "npi": [1356313548]}]}, {"allowed_amount": 84.0, "providers": [{"billed_charge": 84.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.12, "providers": [{"billed_charge": 175.0, "npi": [1609193069]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 175.0, "npi": [1780949222]}]}, {"allowed_amount": 35.22, "providers": [{"billed_charge": 175.0, "npi": [1740422872, 1689105884, 1780949222]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.01, "providers": [{"billed_charge": 132.0, "npi": [1407210131]}]}]}, {"tin": {"type": "ein", "value": "393205137"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 64.5, "providers": [{"billed_charge": 305.0, "npi": [1427938455]}]}]}, {"tin": {"type": "ein", "value": "454486874"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 135.09, "providers": [{"billed_charge": 187.0, "npi": [1164955928, 1730679986, 1003073628, 1396164430]}]}]}, {"tin": {"type": "ein", "value": "464450797"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 128.76, "providers": [{"billed_charge": 263.0, "npi": [1851707186]}]}, {"allowed_amount": 176.03, "providers": [{"billed_charge": 315.0, "npi": [1851707186]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 200.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 35.22, "providers": [{"billed_charge": 200.0, "npi": [1154393221]}]}, {"allowed_amount": 40.64, "providers": [{"billed_charge": 200.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.56, "providers": [{"billed_charge": 345.0, "npi": [1982920823, 1154596468, 1215902143]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 345.0, "npi": [1538572128, 1679794671, 1215902143]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 26.54, "providers": [{"billed_charge": 160.0, "npi": [1386616779]}]}, {"allowed_amount": 60.57, "providers": [{"billed_charge": 160.0, "npi": [1790170819]}]}, {"allowed_amount": 83.86, "providers": [{"billed_charge": 160.0, "npi": [1790170819, 1962585463]}]}, {"allowed_amount": 83.87, "providers": [{"billed_charge": 160.0, "npi": [1033311758]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["11", "22", "23", "21"], "payments": [{"allowed_amount": 19.16, "providers": [{"billed_charge": 245.0, "npi": [1700994431]}]}, {"allowed_amount": 26.35, "providers": [{"billed_charge": 245.0, "npi": [1700994431]}]}, {"allowed_amount": 27.09, "providers": [{"billed_charge": 245.0, "npi": [1689646465, 1467617506, 1821258211, 1609161892, 1194797985, 1164402152, 1619920204, 1386964815, 1396044574, 1669675153, 1114999091, 1285969717, 1386140663, 1851529945, 1518900315, 1902096894, 1700994431]}]}, {"allowed_amount": 28.31, "providers": [{"billed_charge": 245.0, "npi": [1700994431]}]}, {"allowed_amount": 31.14, "providers": [{"billed_charge": 245.0, "npi": [1700994431]}]}, {"allowed_amount": 35.22, "providers": [{"billed_charge": 245.0, "npi": [1164402152, 1669675153, 1821258211, 1902096894]}]}, {"allowed_amount": 36.89, "providers": [{"billed_charge": 245.0, "npi": [1396044574]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 245.0, "npi": [1689646465, 1467617506, 1194797985, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 40.63, "providers": [{"billed_charge": 245.0, "npi": [1164402152, 1821258211, 1285969717, 1386140663]}]}, {"allowed_amount": 40.64, "providers": [{"billed_charge": 245.0, "npi": [1194797985, 1164402152, 1386964815, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 48.23, "providers": [{"billed_charge": 245.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 210.0, "npi": [1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 35.22, "providers": [{"billed_charge": 210.0, "npi": [1861474819, 1144205188, 1225291495]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["81", "21"], "payments": [{"allowed_amount": 40.61, "providers": [{"billed_charge": 161.0, "npi": [1043605645]}]}, {"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1326289455]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 26.54, "providers": [{"billed_charge": 107.0, "npi": [1154341956, 1700850237]}]}, {"allowed_amount": 53.34, "providers": [{"billed_charge": 107.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.87, "providers": [{"billed_charge": 156.0, "npi": [1154462380]}]}]}, {"tin": {"type": "ein", "value": "592114442"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 64.5, "providers": [{"billed_charge": 177.14, "npi": [1700959590]}]}, {"allowed_amount": 99.23, "providers": [{"billed_charge": 177.14, "npi": [1700959590]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.87, "providers": [{"billed_charge": 131.0, "npi": [1083690168]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.48, "providers": [{"billed_charge": 95.0, "npi": [1073549663]}]}, {"allowed_amount": 27.09, "providers": [{"billed_charge": 95.0, "npi": [1396408829]}]}, {"allowed_amount": 56.73, "providers": [{"billed_charge": 222.0, "npi": [1396408829]}]}, {"allowed_amount": 68.35, "providers": [{"billed_charge": 222.0, "npi": [1396408829]}]}, {"allowed_amount": 129.31, "providers": [{"billed_charge": 222.0, "npi": [1447437355]}]}, {"allowed_amount": 134.6, "providers": [{"billed_charge": 295.0, "npi": [1447437355]}]}, {"allowed_amount": 176.01, "providers": [{"billed_charge": 295.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.12, "providers": [{"billed_charge": 61.45, "npi": [1487657573]}]}, {"allowed_amount": 38.82, "providers": [{"billed_charge": 61.45, "npi": [1487657573]}, {"billed_charge": 617.73, "npi": [1487657573]}]}, {"allowed_amount": 42.04, "providers": [{"billed_charge": 61.45, "npi": [1487657573]}]}, {"allowed_amount": 44.38, "providers": [{"billed_charge": 61.45, "npi": [1487657573]}]}, {"allowed_amount": 52.89, "providers": [{"billed_charge": 61.45, "npi": [1487657573]}]}, {"allowed_amount": 55.53, "providers": [{"billed_charge": 128.16, "npi": [1487657573]}]}, {"allowed_amount": 56.73, "providers": [{"billed_charge": 61.45, "npi": [1487657573]}, {"billed_charge": 128.16, "npi": [1487657573]}]}, {"allowed_amount": 61.45, "providers": [{"billed_charge": 61.45, "npi": [1487657573]}]}, {"allowed_amount": 64.36, "providers": [{"billed_charge": 128.16, "npi": [1487657573]}]}, {"allowed_amount": 64.5, "providers": [{"billed_charge": 128.16, "npi": [1487657573]}]}, {"allowed_amount": 68.35, "providers": [{"billed_charge": 128.16, "npi": [1487657573]}]}, {"allowed_amount": 74.82, "providers": [{"billed_charge": 128.16, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621729316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.11, "providers": [{"billed_charge": 222.02, "npi": [1154696243]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.39, "providers": [{"billed_charge": 241.0, "npi": [1194201194]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.44, "providers": [{"billed_charge": 240.0, "npi": [1215909536]}]}, {"allowed_amount": 27.09, "providers": [{"billed_charge": 240.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 33.81, "providers": [{"billed_charge": 240.0, "npi": [1831240142]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 240.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 40.63, "providers": [{"billed_charge": 240.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 250.0, "npi": [1326402371, 1689614620]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 250.0, "npi": [1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 40.63, "providers": [{"billed_charge": 250.0, "npi": [1326402371]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 289.0, "npi": [1619949641, 1659573715, 1144292855]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 289.0, "npi": [1619949641, 1972654846]}]}]}, {"tin": {"type": "ein", "value": "743126687"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 30.6, "providers": [{"billed_charge": 470.95, "npi": [1013973866]}]}, {"allowed_amount": 91.8, "providers": [{"billed_charge": 470.95, "npi": [1013973866]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 99.34, "providers": [{"billed_charge": 369.0, "npi": [1114450384, 1295991198]}]}]}, {"tin": {"type": "ein", "value": "800294054"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 27.09, "providers": [{"billed_charge": 250.0, "npi": [1972582146]}]}]}, {"tin": {"type": "ein", "value": "811279016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 26.54, "providers": [{"billed_charge": 72.0, "npi": [1871628529]}]}]}, {"tin": {"type": "ein", "value": "883107953"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.87, "providers": [{"billed_charge": 250.0, "npi": [1841272820]}]}]}]}, {"name": "Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure", "billing_code_type": "CPT", "billing_code": "88344", "billing_code_type_version": "2022", "description": "IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE", "allowed_amounts": [{"tin": {"type": "ein", "value": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 459.85, "providers": [{"billed_charge": 459.85, "npi": [1184673634]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 36.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1659337251, 1750664132, 1477966984, 1477608628, 1427080951]}]}, {"allowed_amount": 67.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1659337251, 1750664132, 1891985925, 1477966984, 1427080951]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1568615078]}]}, {"allowed_amount": 47.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 36.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1386964815, 1114999091, 1386140663, 1518900315, 1902096894]}]}, {"allowed_amount": 53.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1689646465, 1619920204, 1386140663, 1518900315, 1396044574]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 488.25, "providers": [{"billed_charge": 488.25, "npi": [1326289455]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 115.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 258.0, "npi": [1396408829]}]}, {"allowed_amount": 139.33, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 258.0, "npi": [1396408829]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 86.73, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}, {"allowed_amount": 115.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}, {"allowed_amount": 117.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}, {"allowed_amount": 139.33, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 201.4, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 36.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1215909536, 1770734337, 1841441490, 1831240142]}]}, {"allowed_amount": 44.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1841441490]}]}, {"allowed_amount": 53.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1215909536, 1770734337, 1841441490, 1831240142]}]}, {"allowed_amount": 54.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1215909536]}]}]}]}, {"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": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 271.75, "providers": [{"billed_charge": 271.75, "npi": [1548294465, 1184673634, 1457882060, 1790171916, 1649272022, 1376699199]}]}]}, {"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 90.06, "providers": [{"billed_charge": 256.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1518047018]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 408.0, "npi": [1083622427, 1760454516, 1326270125]}]}, {"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 408.0, "npi": [1760454516, 1083622427, 1477608628, 1326270125]}]}, {"allowed_amount": 61.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 408.0, "npi": [1083622427, 1760454516]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 6.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1457870719]}]}, {"allowed_amount": 16.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1427080951]}]}, {"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 49.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1477966984, 1477608628]}]}, {"allowed_amount": 61.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203139459"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1023334976]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 49.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 78.76, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 98.0, "npi": [1356313548]}]}, {"allowed_amount": 98.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 98.0, "npi": [1356313548]}]}, {"allowed_amount": 164.0, "providers": [{"billed_charge": 164.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "205405972"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 147.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 253.86, "npi": [1992812473]}]}, {"allowed_amount": 205.71, "providers": [{"billed_charge": 357.57, "npi": [1992812473]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1609193069]}]}]}, {"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 62.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 166.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1780949222]}]}, {"allowed_amount": 35.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1700167533]}]}, {"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1740422872, 1689105884, 1780949222]}]}]}, {"tin": {"type": "ein", "value": "333691586"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1912494154]}]}]}, {"tin": {"type": "ein", "value": "351720796"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 382.13, "providers": [{"billed_charge": 747.0, "npi": [1205860335]}]}]}, {"tin": {"type": "ein", "value": "393205137"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 60.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 336.0, "npi": [1427938455]}]}, {"allowed_amount": 74.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 336.0, "npi": [1427938455]}, {"billed_charge": 489.0, "npi": [1427938455]}]}]}, {"tin": {"type": "ein", "value": "454486874"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 158.19, "providers": [{"billed_charge": 219.0, "npi": [1831169762, 1790980837, 1497167720, 1396164430, 1417390287, 1730679986, 1154617843, 1164955928, 1003073628, 1477965887]}]}]}, {"tin": {"type": "ein", "value": "460563060"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1245242700]}]}]}, {"tin": {"type": "ein", "value": "464450797"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 147.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 215.0, "npi": [1851707186]}]}, {"allowed_amount": 205.71, "providers": [{"billed_charge": 425.0, "npi": [1851707186]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1154393221]}]}, {"allowed_amount": 49.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "581910975"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 171.07, "providers": [{"billed_charge": 248.0, "npi": [1003919531, 1225444300]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1114361573]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.63, "providers": [{"billed_charge": 512.51, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 33.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1538572128, 1407886757, 1316191083, 1811962194, 1154596468, 1982920823, 1215902143]}]}, {"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1538572128, 1407886757, 1679794671, 1154596468, 1982920823, 1215902143]}]}]}, {"tin": {"type": "ein", "value": "591263616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1407122492]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 32.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1386616779]}]}, {"allowed_amount": 102.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1790865467, 1790170819, 1033311758, 1962585463]}]}]}, {"tin": {"type": "ein", "value": "591300359"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 102.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.75, "npi": [1376698126]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["11", "22", "23", "21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1689646465, 1467617506, 1821258211, 1609161892, 1194797985, 1902096894, 1164402152, 1619920204, 1386964815, 1669675153, 1114999091, 1285969717, 1386140663, 1851529945, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 36.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1467617506]}]}, {"allowed_amount": 38.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1700994431]}]}, {"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1821258211, 1164402152, 1669675153, 1851529945, 1902096894]}]}, {"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1689646465, 1467617506, 1194797985, 1609161892, 1619920204, 1114999091, 1285969717, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 49.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1194797985, 1467617506, 1821258211, 1902096894, 1164402152, 1386964815, 1285969717, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 58.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 43.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1154371854]}]}, {"allowed_amount": 65.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1841280674]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["81", "21"], "payments": [{"allowed_amount": 49.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1043605645]}]}, {"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1326289455]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 32.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1154341956, 1700850237]}]}, {"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1154462380, 1548294630]}]}]}, {"tin": {"type": "ein", "value": "592114442"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 74.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 206.93, "npi": [1700959590]}]}, {"allowed_amount": 80.94, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 206.93, "npi": [1700959590]}]}, {"allowed_amount": 106.74, "providers": [{"billed_charge": 206.93, "npi": [1700959590]}]}, {"allowed_amount": 116.35, "providers": [{"billed_charge": 206.93, "npi": [1700959590]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1083690168]}]}]}, {"tin": {"type": "ein", "value": "593520146"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1922022854]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22"], "payments": [{"allowed_amount": 27.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1396408829]}]}, {"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1396408829]}]}, {"allowed_amount": 52.51, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 222.0, "npi": [1396408829]}]}, {"allowed_amount": 65.37, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 222.0, "npi": [1396408829]}]}, {"allowed_amount": 78.76, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 222.0, "npi": [1396408829]}]}, {"allowed_amount": 148.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 222.0, "npi": [1447437355]}]}, {"allowed_amount": 205.45, "providers": [{"billed_charge": 295.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}, {"allowed_amount": 32.69, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}, {"allowed_amount": 52.51, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}, {"allowed_amount": 60.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}, {"allowed_amount": 63.01, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 201.4, "npi": [1487657573]}]}, {"allowed_amount": 65.37, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}, {"billed_charge": 201.4, "npi": [1487657573]}]}, {"allowed_amount": 74.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}, {"billed_charge": 201.4, "npi": [1487657573]}]}, {"allowed_amount": 78.76, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}, {"billed_charge": 201.4, "npi": [1487657573]}]}, {"allowed_amount": 86.14, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}, {"billed_charge": 201.4, "npi": [1487657573]}]}, {"allowed_amount": 92.87, "providers": [{"billed_charge": 201.4, "npi": [1487657573]}]}, {"allowed_amount": 111.89, "providers": [{"billed_charge": 201.4, "npi": [1487657573]}]}, {"allowed_amount": 117.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 117.0, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621729316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.12, "providers": [{"billed_charge": 259.72, "npi": [1154696243]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 302.0, "npi": [1720460264, 1073532818, 1194201194]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 24.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1770734337, 1841441490]}]}, {"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 36.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1215909536, 1831240142]}]}, {"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 49.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 49.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1326402371]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1619949641, 1659573715, 1144292855]}]}, {"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1619949641, 1972654846]}]}]}, {"tin": {"type": "ein", "value": "743126687"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 75.05, "providers": [{"billed_charge": 551.1, "npi": [1013973866]}]}, {"allowed_amount": 107.43, "providers": [{"billed_charge": 551.1, "npi": [1013973866]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.3, "providers": [{"billed_charge": 434.0, "npi": [1013175694, 1114450384, 1497958995, 1942487251, 1851518773, 1144515412, 1780027763, 1295296283, 1295991198]}]}, {"allowed_amount": 116.31, "providers": [{"billed_charge": 434.0, "npi": [1013175694, 1134447535, 1114450384, 1497958995, 1942487251, 1780027763, 1851518773, 1295991198]}]}]}, {"tin": {"type": "ein", "value": "800294054"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 33.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1972582146]}]}]}, {"tin": {"type": "ein", "value": "811279016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 32.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1871628529]}]}, {"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1871628529]}]}, {"allowed_amount": 65.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1871628529]}]}]}, {"tin": {"type": "ein", "value": "824615899"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 90.06, "providers": [{"billed_charge": 298.6, "npi": [1467938993]}]}]}, {"tin": {"type": "ein", "value": "883107953"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1841272820]}]}]}]}, {"name": "In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "88364", "billing_code_type_version": "2022", "description": "IN SITU HYBRIDIZATION EA ADDL PROBE STAIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 79.98, "providers": [{"billed_charge": 375.0, "npi": [1396408829]}]}, {"allowed_amount": 177.61, "providers": [{"billed_charge": 492.0, "npi": [1447437355]}]}, {"allowed_amount": 236.81, "providers": [{"billed_charge": 492.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 79.98, "providers": [{"billed_charge": 200.0, "npi": [1487657573]}, {"billed_charge": 317.0, "npi": [1487657573]}]}, {"allowed_amount": 96.36, "providers": [{"billed_charge": 317.0, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 32.11, "providers": [{"billed_charge": 226.0, "npi": [1831240142]}]}, {"allowed_amount": 47.27, "providers": [{"billed_charge": 226.0, "npi": [1831240142]}]}]}]}, {"name": "In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure", "billing_code_type": "CPT", "billing_code": "88365", "billing_code_type_version": "2022", "description": "IN SITU HYBRIDIZATION 1ST PROBE STAIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 130.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 203.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 437.0, "npi": [1154596468]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 40.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1609161892, 1396044574, 1700994431]}]}, {"allowed_amount": 53.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1669675153, 1821258211]}]}, {"allowed_amount": 60.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1194797985]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 108.56, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 375.0, "npi": [1396408829]}]}, {"allowed_amount": 130.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 375.0, "npi": [1396408829]}]}, {"allowed_amount": 316.45, "providers": [{"billed_charge": 492.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 108.56, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 200.0, "npi": [1487657573]}, {"billed_charge": 317.0, "npi": [1487657573]}]}, {"allowed_amount": 130.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 200.0, "npi": [1487657573]}, {"billed_charge": 317.0, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1194201194]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 40.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1770734337, 1841441490, 1831240142]}]}, {"allowed_amount": 60.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1831240142]}]}]}]}, {"name": "Incision and drainage of Bartholin's gland abscess", "billing_code_type": "CPT", "billing_code": "56420", "billing_code_type_version": "2022", "description": "I&D OF BARTHOLINS GLAND ABSCESS", "allowed_amounts": [{"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.01, "providers": [{"billed_charge": 270.0, "npi": [1124118138]}]}, {"allowed_amount": 270.0, "providers": [{"billed_charge": 270.0, "npi": [1417586132, 1093247140, 1609403013, 1962237222]}]}]}, {"tin": {"type": "ein", "value": "310823056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.99, "providers": [{"billed_charge": 830.0, "npi": [1477842441]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.65, "providers": [{"billed_charge": 1098.0, "npi": [1710752183]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.31, "providers": [{"billed_charge": 544.0, "npi": [1164252052]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}, {"allowed_amount": 1414.98, "providers": [{"billed_charge": 3144.4, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.63, "providers": [{"billed_charge": 650.0, "npi": [1952582579]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.76, "providers": [{"billed_charge": 928.0, "npi": [1245904820]}]}, {"allowed_amount": 244.99, "providers": [{"billed_charge": 992.0, "npi": [1518279470, 1588046999]}, {"billed_charge": 1031.0, "npi": [1255697504]}]}, {"allowed_amount": 260.89, "providers": [{"billed_charge": 1088.0, "npi": [1659951358]}, {"billed_charge": 1174.0, "npi": [1376522144]}]}, {"allowed_amount": 443.51, "providers": [{"billed_charge": 1174.0, "npi": [1588202840, 1568409985, 1568492817]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 248.01, "providers": [{"billed_charge": 763.0, "npi": [1245304310]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.25, "providers": [{"billed_charge": 880.0, "npi": [1912194713]}, {"billed_charge": 944.0, "npi": [1801639430]}]}, {"allowed_amount": 244.99, "providers": [{"billed_charge": 930.0, "npi": [1922684448]}]}, {"allowed_amount": 416.49, "providers": [{"billed_charge": 846.0, "npi": [1235590928]}, {"billed_charge": 880.0, "npi": [1316681265]}, {"billed_charge": 968.0, "npi": [1588643357]}]}, {"allowed_amount": 489.98, "providers": [{"billed_charge": 860.0, "npi": [1477130334]}, {"billed_charge": 930.0, "npi": [1679518120, 1326074790]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.31, "providers": [{"billed_charge": 707.0, "npi": [1659326494]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 394.34, "providers": [{"billed_charge": 1060.0, "npi": [1932584711]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.31, "providers": [{"billed_charge": 544.0, "npi": [1639157258]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.31, "providers": [{"billed_charge": 544.0, "npi": [1467627729, 1154650943]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.05, "providers": [{"billed_charge": 544.0, "npi": [1851954556]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.01, "providers": [{"billed_charge": 670.0, "npi": [1215739164]}]}]}]}, {"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": "043726123"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.87, "providers": [{"billed_charge": 334.0, "npi": [1366442824]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2167.65, "providers": [{"billed_charge": 2167.65, "npi": [1942269725]}]}, {"allowed_amount": 5740.89, "providers": [{"billed_charge": 2167.65, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 221.83, "providers": [{"billed_charge": 809.0, "npi": [1497920474]}]}, {"allowed_amount": 241.99, "providers": [{"billed_charge": 809.0, "npi": [1346206257]}]}, {"allowed_amount": 322.98, "providers": [{"billed_charge": 809.0, "npi": [1578805248, 1467692236, 1568496909, 1053645457, 1659623601, 1518986132, 1538144597, 1952822652]}]}, {"allowed_amount": 338.78, "providers": [{"billed_charge": 809.0, "npi": [1437544384, 1124239207, 1235189358, 1053645457, 1033615414, 1952822652, 1649436734]}]}, {"allowed_amount": 339.16, "providers": [{"billed_charge": 809.0, "npi": [1437544384, 1952921025, 1023052644, 1730112244, 1467093492, 1033615414, 1245755958, 1265665145]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.99, "providers": [{"billed_charge": 591.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 356.0, "npi": [1194285486]}]}, {"allowed_amount": 356.0, "providers": [{"billed_charge": 356.0, "npi": [1285780387, 1942457692, 1073833653, 1194285486]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 356.0, "npi": [1174586465, 1912961293]}]}, {"allowed_amount": 356.0, "providers": [{"billed_charge": 356.0, "npi": [1174586465, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 356.0, "npi": [1891725164]}]}, {"allowed_amount": 356.0, "providers": [{"billed_charge": 356.0, "npi": [1528022332, 1700011335]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 356.0, "npi": [1346206257]}]}, {"allowed_amount": 356.0, "providers": [{"billed_charge": 356.0, "npi": [1710947940, 1396774956, 1073833653]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.04, "providers": [{"billed_charge": 329.0, "npi": [1447014063]}, {"billed_charge": 616.0, "npi": [1124420229]}]}, {"allowed_amount": 329.0, "providers": [{"billed_charge": 329.0, "npi": [1609403013, 1942044037]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 356.0, "npi": [1669737953, 1790906154, 1528022332, 1710175526]}]}, {"allowed_amount": 356.0, "providers": [{"billed_charge": 356.0, "npi": [1457715096, 1710947940, 1710175526]}]}]}, {"tin": {"type": "ein", "value": "270781655"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 474.95, "providers": [{"billed_charge": 1296.0, "npi": [1841258654]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.83, "providers": [{"billed_charge": 1533.0, "npi": [1760904056]}]}, {"allowed_amount": 166.5, "providers": [{"billed_charge": 1533.0, "npi": [1710070578]}]}, {"allowed_amount": 222.84, "providers": [{"billed_charge": 1533.0, "npi": [1730343070]}]}, {"allowed_amount": 246.37, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 1533.0, "npi": [1124663182]}]}, {"allowed_amount": 251.16, "providers": [{"billed_charge": 1533.0, "npi": [1720617590]}]}, {"allowed_amount": 258.38, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 1533.0, "npi": [1609537588]}]}, {"allowed_amount": 322.98, "providers": [{"billed_charge": 1533.0, "npi": [1578906624, 1558757880, 1114504305, 1972992824, 1720433725]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 356.0, "npi": [1790906154, 1528022332, 1689816191]}]}, {"allowed_amount": 356.0, "providers": [{"billed_charge": 356.0, "npi": [1073833653]}]}]}, {"tin": {"type": "ein", "value": "392851054"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 219.08, "providers": [{"billed_charge": 219.08, "npi": [1487642617]}]}]}, {"tin": {"type": "ein", "value": "412569180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 322.98, "providers": [{"billed_charge": 617.0, "npi": [1457416331]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 247.95, "providers": [{"billed_charge": 551.0, "npi": [1033172978, 1902366644]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 296.0, "providers": [{"billed_charge": 296.0, "npi": [1629112735]}]}]}, {"tin": {"type": "ein", "value": "454266710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 322.98, "providers": [{"billed_charge": 15814.0, "npi": [1356517767]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.62, "providers": [{"billed_charge": 1185.0, "npi": [1760004055]}]}]}, {"tin": {"type": "ein", "value": "462842081"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 8000.0, "npi": [1780708909]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 279.2, "providers": [{"billed_charge": 313.43, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 1490.0, "npi": [1104110386]}]}]}, {"tin": {"type": "ein", "value": "465318844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.66, "providers": [{"billed_charge": 1842.0, "npi": [1225270416]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1350.0, "providers": [{"billed_charge": 3000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1549.5, "providers": [{"billed_charge": 2222.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 669.73, "providers": [{"billed_charge": 1976.0, "npi": [1356726848]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.33, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 1035.0, "npi": [1669498952]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.97, "providers": [{"billed_charge": 1106.52, "npi": [1922896604]}]}, {"allowed_amount": 307.96, "providers": [{"billed_charge": 1106.52, "npi": [1922896604]}]}, {"allowed_amount": 476.71, "providers": [{"billed_charge": 1106.52, "npi": [1457091571, 1386803062]}]}]}, {"tin": {"type": "ein", "value": "592227075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.98, "providers": [{"billed_charge": 427.0, "npi": [1104276179]}]}, {"allowed_amount": 307.96, "billing_code_modifier": ["78"], "providers": [{"billed_charge": 427.0, "npi": [1104276179]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 899.98, "providers": [{"billed_charge": 973.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.96, "providers": [{"billed_charge": 439.0, "npi": [1568999548]}]}]}, {"tin": {"type": "ein", "value": "593234721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1549.5, "providers": [{"billed_charge": 2222.0, "npi": [1518024462]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.84, "providers": [{"billed_charge": 1078.0, "npi": [1225373848]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 669.73, "providers": [{"billed_charge": 1857.0, "npi": [1568969061]}, {"billed_charge": 1920.0, "npi": [1619945144, 1659250868]}, {"billed_charge": 1950.0, "npi": [1457073066]}, {"billed_charge": 1966.0, "npi": [1376199497, 1982273678]}]}, {"allowed_amount": 704.36, "providers": [{"billed_charge": 1775.0, "npi": [1205850070]}, {"billed_charge": 1782.0, "npi": [1770369019, 1982122180]}, {"billed_charge": 1844.0, "npi": [1629885736]}, {"billed_charge": 2059.0, "npi": [1700532645]}]}, {"allowed_amount": 787.92, "providers": [{"billed_charge": 1594.0, "npi": [1487956728, 1346772076, 1457320822]}, {"billed_charge": 1945.0, "npi": [1235440017]}, {"billed_charge": 1950.0, "npi": [1477928737, 1023751138, 1093212458]}, {"billed_charge": 1963.0, "npi": [1194083881]}, {"billed_charge": 1966.0, "npi": [1891894838, 1003880774]}]}, {"allowed_amount": 828.66, "providers": [{"billed_charge": 1775.0, "npi": [1265883433, 1255735221]}, {"billed_charge": 1782.0, "npi": [1598029274, 1508039595, 1871859652, 1558725358]}, {"billed_charge": 1844.0, "npi": [1376032011]}, {"billed_charge": 2045.0, "npi": [1669608618]}, {"billed_charge": 2059.0, "npi": [1801092465]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 638.1, "providers": [{"billed_charge": 1877.0, "npi": [1457602468]}]}, {"allowed_amount": 669.73, "providers": [{"billed_charge": 1963.0, "npi": [1437719457]}]}, {"allowed_amount": 787.92, "providers": [{"billed_charge": 1963.0, "npi": [1528687837]}, {"billed_charge": 1986.0, "npi": [1689669400, 1457556714]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.98, "providers": [{"billed_charge": 1319.0, "npi": [1083864987, 1326467580]}]}, {"allowed_amount": 423.86, "providers": [{"billed_charge": 1319.0, "npi": [1114664224]}]}, {"allowed_amount": 502.32, "providers": [{"billed_charge": 1319.0, "npi": [1720068224]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.33, "providers": [{"billed_charge": 658.47, "npi": [1770679771]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 669.73, "providers": [{"billed_charge": 1626.0, "npi": [1225432768, 1235590928]}, {"billed_charge": 1658.0, "npi": [1346768066, 1669845285, 1669783213, 1295704930]}, {"billed_charge": 1695.0, "npi": [1780280255, 1316681265, 1093979650, 1013248095]}, {"billed_charge": 1723.0, "npi": [1801594809, 1750387726]}, {"billed_charge": 1743.0, "npi": [1477824126, 1013248095]}, {"billed_charge": 1793.0, "npi": [1609956119]}]}, {"allowed_amount": 709.12, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 1626.0, "npi": [1609870682]}]}, {"allowed_amount": 787.92, "providers": [{"billed_charge": 1429.0, "npi": [1861772964]}, {"billed_charge": 1626.0, "npi": [1811121957, 1326336785, 1538144597, 1275973786, 1760418495]}, {"billed_charge": 1658.0, "npi": [1285684753]}, {"billed_charge": 1695.0, "npi": [1801525027, 1295296549, 1811933062, 1033146162, 1841225752]}, {"billed_charge": 1723.0, "npi": [1629657184, 1518184225, 1386094274, 1013307495, 1477589034, 1801139290, 1699851295]}, {"billed_charge": 1743.0, "npi": [1790944205, 1407282445, 1871719567, 1346220845, 1720389679]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 528.5, "providers": [{"billed_charge": 863.0, "npi": [1578669412]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 785.36, "providers": [{"billed_charge": 1499.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 1031.0, "npi": [1699735258]}]}]}, {"tin": {"type": "ein", "value": "800212487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.9, "providers": [{"billed_charge": 1558.1, "npi": [1457734550, 1851437727]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 574.29, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 1860.0, "npi": [1740418243]}]}, {"allowed_amount": 638.1, "providers": [{"billed_charge": 1519.0, "npi": [1063998235]}, {"billed_charge": 1860.0, "npi": [1396092532]}]}, {"allowed_amount": 750.71, "providers": [{"billed_charge": 1619.0, "npi": [1073072930]}, {"billed_charge": 1860.0, "npi": [1376504530]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 322.98, "providers": [{"billed_charge": 571.0, "npi": [1811798275]}]}]}, {"tin": {"type": "ein", "value": "813879435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 306.16, "providers": [{"billed_charge": 1000.0, "npi": [1972745438]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 238.36, "providers": [{"billed_charge": 872.0, "npi": [1942534565]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 237.41, "providers": [{"billed_charge": 925.0, "npi": [1730329798]}]}, {"allowed_amount": 339.16, "providers": [{"billed_charge": 925.0, "npi": [1649929480, 1235425836, 1013465095]}]}, {"allowed_amount": 528.5, "providers": [{"billed_charge": 925.0, "npi": [1174732705, 1730616996, 1730329798]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.04, "providers": [{"billed_charge": 925.0, "npi": [1366603334]}]}, {"allowed_amount": 232.02, "providers": [{"billed_charge": 925.0, "npi": [1013465095]}]}, {"allowed_amount": 339.16, "providers": [{"billed_charge": 925.0, "npi": [1730329798, 1013465095]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 400.0, "npi": [1770084022]}]}, {"allowed_amount": 351.28, "providers": [{"billed_charge": 400.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.0, "billing_code_modifier": ["78"], "providers": [{"billed_charge": 1081.0, "npi": [1235916073]}]}, {"allowed_amount": 221.83, "providers": [{"billed_charge": 1081.0, "npi": [1215517537]}]}, {"allowed_amount": 307.96, "providers": [{"billed_charge": 1081.0, "npi": [1386276491]}]}, {"allowed_amount": 322.98, "providers": [{"billed_charge": 1081.0, "npi": [1548899271, 1235916073, 1265061840, 1487282257, 1871176149]}]}, {"allowed_amount": 339.16, "providers": [{"billed_charge": 1081.0, "npi": [1669608618]}]}, {"allowed_amount": 378.67, "providers": [{"billed_charge": 1081.0, "npi": [1669003273]}]}, {"allowed_amount": 502.32, "providers": [{"billed_charge": 1081.0, "npi": [1023751138]}]}, {"allowed_amount": 528.5, "providers": [{"billed_charge": 1081.0, "npi": [1043893118, 1457092710]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 339.16, "providers": [{"billed_charge": 520.0, "npi": [1962237222]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.98, "providers": [{"billed_charge": 1380.0, "npi": [1083649602, 1174055479]}]}, {"allowed_amount": 502.32, "providers": [{"billed_charge": 1380.0, "npi": [1699744177, 1619408739]}]}]}]}, {"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": "042104338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 509.75, "providers": [{"billed_charge": 618.0, "npi": [1992779482]}]}]}, {"tin": {"type": "ein", "value": "131740119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.21, "providers": [{"billed_charge": 837.0, "npi": [1104808062]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.88, "providers": [{"billed_charge": 317.0, "npi": [1245863356]}]}, {"allowed_amount": 197.64, "providers": [{"billed_charge": 317.0, "npi": [1447842356]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 259.0, "providers": [{"billed_charge": 259.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 63.39, "providers": [{"billed_charge": 404.0, "npi": [1578805248, 1265665145, 1497920474]}]}, {"allowed_amount": 95.81, "providers": [{"billed_charge": 404.0, "npi": [1023052644, 1033615414, 1730112244]}]}, {"allowed_amount": 126.78, "providers": [{"billed_charge": 404.0, "npi": [1205417474, 1518986132, 1568496909]}]}, {"allowed_amount": 135.41, "providers": [{"billed_charge": 365.0, "npi": [1346206257]}]}, {"allowed_amount": 186.48, "providers": [{"billed_charge": 404.0, "npi": [1518986132, 1811483829, 1821284910]}]}, {"allowed_amount": 191.61, "providers": [{"billed_charge": 404.0, "npi": [1245352491, 1235189358, 1104182799, 1033615414, 1417905886]}]}, {"allowed_amount": 194.18, "providers": [{"billed_charge": 404.0, "npi": [1023052644, 1144595307, 1104182799, 1265993075, 1598111924, 1730112244, 1033615414]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 203.0, "npi": [1285780387, 1669919155, 1467073254]}]}, {"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1891725164, 1235796277, 1194285486, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1174586465, 1508137670, 1467073254, 1669919155, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 203.0, "npi": [1891725164, 1508137670, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.2, "providers": [{"billed_charge": 457.6, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 203.0, "npi": [1558395434, 1396774956, 1508137670]}]}, {"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1558395434]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.5, "providers": [{"billed_charge": 450.0, "npi": [1427476597]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 293.76, "providers": [{"billed_charge": 300.0, "npi": [1417547233]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 214.13, "providers": [{"billed_charge": 332.29, "npi": [1942520093]}]}, {"allowed_amount": 233.07, "providers": [{"billed_charge": 332.29, "npi": [1710333257]}]}]}, {"tin": {"type": "ein", "value": "261378489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.0, "providers": [{"billed_charge": 256.0, "npi": [1174855548]}]}]}, {"tin": {"type": "ein", "value": "261807017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.0, "providers": [{"billed_charge": 165.0, "npi": [1316906142]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.7, "providers": [{"billed_charge": 330.0, "npi": [1487674149]}]}, {"allowed_amount": 115.4, "providers": [{"billed_charge": 196.0, "npi": [1104996461]}]}, {"allowed_amount": 149.46, "providers": [{"billed_charge": 330.0, "npi": [1578054920, 1164542809]}]}, {"allowed_amount": 194.18, "providers": [{"billed_charge": 196.0, "npi": [1942044037, 1265539621, 1437529997, 1730716721, 1396133237, 1164542809, 1477701498]}]}, {"allowed_amount": 196.0, "providers": [{"billed_charge": 196.0, "npi": [1952864696, 1699904011]}]}, {"allowed_amount": 298.91, "providers": [{"billed_charge": 330.0, "npi": [1417586132, 1487738654]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1770053407]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1811391352]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1942457692, 1235796277, 1467073254]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 364.97, "providers": [{"billed_charge": 413.8, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "270293215"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 398.0, "npi": [1588037865]}]}]}, {"tin": {"type": "ein", "value": "270781655"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.88, "providers": [{"billed_charge": 750.0, "npi": [1225205313]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.7, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 848.0, "npi": [1639819691]}]}, {"allowed_amount": 177.88, "providers": [{"billed_charge": 848.0, "npi": [1275037624]}]}, {"allowed_amount": 186.48, "providers": [{"billed_charge": 848.0, "npi": [1346954088]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.88, "providers": [{"billed_charge": 509.05, "npi": [1255561866]}]}, {"allowed_amount": 203.3, "providers": [{"billed_charge": 509.05, "npi": [1285262576]}]}]}, {"tin": {"type": "ein", "value": "330599494"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 526.0, "providers": [{"billed_charge": 526.0, "npi": [1184722779]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2781.01, "providers": [{"billed_charge": 7945.75, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 203.0, "npi": [1891725164, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.4, "providers": [{"billed_charge": 523.0, "npi": [1366603334]}]}, {"allowed_amount": 131.22, "providers": [{"billed_charge": 523.0, "npi": [1972936698]}]}, {"allowed_amount": 149.46, "providers": [{"billed_charge": 523.0, "npi": [1376125104]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 523.0, "npi": [1184944357]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "332476324"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 596.61, "providers": [{"billed_charge": 837.0, "npi": [1114731064]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 451.0, "providers": [{"billed_charge": 451.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "383740839"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.62, "providers": [{"billed_charge": 352.5, "npi": [1457405482]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.95, "providers": [{"billed_charge": 154.5, "npi": [1508885633]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 176.24, "providers": [{"billed_charge": 292.71, "npi": [1962067793]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.88, "providers": [{"billed_charge": 750.0, "npi": [1649205659]}]}, {"allowed_amount": 177.88, "providers": [{"billed_charge": 750.0, "npi": [1770741258, 1073716619]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.5, "providers": [{"billed_charge": 310.0, "npi": [1033172978]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 186.48, "providers": [{"billed_charge": 544.84, "npi": [1194518241]}]}, {"allowed_amount": 275.12, "providers": [{"billed_charge": 544.84, "npi": [1194518241]}]}]}, {"tin": {"type": "ein", "value": "461314303"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 189.51, "providers": [{"billed_charge": 438.0, "npi": [1467988642]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.92, "providers": [{"billed_charge": 670.0, "npi": [1427674928]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 180.43, "providers": [{"billed_charge": 200.0, "npi": [1861685034]}]}]}, {"tin": {"type": "ein", "value": "475040973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.48, "providers": [{"billed_charge": 538.0, "npi": [1063964666]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 448.77, "providers": [{"billed_charge": 1547.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "586002659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.41, "providers": [{"billed_charge": 300.0, "npi": [1861615304]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.0, "providers": [{"billed_charge": 448.88, "npi": [1912964768]}]}, {"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}, {"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}, {"allowed_amount": 1414.98, "providers": [{"billed_charge": 3144.4, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 489.15, "providers": [{"billed_charge": 1232.0, "npi": [1700979465]}]}, {"allowed_amount": 613.89, "providers": [{"billed_charge": 1232.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 764.75, "providers": [{"billed_charge": 983.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 744.0, "providers": [{"billed_charge": 744.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 764.75, "providers": [{"billed_charge": 2082.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 212.86, "providers": [{"billed_charge": 837.0, "npi": [1245813617]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 136.33, "providers": [{"billed_charge": 634.0, "npi": [1568106276]}]}]}, {"tin": {"type": "ein", "value": "591797855"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 115.4, "providers": [{"billed_charge": 260.0, "npi": [1316548811]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.88, "providers": [{"billed_charge": 627.48, "npi": [1578023354]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.37, "providers": [{"billed_charge": 983.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 345.6, "providers": [{"billed_charge": 1125.75, "npi": [1053831032]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.18, "providers": [{"billed_charge": 634.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 865.0, "npi": [1700599875]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.68, "providers": [{"billed_charge": 537.0, "npi": [1376508341]}]}, {"allowed_amount": 186.48, "providers": [{"billed_charge": 537.0, "npi": [1225373848]}]}]}, {"tin": {"type": "ein", "value": "650378641"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 550.0, "npi": [1629040787]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 197.73, "providers": [{"billed_charge": 1171.0, "npi": [1114642345]}]}, {"allowed_amount": 223.2, "providers": [{"billed_charge": 1000.0, "npi": [1922206168]}]}, {"allowed_amount": 232.62, "providers": [{"billed_charge": 918.0, "npi": [1912648767]}, {"billed_charge": 948.0, "npi": [1801245675]}, {"billed_charge": 970.0, "npi": [1013357508, 1902080468]}, {"billed_charge": 1091.0, "npi": [1659951358]}, {"billed_charge": 1171.0, "npi": [1154062727]}]}, {"allowed_amount": 379.43, "providers": [{"billed_charge": 903.0, "npi": [1205685484]}, {"billed_charge": 1058.0, "npi": [1750845152, 1326637588]}]}, {"allowed_amount": 395.45, "providers": [{"billed_charge": 918.0, "npi": [1235814310]}, {"billed_charge": 948.0, "npi": [1205850070]}, {"billed_charge": 970.0, "npi": [1063652881]}, {"billed_charge": 1003.0, "npi": [1992465330]}, {"billed_charge": 1171.0, "npi": [1144005208, 1114642345, 1568409985, 1700532645]}]}, {"allowed_amount": 446.39, "providers": [{"billed_charge": 1058.0, "npi": [1891894838]}]}, {"allowed_amount": 465.24, "providers": [{"billed_charge": 918.0, "npi": [1225394240, 1699208637]}, {"billed_charge": 948.0, "npi": [1801245675]}, {"billed_charge": 970.0, "npi": [1871859652, 1902080468, 1710372230]}, {"billed_charge": 1003.0, "npi": [1629885736, 1376032011, 1053690479, 1538148127]}, {"billed_charge": 1091.0, "npi": [1417698077]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 425.71, "providers": [{"billed_charge": 1063.0, "npi": [1770161556]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.72, "providers": [{"billed_charge": 912.0, "npi": [1093979650, 1982290003]}, {"billed_charge": 945.0, "npi": [1013248095]}]}, {"allowed_amount": 223.2, "providers": [{"billed_charge": 769.0, "npi": [1013993831]}, {"billed_charge": 907.0, "npi": [1477130334, 1073715470]}, {"billed_charge": 945.0, "npi": [1740578368]}]}, {"allowed_amount": 379.43, "providers": [{"billed_charge": 945.0, "npi": [1780280255]}]}, {"allowed_amount": 446.39, "providers": [{"billed_charge": 769.0, "npi": [1548708597]}, {"billed_charge": 894.0, "npi": [1326336785]}, {"billed_charge": 912.0, "npi": [1689014185]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 495.0, "npi": [1578669412, 1306800446]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 387.61, "providers": [{"billed_charge": 745.0, "npi": [1083644033]}]}, {"allowed_amount": 781.63, "providers": [{"billed_charge": 745.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 149.46, "providers": [{"billed_charge": 423.0, "npi": [1548609258]}]}, {"allowed_amount": 194.18, "providers": [{"billed_charge": 423.0, "npi": [1730169475]}]}, {"allowed_amount": 298.91, "providers": [{"billed_charge": 423.0, "npi": [1801474630]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 314.42, "providers": [{"billed_charge": 666.0, "npi": [1235685892]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.74, "providers": [{"billed_charge": 809.28, "npi": [1669043907]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.83, "providers": [{"billed_charge": 836.99, "npi": [1528733177]}]}]}, {"tin": {"type": "ein", "value": "752694137"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2833.39, "providers": [{"billed_charge": 3279.0, "npi": [1104856095]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.73, "providers": [{"billed_charge": 4219.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.93, "providers": [{"billed_charge": 815.0, "npi": [1346824703]}]}, {"allowed_amount": 212.86, "providers": [{"billed_charge": 1046.0, "npi": [1083142525]}, {"billed_charge": 1063.0, "npi": [1114945094]}]}, {"allowed_amount": 361.85, "providers": [{"billed_charge": 815.0, "npi": [1750723060]}, {"billed_charge": 1035.0, "npi": [1548550924]}, {"billed_charge": 1046.0, "npi": [1861817413]}]}, {"allowed_amount": 425.71, "providers": [{"billed_charge": 1063.0, "npi": [1265540413]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.18, "providers": [{"billed_charge": 331.73, "npi": [1891735544, 1023759875]}]}, {"allowed_amount": 242.73, "providers": [{"billed_charge": 331.73, "npi": [1508115825, 1902912454]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 184.24, "providers": [{"billed_charge": 354.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 186.48, "providers": [{"billed_charge": 329.0, "npi": [1225899826]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.88, "providers": [{"billed_charge": 505.0, "npi": [1457914426]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.22, "providers": [{"billed_charge": 523.0, "npi": [1164252052, 1053587493]}]}, {"allowed_amount": 149.46, "providers": [{"billed_charge": 523.0, "npi": [1336536440]}]}, {"allowed_amount": 194.18, "providers": [{"billed_charge": 523.0, "npi": [1649929480, 1639157258, 1386385862, 1730329798]}]}]}, {"tin": {"type": "ein", "value": "833011825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 169.48, "providers": [{"billed_charge": 233.0, "npi": [1568827582]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.88, "providers": [{"billed_charge": 255.39, "npi": [1063870889]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.4, "providers": [{"billed_charge": 266.4, "npi": [1366828089, 1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 186.48, "providers": [{"billed_charge": 420.0, "npi": [1871681999]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.4, "providers": [{"billed_charge": 523.0, "npi": [1790444651]}]}, {"allowed_amount": 194.18, "providers": [{"billed_charge": 523.0, "npi": [1275986861]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.4, "providers": [{"billed_charge": 523.0, "npi": [1588147193, 1376250290]}]}, {"allowed_amount": 149.46, "providers": [{"billed_charge": 523.0, "npi": [1407484074, 1841876315, 1386385862]}]}, {"allowed_amount": 194.18, "providers": [{"billed_charge": 523.0, "npi": [1366603334, 1386385862, 1013465095, 1376250290, 1841876315]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.12, "providers": [{"billed_charge": 300.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "850897854"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.25, "providers": [{"billed_charge": 150.0, "npi": [1396907762]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 184.55, "providers": [{"billed_charge": 350.0, "npi": [1154054260]}]}, {"allowed_amount": 186.48, "providers": [{"billed_charge": 350.0, "npi": [1992043715]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.84, "providers": [{"billed_charge": 385.0, "npi": [1316953938]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 278.0, "providers": [{"billed_charge": 278.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.63, "providers": [{"billed_charge": 622.0, "npi": [1144966722]}]}, {"allowed_amount": 57.7, "providers": [{"billed_charge": 622.0, "npi": [1649684051]}]}, {"allowed_amount": 63.68, "providers": [{"billed_charge": 622.0, "npi": [1275586315]}]}, {"allowed_amount": 77.96, "providers": [{"billed_charge": 622.0, "npi": [1265112213]}]}, {"allowed_amount": 108.21, "providers": [{"billed_charge": 622.0, "npi": [1669003273]}]}, {"allowed_amount": 115.45, "providers": [{"billed_charge": 622.0, "npi": [1356807853]}]}, {"allowed_amount": 135.83, "providers": [{"billed_charge": 622.0, "npi": [1972519932]}]}, {"allowed_amount": 143.55, "providers": [{"billed_charge": 622.0, "npi": [1477294270, 1063158533, 1760122774, 1891435087]}]}, {"allowed_amount": 149.46, "providers": [{"billed_charge": 622.0, "npi": [1750022976, 1952988131, 1801258884, 1225665003, 1821739897]}]}, {"allowed_amount": 167.9, "providers": [{"billed_charge": 622.0, "npi": [1730542549, 1194088047]}]}, {"allowed_amount": 186.48, "providers": [{"billed_charge": 622.0, "npi": [1063158533, 1235916073, 1043819675, 1265061840, 1376387670, 1003658907, 1215739164]}]}]}, {"tin": {"type": "ein", "value": "922417967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.58, "providers": [{"billed_charge": 622.0, "npi": [1609339209]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.48, "providers": [{"billed_charge": 791.0, "npi": [1174055479]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.3, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 848.0, "npi": [1295903706]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.98, "providers": [{"billed_charge": 3638.88, "npi": [1356766554]}]}]}]}, {"name": "Incision and drainage of pilonidal cyst; simple", "billing_code_type": "CPT", "billing_code": "10080", "billing_code_type_version": "2022", "description": "INCISION & DRAINAGE PILONIDAL CYST SIMPLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 402.0, "providers": [{"billed_charge": 402.0, "npi": [1558724377, 1285780387]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.2, "providers": [{"billed_charge": 376.0, "npi": [1124420229]}]}, {"allowed_amount": 376.0, "providers": [{"billed_charge": 376.0, "npi": [1477701498, 1124118138]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 368.33, "providers": [{"billed_charge": 888.0, "npi": [1386018075]}]}, {"allowed_amount": 388.98, "providers": [{"billed_charge": 888.0, "npi": [1922427368]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 402.0, "providers": [{"billed_charge": 402.0, "npi": [1457715096, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 404.47, "providers": [{"billed_charge": 517.0, "npi": [1053587493]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 356.84, "providers": [{"billed_charge": 356.84, "npi": [1740652106]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 323.58, "providers": [{"billed_charge": 675.0, "npi": [1295060119]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 238.64, "providers": [{"billed_charge": 809.0, "npi": [1669608618]}]}, {"allowed_amount": 383.79, "providers": [{"billed_charge": 666.0, "npi": [1982273678]}]}, {"allowed_amount": 405.69, "providers": [{"billed_charge": 968.0, "npi": [1982122180]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 451.52, "providers": [{"billed_charge": 1108.0, "npi": [1609518356]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 305.15, "providers": [{"billed_charge": 803.0, "npi": [1023038346]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 383.79, "providers": [{"billed_charge": 974.0, "npi": [1780280255]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.2, "providers": [{"billed_charge": 517.0, "npi": [1376250290]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.58, "providers": [{"billed_charge": 783.0, "npi": [1215982657]}]}]}]}, {"name": "Incision and removal of foreign body, subcutaneous tissues; simple", "billing_code_type": "CPT", "billing_code": "10120", "billing_code_type_version": "2022", "description": "INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 129.16, "providers": [{"billed_charge": 548.0, "npi": [1578805248]}]}, {"allowed_amount": 227.58, "providers": [{"billed_charge": 548.0, "npi": [1255893657, 1518986132, 1104182799]}]}, {"allowed_amount": 236.74, "providers": [{"billed_charge": 548.0, "npi": [1265993075]}]}, {"allowed_amount": 295.93, "providers": [{"billed_charge": 548.0, "npi": [1104182799]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 251.0, "providers": [{"billed_charge": 251.0, "npi": [1285780387]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 236.74, "providers": [{"billed_charge": 251.0, "npi": [1669737953, 1508108390]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.0, "providers": [{"billed_charge": 232.0, "npi": [1790216695]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 216.58, "providers": [{"billed_charge": 909.0, "npi": [1659900512]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 236.74, "providers": [{"billed_charge": 251.0, "npi": [1467073254]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 236.74, "providers": [{"billed_charge": 524.0, "npi": [1053587493]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.32, "providers": [{"billed_charge": 844.0, "npi": [1215565403]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.58, "providers": [{"billed_charge": 537.0, "npi": [1841279700]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 237.93, "providers": [{"billed_charge": 973.0, "npi": [1225394240]}]}, {"allowed_amount": 384.2, "providers": [{"billed_charge": 1115.0, "npi": [1740972751]}]}, {"allowed_amount": 404.48, "providers": [{"billed_charge": 1046.0, "npi": [1093492209]}, {"billed_charge": 1166.0, "npi": [1568492817]}]}, {"allowed_amount": 452.01, "providers": [{"billed_charge": 980.0, "npi": [1699208470]}, {"billed_charge": 1061.0, "npi": [1255697504]}, {"billed_charge": 1129.0, "npi": [1376511147]}]}, {"allowed_amount": 475.86, "providers": [{"billed_charge": 1046.0, "npi": [1144482951]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 384.2, "providers": [{"billed_charge": 1135.0, "npi": [1942872494]}]}, {"allowed_amount": 452.01, "providers": [{"billed_charge": 1135.0, "npi": [1073843090]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.01, "providers": [{"billed_charge": 820.0, "npi": [1962446088]}, {"billed_charge": 929.0, "npi": [1760418495]}]}, {"allowed_amount": 384.2, "providers": [{"billed_charge": 996.0, "npi": [1013248095]}]}, {"allowed_amount": 452.01, "providers": [{"billed_charge": 929.0, "npi": [1326336785]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 227.58, "providers": [{"billed_charge": 350.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 364.86, "providers": [{"billed_charge": 808.0, "npi": [1003405077]}]}, {"allowed_amount": 429.25, "providers": [{"billed_charge": 1064.0, "npi": [1023391026]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 295.93, "providers": [{"billed_charge": 393.08, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.91, "providers": [{"billed_charge": 524.0, "npi": [1629529433]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 197.59, "providers": [{"billed_charge": 550.0, "npi": [1336613603]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.51, "providers": [{"billed_charge": 524.0, "npi": [1154650943]}]}, {"allowed_amount": 236.74, "providers": [{"billed_charge": 524.0, "npi": [1275986861]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.91, "providers": [{"billed_charge": 524.0, "npi": [1477387371, 1013465095]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 227.58, "providers": [{"billed_charge": 400.0, "npi": [1154054260]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.51, "providers": [{"billed_charge": 907.0, "npi": [1780636720]}]}, {"allowed_amount": 236.74, "providers": [{"billed_charge": 907.0, "npi": [1821733312]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 216.58, "providers": [{"billed_charge": 1034.0, "npi": [1588763924]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.24, "providers": [{"billed_charge": 613.0, "npi": [1790710069]}]}, {"allowed_amount": 152.51, "providers": [{"billed_charge": 613.0, "npi": [1750842902]}]}, {"allowed_amount": 236.74, "providers": [{"billed_charge": 613.0, "npi": [1295319440, 1225665003, 1598585374]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.58, "providers": [{"billed_charge": 781.0, "npi": [1699744177]}]}]}]}, {"name": "Infectious & Parasitic Diseases, Systemic or Unspecified Sites", "billing_code_type": "MS-DRG", "billing_code": "871", "billing_code_type_version": "39.1", "description": "SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC", "allowed_amounts": [{"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5918.23, "providers": [{"billed_charge": 50932.32, "npi": [1942269725]}]}, {"allowed_amount": 33222.26, "providers": [{"billed_charge": 27226.15, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 446.0, "providers": [{"billed_charge": 8877.97, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470376601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7626.9, "providers": [{"billed_charge": 27355.0, "npi": [1982675955]}]}]}, {"tin": {"type": "ein", "value": "474196634"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2472.91, "providers": [{"billed_charge": 20756.17, "npi": [1942685920]}]}]}, {"tin": {"type": "ein", "value": "580968382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4118.24, "providers": [{"billed_charge": 48715.94, "npi": [1467420448]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5907.17, "providers": [{"billed_charge": 24423.02, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6805.65, "providers": [{"billed_charge": 22022.78, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7912.72, "providers": [{"billed_charge": 17583.8, "npi": [1912964768]}]}, {"allowed_amount": 8091.39, "providers": [{"billed_charge": 17980.83, "npi": [1912964768]}]}, {"allowed_amount": 12239.39, "providers": [{"billed_charge": 27198.63, "npi": [1912964768]}]}, {"allowed_amount": 16670.28, "providers": [{"billed_charge": 37045.05, "npi": [1912964768]}]}, {"allowed_amount": 18007.2, "providers": [{"billed_charge": 40016.01, "npi": [1912964768]}]}, {"allowed_amount": 18180.56, "providers": [{"billed_charge": 40401.23, "npi": [1912964768]}]}, {"allowed_amount": 18896.37, "providers": [{"billed_charge": 50949.21, "npi": [1912964768]}]}, {"allowed_amount": 19696.01, "providers": [{"billed_charge": 43768.91, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5020.35, "providers": [{"billed_charge": 16257.12, "npi": [1194790055]}]}, {"allowed_amount": 5541.35, "providers": [{"billed_charge": 16572.73, "npi": [1194790055]}]}, {"allowed_amount": 8460.05, "providers": [{"billed_charge": 42299.4, "npi": [1194790055]}]}, {"allowed_amount": 31566.64, "providers": [{"billed_charge": 31373.52, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20154.6, "providers": [{"billed_charge": 40857.39, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5912.71, "providers": [{"billed_charge": 62625.34, "npi": [1477599975]}]}, {"allowed_amount": 14188.03, "providers": [{"billed_charge": 49585.99, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2916.71, "providers": [{"billed_charge": 29470.55, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3206.31, "providers": [{"billed_charge": 11796.37, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4659.99, "providers": [{"billed_charge": 64507.22, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24744.06, "providers": [{"billed_charge": 22045.67, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28356.88, "providers": [{"billed_charge": 22554.53, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11832.83, "providers": [{"billed_charge": 66704.13, "npi": [1689282147]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24183.93, "providers": [{"billed_charge": 69096.95, "npi": [1104870187]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3952.84, "providers": [{"billed_charge": 25549.72, "npi": [1083644033]}]}, {"allowed_amount": 5695.51, "providers": [{"billed_charge": 23714.46, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "752804737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10400.92, "providers": [{"billed_charge": 49886.52, "npi": [1811929151]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6672.52, "providers": [{"billed_charge": 24649.16, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8931.49, "providers": [{"billed_charge": 56676.11, "npi": [1912249590]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16611.13, "providers": [{"billed_charge": 31367.91, "npi": [1427055839]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.57, "providers": [{"billed_charge": 213.06, "npi": [1831910355, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.86, "providers": [{"billed_charge": 96.32, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.01, "providers": [{"billed_charge": 50.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.89, "providers": [{"billed_charge": 75.31, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 24.08, "providers": [{"billed_charge": 40.55, "npi": [1619170552]}]}, {"allowed_amount": 35.4, "providers": [{"billed_charge": 40.55, "npi": [1619170552]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.46, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 13.46, "npi": [1255314704]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.08, "providers": [{"billed_charge": 79.2, "npi": [1255314704, 1487657573]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.99, "providers": [{"billed_charge": 221.65, "npi": [1366150773]}]}, {"allowed_amount": 24.08, "providers": [{"billed_charge": 221.65, "npi": [1366150773]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)", "billing_code_type": "CPT", "billing_code": "87340", "billing_code_type_version": "2022", "description": "IAAD IA HEPATITIS B SURFACE ANTIGEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.54, "providers": [{"billed_charge": 115.83, "npi": [1831910355, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.23, "providers": [{"billed_charge": 41.32, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "223620531"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.23, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 25.83, "npi": [1376587113]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.73, "providers": [{"billed_charge": 20.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.67, "providers": [{"billed_charge": 75.67, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.11, "providers": [{"billed_charge": 66.92, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.33, "providers": [{"billed_charge": 232.01, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.58, "providers": [{"billed_charge": 161.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.58, "providers": [{"billed_charge": 161.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.57, "providers": [{"billed_charge": 58.52, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.73, "providers": [{"billed_charge": 124.0, "npi": [1982606992]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])", "billing_code_type": "CPT", "billing_code": "87426", "billing_code_type_version": "2022", "description": "IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.9, "providers": [{"billed_charge": 176.65, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 50.0, "npi": [1902003635]}]}, {"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "205456726"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.23, "providers": [{"billed_charge": 80.0, "npi": [1801825401]}]}]}, {"tin": {"type": "ein", "value": "231529076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.43, "providers": [{"billed_charge": 52.0, "npi": [1407856099]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.79, "providers": [{"billed_charge": 268.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.82, "providers": [{"billed_charge": 90.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 99.0, "npi": [1376783548, 1306686381, 1184441719, 1386460756]}]}, {"allowed_amount": 96.1, "providers": [{"billed_charge": 99.0, "npi": [1376783548, 1386460756, 1417819806, 1184441719]}]}]}, {"tin": {"type": "ein", "value": "461503904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.23, "providers": [{"billed_charge": 249.0, "npi": [1104544097]}]}]}, {"tin": {"type": "ein", "value": "463487442"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.74, "providers": [{"billed_charge": 144.85, "npi": [1568825545]}]}]}, {"tin": {"type": "ein", "value": "464217793"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.23, "providers": [{"billed_charge": 123.66, "npi": [1790414696]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.7, "providers": [{"billed_charge": 150.0, "npi": [1629665419]}]}, {"allowed_amount": 64.65, "providers": [{"billed_charge": 150.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "580625140"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.44, "providers": [{"billed_charge": 607.56, "npi": [1740272095]}]}]}, {"tin": {"type": "ein", "value": "581157005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.77, "providers": [{"billed_charge": 200.0, "npi": [1245248624]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.36, "providers": [{"billed_charge": 215.96, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.55, "providers": [{"billed_charge": 51.3, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 57.0, "npi": [1811157969]}]}, {"allowed_amount": 57.0, "providers": [{"billed_charge": 57.0, "npi": [1780098095, 1811157969, 1871027185, 1619015955, 1497586614, 1326789751]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.07, "providers": [{"billed_charge": 191.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 142.0, "npi": [1205276201, 1780456475, 1689173155, 1700656071]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.09, "providers": [{"billed_charge": 34.1, "npi": [1992776405]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.28, "providers": [{"billed_charge": 34.28, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621801359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 57.87, "npi": [1174576698]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.9, "providers": [{"billed_charge": 333.45, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.8, "providers": [{"billed_charge": 58.8, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.32, "providers": [{"billed_charge": 176.65, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 40.0, "npi": [1902994908]}, {"billed_charge": 50.0, "npi": [1902994908]}, {"billed_charge": 60.0, "npi": [1902994908]}, {"billed_charge": 65.0, "npi": [1902994908]}]}, {"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 200.0, "npi": [1023759875, 1902912454, 1225176209, 1508115825, 1891735544, 1568500445]}]}, {"allowed_amount": 43.81, "providers": [{"billed_charge": 200.0, "npi": [1285359414]}]}, {"allowed_amount": 61.83, "providers": [{"billed_charge": 200.0, "npi": [1023759875, 1902912454, 1508115825, 1225176209, 1194060756, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "812704779"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 72.07, "providers": [{"billed_charge": 154.0, "npi": [1548702616]}]}]}, {"tin": {"type": "ein", "value": "814584169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 680.44, "npi": [1376064295]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 62.89, "providers": [{"billed_charge": 80.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "820871721"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 200.0, "npi": [1902866270]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.05, "providers": [{"billed_charge": 83.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 71.0, "npi": [1245813708]}]}, {"allowed_amount": 51.23, "providers": [{"billed_charge": 71.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.7, "providers": [{"billed_charge": 100.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "852556972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.18, "providers": [{"billed_charge": 208.47, "npi": [1790376564]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 120.0, "npi": [1568031219, 1740036516]}]}, {"allowed_amount": 57.59, "providers": [{"billed_charge": 120.0, "npi": [1194609198]}]}, {"allowed_amount": 96.1, "providers": [{"billed_charge": 120.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "882472117"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.09, "providers": [{"billed_charge": 75.0, "npi": [1255066460]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1871370015]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.59, "providers": [{"billed_charge": 67.0, "npi": [1386487593, 1306332333]}]}, {"allowed_amount": 67.0, "providers": [{"billed_charge": 67.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "991776839"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.23, "providers": [{"billed_charge": 106.0, "npi": [1609133776]}]}]}]}, {"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": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 418.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.83, "providers": [{"billed_charge": 304.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 180.0, "npi": [1720655582]}]}, {"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1033830427, 1699117903]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 432.0, "npi": [1497621338]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 195.31, "npi": [1497419923]}, {"billed_charge": 295.31, "npi": [1871676668]}]}, {"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1871676668]}]}, {"allowed_amount": 96.3, "providers": [{"billed_charge": 195.31, "npi": [1871676668]}, {"billed_charge": 280.0, "npi": [1871676668]}]}, {"allowed_amount": 100.51, "providers": [{"billed_charge": 295.31, "npi": [1982273678]}]}, {"allowed_amount": 170.8, "providers": [{"billed_charge": 195.31, "npi": [1497419923]}, {"billed_charge": 295.31, "npi": [1497419923]}]}, {"allowed_amount": 192.59, "providers": [{"billed_charge": 295.31, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "272814378"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.75, "providers": [{"billed_charge": 234.0, "npi": [1841562709]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 138.0, "providers": [{"billed_charge": 138.0, "npi": [1386292712]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 93.0, "npi": [1477444545, 1790223386]}]}]}, {"tin": {"type": "ein", "value": "371829497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.54, "providers": [{"billed_charge": 204.0, "npi": [1093251860]}]}]}, {"tin": {"type": "ein", "value": "383316559"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 104.0, "providers": [{"billed_charge": 104.0, "npi": [1659871838]}]}]}, {"tin": {"type": "ein", "value": "383584702"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1215021472]}]}]}, {"tin": {"type": "ein", "value": "383878115"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 146.91, "providers": [{"billed_charge": 204.0, "npi": [1477087658]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.24, "providers": [{"billed_charge": 317.9, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452743520"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.87, "providers": [{"billed_charge": 232.15, "npi": [1164707725]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 293.96, "npi": [1194518241, 1588533509, 1356077317, 1164803078, 1558182824, 1417535881, 1629670286, 1407682255, 1386334928, 1215675988, 1538051990, 1447735030, 1780373209, 1700752599, 1013425727]}]}, {"allowed_amount": 87.16, "providers": [{"billed_charge": 293.96, "npi": [1164803078, 1538051990, 1013425727]}]}, {"allowed_amount": 99.81, "providers": [{"billed_charge": 293.96, "npi": [1285604322]}]}, {"allowed_amount": 114.57, "providers": [{"billed_charge": 293.96, "npi": [1558182824, 1780373209, 1588533509, 1407682255]}]}, {"allowed_amount": 128.63, "providers": [{"billed_charge": 293.96, "npi": [1073398285, 1700752599]}]}, {"allowed_amount": 170.8, "providers": [{"billed_charge": 293.96, "npi": [1194518241, 1417535881, 1831840396, 1629670286, 1386334928, 1215675988, 1447735030]}]}, {"allowed_amount": 192.59, "providers": [{"billed_charge": 293.96, "npi": [1356077317]}]}]}, {"tin": {"type": "ein", "value": "464217793"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 113.87, "providers": [{"billed_charge": 175.0, "npi": [1902358476]}]}]}, {"tin": {"type": "ein", "value": "471625673"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 190.49, "providers": [{"billed_charge": 207.0, "npi": [1588980973]}]}]}, {"tin": {"type": "ein", "value": "541669672"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 103.0, "providers": [{"billed_charge": 103.0, "npi": [1588018881, 1548364771, 1104194398]}]}]}, {"tin": {"type": "ein", "value": "581790149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.75, "providers": [{"billed_charge": 75.0, "npi": [1801883780]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 187.67, "providers": [{"billed_charge": 194.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.99, "providers": [{"billed_charge": 645.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.71, "providers": [{"billed_charge": 134.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "621740235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.01, "providers": [{"billed_charge": 152.07, "npi": [1770674350]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.36, "providers": [{"billed_charge": 409.5, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "752510007"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.54, "providers": [{"billed_charge": 204.0, "npi": [1770048704]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 100.0, "npi": [1942335492]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 204.0, "npi": [1205389905]}]}, {"allowed_amount": 101.92, "providers": [{"billed_charge": 204.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "814072521"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 91.38, "providers": [{"billed_charge": 204.0, "npi": [1255883682]}]}]}, {"tin": {"type": "ein", "value": "841335382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.01, "providers": [{"billed_charge": 511.32, "npi": [1013544014]}]}]}, {"tin": {"type": "ein", "value": "843253147"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 113.87, "providers": [{"billed_charge": 150.0, "npi": [1891303293]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 110.28, "npi": [1366828089, 1164973442, 1508489972, 1457057671]}]}, {"allowed_amount": 110.28, "providers": [{"billed_charge": 110.28, "npi": [1023650793, 1366828089, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 215.0, "npi": [1740932318]}]}, {"allowed_amount": 99.11, "providers": [{"billed_charge": 215.0, "npi": [1740932318]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 191.89, "providers": [{"billed_charge": 210.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1811099674]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 150.0, "npi": [1902061906]}]}, {"allowed_amount": 112.46, "providers": [{"billed_charge": 150.0, "npi": [1962745224, 1619989191]}]}, {"allowed_amount": 115.98, "providers": [{"billed_charge": 150.0, "npi": [1730126426]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1205944220]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza", "billing_code_type": "CPT", "billing_code": "87804", "billing_code_type_version": "2022", "description": "IAADIADOO INFLUENZA", "allowed_amounts": [{"tin": {"type": "ein", "value": "201357375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 36.0, "npi": [1689612699]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.72, "providers": [{"billed_charge": 40.8, "npi": [1053379347]}]}, {"allowed_amount": 16.55, "providers": [{"billed_charge": 40.8, "npi": [1992959712, 1013211937, 1629763552, 1407116544, 1477296101, 1093018277, 1992109896, 1568097129, 1750084265, 1144990557, 1134593742, 1669514105, 1417370586, 1730631482, 1568792893]}]}, {"allowed_amount": 40.8, "providers": [{"billed_charge": 40.8, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 55.0, "npi": [1902003635]}]}, {"allowed_amount": 45.18, "providers": [{"billed_charge": 55.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 29.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "205456726"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 30.0, "npi": [1801825401]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 82.76, "npi": [1023715398]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 70.0, "npi": [1821649021, 1720655582]}]}, {"allowed_amount": 45.02, "providers": [{"billed_charge": 70.0, "npi": [1427436229, 1720655582]}]}, {"allowed_amount": 55.44, "providers": [{"billed_charge": 70.0, "npi": [1497707327]}]}]}, {"tin": {"type": "ein", "value": "261155537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.68, "providers": [{"billed_charge": 35.0, "npi": [1861622060]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.46, "providers": [{"billed_charge": 40.94, "npi": [1851492672, 1710333257, 1801321104, 1770947004, 1942520093]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["10", "11", "20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 70.0, "npi": [1982477956, 1336832773, 1912750597, 1578252813, 1639994510, 1003117847, 1336841501, 1356790455, 1730893496, 1942790613, 1194298331, 1003625062, 1578226411, 1437956588, 1700519915, 1588987374, 1033832688, 1902295538, 1811391352, 1801762166, 1619511672, 1598261497, 1548938491, 1508872318]}, {"billed_charge": 140.0, "npi": [1033832688, 1548938491, 1912750597, 1639994510]}]}, {"allowed_amount": 26.98, "providers": [{"billed_charge": 70.0, "npi": [1588987374, 1639994510, 1942790613, 1619511672, 1598261497, 1548938491]}, {"billed_charge": 100.0, "npi": [1194298331, 1639994510, 1770053407]}, {"billed_charge": 140.0, "npi": [1942790613]}, {"billed_charge": 200.0, "npi": [1639994510]}]}, {"allowed_amount": 30.29, "providers": [{"billed_charge": 70.0, "npi": [1164187977]}]}, {"allowed_amount": 34.42, "providers": [{"billed_charge": 70.0, "npi": [1508872318]}]}, {"allowed_amount": 40.22, "providers": [{"billed_charge": 70.0, "npi": [1942790613, 1578252813, 1639994510]}, {"billed_charge": 100.0, "npi": [1033832688, 1639994510]}]}, {"allowed_amount": 45.02, "providers": [{"billed_charge": 70.0, "npi": [1982477956, 1912750597, 1336832773, 1619511672, 1164187977, 1760885420, 1588987374, 1033832688, 1003117847, 1811391352, 1598261497, 1548938491, 1003576604, 1770053407]}, {"billed_charge": 75.0, "npi": [1164187977, 1598261497]}, {"billed_charge": 100.0, "npi": [1336832773, 1033832688, 1356790455, 1811391352, 1598261497, 1194298331]}]}, {"allowed_amount": 64.21, "providers": [{"billed_charge": 70.0, "npi": [1730893496, 1578226411]}]}, {"allowed_amount": 64.22, "providers": [{"billed_charge": 70.0, "npi": [1811391352, 1578226411]}, {"billed_charge": 100.0, "npi": [1730893496, 1578226411]}]}]}, {"tin": {"type": "ein", "value": "263669825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 40.8, "npi": [1689812109]}]}, {"allowed_amount": 40.8, "providers": [{"billed_charge": 40.8, "npi": [1932132644]}]}]}, {"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.29, "providers": [{"billed_charge": 50.0, "npi": [1043624000]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 40.8, "npi": [1134518673]}]}, {"allowed_amount": 20.03, "providers": [{"billed_charge": 40.8, "npi": [1851576102]}]}]}, {"tin": {"type": "ein", "value": "270123687"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.46, "providers": [{"billed_charge": 40.94, "npi": [1649369422]}]}]}, {"tin": {"type": "ein", "value": "273255459"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 48.0, "npi": [1588022784]}]}]}, {"tin": {"type": "ein", "value": "300709677"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 37.24, "npi": [1891256400]}]}]}, {"tin": {"type": "ein", "value": "332461082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.49, "providers": [{"billed_charge": 33.0, "npi": [1568954022]}]}]}, {"tin": {"type": "ein", "value": "364780075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 70.0, "npi": [1730893496]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 37.41, "npi": [1376783548, 1386460756, 1306686381, 1184441719]}]}, {"allowed_amount": 37.41, "providers": [{"billed_charge": 37.41, "npi": [1376783548, 1386460756, 1417819806, 1184441719]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 76.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.86, "providers": [{"billed_charge": 23.02, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.69, "providers": [{"billed_charge": 60.0, "npi": [1063064129]}]}]}, {"tin": {"type": "ein", "value": "471758444"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.64, "providers": [{"billed_charge": 45.0, "npi": [1437427564]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 35.0, "npi": [1932602406, 1164225827, 1447266523]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1528858784]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.34, "providers": [{"billed_charge": 40.0, "npi": [1629665419]}]}, {"allowed_amount": 30.29, "providers": [{"billed_charge": 40.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 35.0, "npi": [1811157969]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1780098095, 1811157969, 1871027185, 1619015955, 1497586614, 1326789751]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 67.0, "npi": [1780456475, 1205276201, 1689173155, 1700656071]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.75, "providers": [{"billed_charge": 385.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 40.0, "npi": [1902994908]}, {"billed_charge": 45.0, "npi": [1902994908]}]}, {"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 250.0, "npi": [1023759875, 1902912454, 1508115825, 1225176209, 1891735544, 1568500445]}]}, {"allowed_amount": 20.52, "providers": [{"billed_charge": 250.0, "npi": [1285359414]}]}, {"allowed_amount": 28.96, "providers": [{"billed_charge": 250.0, "npi": [1023759875, 1902912454, 1508115825, 1225176209, 1194060756, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "812704779"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.76, "providers": [{"billed_charge": 50.0, "npi": [1548702616]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.14, "providers": [{"billed_charge": 60.0, "npi": [1306566096, 1366319394]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1790384162]}]}, {"allowed_amount": 30.29, "providers": [{"billed_charge": 60.0, "npi": [1790384162]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "820871721"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 85.0, "npi": [1902866270]}]}]}, {"tin": {"type": "ein", "value": "822673107"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 33.1, "npi": [1134846876]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 44.0, "npi": [1245813708]}, {"billed_charge": 45.0, "npi": [1245813708]}]}, {"allowed_amount": 24.0, "providers": [{"billed_charge": 40.0, "npi": [1245813708]}, {"billed_charge": 45.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.34, "providers": [{"billed_charge": 100.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "831651180"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.5, "providers": [{"billed_charge": 94.5, "npi": [1407313760]}]}]}, {"tin": {"type": "ein", "value": "843321175"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 42.0, "npi": [1235790767]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.31, "providers": [{"billed_charge": 41.0, "npi": [1962837732]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 140.0, "npi": [1023650793, 1508489972, 1457057671]}]}, {"allowed_amount": 40.22, "providers": [{"billed_charge": 140.0, "npi": [1578252813, 1457057671]}]}, {"allowed_amount": 45.35, "providers": [{"billed_charge": 140.0, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 50.0, "npi": [1205908068, 1811401383, 1366953242, 1093291916, 1578949491, 1386324051, 1700405818]}]}, {"allowed_amount": 20.03, "providers": [{"billed_charge": 50.0, "npi": [1700405818, 1871681999]}]}, {"allowed_amount": 23.67, "providers": [{"billed_charge": 50.0, "npi": [1205908068, 1255388815]}]}, {"allowed_amount": 24.83, "providers": [{"billed_charge": 50.0, "npi": [1659389229]}]}, {"allowed_amount": 40.22, "providers": [{"billed_charge": 50.0, "npi": [1386324051, 1578949491]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 35.0, "npi": [1629627872]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 190.0, "npi": [1205061744, 1275669780]}]}, {"allowed_amount": 22.34, "providers": [{"billed_charge": 190.0, "npi": [1710972534]}]}, {"allowed_amount": 23.67, "providers": [{"billed_charge": 190.0, "npi": [1992043715]}]}, {"allowed_amount": 26.98, "providers": [{"billed_charge": 190.0, "npi": [1568899961]}]}, {"allowed_amount": 38.73, "providers": [{"billed_charge": 190.0, "npi": [1689646440]}]}, {"allowed_amount": 40.22, "providers": [{"billed_charge": 190.0, "npi": [1275669780]}]}]}, {"tin": {"type": "ein", "value": "853821606"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.57, "providers": [{"billed_charge": 25.0, "npi": [1255855995]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 57.0, "npi": [1114696176]}]}, {"allowed_amount": 20.03, "providers": [{"billed_charge": 57.0, "npi": [1205156643]}]}, {"allowed_amount": 23.67, "providers": [{"billed_charge": 57.0, "npi": [1538795075, 1154480218, 1013740489, 1114696176, 1922436922]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 30.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 45.0, "npi": [1568031219, 1740036516]}]}, {"allowed_amount": 26.98, "providers": [{"billed_charge": 45.0, "npi": [1194609198]}]}, {"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 17.0, "npi": [1649028697]}]}, {"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1952040552]}]}]}, {"tin": {"type": "ein", "value": "881580452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.69, "providers": [{"billed_charge": 50.0, "npi": [1417278516]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 34.09, "providers": [{"billed_charge": 50.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1720686116, 1871370015]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.98, "providers": [{"billed_charge": 33.0, "npi": [1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "923818864"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.34, "providers": [{"billed_charge": 50.0, "npi": [1477068310]}]}]}, {"tin": {"type": "ein", "value": "991776839"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 50.0, "npi": [1609133776]}]}]}, {"tin": {"type": "ein", "value": "994277174"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 59.0, "npi": [1386698751]}]}]}]}, {"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": "010965579"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 49.0, "npi": [1205487261]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 37.0, "npi": [1528218815, 1710187786, 1972060101, 1750773255]}]}, {"allowed_amount": 30.25, "providers": [{"billed_charge": 37.0, "npi": [1033926035]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.7, "providers": [{"billed_charge": 45.0, "npi": [1053379347]}]}, {"allowed_amount": 16.53, "providers": [{"billed_charge": 45.0, "npi": [1992959712, 1407116544, 1013211937, 1972068708, 1730632100, 1093018277, 1477296101, 1992109896, 1568097129, 1881293868, 1013289370, 1942418579, 1053379347, 1902664568, 1417370586, 1730631482, 1144990557]}]}, {"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.08, "providers": [{"billed_charge": 60.0, "npi": [1992797385]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 56.0, "npi": [1902003635]}]}, {"allowed_amount": 45.13, "providers": [{"billed_charge": 56.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203587332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.41, "providers": [{"billed_charge": 34.0, "npi": [1952600801]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 58.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 55.0, "npi": [1174114680, 1831997873]}]}]}, {"tin": {"type": "ein", "value": "222703314"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 74.0, "npi": [1629118302]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1417547233, 1669422341, 1699117903, 1033830427, 1821649021]}]}, {"allowed_amount": 44.96, "providers": [{"billed_charge": 50.0, "npi": [1033830427, 1821649021, 1699117903]}]}]}, {"tin": {"type": "ein", "value": "261155537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 38.0, "npi": [1861622060]}]}, {"allowed_amount": 21.65, "providers": [{"billed_charge": 38.0, "npi": [1861622060]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.42, "providers": [{"billed_charge": 40.94, "npi": [1801321104, 1710333257]}, {"billed_charge": 68.0, "npi": [1851492672, 1942520093]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 65.0, "npi": [1982477956, 1336832773, 1912750597, 1578252813, 1639994510, 1003117847, 1336841501, 1770053407, 1619511672, 1760885420, 1629730734, 1356790455, 1730893496, 1942790613, 1194298331, 1003625062, 1700519915, 1578226411, 1437956588, 1588987374, 1033832688, 1902295538, 1801762166, 1811391352, 1598261497, 1548938491, 1508872318]}]}, {"allowed_amount": 24.8, "providers": [{"billed_charge": 65.0, "npi": [1730893496]}]}, {"allowed_amount": 26.94, "providers": [{"billed_charge": 65.0, "npi": [1912750597, 1942790613, 1801762166, 1619511672, 1548938491]}, {"billed_charge": 100.0, "npi": [1194298331]}, {"billed_charge": 150.0, "npi": [1548938491]}]}, {"allowed_amount": 30.25, "providers": [{"billed_charge": 65.0, "npi": [1164187977]}]}, {"allowed_amount": 40.17, "providers": [{"billed_charge": 65.0, "npi": [1942790613, 1639994510]}]}, {"allowed_amount": 44.96, "providers": [{"billed_charge": 65.0, "npi": [1619511672, 1336832773, 1912750597, 1982477956, 1164187977, 1356790455, 1760885420, 1578252813, 1639994510, 1588987374, 1033832688, 1902295538, 1003117847, 1811391352, 1598261497, 1194298331, 1770053407]}, {"billed_charge": 100.0, "npi": [1902295538, 1548938491]}, {"billed_charge": 200.0, "npi": [1811391352, 1619511672]}]}, {"allowed_amount": 64.14, "providers": [{"billed_charge": 65.0, "npi": [1730893496, 1578226411, 1811391352]}]}]}, {"tin": {"type": "ein", "value": "262737113"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 50.0, "npi": [1982982161]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 102.0, "npi": [1497621338]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 73.25, "npi": [1497419923, 1871676668]}, {"billed_charge": 173.25, "npi": [1497419923]}]}, {"allowed_amount": 18.18, "providers": [{"billed_charge": 73.25, "npi": [1760130454]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 73.25, "npi": [1982273678]}]}, {"allowed_amount": 40.17, "providers": [{"billed_charge": 73.25, "npi": [1497419923]}, {"billed_charge": 125.0, "npi": [1497419923]}]}, {"allowed_amount": 45.29, "providers": [{"billed_charge": 73.25, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1962802017, 1144637539]}]}, {"allowed_amount": 22.81, "providers": [{"billed_charge": 50.0, "npi": [1699782748]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 45.0, "npi": [1134518673]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 45.0, "npi": [1851576102]}]}]}, {"tin": {"type": "ein", "value": "270123687"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.42, "providers": [{"billed_charge": 68.0, "npi": [1649369422]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.54, "providers": [{"billed_charge": 67.0, "npi": [1386292712]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1477444545]}]}]}, {"tin": {"type": "ein", "value": "300709677"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 37.19, "npi": [1891256400, 1710876859, 1427729516]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 34.0, "npi": [1801317219, 1770330599]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "364780075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 65.0, "npi": [1730893496]}]}]}, {"tin": {"type": "ein", "value": "371829497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.29, "providers": [{"billed_charge": 50.0, "npi": [1093251860]}]}]}, {"tin": {"type": "ein", "value": "383584702"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1215021472]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.29, "providers": [{"billed_charge": 49.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 42.0, "npi": [1578252813]}]}]}, {"tin": {"type": "ein", "value": "451266764"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.1, "providers": [{"billed_charge": 140.0, "npi": [1306137070]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.0, "providers": [{"billed_charge": 38.0, "npi": [1902602212]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548]}]}, {"allowed_amount": 44.96, "providers": [{"billed_charge": 50.0, "npi": [1376783548, 1306686381, 1417819806, 1184441719]}]}]}, {"tin": {"type": "ein", "value": "454081388"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.72, "providers": [{"billed_charge": 75.0, "npi": [1609842582]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 35.0, "npi": [1356077317, 1588533509, 1417535881, 1407682255, 1215675988, 1538051990, 1447735030, 1013425727]}]}, {"allowed_amount": 23.47, "providers": [{"billed_charge": 35.0, "npi": [1285604322]}]}, {"allowed_amount": 26.94, "providers": [{"billed_charge": 35.0, "npi": [1558182824, 1780373209, 1588533509, 1407682255]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1194518241, 1215675988, 1447735030]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.06, "providers": [{"billed_charge": 33.06, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.84, "providers": [{"billed_charge": 23.02, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "465562958"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.8, "providers": [{"billed_charge": 30.0, "npi": [1245908094]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.67, "providers": [{"billed_charge": 60.0, "npi": [1063064129]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 32.66, "npi": [1528843992, 1164149597]}]}, {"allowed_amount": 32.66, "providers": [{"billed_charge": 32.66, "npi": [1376382259, 1750095253]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 43.0, "npi": [1164225827, 1932602406]}]}, {"allowed_amount": 43.0, "providers": [{"billed_charge": 43.0, "npi": [1528858784]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.25, "providers": [{"billed_charge": 50.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "520591531"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.04, "providers": [{"billed_charge": 68.04, "npi": [1609831247]}]}]}, {"tin": {"type": "ein", "value": "541669672"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.72, "providers": [{"billed_charge": 58.0, "npi": [1104194398]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 29.0, "npi": [1710745120, 1811157969]}]}, {"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1780098095, 1811157969, 1871027185, 1619015955, 1497586614, 1326789751, 1821729914]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 67.0, "npi": [1780456475, 1205276201, 1689173155, 1700656071]}]}, {"allowed_amount": 40.17, "providers": [{"billed_charge": 67.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 42.0, "npi": [1841968799, 1992746879, 1487322335]}]}, {"allowed_amount": 42.0, "providers": [{"billed_charge": 42.0, "npi": [1841968799, 1588332530, 1487322335]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 30.0, "npi": [1902994908]}, {"billed_charge": 40.0, "npi": [1902994908]}]}, {"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1902994908]}]}, {"allowed_amount": 31.16, "providers": [{"billed_charge": 31.16, "npi": [1902994908]}]}, {"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1902994908]}]}, {"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "752510007"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.29, "providers": [{"billed_charge": 50.0, "npi": [1770048704]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 125.0, "npi": [1225176209, 1023759875, 1285359414, 1508115825]}]}, {"allowed_amount": 20.5, "providers": [{"billed_charge": 125.0, "npi": [1285359414]}]}, {"allowed_amount": 28.93, "providers": [{"billed_charge": 125.0, "npi": [1023759875, 1902912454, 1225176209, 1508115825, 1891735544]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 45.0, "npi": [1942335492]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 45.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1205389905]}]}, {"allowed_amount": 23.97, "providers": [{"billed_charge": 50.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.61, "providers": [{"billed_charge": 60.0, "npi": [1245969591]}]}, {"allowed_amount": 28.1, "providers": [{"billed_charge": 60.0, "npi": [1366319394, 1568337533]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 42.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 42.0, "npi": [1114498730, 1225899826, 1811798275]}]}, {"allowed_amount": 40.17, "providers": [{"billed_charge": 42.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.94, "providers": [{"billed_charge": 60.0, "npi": [1184466799]}]}, {"allowed_amount": 30.25, "providers": [{"billed_charge": 60.0, "npi": [1790384162]}]}]}, {"tin": {"type": "ein", "value": "814632899"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 50.0, "npi": [1093248288]}]}]}, {"tin": {"type": "ein", "value": "815409916"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.84, "providers": [{"billed_charge": 33.06, "npi": [1467111989]}]}]}, {"tin": {"type": "ein", "value": "820871721"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 85.0, "npi": [1902866270]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.65, "providers": [{"billed_charge": 359.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "822673107"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 33.06, "npi": [1134846876]}]}]}, {"tin": {"type": "ein", "value": "825131052"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.18, "providers": [{"billed_charge": 56.0, "npi": [1164433256]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 34.0, "npi": [1245813708]}, {"billed_charge": 40.0, "npi": [1245813708]}, {"billed_charge": 44.0, "npi": [1245813708]}, {"billed_charge": 45.0, "npi": [1245813708]}]}, {"allowed_amount": 23.97, "providers": [{"billed_charge": 34.0, "npi": [1245813708]}, {"billed_charge": 45.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 100.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.14, "providers": [{"billed_charge": 50.0, "npi": [1093555849]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 68.0, "npi": [1396479010]}]}]}, {"tin": {"type": "ein", "value": "843321175"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 42.0, "npi": [1235790767]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.27, "providers": [{"billed_charge": 41.0, "npi": [1558474114]}]}, {"allowed_amount": 38.68, "providers": [{"billed_charge": 41.0, "npi": [1427070226]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 125.0, "npi": [1164973442, 1457057671, 1023650793, 1508489972, 1366828089]}]}, {"allowed_amount": 40.17, "providers": [{"billed_charge": 125.0, "npi": [1023650793, 1578252813, 1457057671]}]}, {"allowed_amount": 45.29, "providers": [{"billed_charge": 125.0, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1205908068, 1629776232, 1366953242, 1093291916, 1659389229, 1093315947, 1871681999, 1255388815, 1902253073, 1922735695, 1386324051, 1659617686, 1396296729, 1700405818, 1639600414]}]}, {"allowed_amount": 19.84, "providers": [{"billed_charge": 50.0, "npi": [1033303771]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 50.0, "npi": [1639600414, 1700405818, 1134101710, 1871681999]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 50.0, "npi": [1336613603, 1205908068, 1255388815]}]}, {"allowed_amount": 24.8, "providers": [{"billed_charge": 50.0, "npi": [1659389229, 1871681999]}]}, {"allowed_amount": 40.17, "providers": [{"billed_charge": 50.0, "npi": [1811401383, 1093315947, 1902253073, 1851799282, 1386324051]}]}]}, {"tin": {"type": "ein", "value": "844061485"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1164440392]}]}]}, {"tin": {"type": "ein", "value": "844261523"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.25, "providers": [{"billed_charge": 49.0, "npi": [1366965519]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 25.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 23.97, "providers": [{"billed_charge": 25.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 24.8, "providers": [{"billed_charge": 25.0, "npi": [1770084022]}]}, {"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 41.0, "npi": [1629627872]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 130.0, "npi": [1992043715, 1689646440, 1205061744, 1154054260, 1275669780]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 130.0, "npi": [1992043715]}]}, {"allowed_amount": 26.94, "providers": [{"billed_charge": 130.0, "npi": [1154054260, 1780567255]}]}]}, {"tin": {"type": "ein", "value": "853821606"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.55, "providers": [{"billed_charge": 24.0, "npi": [1255855995]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 57.0, "npi": [1114696176, 1922436922, 1154480218]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 57.0, "npi": [1205156643]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 57.0, "npi": [1538795075, 1013740489, 1114696176, 1619753498, 1922436922]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.32, "providers": [{"billed_charge": 30.0, "npi": [1659187680]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1568031219, 1740036516]}]}, {"allowed_amount": 26.94, "providers": [{"billed_charge": 50.0, "npi": [1194609198]}]}, {"allowed_amount": 44.96, "providers": [{"billed_charge": 50.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 42.0, "npi": [1215964291]}]}]}, {"tin": {"type": "ein", "value": "881580452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.67, "providers": [{"billed_charge": 50.0, "npi": [1417278516]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.9, "providers": [{"billed_charge": 40.9, "npi": [1720686116]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 33.0, "npi": [1932680022]}]}, {"allowed_amount": 26.94, "providers": [{"billed_charge": 33.0, "npi": [1306332333, 1932680022]}]}, {"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 100.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "991776839"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 50.0, "npi": [1609133776]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 58.0, "npi": [1902061906]}]}, {"allowed_amount": 26.45, "providers": [{"billed_charge": 58.0, "npi": [1962745224]}]}, {"allowed_amount": 38.85, "providers": [{"billed_charge": 58.0, "npi": [1407235955, 1164125357]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus", "billing_code_type": "CPT", "billing_code": "87807", "billing_code_type_version": "2022", "description": "IAADIADOO RESPIRATORY SYNCTIAL VIRUS", "allowed_amounts": [{"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.1, "providers": [{"billed_charge": 55.0, "npi": [1336832773, 1912750597, 1578252813, 1639994510, 1003117847, 1336841501, 1356790455, 1730893496, 1942790613, 1194298331, 1003625062, 1578226411, 1437956588, 1588987374, 1033832688, 1902295538, 1801762166, 1811391352, 1598261497, 1548938491, 1508872318]}]}, {"allowed_amount": 21.35, "providers": [{"billed_charge": 55.0, "npi": [1548938491, 1639994510, 1770053407]}, {"billed_charge": 100.0, "npi": [1194298331, 1639994510]}]}, {"allowed_amount": 23.97, "providers": [{"billed_charge": 55.0, "npi": [1164187977]}]}, {"allowed_amount": 27.25, "providers": [{"billed_charge": 55.0, "npi": [1508872318]}]}, {"allowed_amount": 35.63, "providers": [{"billed_charge": 55.0, "npi": [1164187977, 1598261497, 1760885420, 1336832773]}, {"billed_charge": 200.0, "npi": [1811391352]}]}, {"allowed_amount": 50.83, "providers": [{"billed_charge": 55.0, "npi": [1730893496, 1578226411]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.72, "providers": [{"billed_charge": 23.02, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1811157969]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.1, "providers": [{"billed_charge": 33.0, "npi": [1841968799, 1487322335]}]}, {"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1487322335]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.1, "providers": [{"billed_charge": 33.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 18.73, "providers": [{"billed_charge": 33.0, "npi": [1225899826, 1811798275]}]}]}, {"tin": {"type": "ein", "value": "820871721"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.1, "providers": [{"billed_charge": 45.0, "npi": [1902866270]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.1, "providers": [{"billed_charge": 50.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 19.0, "providers": [{"billed_charge": 50.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.1, "providers": [{"billed_charge": 46.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.1, "providers": [{"billed_charge": 40.0, "npi": [1568031219, 1740036516]}]}, {"allowed_amount": 21.35, "providers": [{"billed_charge": 40.0, "npi": [1194609198]}]}, {"allowed_amount": 35.63, "providers": [{"billed_charge": 40.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.85, "providers": [{"billed_charge": 40.0, "npi": [1215964291]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])", "billing_code_type": "CPT", "billing_code": "87811", "billing_code_type_version": "2022", "description": "IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS", "allowed_amounts": [{"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.31, "providers": [{"billed_charge": 324.0, "npi": [1053379347]}]}, {"allowed_amount": 41.38, "providers": [{"billed_charge": 324.0, "npi": [1992959712, 1629763552, 1407116544, 1013211937, 1972068708, 1477296101, 1093018277, 1992109896, 1568097129, 1750084265, 1144990557, 1669514105, 1417370586, 1730631482, 1568792893]}]}, {"allowed_amount": 134.07, "providers": [{"billed_charge": 324.0, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.04, "providers": [{"billed_charge": 250.0, "npi": [1023715398]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 75.0, "npi": [1952884074, 1821649021, 1720655582]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.66, "providers": [{"billed_charge": 100.0, "npi": [1851492672, 1710333257, 1801321104, 1770947004, 1942520093]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 113.8, "providers": [{"billed_charge": 250.0, "npi": [1710687686]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 165.0, "npi": [1982477956, 1336832773, 1912750597, 1578252813, 1639994510, 1003117847, 1336841501, 1356790455, 1730893496, 1942790613, 1194298331, 1003625062, 1578226411, 1437956588, 1588987374, 1033832688, 1902295538, 1801762166, 1811391352, 1598261497, 1548938491, 1508872318]}]}, {"allowed_amount": 67.45, "providers": [{"billed_charge": 165.0, "npi": [1588987374, 1639994510, 1942790613, 1619511672, 1548938491, 1770053407]}, {"billed_charge": 200.0, "npi": [1194298331, 1639994510]}]}, {"allowed_amount": 75.73, "providers": [{"billed_charge": 165.0, "npi": [1164187977]}]}, {"allowed_amount": 86.07, "providers": [{"billed_charge": 165.0, "npi": [1508872318]}]}, {"allowed_amount": 100.55, "providers": [{"billed_charge": 165.0, "npi": [1033832688, 1578252813, 1942790613, 1639994510]}, {"billed_charge": 200.0, "npi": [1639994510]}]}, {"allowed_amount": 112.55, "providers": [{"billed_charge": 165.0, "npi": [1619511672, 1336832773, 1912750597, 1194298331, 1982477956, 1164187977, 1760885420, 1033832688, 1003117847, 1811391352, 1598261497, 1548938491, 1003576604, 1770053407]}, {"billed_charge": 200.0, "npi": [1811391352, 1336832773]}]}, {"allowed_amount": 160.55, "providers": [{"billed_charge": 165.0, "npi": [1730893496, 1578226411, 1811391352]}, {"billed_charge": 200.0, "npi": [1578226411]}]}]}, {"tin": {"type": "ein", "value": "263669825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 324.0, "npi": [1689812109]}]}, {"allowed_amount": 112.55, "providers": [{"billed_charge": 324.0, "npi": [1932132644]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 324.0, "npi": [1134518673]}]}, {"allowed_amount": 50.07, "providers": [{"billed_charge": 324.0, "npi": [1851576102]}]}]}, {"tin": {"type": "ein", "value": "270123687"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.66, "providers": [{"billed_charge": 100.0, "npi": [1649369422]}]}]}, {"tin": {"type": "ein", "value": "273255459"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.04, "providers": [{"billed_charge": 188.0, "npi": [1588022784]}]}]}, {"tin": {"type": "ein", "value": "332461082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.66, "providers": [{"billed_charge": 70.0, "npi": [1568954022]}]}]}, {"tin": {"type": "ein", "value": "364780075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 165.0, "npi": [1730893496]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.04, "providers": [{"billed_charge": 150.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.66, "providers": [{"billed_charge": 180.0, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.24, "providers": [{"billed_charge": 65.0, "npi": [1063064129]}]}]}, {"tin": {"type": "ein", "value": "471758444"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 41.38, "npi": [1437427564]}]}]}, {"tin": {"type": "ein", "value": "471982222"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1225004708]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 160.0, "npi": [1447266523, 1164225827, 1932602406]}]}, {"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1528858784]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1306566096, 1366319394]}]}]}, {"tin": {"type": "ein", "value": "843321175"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.04, "providers": [{"billed_charge": 165.0, "npi": [1235790767]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 80.0, "npi": [1023650793, 1457057671]}]}, {"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1578252813, 1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.04, "providers": [{"billed_charge": 143.0, "npi": [1629627872]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 90.0, "npi": [1275669780]}]}, {"allowed_amount": 67.45, "providers": [{"billed_charge": 90.0, "npi": [1568899961]}]}]}, {"tin": {"type": "ein", "value": "853821606"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.93, "providers": [{"billed_charge": 62.0, "npi": [1255855995]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 53.0, "npi": [1114696176]}]}, {"allowed_amount": 50.07, "providers": [{"billed_charge": 53.0, "npi": [1205156643]}]}, {"allowed_amount": 53.0, "providers": [{"billed_charge": 53.0, "npi": [1538795075, 1154480218, 1013740489, 1114696176, 1922436922]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 68.0, "npi": [1649028697]}]}, {"allowed_amount": 68.0, "providers": [{"billed_charge": 68.0, "npi": [1952040552]}]}]}, {"tin": {"type": "ein", "value": "923818864"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.86, "providers": [{"billed_charge": 65.0, "npi": [1477068310]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B", "billing_code_type": "CPT", "billing_code": "87812", "billing_code_type_version": "2022", "description": "IAADIADOO SARSCOV2&INFLUENZA VIRUS TYPES A&B", "allowed_amounts": [{"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 110.0, "npi": [1972060101, 1750773255, 1811237258, 1710187786, 1801326608, 1275731770, 1548682941, 1528218815]}]}, {"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1982309795, 1609159813, 1770434078, 1629680814, 1447842356, 1205568094]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 200.0, "npi": [1891727509]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1811740657, 1033207634]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 150.0, "npi": [1538944772]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 160.0, "npi": [1578252813]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1417321969, 1902602212, 1164151197, 1780604934]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 150.0, "npi": [1164149597]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1245822378, 1669179636, 1164149597]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 200.0, "npi": [1487322335, 1841968799]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1487322335, 1649983628, 1841968799]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["11", "20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 150.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 106.51, "providers": [{"billed_charge": 150.0, "npi": [1114498730, 1811798275, 1225899826]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.48, "providers": [{"billed_charge": 100.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.12, "providers": [{"billed_charge": 160.0, "npi": [1215964291]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism", "billing_code_type": "CPT", "billing_code": "87798", "billing_code_type_version": "2022", "description": "IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1750272399]}]}, {"allowed_amount": 21.86, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 55.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 92.31, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 53.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "473721524"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 298.0, "npi": [1982142402]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 40.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.28, "providers": [{"billed_charge": 219.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 35.09, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "661031927"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.88, "providers": [{"billed_charge": 70.18, "npi": [1285497743]}]}]}, {"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": "843645461"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.47, "providers": [{"billed_charge": 52.64, "npi": [1396384251]}]}, {"allowed_amount": 52.63, "providers": [{"billed_charge": 52.64, "npi": [1396384251]}]}, {"allowed_amount": 52.64, "providers": [{"billed_charge": 52.64, "npi": [1396384251]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 55.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 70.0, "npi": [1194448407]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 150.0, "npi": [1457812273]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87481", "billing_code_type_version": "2022", "description": "IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.84, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 60.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 50.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.48, "providers": [{"billed_charge": 87.73, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.12, "providers": [{"billed_charge": 35.09, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.47, "providers": [{"billed_charge": 35.09, "npi": [1831228709]}]}, {"allowed_amount": 24.56, "providers": [{"billed_charge": 35.09, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "843645461"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1396384251]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 55.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 70.0, "npi": [1194448407]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.81, "providers": [{"billed_charge": 308.04, "npi": [1427616002, 1831910355]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 95.44, "providers": [{"billed_charge": 216.0, "npi": [1023732609]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.18, "providers": [{"billed_charge": 121.77, "npi": [1508002882]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 85.27, "providers": [{"billed_charge": 88.0, "npi": [1174007991]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 200.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "470533373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.75, "providers": [{"billed_charge": 158.75, "npi": [1841204500]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 53.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.3, "providers": [{"billed_charge": 78.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 448.43, "providers": [{"billed_charge": 110.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.5, "providers": [{"billed_charge": 185.56, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 601.34, "npi": [1265916266, 1275529539]}]}, {"allowed_amount": 95.44, "providers": [{"billed_charge": 601.34, "npi": [1528103843, 1770169476, 1255868279, 1427286715, 1992209852]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.12, "providers": [{"billed_charge": 144.81, "npi": [1487657573]}]}, {"allowed_amount": 29.13, "providers": [{"billed_charge": 144.81, "npi": [1487657573]}]}, {"allowed_amount": 35.09, "providers": [{"billed_charge": 144.81, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "811799691"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 42.11, "npi": [1215390422]}]}, {"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1215390422]}]}]}, {"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": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.0, "providers": [{"billed_charge": 166.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 90.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.12, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 323.0, "npi": [1366150773]}]}, {"allowed_amount": 35.09, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 323.0, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.12, "providers": [{"billed_charge": 198.84, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "956000927"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1699986331]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.0, "providers": [{"billed_charge": 189.0, "npi": [1427806025]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87563", "billing_code_type_version": "2022", "description": "IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 53.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "471358089"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 87.72, "npi": [1861913576]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 322.11, "npi": [1265916266, 1275529539]}]}, {"allowed_amount": 95.44, "providers": [{"billed_charge": 322.11, "npi": [1528103843, 1770169476, 1255868279, 1861929721, 1427286715, 1992209852]}]}]}, {"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": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 90.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 52.65, "npi": [1770545519]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 70.0, "npi": [1194448407]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.81, "providers": [{"billed_charge": 308.04, "npi": [1427616002, 1831910355]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 95.44, "providers": [{"billed_charge": 216.0, "npi": [1023732609]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.18, "providers": [{"billed_charge": 121.77, "npi": [1508002882]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 85.27, "providers": [{"billed_charge": 88.0, "npi": [1174007991]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "470533373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.75, "providers": [{"billed_charge": 154.75, "npi": [1841204500]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 53.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.1, "providers": [{"billed_charge": 386.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.98, "providers": [{"billed_charge": 42.17, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 634.41, "npi": [1265916266, 1275529539]}]}, {"allowed_amount": 95.44, "providers": [{"billed_charge": 634.41, "npi": [1528103843, 1770169476, 1255868279, 1427286715, 1992209852]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.12, "providers": [{"billed_charge": 144.81, "npi": [1487657573]}]}, {"allowed_amount": 29.13, "providers": [{"billed_charge": 144.81, "npi": [1487657573]}]}, {"allowed_amount": 35.09, "providers": [{"billed_charge": 144.81, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "811799691"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 42.11, "npi": [1215390422]}]}, {"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1215390422]}]}]}, {"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": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.0, "providers": [{"billed_charge": 164.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 45.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.12, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 323.0, "npi": [1366150773]}]}, {"allowed_amount": 35.09, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 323.0, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.12, "providers": [{"billed_charge": 198.84, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 70.0, "npi": [1194448407]}]}]}, {"tin": {"type": "ein", "value": "956000927"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 205.0, "providers": [{"billed_charge": 205.0, "npi": [1699986331]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.0, "providers": [{"billed_charge": 189.0, "npi": [1427806025]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.97, "providers": [{"billed_charge": 65.63, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 70.0, "npi": [1609036649]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.59, "providers": [{"billed_charge": 294.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 96.5, "providers": [{"billed_charge": 135.0, "npi": [1710687686]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 105.0, "npi": [1578226411, 1912750597]}]}, {"allowed_amount": 57.2, "providers": [{"billed_charge": 105.0, "npi": [1619511672, 1912750597]}]}, {"allowed_amount": 95.44, "providers": [{"billed_charge": 105.0, "npi": [1982477956, 1619511672, 1336832773, 1164187977, 1639994510, 1033832688, 1215489752, 1598261497, 1548938491]}, {"billed_charge": 200.0, "npi": [1619511672]}]}, {"allowed_amount": 105.0, "providers": [{"billed_charge": 105.0, "npi": [1811391352, 1578226411]}]}, {"allowed_amount": 136.15, "providers": [{"billed_charge": 200.0, "npi": [1578226411]}]}]}, {"tin": {"type": "ein", "value": "263095354"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 248.99, "providers": [{"billed_charge": 105.0, "npi": [1922250364]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "383316559"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 85.0, "npi": [1659871838]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "450666163"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 150.0, "npi": [1619419256]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 60.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 100.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 78.6, "providers": [{"billed_charge": 112.0, "npi": [1922117027]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.62, "providers": [{"billed_charge": 101.38, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 485.8, "providers": [{"billed_charge": 255.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 37.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.92, "providers": [{"billed_charge": 294.0, "npi": [1184709057]}]}, {"allowed_amount": 47.91, "providers": [{"billed_charge": 177.0, "npi": [1184709057]}]}, {"allowed_amount": 79.59, "providers": [{"billed_charge": 294.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 353.31, "npi": [1689916090, 1265916266]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.59, "providers": [{"billed_charge": 294.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.25, "providers": [{"billed_charge": 157.91, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "611630276"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.0, "providers": [{"billed_charge": 43.0, "npi": [1285656512]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.8, "providers": [{"billed_charge": 168.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 37.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 35.09, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "661031927"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.88, "providers": [{"billed_charge": 70.18, "npi": [1285497743]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.59, "providers": [{"billed_charge": 294.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "843645461"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1396384251]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 55.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "880725245"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.64, "providers": [{"billed_charge": 52.64, "npi": [1518600758]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.0, "providers": [{"billed_charge": 93.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 70.0, "npi": [1194448407]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.0, "providers": [{"billed_charge": 251.0, "npi": [1811946734]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.0, "providers": [{"billed_charge": 102.0, "npi": [1427806025]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87653", "billing_code_type_version": "2022", "description": "IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 105.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 50.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 35.09, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "843645461"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1396384251]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 70.0, "npi": [1194448407]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87661", "billing_code_type_version": "2022", "description": "IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 70.18, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 53.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.48, "providers": [{"billed_charge": 87.73, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 129.73, "npi": [1265916266, 1275529539]}]}, {"allowed_amount": 95.44, "providers": [{"billed_charge": 129.73, "npi": [1528103843, 1770169476, 1255868279, 1861929721, 1427286715, 1992209852]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.7, "providers": [{"billed_charge": 35.09, "npi": [1487657573]}]}, {"allowed_amount": 29.12, "providers": [{"billed_charge": 35.09, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "811799691"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 42.11, "npi": [1215390422]}]}, {"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1215390422]}]}]}, {"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": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 45.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "956000927"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.0, "providers": [{"billed_charge": 192.0, "npi": [1699986331]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique", "billing_code_type": "CPT", "billing_code": "87636", "billing_code_type_version": "2022", "description": "IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 452.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "111631746"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 285.0, "npi": [1487724712]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 400.0, "npi": [1932103413]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 400.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.63, "providers": [{"billed_charge": 150.0, "npi": [1174114680]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1801768577]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 570.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 363.71, "providers": [{"billed_charge": 231.0, "npi": [1396882205]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.68, "providers": [{"billed_charge": 171.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.57, "providers": [{"billed_charge": 278.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "451266764"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 210.43, "providers": [{"billed_charge": 210.43, "npi": [1306137070]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.56, "providers": [{"billed_charge": 365.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "580566223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 441.0, "npi": [1871556621]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.71, "providers": [{"billed_charge": 535.0, "npi": [1700979465]}]}, {"allowed_amount": 417.91, "providers": [{"billed_charge": 535.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.6, "providers": [{"billed_charge": 313.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "591113901"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.43, "providers": [{"billed_charge": 2531.71, "npi": [1427068345]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 37.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.6, "providers": [{"billed_charge": 393.13, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 854.08, "npi": [1023715273]}]}, {"allowed_amount": 142.63, "providers": [{"billed_charge": 854.08, "npi": [1689916090, 1073001673, 1265916266, 1730620188]}]}, {"allowed_amount": 387.95, "providers": [{"billed_charge": 854.08, "npi": [1053831032]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.95, "providers": [{"billed_charge": 165.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 102.41, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.02, "providers": [{"billed_charge": 744.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.63, "providers": [{"billed_charge": 357.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 203.96, "providers": [{"billed_charge": 357.0, "npi": [1225899826]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 357.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.63, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "940562680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1566.08, "providers": [{"billed_charge": 532.0, "npi": [1730238007]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1566.08, "providers": [{"billed_charge": 734.94, "npi": [1700829199]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 906.0, "npi": [1457382483]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique", "billing_code_type": "CPT", "billing_code": "87635", "billing_code_type_version": "2022", "description": "IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "160743187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.56, "providers": [{"billed_charge": 90.0, "npi": [1790727543]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.31, "providers": [{"billed_charge": 103.0, "npi": [1609036649]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.8, "providers": [{"billed_charge": 427.8, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "237133975"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.71, "providers": [{"billed_charge": 69.71, "npi": [1700896354]}]}, {"allowed_amount": 163.17, "providers": [{"billed_charge": 69.71, "npi": [1700896354]}]}]}, {"tin": {"type": "ein", "value": "272844563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.68, "providers": [{"billed_charge": 258.0, "npi": [1922310200]}]}]}, {"tin": {"type": "ein", "value": "300811171"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.23, "providers": [{"billed_charge": 580.38, "npi": [1023435898]}]}]}, {"tin": {"type": "ein", "value": "332294109"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 116.47, "providers": [{"billed_charge": 154.0, "npi": [1376762377]}]}]}, {"tin": {"type": "ein", "value": "340505560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.83, "providers": [{"billed_charge": 165.0, "npi": [1790868982]}]}]}, {"tin": {"type": "ein", "value": "393714515"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.87, "providers": [{"billed_charge": 180.0, "npi": [1346112521]}]}]}, {"tin": {"type": "ein", "value": "394856209"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.07, "providers": [{"billed_charge": 150.0, "npi": [1386504058]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 83.12, "providers": [{"billed_charge": 150.0, "npi": [1609684430, 1124713383]}]}]}, {"tin": {"type": "ein", "value": "475387418"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.49, "providers": [{"billed_charge": 169.0, "npi": [1558734095]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.74, "providers": [{"billed_charge": 156.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "611630276"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1285656512]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.1, "providers": [{"billed_charge": 106.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "630385130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.78, "providers": [{"billed_charge": 130.0, "npi": [1811913460]}]}]}, {"tin": {"type": "ein", "value": "640682111"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.87, "providers": [{"billed_charge": 193.0, "npi": [1194789818]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.78, "providers": [{"billed_charge": 185.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "730725208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.35, "providers": [{"billed_charge": 175.0, "npi": [1144205360]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.04, "providers": [{"billed_charge": 225.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 77.0, "providers": [{"billed_charge": 77.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "822673107"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1134846876]}]}]}, {"tin": {"type": "ein", "value": "823111550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1144292855]}]}]}, {"tin": {"type": "ein", "value": "825131052"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1164433256]}]}]}, {"tin": {"type": "ein", "value": "831651180"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.62, "providers": [{"billed_charge": 102.62, "npi": [1407313760]}]}]}, {"tin": {"type": "ein", "value": "850422820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 663.4, "providers": [{"billed_charge": 108.0, "npi": [1760446009]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.66, "providers": [{"billed_charge": 225.25, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.78, "providers": [{"billed_charge": 240.2, "npi": [1770587107]}]}]}]}, {"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": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 444.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "042790311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 257.0, "npi": [1487655064]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 435.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "098783528"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.59, "providers": [{"billed_charge": 425.88, "npi": [1609372820]}]}]}, {"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.88, "providers": [{"billed_charge": 374.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "131740126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 432.0, "npi": [1578526695]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 427.9, "npi": [1073535027, 1427063270]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 1616.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.25, "providers": [{"billed_charge": 449.28, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "141338467"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 639.0, "npi": [1124072715]}]}]}, {"tin": {"type": "ein", "value": "141348692"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 428.0, "npi": [1497701106]}]}]}, {"tin": {"type": "ein", "value": "202028539"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.56, "providers": [{"billed_charge": 624.0, "npi": [1154419737]}]}]}, {"tin": {"type": "ein", "value": "204193243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.66, "providers": [{"billed_charge": 427.89, "npi": [1104192590]}]}]}, {"tin": {"type": "ein", "value": "208489105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 386.53, "providers": [{"billed_charge": 364.0, "npi": [1982720249]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 658.95, "providers": [{"billed_charge": 1203.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 599.05, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "222703314"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 690.0, "npi": [1629118302]}]}]}, {"tin": {"type": "ein", "value": "223548695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.66, "providers": [{"billed_charge": 1064.0, "npi": [1275583726, 1073516183]}]}]}, {"tin": {"type": "ein", "value": "250965588"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.39, "providers": [{"billed_charge": 512.0, "npi": [1871594127]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["11", "20"], "payments": [{"allowed_amount": 142.63, "providers": [{"billed_charge": 428.0, "npi": [1912750597, 1578226411, 1437956588, 1578252813, 1639994510, 1033832688, 1619511672, 1194298331]}, {"billed_charge": 500.0, "npi": [1194298331, 1578252813]}]}, {"allowed_amount": 232.49, "providers": [{"billed_charge": 500.0, "npi": [1548938491]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 428.0, "npi": [1639994510]}]}, {"allowed_amount": 387.95, "providers": [{"billed_charge": 428.0, "npi": [1336832773, 1639994510, 1033832688, 1811391352, 1356790455, 1619511672, 1598261497, 1548938491]}, {"billed_charge": 500.0, "npi": [1619511672, 1164187977, 1578252813, 1033832688, 1811391352, 1548938491]}, {"billed_charge": 550.0, "npi": [1619511672]}]}, {"allowed_amount": 428.0, "providers": [{"billed_charge": 428.0, "npi": [1811391352, 1578226411]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1730893496, 1578226411]}]}]}, {"tin": {"type": "ein", "value": "270712680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.34, "providers": [{"billed_charge": 571.0, "npi": [1760764849]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 1135.0, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.83, "providers": [{"billed_charge": 1243.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "310564121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.83, "providers": [{"billed_charge": 571.0, "npi": [1053339507]}]}, {"allowed_amount": 253.13, "providers": [{"billed_charge": 571.0, "npi": [1053339507]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.34, "providers": [{"billed_charge": 353.29, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.34, "providers": [{"billed_charge": 455.76, "npi": [1215936927]}]}]}, {"tin": {"type": "ein", "value": "331216751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.82, "providers": [{"billed_charge": 1135.0, "npi": [1407082308]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "333995572"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 620.5, "npi": [1457146250]}]}]}, {"tin": {"type": "ein", "value": "340714478"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 925.0, "npi": [1821035940]}]}]}, {"tin": {"type": "ein", "value": "340714581"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 537.0, "npi": [1942385794]}]}]}, {"tin": {"type": "ein", "value": "351151208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 449.4, "npi": [1699757401]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.68, "providers": [{"billed_charge": 342.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.68, "providers": [{"billed_charge": 340.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.68, "providers": [{"billed_charge": 342.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.68, "providers": [{"billed_charge": 507.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "371119538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.68, "providers": [{"billed_charge": 226.0, "npi": [1013071653]}]}]}, {"tin": {"type": "ein", "value": "381426919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.57, "providers": [{"billed_charge": 305.0, "npi": [1336183367]}]}]}, {"tin": {"type": "ein", "value": "420504780"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.11, "providers": [{"billed_charge": 171.16, "npi": [1083708226]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.58, "providers": [{"billed_charge": 181.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.58, "providers": [{"billed_charge": 356.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.26, "providers": [{"billed_charge": 225.0, "npi": [1831115641]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.74, "providers": [{"billed_charge": 242.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 451.81, "providers": [{"billed_charge": 576.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.12, "providers": [{"billed_charge": 877.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "460796114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.14, "providers": [{"billed_charge": 450.0, "npi": [1295225274]}]}, {"allowed_amount": 302.38, "providers": [{"billed_charge": 450.0, "npi": [1144397134]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 258.0, "npi": [1013332014]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 468.81, "providers": [{"billed_charge": 469.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "475387418"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.97, "providers": [{"billed_charge": 499.0, "npi": [1558734095]}]}, {"allowed_amount": 729.62, "providers": [{"billed_charge": 499.0, "npi": [1558734095]}]}]}, {"tin": {"type": "ein", "value": "510064318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 964.0, "npi": [1467546135]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 414.34, "providers": [{"billed_charge": 414.34, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520591531"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 326.58, "providers": [{"billed_charge": 326.58, "npi": [1609831247]}]}]}, {"tin": {"type": "ein", "value": "560529976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 436.45, "providers": [{"billed_charge": 275.0, "npi": [1700860491]}]}]}, {"tin": {"type": "ein", "value": "560845796"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.49, "providers": [{"billed_charge": 357.0, "npi": [1639172869]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 319.49, "providers": [{"billed_charge": 638.0, "npi": [1922117027]}]}]}, {"tin": {"type": "ein", "value": "570370242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 464.0, "npi": [1699756221]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 217.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 217.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.55, "providers": [{"billed_charge": 649.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.49, "providers": [{"billed_charge": 260.0, "npi": [1477591055]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 349.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.03, "providers": [{"billed_charge": 208.0, "npi": [1194744326]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.0, "providers": [{"billed_charge": 217.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 295.24, "providers": [{"billed_charge": 441.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 1135.0, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 1135.0, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.06, "providers": [{"billed_charge": 1135.0, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.0, "providers": [{"billed_charge": 420.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.26, "providers": [{"billed_charge": 499.0, "npi": [1437135811]}]}, {"allowed_amount": 359.43, "providers": [{"billed_charge": 499.0, "npi": [1376529743]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 633.36, "providers": [{"billed_charge": 393.0, "npi": [1194790055]}]}, {"allowed_amount": 855.78, "providers": [{"billed_charge": 393.0, "npi": [1194790055]}]}, {"allowed_amount": 1045.08, "providers": [{"billed_charge": 393.0, "npi": [1194790055]}]}, {"allowed_amount": 1102.3, "providers": [{"billed_charge": 393.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.6, "providers": [{"billed_charge": 685.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 885.73, "providers": [{"billed_charge": 529.0, "npi": [1720085137]}]}, {"allowed_amount": 1041.05, "providers": [{"billed_charge": 529.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.6, "providers": [{"billed_charge": 502.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.26, "providers": [{"billed_charge": 499.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 283.83, "providers": [{"billed_charge": 685.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 635.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.21, "providers": [{"billed_charge": 167.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.89, "providers": [{"billed_charge": 685.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 359.43, "providers": [{"billed_charge": 499.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.6, "providers": [{"billed_charge": 557.54, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 855.78, "providers": [{"billed_charge": 393.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "593234721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 583.98, "providers": [{"billed_charge": 502.0, "npi": [1518024462]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.21, "providers": [{"billed_charge": 167.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.05, "providers": [{"billed_charge": 433.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.58, "providers": [{"billed_charge": 641.84, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 292.24, "npi": [1497798847]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 676.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "611786722"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 450.0, "npi": [1154876985]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.04, "providers": [{"billed_charge": 300.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "640303091"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.16, "providers": [{"billed_charge": 460.0, "npi": [1306876065]}]}]}, {"tin": {"type": "ein", "value": "646008520"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.16, "providers": [{"billed_charge": 357.0, "npi": [1558798603]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.57, "providers": [{"billed_charge": 391.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.87, "providers": [{"billed_charge": 393.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.12, "providers": [{"billed_charge": 390.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.84, "providers": [{"billed_charge": 422.75, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.02, "providers": [{"billed_charge": 744.0, "npi": [1831970532]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.21, "providers": [{"billed_charge": 167.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "841887834"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 375.0, "npi": [1700472107]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.63, "providers": [{"billed_charge": 290.0, "npi": [1992043715, 1205061744, 1275669780, 1578631925, 1154054260]}]}, {"allowed_amount": 145.48, "providers": [{"billed_charge": 290.0, "npi": [1205061744]}]}, {"allowed_amount": 156.89, "providers": [{"billed_charge": 290.0, "npi": [1205061744]}]}, {"allowed_amount": 192.55, "providers": [{"billed_charge": 290.0, "npi": [1205061744, 1689646440]}]}, {"allowed_amount": 213.95, "providers": [{"billed_charge": 290.0, "npi": [1154054260]}]}, {"allowed_amount": 232.49, "providers": [{"billed_charge": 290.0, "npi": [1154054260, 1780567255]}]}, {"allowed_amount": 290.0, "providers": [{"billed_charge": 290.0, "npi": [1992043715, 1578631925]}]}]}, {"tin": {"type": "ein", "value": "873454381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 616.92, "npi": [1487740957]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.57, "providers": [{"billed_charge": 347.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880725245"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 213.95, "providers": [{"billed_charge": 213.95, "npi": [1518600758]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.0, "providers": [{"billed_charge": 461.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 499.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.0, "providers": [{"billed_charge": 570.0, "npi": [1811946734]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.34, "providers": [{"billed_charge": 411.0, "npi": [1265423917]}]}]}, {"tin": {"type": "ein", "value": "953527031"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1471.0, "providers": [{"billed_charge": 1471.0, "npi": [1962442012]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 499.0, "npi": [1467804930]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 885.73, "providers": [{"billed_charge": 481.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "994230642"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 297.0, "npi": [1265267991]}]}]}]}, {"name": "Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected", "billing_code_type": "CPT", "billing_code": "0202U", "billing_code_type_version": "2022", "description": "NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2", "allowed_amounts": [{"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.32, "providers": [{"billed_charge": 1815.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "221487307"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1079.46, "providers": [{"billed_charge": 858.0, "npi": [1013912633]}]}]}, {"tin": {"type": "ein", "value": "221487322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1079.46, "providers": [{"billed_charge": 827.09, "npi": [1104859131]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1079.46, "providers": [{"billed_charge": 1674.0, "npi": [1457456279]}]}]}, {"tin": {"type": "ein", "value": "230794160"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 854.4, "providers": [{"billed_charge": 980.0, "npi": [1407928500]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 587.66, "providers": [{"billed_charge": 450.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 787.71, "providers": [{"billed_charge": 980.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 468.88, "providers": [{"billed_charge": 1041.95, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590683252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1050.29, "providers": [{"billed_charge": 680.0, "npi": [1427114099]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1426.17, "providers": [{"billed_charge": 2183.0, "npi": [1720085137]}]}, {"allowed_amount": 2588.2, "providers": [{"billed_charge": 2183.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 833.56, "providers": [{"billed_charge": 1459.0, "npi": [1881632818]}]}, {"allowed_amount": 1357.7, "providers": [{"billed_charge": 1459.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 635.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.26, "providers": [{"billed_charge": 1815.0, "npi": [1184709057]}]}, {"allowed_amount": 491.32, "providers": [{"billed_charge": 1815.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.32, "providers": [{"billed_charge": 1815.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 771.04, "providers": [{"billed_charge": 1144.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.32, "providers": [{"billed_charge": 1815.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 679.35, "providers": [{"billed_charge": 1000.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 608.53, "providers": [{"billed_charge": 922.0, "npi": [1427806025]}]}, {"allowed_amount": 731.68, "providers": [{"billed_charge": 922.0, "npi": [1427806025]}]}, {"allowed_amount": 922.0, "providers": [{"billed_charge": 922.0, "npi": [1427806025]}]}]}]}, {"name": "Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result for bacterial vaginosis", "billing_code_type": "CPT", "billing_code": "81513", "billing_code_type_version": "2022", "description": "NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.51, "providers": [{"billed_charge": 370.02, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 436.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 118.38, "providers": [{"billed_charge": 142.63, "npi": [1487657573]}]}, {"allowed_amount": 142.63, "providers": [{"billed_charge": 142.63, "npi": [1487657573]}]}]}]}, {"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": "131740114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 605.88, "providers": [{"billed_charge": 16.05, "npi": [1952476988]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.05, "providers": [{"billed_charge": 63.0, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.86, "providers": [{"billed_charge": 76.37, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.43, "providers": [{"billed_charge": 103.38, "npi": [1902824576]}]}, {"allowed_amount": 192.86, "providers": [{"billed_charge": 206.75, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.98, "providers": [{"billed_charge": 55.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.0, "providers": [{"billed_charge": 3.0, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.35, "providers": [{"billed_charge": 21.35, "npi": [1245655638]}]}, {"allowed_amount": 21.55, "providers": [{"billed_charge": 21.55, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.39, "providers": [{"billed_charge": 45.32, "npi": [1912964768]}]}, {"allowed_amount": 20.41, "providers": [{"billed_charge": 45.35, "npi": [1912964768]}]}, {"allowed_amount": 23.19, "providers": [{"billed_charge": 51.53, "npi": [1912964768]}]}, {"allowed_amount": 23.22, "providers": [{"billed_charge": 51.6, "npi": [1912964768]}]}, {"allowed_amount": 23.27, "providers": [{"billed_charge": 51.71, "npi": [1912964768]}]}, {"allowed_amount": 23.31, "providers": [{"billed_charge": 51.8, "npi": [1912964768]}]}, {"allowed_amount": 23.49, "providers": [{"billed_charge": 52.2, "npi": [1912964768]}]}, {"allowed_amount": 26.55, "providers": [{"billed_charge": 59.0, "npi": [1912964768]}]}, {"allowed_amount": 29.7, "providers": [{"billed_charge": 66.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.0, "providers": [{"billed_charge": 19.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 87.0, "npi": [1720085137]}]}, {"allowed_amount": 1230.76, "providers": [{"billed_charge": 87.0, "npi": [1720085137]}]}, {"allowed_amount": 1415.54, "providers": [{"billed_charge": 87.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.69, "providers": [{"billed_charge": 623.06, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.13, "providers": [{"billed_charge": 100.36, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.43, "providers": [{"billed_charge": 61.23, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.3, "providers": [{"billed_charge": 58.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.95, "providers": [{"billed_charge": 157.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.1, "providers": [{"billed_charge": 306.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.1, "providers": [{"billed_charge": 334.58, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 30.0, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.04, "providers": [{"billed_charge": 31.54, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.0, "providers": [{"billed_charge": 160.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.08, "providers": [{"billed_charge": 194.5, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.5, "providers": [{"billed_charge": 52.5, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.9, "providers": [{"billed_charge": 1042.57, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.69, "providers": [{"billed_charge": 35.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.46, "providers": [{"billed_charge": 50.0, "npi": [1619931409]}]}, {"allowed_amount": 2.69, "providers": [{"billed_charge": 50.0, "npi": [1619931409, 1154385946]}]}, {"allowed_amount": 2.86, "providers": [{"billed_charge": 50.0, "npi": [1619931409]}]}, {"allowed_amount": 3.15, "providers": [{"billed_charge": 50.0, "npi": [1619931409, 1154385946]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.2, "providers": [{"billed_charge": 25.2, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.1, "providers": [{"billed_charge": 90.1, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2347.63, "providers": [{"billed_charge": 65.5, "npi": [1427806025]}]}]}]}, {"name": "Infusion, normal saline solution, 250 cc", "billing_code_type": "CPT", "billing_code": "J7050", "billing_code_type_version": "2022", "description": "Infusion, normal saline solution, 250 cc", "allowed_amounts": [{"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.9, "providers": [{"billed_charge": 6.9, "npi": [1720099286]}]}, {"allowed_amount": 11.1, "providers": [{"billed_charge": 11.1, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1629.81, "providers": [{"billed_charge": 224.25, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.41, "providers": [{"billed_charge": 14.25, "npi": [1912964768]}]}, {"allowed_amount": 10.53, "providers": [{"billed_charge": 23.4, "npi": [1912964768]}]}, {"allowed_amount": 12.38, "providers": [{"billed_charge": 27.5, "npi": [1912964768]}]}, {"allowed_amount": 13.28, "providers": [{"billed_charge": 29.5, "npi": [1912964768]}]}, {"allowed_amount": 20.79, "providers": [{"billed_charge": 46.2, "npi": [1912964768]}]}, {"allowed_amount": 22.77, "providers": [{"billed_charge": 50.6, "npi": [1912964768]}]}, {"allowed_amount": 23.4, "providers": [{"billed_charge": 52.0, "npi": [1912964768]}]}, {"allowed_amount": 24.41, "providers": [{"billed_charge": 54.25, "npi": [1912964768]}]}, {"allowed_amount": 24.5, "providers": [{"billed_charge": 54.45, "npi": [1912964768]}]}, {"allowed_amount": 24.98, "providers": [{"billed_charge": 55.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.51, "providers": [{"billed_charge": 39.96, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.75, "providers": [{"billed_charge": 525.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.75, "providers": [{"billed_charge": 125.0, "npi": [1114576857, 1457306359]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.5, "providers": [{"billed_charge": 52.5, "npi": [1518960814]}]}]}]}, {"name": "Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services", "billing_code_type": "CPT", "billing_code": "99477", "billing_code_type_version": "2022", "description": "INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL", "allowed_amounts": [{"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 308.86, "providers": [{"billed_charge": 3490.0, "npi": [1386807857, 1750585642, 1164488698]}]}, {"allowed_amount": 368.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3490.0, "npi": [1003872409, 1972908978, 1235625443, 1548561186]}]}, {"allowed_amount": 373.74, "providers": [{"billed_charge": 3490.0, "npi": [1851309587]}]}, {"allowed_amount": 398.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3490.0, "npi": [1437391331, 1881645711, 1366561847, 1932340155, 1700164670]}]}, {"allowed_amount": 405.57, "providers": [{"billed_charge": 3490.0, "npi": [1235195272]}]}, {"allowed_amount": 415.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3490.0, "npi": [1548561186, 1699724195, 1306909189, 1881670735, 1154580561, 1972908978, 1760821235, 1164488698, 1306068507, 1881076412, 1417210527]}]}, {"allowed_amount": 430.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3490.0, "npi": [1932340155, 1497714109, 1700164670, 1366561847]}]}, {"allowed_amount": 461.22, "providers": [{"billed_charge": 3490.0, "npi": [1972169779]}]}, {"allowed_amount": 558.51, "providers": [{"billed_charge": 3490.0, "npi": [1386807857, 1497714109]}]}, {"allowed_amount": 635.1, "providers": [{"billed_charge": 3490.0, "npi": [1598439218, 1154499507, 1881670735]}]}, {"allowed_amount": 648.78, "providers": [{"billed_charge": 3490.0, "npi": [1114118478, 1598840167]}]}]}]}, {"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": "010238552"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 247.2, "providers": [{"billed_charge": 383.0, "npi": [1104203504]}]}]}, {"tin": {"type": "ein", "value": "010566334"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 468.0, "npi": [1518005891]}]}]}, {"tin": {"type": "ein", "value": "010651490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.39, "providers": [{"billed_charge": 363.0, "npi": [1720613425]}]}]}, {"tin": {"type": "ein", "value": "015725612"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.04, "providers": [{"billed_charge": 435.0, "npi": [1740608769]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 245.27, "providers": [{"billed_charge": 514.0, "npi": [1518312388]}]}]}, {"tin": {"type": "ein", "value": "030449021"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 437.98, "npi": [1518372630]}]}]}, {"tin": {"type": "ein", "value": "043589781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.19, "providers": [{"billed_charge": 343.7, "npi": [1962659466]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 343.7, "npi": [1962659466]}]}]}, {"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1285652016]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 750.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "043726123"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 328.0, "npi": [1366442824]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 328.0, "npi": [1366442824]}]}]}, {"tin": {"type": "ein", "value": "043823088"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.47, "providers": [{"billed_charge": 517.33, "npi": [1568486611]}]}]}, {"tin": {"type": "ein", "value": "050559140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.72, "providers": [{"billed_charge": 398.65, "npi": [1780034363]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 398.65, "npi": [1114124112, 1780034363]}]}, {"allowed_amount": 225.18, "providers": [{"billed_charge": 398.65, "npi": [1114124112]}]}]}, {"tin": {"type": "ein", "value": "050577791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 430.0, "npi": [1053378893]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 430.0, "npi": [1053378893]}]}]}, {"tin": {"type": "ein", "value": "061330992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.95, "providers": [{"billed_charge": 527.0, "npi": [1538321138, 1093940843]}]}]}, {"tin": {"type": "ein", "value": "061666540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 350.0, "npi": [1275634982]}]}]}, {"tin": {"type": "ein", "value": "064769881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.75, "providers": [{"billed_charge": 1800.0, "npi": [1053420760]}]}]}, {"tin": {"type": "ein", "value": "109382336"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 287.52, "providers": [{"billed_charge": 300.0, "npi": [1659384584]}]}]}, {"tin": {"type": "ein", "value": "113735424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 493.0, "npi": [1457416331]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 292.57, "providers": [{"billed_charge": 735.0, "npi": [1386376317]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.24, "providers": [{"billed_charge": 1439.86, "npi": [1457965816]}]}, {"allowed_amount": 298.18, "providers": [{"billed_charge": 1069.0, "npi": [1821138702]}, {"billed_charge": 1439.86, "npi": [1841794591]}]}, {"allowed_amount": 315.93, "providers": [{"billed_charge": 1069.0, "npi": [1235363664]}]}]}, {"tin": {"type": "ein", "value": "133006635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.6, "providers": [{"billed_charge": 675.0, "npi": [1336178581]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 675.0, "npi": [1336178581]}]}]}, {"tin": {"type": "ein", "value": "161774386"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 1080.0, "npi": [1417697210]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 1080.0, "npi": [1417697210]}]}]}, {"tin": {"type": "ein", "value": "200196360"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 429.99, "npi": [1871571158]}]}]}, {"tin": {"type": "ein", "value": "200312349"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.79, "providers": [{"billed_charge": 400.0, "npi": [1861437881]}]}]}, {"tin": {"type": "ein", "value": "200401785"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 263.28, "providers": [{"billed_charge": 1389.0, "npi": [1306586755]}]}]}, {"tin": {"type": "ein", "value": "200403832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.15, "providers": [{"billed_charge": 319.0, "npi": [1326015157]}]}]}, {"tin": {"type": "ein", "value": "200409821"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 402.26, "npi": [1669491726]}]}]}, {"tin": {"type": "ein", "value": "200704610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 320.0, "npi": [1700119948]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 320.0, "npi": [1700119948, 1265438188]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 997.0, "npi": [1316113798, 1639562119, 1336300938, 1427632538, 1922319003, 1548910623, 1134294689, 1679150114, 1619162658, 1760988455, 1336310572, 1013534643, 1134396724, 1609452341, 1780754358, 1962066613, 1891229621, 1346746682, 1770088635, 1649614397, 1699713214, 1467741249, 1124472261, 1669667796, 1831682772, 1619400405, 1932723293, 1912226275, 1699975268, 1104244581]}]}, {"allowed_amount": 300.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 997.0, "npi": [1316113798, 1700465671, 1336300938, 1346560653, 1427632538, 1073660445, 1548910623, 1134294689, 1619162658, 1679150114, 1336310572, 1013534643, 1134396724, 1962066613, 1891229621, 1609452341, 1780754358, 1346746682, 1649614397, 1699713214, 1881679421, 1467741249, 1124472261, 1669667796, 1619400405, 1932723293, 1629053921, 1912226275, 1699975268, 1104244581, 1952930406, 1316399215]}]}, {"allowed_amount": 462.28, "providers": [{"billed_charge": 997.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "201395801"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.24, "providers": [{"billed_charge": 398.0, "npi": [1699762641]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 398.0, "npi": [1699762641]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["22", "61", "21"], "payments": [{"allowed_amount": 32.85, "providers": [{"billed_charge": 686.0, "npi": [1295935120]}]}, {"allowed_amount": 135.75, "providers": [{"billed_charge": 794.0, "npi": [1538416680, 1003321308, 1861955700, 1184195893, 1003283227, 1215541404]}]}, {"allowed_amount": 151.72, "providers": [{"billed_charge": 794.0, "npi": [1376830984, 1477174985, 1982683595, 1689202574, 1639801392, 1033679923, 1609201334, 1083354906, 1689201725]}]}, {"allowed_amount": 177.83, "providers": [{"billed_charge": 794.0, "npi": [1396388500]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 686.0, "npi": [1295935120]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 756.0, "npi": [1184195893]}, {"billed_charge": 794.0, "npi": [1376830984, 1700349586, 1538693650, 1518444181, 1275111833, 1083354906, 1104090141, 1538416680, 1013404201, 1184195893, 1871882936, 1972014520, 1134772668, 1689201725, 1477174985, 1639116619, 1205582806, 1003321308, 1811513708, 1376074351, 1295357424, 1861955700]}]}, {"allowed_amount": 223.58, "providers": [{"billed_charge": 794.0, "npi": [1689201725]}]}, {"allowed_amount": 327.39, "providers": [{"billed_charge": 794.0, "npi": [1639116619, 1154047884]}]}, {"allowed_amount": 432.79, "providers": [{"billed_charge": 794.0, "npi": [1205582806]}]}]}, {"tin": {"type": "ein", "value": "201508867"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.54, "providers": [{"billed_charge": 523.0, "npi": [1225005093]}]}]}, {"tin": {"type": "ein", "value": "201544786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 2748.9, "npi": [1215063839]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 2748.9, "npi": [1215063839]}]}]}, {"tin": {"type": "ein", "value": "201585675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 600.0, "npi": [1578554408]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 600.0, "npi": [1578554408]}]}]}, {"tin": {"type": "ein", "value": "201702746"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.72, "providers": [{"billed_charge": 411.0, "npi": [1205115599]}]}]}, {"tin": {"type": "ein", "value": "202069671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 387.0, "npi": [1679544704]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 387.0, "npi": [1679544704]}]}]}, {"tin": {"type": "ein", "value": "202098546"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 652.0, "npi": [1043730112, 1518221266, 1568429322, 1023548005]}]}]}, {"tin": {"type": "ein", "value": "202198931"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 562.0, "npi": [1245259084]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 562.0, "npi": [1245259084]}]}]}, {"tin": {"type": "ein", "value": "202364772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 365.0, "npi": [1588647796, 1518157601, 1215440284]}]}, {"allowed_amount": 300.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 365.0, "npi": [1215440284]}]}]}, {"tin": {"type": "ein", "value": "202425584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.96, "providers": [{"billed_charge": 260.0, "npi": [1043253479]}]}]}, {"tin": {"type": "ein", "value": "202705510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.48, "providers": [{"billed_charge": 420.0, "npi": [1568459857]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 420.0, "npi": [1568459857]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["22", "61", "21"], "payments": [{"allowed_amount": 23.29, "providers": [{"billed_charge": 455.0, "npi": [1548623606]}]}, {"allowed_amount": 180.69, "providers": [{"billed_charge": 455.0, "npi": [1518578202]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 455.0, "npi": [1558998849, 1154559045, 1811450505, 1427348978, 1669499604, 1811300536, 1518578202, 1043663867, 1578040093]}]}, {"allowed_amount": 240.36, "providers": [{"billed_charge": 455.0, "npi": [1811450505]}]}, {"allowed_amount": 249.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 455.0, "npi": [1558998849, 1811450505, 1427348978, 1669499604, 1548623606, 1811300536, 1043663867, 1578040093]}]}, {"allowed_amount": 257.78, "providers": [{"billed_charge": 455.0, "npi": [1043663867, 1578040093]}]}, {"allowed_amount": 343.7, "providers": [{"billed_charge": 455.0, "npi": [1154559045]}]}]}, {"tin": {"type": "ein", "value": "202823061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.83, "providers": [{"billed_charge": 255.0, "npi": [1043272115]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 255.0, "npi": [1043272115]}]}]}, {"tin": {"type": "ein", "value": "203273724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 313.0, "npi": [1447417175]}]}]}, {"tin": {"type": "ein", "value": "203279920"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 265.14, "providers": [{"billed_charge": 723.0, "npi": [1467609735]}]}]}, {"tin": {"type": "ein", "value": "203294411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.83, "providers": [{"billed_charge": 250.0, "npi": [1265467716]}]}]}, {"tin": {"type": "ein", "value": "203447115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.79, "providers": [{"billed_charge": 573.0, "npi": [1558125369]}]}]}, {"tin": {"type": "ein", "value": "203566888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 220.39, "providers": [{"billed_charge": 853.0, "npi": [1699941849]}]}, {"allowed_amount": 240.57, "providers": [{"billed_charge": 853.0, "npi": [1114667961]}]}, {"allowed_amount": 243.0, "providers": [{"billed_charge": 853.0, "npi": [1437680352, 1114380490, 1295312114, 1073856696, 1396934618, 1417500539]}]}, {"allowed_amount": 283.07, "providers": [{"billed_charge": 765.0, "npi": [1487975132]}]}]}, {"tin": {"type": "ein", "value": "203713889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 319.0, "npi": [1619974839]}]}, {"allowed_amount": 319.0, "providers": [{"billed_charge": 319.0, "npi": [1770217382, 1619974839]}]}]}, {"tin": {"type": "ein", "value": "204168057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.28, "providers": [{"billed_charge": 318.06, "npi": [1558096354, 1669043535, 1104288927]}]}]}, {"tin": {"type": "ein", "value": "204321527"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.39, "providers": [{"billed_charge": 2284.0, "npi": [1134114432]}]}]}, {"tin": {"type": "ein", "value": "204335635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 290.0, "providers": [{"billed_charge": 290.0, "npi": [1487748356]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 270.63, "providers": [{"billed_charge": 691.95, "npi": [1669034641]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 599.0, "npi": [1275564064]}]}]}, {"tin": {"type": "ein", "value": "204389641"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 262.54, "npi": [1508626466, 1114489499, 1942894837]}]}, {"allowed_amount": 248.41, "providers": [{"billed_charge": 262.54, "npi": [1114489499]}]}]}, {"tin": {"type": "ein", "value": "204539852"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 429.4, "npi": [1245267442]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 429.4, "npi": [1245267442]}]}]}, {"tin": {"type": "ein", "value": "204595671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 1607.0, "npi": [1972598464]}]}, {"allowed_amount": 223.39, "providers": [{"billed_charge": 1607.0, "npi": [1972598464, 1790728913]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 32.85, "providers": [{"billed_charge": 853.0, "npi": [1619417227]}]}, {"allowed_amount": 168.94, "providers": [{"billed_charge": 853.0, "npi": [1225406937]}]}, {"allowed_amount": 197.11, "providers": [{"billed_charge": 853.0, "npi": [1265023451, 1578207767, 1598402919]}]}, {"allowed_amount": 198.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 853.0, "npi": [1265819270, 1619417227, 1013595289, 1932631579, 1689010076, 1043444508, 1255718045, 1841562014, 1386969376, 1114374311, 1275947434, 1326490806, 1932787512, 1508050873, 1023519683, 1346773447, 1639608649, 1821583956, 1467699926, 1992236640, 1609367523, 1821386723, 1093975658, 1396932216]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 853.0, "npi": [1932623618, 1265819270, 1619417227, 1619301389, 1013595289, 1932631579, 1043444508, 1255718045, 1841562014, 1689010076, 1386969376, 1649622176, 1114374311, 1275947434, 1326490806, 1932787512, 1912307513, 1023519683, 1033525316, 1821583956, 1982069589, 1467699926, 1225406937, 1366827610, 1992236640, 1609367523, 1821386723, 1104152677, 1093975658, 1417469941, 1902268154]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 853.0, "npi": [1992236640]}]}, {"allowed_amount": 339.28, "providers": [{"billed_charge": 853.0, "npi": [1932623618, 1104152677, 1619301389, 1417469941, 1982069589, 1912307513, 1366827610]}]}, {"allowed_amount": 450.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 853.0, "npi": [1033525316]}]}]}, {"tin": {"type": "ein", "value": "204600646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 384.9, "providers": [{"billed_charge": 384.9, "npi": [1407016991]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.55, "providers": [{"billed_charge": 674.0, "npi": [1922585538]}]}]}, {"tin": {"type": "ein", "value": "204736578"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 269.26, "providers": [{"billed_charge": 489.51, "npi": [1417436023]}]}]}, {"tin": {"type": "ein", "value": "204744987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.67, "providers": [{"billed_charge": 300.0, "npi": [1083697320, 1053809863]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 32.85, "providers": [{"billed_charge": 812.0, "npi": [1548269178, 1740921691]}]}, {"allowed_amount": 126.43, "providers": [{"billed_charge": 375.0, "npi": [1831719582]}]}, {"allowed_amount": 188.49, "providers": [{"billed_charge": 773.0, "npi": [1114421823]}]}, {"allowed_amount": 197.11, "providers": [{"billed_charge": 812.0, "npi": [1235753369]}]}, {"allowed_amount": 198.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 812.0, "npi": [1528696457, 1659012375, 1710203161, 1710474010, 1437724317, 1831719582, 1578994984, 1609210665, 1760124713, 1134862642, 1306586037, 1316688310, 1861012411, 1114661204, 1740921691, 1326301789, 1649809633, 1235871591, 1881334761, 1487886446, 1548269178]}, {"billed_charge": 847.0, "npi": [1750775904, 1558854760, 1609210665, 1942732904, 1386264331, 1821594516, 1801477716, 1356920086, 1053666420, 1447810072, 1912402009, 1629509146, 1083973150, 1134431455]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 773.0, "npi": [1700317153, 1932669314, 1548836513, 1174185706, 1093395568, 1255951380, 1013759836, 1629323613, 1114421823]}, {"billed_charge": 812.0, "npi": [1306423173, 1528696457, 1568028942, 1144994708, 1205579414, 1548269178, 1316566680, 1710203161, 1710474010, 1780208538, 1790359958, 1437724317, 1831719582, 1659012375, 1689011108, 1699237032, 1669011755, 1336704683, 1134862642, 1306586037, 1184129207, 1366690372, 1356081236, 1053844696, 1740921691, 1437802204, 1235871591, 1952345324, 1245792365, 1235767534, 1487886446, 1518429562, 1386608255]}, {"billed_charge": 847.0, "npi": [1386264331, 1821594516, 1356920086, 1447810072, 1629509146, 1083973150, 1700047396, 1609210665, 1770166068, 1437715398, 1124915400, 1750927695, 1063925972, 1912402009, 1134431455, 1750775904, 1942732904, 1609809011, 1053666420]}]}, {"allowed_amount": 221.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 773.0, "npi": [1700317153, 1932669314, 1487159778, 1174185706, 1093395568, 1881272284, 1629323613, 1114421823]}, {"billed_charge": 812.0, "npi": [1750775904, 1366690372, 1306423173, 1689011108, 1699237032, 1285212266, 1336704683, 1952345324, 1902556236, 1235767534, 1568028942, 1356081236, 1861400343, 1427032473, 1780208538, 1841860475]}, {"billed_charge": 847.0, "npi": [1699237032, 1609809011, 1437715398, 1750927695]}]}, {"allowed_amount": 227.58, "providers": [{"billed_charge": 773.0, "npi": [1013759836]}, {"billed_charge": 807.0, "npi": [1063925972]}, {"billed_charge": 812.0, "npi": [1851613954, 1124880042, 1669011755, 1285503243, 1245792365, 1144994708, 1437802204]}, {"billed_charge": 847.0, "npi": [1124915400, 1063925972]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 773.0, "npi": [1700317153]}, {"billed_charge": 812.0, "npi": [1336704683]}, {"billed_charge": 847.0, "npi": [1124915400]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 773.0, "npi": [1548836513, 1255951380]}, {"billed_charge": 812.0, "npi": [1255951380]}]}]}, {"tin": {"type": "ein", "value": "204923281"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.64, "providers": [{"billed_charge": 378.0, "npi": [1801470406]}]}]}, {"tin": {"type": "ein", "value": "205036495"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.69, "providers": [{"billed_charge": 1042.0, "npi": [1356865406]}]}, {"allowed_amount": 284.68, "providers": [{"billed_charge": 1042.0, "npi": [1477900496, 1174757959]}]}]}, {"tin": {"type": "ein", "value": "205106086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 203.07, "providers": [{"billed_charge": 522.0, "npi": [1952454779]}]}, {"allowed_amount": 283.07, "providers": [{"billed_charge": 522.0, "npi": [1992783476, 1063461846]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 637.0, "npi": [1699501767]}]}]}, {"tin": {"type": "ein", "value": "205194878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 657.04, "npi": [1558748962]}]}]}, {"tin": {"type": "ein", "value": "205438009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 250.0, "npi": [1033436696, 1295761245]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1033436696, 1295761245]}]}]}, {"tin": {"type": "ein", "value": "205454152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 843.0, "npi": [1376612481]}]}, {"allowed_amount": 386.01, "providers": [{"billed_charge": 843.0, "npi": [1376612481, 1285788570]}]}]}, {"tin": {"type": "ein", "value": "205627654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 400.0, "npi": [1750900593]}]}]}, {"tin": {"type": "ein", "value": "208153119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 712.0, "npi": [1457096893]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 712.0, "npi": [1073179693]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 511.0, "npi": [1073179693]}, {"billed_charge": 712.0, "npi": [1073179693]}]}]}, {"tin": {"type": "ein", "value": "208440394"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 230.0, "npi": [1114489762]}]}]}, {"tin": {"type": "ein", "value": "208853938"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.43, "providers": [{"billed_charge": 1100.0, "npi": [1750708749]}]}]}, {"tin": {"type": "ein", "value": "214732774"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.53, "providers": [{"billed_charge": 651.0, "npi": [1356575120]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 257.08, "providers": [{"billed_charge": 608.58, "npi": [1013414580, 1932318847]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 257.08, "providers": [{"billed_charge": 611.0, "npi": [1740643147, 1144800467]}]}]}, {"tin": {"type": "ein", "value": "223310529"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 284.88, "providers": [{"billed_charge": 651.0, "npi": [1356575120, 1083053235]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.22, "providers": [{"billed_charge": 1095.0, "npi": [1639298318]}]}, {"allowed_amount": 189.43, "providers": [{"billed_charge": 1095.0, "npi": [1104124643]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.69, "providers": [{"billed_charge": 650.0, "npi": [1851975882]}]}, {"allowed_amount": 158.98, "providers": [{"billed_charge": 550.0, "npi": [1952720807]}]}]}, {"tin": {"type": "ein", "value": "223963861"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 193.24, "providers": [{"billed_charge": 300.0, "npi": [1487689808]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 205.86, "providers": [{"billed_charge": 360.0, "npi": [1669351201]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 242.28, "providers": [{"billed_charge": 427.0, "npi": [1518158682, 1356080782]}]}]}, {"tin": {"type": "ein", "value": "232730785"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.01, "providers": [{"billed_charge": 401.0, "npi": [1750025144]}]}]}, {"tin": {"type": "ein", "value": "237155946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.47, "providers": [{"billed_charge": 730.0, "npi": [1013983998]}]}]}, {"tin": {"type": "ein", "value": "260229265"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.66, "providers": [{"billed_charge": 450.0, "npi": [1427371632]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 450.0, "npi": [1427371632, 1992332928]}]}, {"allowed_amount": 225.18, "providers": [{"billed_charge": 450.0, "npi": [1992332928]}]}]}, {"tin": {"type": "ein", "value": "260341143"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1200.0, "npi": [1548483761]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 1200.0, "npi": [1548483761]}]}]}, {"tin": {"type": "ein", "value": "260419006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 712.49, "providers": [{"billed_charge": 1717.0, "npi": [1891227625]}]}]}, {"tin": {"type": "ein", "value": "260593928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.07, "providers": [{"billed_charge": 691.0, "npi": [1336158104]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 601.0, "npi": [1891101887]}]}]}, {"tin": {"type": "ein", "value": "260800286"}, "billing_class": "professional", "service_codes": ["51", "21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1275567026]}]}]}, {"tin": {"type": "ein", "value": "261116227"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 1297.24, "npi": [1578758496]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 520.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "261176939"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 225.0, "npi": [1336340298]}]}]}, {"tin": {"type": "ein", "value": "261179038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 966.0, "npi": [1598791212]}]}, {"allowed_amount": 249.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 966.0, "npi": [1598791212]}]}]}, {"tin": {"type": "ein", "value": "261619141"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 450.0, "npi": [1598210858, 1639734619]}]}]}, {"tin": {"type": "ein", "value": "261666272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 492.78, "npi": [1699558262]}]}, {"allowed_amount": 227.58, "providers": [{"billed_charge": 492.78, "npi": [1952148736, 1699558262]}]}]}, {"tin": {"type": "ein", "value": "261837240"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.13, "providers": [{"billed_charge": 320.0, "npi": [1861732976]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 264.0, "npi": [1124353123, 1093247140, 1942044037, 1124420229, 1538652979, 1174741078, 1952185878, 1902246424, 1578956025, 1548919707, 1508134008]}]}, {"allowed_amount": 264.0, "providers": [{"billed_charge": 264.0, "npi": [1437491040, 1700981156, 1528646957, 1407835150, 1174741078, 1235698234, 1487738654]}]}, {"allowed_amount": 469.15, "providers": [{"billed_charge": 669.0, "npi": [1235301318, 1407895402, 1558301978, 1376561100, 1245783117, 1407835150, 1639305212, 1144412016, 1881816593, 1356879829, 1174741078, 1235698234, 1013150044, 1730618653, 1487738654]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["10", "22", "21"], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 264.0, "npi": [1336896687]}]}, {"allowed_amount": 107.25, "providers": [{"billed_charge": 264.0, "npi": [1689029480, 1215335922, 1336896687]}]}, {"allowed_amount": 181.13, "providers": [{"billed_charge": 264.0, "npi": [1336896687]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 264.0, "npi": [1902385008]}]}, {"allowed_amount": 365.0, "providers": [{"billed_charge": 365.0, "npi": [1215335922]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.07, "providers": [{"billed_charge": 618.0, "npi": [1679994693]}]}]}, {"tin": {"type": "ein", "value": "262255271"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1790836997]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 375.0, "npi": [1790836997]}]}]}, {"tin": {"type": "ein", "value": "262356810"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.25, "providers": [{"billed_charge": 304.36, "npi": [1356503114]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 400.0, "npi": [1134749591]}]}]}, {"tin": {"type": "ein", "value": "262879843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 1219.0, "npi": [1770687386]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 1219.0, "npi": [1770687386]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 652.0, "npi": [1972000776, 1326272873]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 492.78, "npi": [1639433725]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 492.78, "npi": [1760495998]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 492.78, "npi": [1508865239]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 492.78, "npi": [1356169056, 1760987713, 1396987681, 1619959186, 1932558202]}]}, {"allowed_amount": 227.58, "providers": [{"billed_charge": 492.78, "npi": [1285129965]}]}, {"allowed_amount": 339.28, "providers": [{"billed_charge": 492.78, "npi": [1356169056, 1962275362, 1598208647]}]}]}, {"tin": {"type": "ein", "value": "263094596"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 702.0, "npi": [1952865115]}]}]}, {"tin": {"type": "ein", "value": "263178257"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1700050275, 1821020959]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 858.7, "npi": [1376108233, 1457396814, 1346602927, 1235302803, 1659724573, 1598283327]}]}, {"allowed_amount": 221.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 858.7, "npi": [1346595683, 1255642856, 1740336908, 1346602927, 1235300211]}]}, {"allowed_amount": 274.31, "providers": [{"billed_charge": 858.7, "npi": [1457396814]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 858.7, "npi": [1659724573, 1679542039]}]}]}, {"tin": {"type": "ein", "value": "263400143"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 550.0, "npi": [1073601944]}]}]}, {"tin": {"type": "ein", "value": "263651005"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 258.0, "npi": [1184649105]}]}]}, {"tin": {"type": "ein", "value": "263668328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 625.0, "npi": [1386376457, 1497098719]}]}]}, {"tin": {"type": "ein", "value": "263715180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 415.0, "npi": [1881665461]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.0, "npi": [1881665461]}]}]}, {"tin": {"type": "ein", "value": "263792403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 232.31, "providers": [{"billed_charge": 320.0, "npi": [1457315434]}]}]}, {"tin": {"type": "ein", "value": "263871268"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.36, "providers": [{"billed_charge": 319.4, "npi": [1629182365]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.16, "providers": [{"billed_charge": 675.0, "npi": [1053773424]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 652.0, "npi": [1457466369, 1639601958, 1851743207, 1700235405, 1245460526, 1538253711, 1528350543, 1619366259, 1386038388, 1285046748, 1851753917, 1497900831]}]}]}, {"tin": {"type": "ein", "value": "264216161"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 329.0, "npi": [1114019916]}, {"billed_charge": 360.0, "npi": [1114019916]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 329.0, "npi": [1114019916]}]}]}, {"tin": {"type": "ein", "value": "264252537"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 214.68, "npi": [1114050648]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 214.68, "npi": [1114050648]}]}]}, {"tin": {"type": "ein", "value": "264557501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 450.0, "npi": [1023051265]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 450.0, "npi": [1023051265]}]}]}, {"tin": {"type": "ein", "value": "264633098"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.24, "providers": [{"billed_charge": 564.0, "npi": [1134320500]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 564.0, "npi": [1134320500]}]}, {"allowed_amount": 226.77, "providers": [{"billed_charge": 564.0, "npi": [1013256700]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 721.24, "npi": [1841252657]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 721.24, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "266697467"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 300.0, "npi": [1093704348]}]}]}, {"tin": {"type": "ein", "value": "266969167"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 300.0, "npi": [1093704348]}]}]}, {"tin": {"type": "ein", "value": "270075893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1366902439]}]}]}, {"tin": {"type": "ein", "value": "270172647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 425.0, "npi": [1376744482]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 425.0, "npi": [1376744482]}]}]}, {"tin": {"type": "ein", "value": "270194300"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 1700.0, "npi": [1235159344]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 1700.0, "npi": [1235159344]}]}]}, {"tin": {"type": "ein", "value": "270293215"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 553.0, "npi": [1588037865]}]}]}, {"tin": {"type": "ein", "value": "270313131"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.85, "providers": [{"billed_charge": 400.0, "npi": [1710931522, 1104857119, 1306825351]}]}]}, {"tin": {"type": "ein", "value": "270317604"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.14, "providers": [{"billed_charge": 400.0, "npi": [1407829955]}]}]}, {"tin": {"type": "ein", "value": "270330374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1609075241]}]}, {"allowed_amount": 279.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1609075241]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 479.0, "npi": [1013291400, 1083844278]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 479.0, "npi": [1710902416, 1487115382]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 479.0, "npi": [1710902416, 1487115382, 1013291400, 1083844278]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 479.0, "npi": [1083844278]}]}, {"allowed_amount": 447.69, "providers": [{"billed_charge": 479.0, "npi": [1083844278]}]}]}, {"tin": {"type": "ein", "value": "270709861"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.36, "providers": [{"billed_charge": 320.0, "npi": [1770802134]}]}, {"allowed_amount": 239.55, "providers": [{"billed_charge": 320.0, "npi": [1831400027]}]}]}, {"tin": {"type": "ein", "value": "270765771"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 371.0, "npi": [1588896120]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 371.0, "npi": [1588896120]}]}]}, {"tin": {"type": "ein", "value": "271067878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 350.0, "npi": [1134716038]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1134716038]}]}]}, {"tin": {"type": "ein", "value": "271082084"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.57, "providers": [{"billed_charge": 286.0, "npi": [1649454091]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 286.0, "npi": [1649454091, 1316110653]}]}, {"allowed_amount": 286.0, "providers": [{"billed_charge": 286.0, "npi": [1649454091, 1316110653]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.12, "providers": [{"billed_charge": 514.0, "npi": [1013215854]}]}, {"allowed_amount": 284.88, "providers": [{"billed_charge": 514.0, "npi": [1285736850, 1750334538]}]}, {"allowed_amount": 326.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 514.0, "npi": [1619358892]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 1318.0, "npi": [1194798090]}]}]}, {"tin": {"type": "ein", "value": "271602881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 255.43, "providers": [{"billed_charge": 346.8, "npi": [1790277549]}]}]}, {"tin": {"type": "ein", "value": "271608375"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 506.0, "npi": [1851075915, 1578830063]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 506.0, "npi": [1851075915, 1578830063]}]}]}, {"tin": {"type": "ein", "value": "271661214"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 202.91, "providers": [{"billed_charge": 1389.0, "npi": [1316511850]}]}]}, {"tin": {"type": "ein", "value": "271788250"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 360.0, "npi": [1578509642]}, {"billed_charge": 420.0, "npi": [1578509642]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 565.0, "npi": [1578509642]}]}]}, {"tin": {"type": "ein", "value": "271978178"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 274.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 426.56, "npi": [1871674770]}]}]}, {"tin": {"type": "ein", "value": "272398444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 375.0, "npi": [1346485877]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 429.0, "npi": [1760700348]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 429.0, "npi": [1942628037, 1760773246]}]}]}, {"tin": {"type": "ein", "value": "272582397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.57, "providers": [{"billed_charge": 700.0, "npi": [1306000211]}]}, {"allowed_amount": 132.0, "providers": [{"billed_charge": 700.0, "npi": [1306000211]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 700.0, "npi": [1306000211]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 700.0, "npi": [1306000211]}]}]}, {"tin": {"type": "ein", "value": "272626998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 800.0, "npi": [1225312648]}]}]}, {"tin": {"type": "ein", "value": "273345067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.1, "providers": [{"billed_charge": 414.0, "npi": [1548392475]}]}]}, {"tin": {"type": "ein", "value": "273469583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 255.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 560.0, "npi": [1003312711]}]}]}, {"tin": {"type": "ein", "value": "273527738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.72, "providers": [{"billed_charge": 398.0, "npi": [1013059211]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.07, "providers": [{"billed_charge": 535.0, "npi": [1891292751]}]}, {"allowed_amount": 283.07, "providers": [{"billed_charge": 535.0, "npi": [1407169113, 1124315890]}]}, {"allowed_amount": 294.21, "providers": [{"billed_charge": 535.0, "npi": [1780909879]}]}]}, {"tin": {"type": "ein", "value": "273899821"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 255.43, "providers": [{"billed_charge": 401.0, "npi": [1518581800]}]}]}, {"tin": {"type": "ein", "value": "274023059"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 254.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 613.0, "npi": [1386020832]}]}]}, {"tin": {"type": "ein", "value": "274026658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.0, "providers": [{"billed_charge": 364.0, "npi": [1205569548]}]}]}, {"tin": {"type": "ein", "value": "274286745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 470.0, "npi": [1528002771]}]}]}, {"tin": {"type": "ein", "value": "274369422"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 273.05, "npi": [1659535987]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 273.05, "npi": [1659535987]}]}]}, {"tin": {"type": "ein", "value": "274384326"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 298.18, "providers": [{"billed_charge": 879.0, "npi": [1053748236]}]}]}, {"tin": {"type": "ein", "value": "274566827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.15, "providers": [{"billed_charge": 230.0, "npi": [1801950464]}]}]}, {"tin": {"type": "ein", "value": "286697487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 300.0, "npi": [1093704348]}]}]}, {"tin": {"type": "ein", "value": "300137567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 495.0, "npi": [1104043652]}]}, {"allowed_amount": 223.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 495.0, "npi": [1104043652]}]}]}, {"tin": {"type": "ein", "value": "300891469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1710140132]}]}]}, {"tin": {"type": "ein", "value": "300995552"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 565.0, "npi": [1902884307]}]}]}, {"tin": {"type": "ein", "value": "310821503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 242.97, "providers": [{"billed_charge": 347.0, "npi": [1619402617]}]}]}, {"tin": {"type": "ein", "value": "311118087"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 234.38, "providers": [{"billed_charge": 457.0, "npi": [1982157830]}]}]}, {"tin": {"type": "ein", "value": "311185270"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 206.53, "providers": [{"billed_charge": 385.0, "npi": [1215486667]}]}, {"allowed_amount": 313.71, "providers": [{"billed_charge": 385.0, "npi": [1477746071]}]}]}, {"tin": {"type": "ein", "value": "311351965"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 113.03, "providers": [{"billed_charge": 359.0, "npi": [1629538293]}]}]}, {"tin": {"type": "ein", "value": "311398575"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 192.23, "providers": [{"billed_charge": 300.0, "npi": [1003375064, 1376926741, 1831452887]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 265.14, "providers": [{"billed_charge": 470.0, "npi": [1326659483, 1174908511]}]}, {"allowed_amount": 311.93, "providers": [{"billed_charge": 470.0, "npi": [1396769717]}]}]}, {"tin": {"type": "ein", "value": "320028466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 755.0, "npi": [1285643296]}]}]}, {"tin": {"type": "ein", "value": "320058309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 268.77, "providers": [{"billed_charge": 736.0, "npi": [1538728514]}]}]}, {"tin": {"type": "ein", "value": "320135798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 205.0, "npi": [1871767426, 1588658819, 1780065342]}]}]}, {"tin": {"type": "ein", "value": "320345194"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 328.52, "npi": [1356455612]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 328.52, "npi": [1356455612]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 410.0, "npi": [1467985416]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 410.0, "npi": [1568959740]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 410.0, "npi": [1568959740, 1235591215]}]}]}, {"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 565.0, "npi": [1699733964]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 32.85, "providers": [{"billed_charge": 1389.0, "npi": [1720460397, 1669992590]}]}, {"allowed_amount": 53.74, "providers": [{"billed_charge": 1389.0, "npi": [1548886047]}]}, {"allowed_amount": 135.75, "providers": [{"billed_charge": 1389.0, "npi": [1295205953, 1942691373, 1700351053, 1619285590]}]}, {"allowed_amount": 151.72, "providers": [{"billed_charge": 1389.0, "npi": [1437461282, 1487934568, 1245542703, 1154948818, 1952985467, 1346999703, 1255081147, 1437380797]}]}, {"allowed_amount": 183.66, "providers": [{"billed_charge": 1389.0, "npi": [1598405466, 1699417899]}]}, {"allowed_amount": 193.24, "providers": [{"billed_charge": 1389.0, "npi": [1053949073, 1790080422]}]}, {"allowed_amount": 197.11, "providers": [{"billed_charge": 1389.0, "npi": [1528188034, 1871552356, 1659690089, 1356738124, 1720460397, 1821142126, 1447833918]}]}, {"allowed_amount": 198.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1389.0, "npi": [1922305440, 1386173185, 1366689028, 1588222343, 1073552360, 1669452264, 1801005418, 1669992590, 1699962639, 1336889070, 1265091391, 1497174486, 1831572510, 1932428281, 1407276538, 1144753310, 1487986014, 1255725503]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 1389.0, "npi": [1295205953, 1629701669, 1386393510, 1699417899, 1700351053, 1548426190, 1821527599, 1194810481, 1043447386, 1710143128, 1225615545, 1598405466, 1972023836, 1548721756]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1389.0, "npi": [1033151873, 1528188034, 1366689028, 1588222343, 1669992590, 1144823196, 1144753310, 1831572510, 1922305440, 1942466859, 1447833918, 1265091391, 1255725503, 1356738124, 1497174486, 1487986014, 1871552356, 1902301542, 1073552360, 1720460397, 1679869549, 1336889070, 1669772406, 1407276538]}]}, {"allowed_amount": 339.28, "providers": [{"billed_charge": 1389.0, "npi": [1144823196, 1669772406]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1770104986]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 350.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "333473960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1316456528]}]}]}, {"tin": {"type": "ein", "value": "333567033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 337.52, "npi": [1003048687]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.44, "providers": [{"billed_charge": 1698.0, "npi": [1366829285]}]}, {"allowed_amount": 309.1, "providers": [{"billed_charge": 1400.0, "npi": [1508228081]}]}, {"allowed_amount": 315.25, "providers": [{"billed_charge": 1698.0, "npi": [1962467407]}]}]}, {"tin": {"type": "ein", "value": "352051598"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.88, "providers": [{"billed_charge": 260.0, "npi": [1043278039]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1447859723]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1538736582, 1447859723, 1316825201, 1740215284, 1780570614, 1962297622, 1811428824]}]}, {"allowed_amount": 221.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1497374839]}]}, {"allowed_amount": 227.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1396422465, 1669127361]}]}, {"allowed_amount": 310.0, "providers": [{"billed_charge": 310.0, "npi": [1962297622]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1033141692, 1386804565, 1063724326]}]}, {"allowed_amount": 253.92, "providers": [{"billed_charge": 400.0, "npi": [1629118740, 1083666366]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 208.69, "providers": [{"billed_charge": 311.48, "npi": [1548401094]}]}, {"allowed_amount": 311.48, "providers": [{"billed_charge": 311.48, "npi": [1346738986]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 241.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 372.7, "npi": [1295963502]}]}]}, {"tin": {"type": "ein", "value": "361564290"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 220.22, "providers": [{"billed_charge": 679.35, "npi": [1538740188]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.55, "providers": [{"billed_charge": 479.0, "npi": [1477315687]}]}]}, {"tin": {"type": "ein", "value": "362907660"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.87, "providers": [{"billed_charge": 363.78, "npi": [1255356689]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 203.28, "providers": [{"billed_charge": 428.0, "npi": [1871054056]}]}, {"allowed_amount": 220.22, "providers": [{"billed_charge": 428.0, "npi": [1174713648]}]}]}, {"tin": {"type": "ein", "value": "364442306"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.18, "providers": [{"billed_charge": 398.0, "npi": [1699733402]}]}]}, {"tin": {"type": "ein", "value": "364703756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 264.82, "providers": [{"billed_charge": 500.0, "npi": [1316218456]}]}]}, {"tin": {"type": "ein", "value": "371591769"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 350.0, "npi": [1023603305]}]}]}, {"tin": {"type": "ein", "value": "371616845"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.18, "providers": [{"billed_charge": 443.0, "npi": [1790814713]}]}]}, {"tin": {"type": "ein", "value": "383589214"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.13, "providers": [{"billed_charge": 350.0, "npi": [1467618546]}]}]}, {"tin": {"type": "ein", "value": "392282384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.14, "providers": [{"billed_charge": 350.0, "npi": [1891192787]}]}]}, {"tin": {"type": "ein", "value": "392361133"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 1392.96, "npi": [1164616314, 1386940450]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 1392.96, "npi": [1386940450]}]}, {"allowed_amount": 274.31, "providers": [{"billed_charge": 1392.96, "npi": [1386940450]}]}]}, {"tin": {"type": "ein", "value": "392489217"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1316456528]}]}]}, {"tin": {"type": "ein", "value": "392526905"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 274.31, "providers": [{"billed_charge": 825.0, "npi": [1639198567]}]}]}, {"tin": {"type": "ein", "value": "392851054"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 199.63, "npi": [1487642617]}]}]}, {"tin": {"type": "ein", "value": "392873318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 360.0, "npi": [1699733964]}]}]}, {"tin": {"type": "ein", "value": "394248979"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 859.25, "npi": [1629390109]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 910.0, "npi": [1629390109]}]}]}, {"tin": {"type": "ein", "value": "412226024"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 300.0, "npi": [1558370411]}]}, {"allowed_amount": 231.57, "providers": [{"billed_charge": 300.0, "npi": [1558370411]}]}]}, {"tin": {"type": "ein", "value": "412569180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 506.0, "npi": [1457416331]}]}]}, {"tin": {"type": "ein", "value": "413202312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.28, "providers": [{"billed_charge": 1107.0, "npi": [1548847288]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1316926421, 1750743183]}]}, {"allowed_amount": 247.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1750743183]}]}, {"allowed_amount": 269.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1316926421]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.97, "providers": [{"billed_charge": 789.0, "npi": [1093033813]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.91, "providers": [{"billed_charge": 533.0, "npi": [1518317825]}]}]}, {"tin": {"type": "ein", "value": "450957677"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.83, "providers": [{"billed_charge": 427.0, "npi": [1992904718]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 427.0, "npi": [1992904718]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 293.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 652.0, "npi": [1396801031, 1053845768, 1619217049, 1912943010, 1164417317, 1932261542, 1801392295, 1477087914, 1003098799, 1083779888, 1619178936, 1588766521, 1689070906, 1356574651, 1215224126, 1396323010, 1346553294, 1881956944, 1518200401, 1992793939, 1033640669, 1639732191, 1093197931, 1336317171]}]}]}, {"tin": {"type": "ein", "value": "451259435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.07, "providers": [{"billed_charge": 522.0, "npi": [1336582329]}]}]}, {"tin": {"type": "ein", "value": "451287451"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 415.0, "npi": [1124075478]}]}]}, {"tin": {"type": "ein", "value": "451299307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 3534.22, "npi": [1649381146]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 398.0, "npi": [1528878592, 1497911762, 1861208902]}]}, {"allowed_amount": 215.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.0, "npi": [1497911762]}]}, {"allowed_amount": 237.95, "providers": [{"billed_charge": 398.0, "npi": [1972574432]}]}, {"allowed_amount": 279.48, "providers": [{"billed_charge": 398.0, "npi": [1285900670]}]}, {"allowed_amount": 369.23, "providers": [{"billed_charge": 398.0, "npi": [1528878592, 1861208902]}]}]}, {"tin": {"type": "ein", "value": "451478401"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 1073.0, "npi": [1730352535]}]}]}, {"tin": {"type": "ein", "value": "451846825"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 384.85, "providers": [{"billed_charge": 515.0, "npi": [1043876410]}]}]}, {"tin": {"type": "ein", "value": "452526738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.55, "providers": [{"billed_charge": 384.0, "npi": [1336406644]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 377.0, "npi": [1992155600]}]}, {"allowed_amount": 241.35, "providers": [{"billed_charge": 377.0, "npi": [1891132155]}]}]}, {"tin": {"type": "ein", "value": "452820011"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 625.0, "npi": [1699962639]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 625.0, "npi": [1699962639]}]}]}, {"tin": {"type": "ein", "value": "452988446"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 354.0, "npi": [1255325171]}]}, {"allowed_amount": 327.39, "providers": [{"billed_charge": 354.0, "npi": [1255325171]}]}]}, {"tin": {"type": "ein", "value": "453245033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.08, "providers": [{"billed_charge": 339.0, "npi": [1114989605]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 339.0, "npi": [1114989605]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 339.0, "npi": [1114989605]}]}]}, {"tin": {"type": "ein", "value": "453710878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 240.0, "npi": [1689630527]}]}, {"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1689630527]}]}, {"allowed_amount": 395.62, "providers": [{"billed_charge": 240.0, "npi": [1689630527]}]}]}, {"tin": {"type": "ein", "value": "453725269"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 789.0, "npi": [1114010279]}]}]}, {"tin": {"type": "ein", "value": "453976574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 30.31, "providers": [{"billed_charge": 798.0, "npi": [1801149992]}]}, {"allowed_amount": 35.48, "providers": [{"billed_charge": 798.0, "npi": [1588830426]}]}, {"allowed_amount": 35.66, "providers": [{"billed_charge": 798.0, "npi": [1639608300, 1265827158]}]}, {"allowed_amount": 91.38, "providers": [{"billed_charge": 798.0, "npi": [1265827158]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 798.0, "npi": [1578541058, 1538470919, 1902668684, 1124822028, 1255713806, 1730996497, 1033920145, 1407134489, 1215656350, 1366680357, 1659754919, 1932845864, 1699268649, 1801149992, 1780173997, 1134110521, 1619918141, 1609810878, 1124650692, 1255393476, 1972154565, 1902910664, 1821738444, 1881788750, 1255706065, 1558949842, 1265827158, 1326625625, 1588830426, 1053351643, 1922409564, 1528301538, 1487613410, 1750679908, 1255784682, 1952345324, 1639608300, 1861800179, 1669604856, 1528229242]}, {"billed_charge": 821.0, "npi": [1134110521]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 798.0, "npi": [1538470919, 1407134489, 1215656350, 1366680357, 1659754919, 1932845864, 1780173997, 1649854001, 1134110521, 1619918141, 1255393476, 1902910664, 1881788750, 1558949842, 1326625625, 1588830426, 1053351643, 1922409564, 1487613410, 1750679908, 1952345324, 1528229242]}]}, {"allowed_amount": 227.58, "providers": [{"billed_charge": 798.0, "npi": [1124650692, 1366963142, 1376185256, 1801149992, 1255784682, 1407252075, 1124822028, 1730996497, 1255706065, 1790344497, 1033920145, 1861800179, 1669604856]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 798.0, "npi": [1265827158, 1235336819, 1609810878, 1255713806]}]}, {"allowed_amount": 379.77, "providers": [{"billed_charge": 798.0, "npi": [1972154565]}]}]}, {"tin": {"type": "ein", "value": "454070993"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 31.15, "providers": [{"billed_charge": 853.0, "npi": [1609182666, 1427288174]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 812.0, "npi": [1427614858]}]}]}, {"tin": {"type": "ein", "value": "454216983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 416.0, "npi": [1245285212]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 416.0, "npi": [1245285212]}]}]}, {"tin": {"type": "ein", "value": "454370919"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 400.0, "npi": [1699903641]}]}]}, {"tin": {"type": "ein", "value": "454404568"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.06, "providers": [{"billed_charge": 205.06, "npi": [1861795049]}]}]}, {"tin": {"type": "ein", "value": "454748388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 400.0, "npi": [1366434334]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 400.0, "npi": [1366434334]}]}]}, {"tin": {"type": "ein", "value": "454888659"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 415.0, "npi": [1245790021]}]}]}, {"tin": {"type": "ein", "value": "454944358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 270.0, "npi": [1265654263]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 270.0, "npi": [1265654263]}]}]}, {"tin": {"type": "ein", "value": "455188506"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 895.0, "npi": [1346682853]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 895.0, "npi": [1548671415]}]}]}, {"tin": {"type": "ein", "value": "455339282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 700.0, "npi": [1255595047]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 700.0, "npi": [1255595047]}]}]}, {"tin": {"type": "ein", "value": "455530459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 362.66, "npi": [1619057858]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 362.66, "npi": [1619057858]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 332.83, "providers": [{"billed_charge": 663.0, "npi": [1043367931]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 506.0, "npi": [1811903222]}]}]}, {"tin": {"type": "ein", "value": "460759101"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.05, "providers": [{"billed_charge": 869.0, "npi": [1487048864, 1679564892]}]}]}, {"tin": {"type": "ein", "value": "460829877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 345.0, "npi": [1558043679]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 330.0, "npi": [1366936866, 1598262115]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 330.0, "npi": [1366936866, 1497224588, 1962109389, 1689440422]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 345.0, "npi": [1558043679]}]}, {"allowed_amount": 320.0, "providers": [{"billed_charge": 320.0, "npi": [1922799659]}]}, {"allowed_amount": 330.0, "providers": [{"billed_charge": 330.0, "npi": [1700283173, 1689440422, 1497224588, 1962109389, 1528475183, 1922416502, 1407017114]}]}]}, {"tin": {"type": "ein", "value": "460938202"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 507.0, "npi": [1861843468]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 178.86, "providers": [{"billed_charge": 351.0, "npi": [1033319058, 1770111023, 1063511095]}]}, {"allowed_amount": 185.25, "providers": [{"billed_charge": 351.0, "npi": [1548758857, 1881027068]}]}, {"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 351.0, "npi": [1114916640, 1811987365, 1710382312, 1396372603, 1720062516, 1114380821, 1134668890, 1003033051, 1336593565]}]}]}, {"tin": {"type": "ein", "value": "461264844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1700890555]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 263.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 486.0, "npi": [1174131031]}]}]}, {"tin": {"type": "ein", "value": "461448783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 400.0, "npi": [1104002054]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 400.0, "npi": [1104002054]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.47, "providers": [{"billed_charge": 337.28, "npi": [1265450217]}]}]}, {"tin": {"type": "ein", "value": "461814274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 400.0, "npi": [1508074063]}]}]}, {"tin": {"type": "ein", "value": "461870079"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 319.0, "npi": [1790280600, 1295311934]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 701.0, "npi": [1275695306, 1871734749, 1558380642]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 315.93, "providers": [{"billed_charge": 771.0, "npi": [1720668551]}]}]}, {"tin": {"type": "ein", "value": "462650464"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.4, "npi": [1366084899]}]}]}, {"tin": {"type": "ein", "value": "462718719"}, "billing_class": "professional", "service_codes": ["02", "21"], "payments": [{"allowed_amount": 174.62, "providers": [{"billed_charge": 2012.16, "npi": [1306094040]}]}, {"allowed_amount": 592.56, "providers": [{"billed_charge": 2012.16, "npi": [1013303080]}]}, {"allowed_amount": 790.08, "providers": [{"billed_charge": 2012.16, "npi": [1063875847]}]}, {"allowed_amount": 824.99, "providers": [{"billed_charge": 2012.16, "npi": [1881832780]}]}]}, {"tin": {"type": "ein", "value": "462748817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 259.09, "providers": [{"billed_charge": 1661.67, "npi": [1750486015]}]}]}, {"tin": {"type": "ein", "value": "462842081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 3000.0, "npi": [1780708909]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 2500.0, "npi": [1780708909]}, {"billed_charge": 3000.0, "npi": [1780708909]}]}]}, {"tin": {"type": "ein", "value": "462964889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 680.0, "npi": [1457570384]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 680.0, "npi": [1457570384, 1992271084, 1346278223]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 680.0, "npi": [1518499979, 1154551349]}]}, {"allowed_amount": 257.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 680.0, "npi": [1518499979]}]}, {"allowed_amount": 300.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 680.0, "npi": [1518499979, 1154551349]}]}, {"allowed_amount": 339.28, "providers": [{"billed_charge": 680.0, "npi": [1447932801, 1992271084]}]}]}, {"tin": {"type": "ein", "value": "463077526"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 1230.0, "npi": [1528371200, 1982384392, 1003372194, 1295212645]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 1230.0, "npi": [1902267099]}]}, {"allowed_amount": 369.23, "providers": [{"billed_charge": 1230.0, "npi": [1003372194]}]}, {"allowed_amount": 376.89, "providers": [{"billed_charge": 1230.0, "npi": [1528371200]}]}]}, {"tin": {"type": "ein", "value": "463705561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 253.0, "providers": [{"billed_charge": 253.0, "npi": [1619230612]}]}]}, {"tin": {"type": "ein", "value": "463744196"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 426.73, "npi": [1619153541]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 671.07, "npi": [1174564231]}]}]}, {"tin": {"type": "ein", "value": "464225758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.62, "providers": [{"billed_charge": 853.0, "npi": [1457746331]}]}]}, {"tin": {"type": "ein", "value": "464258971"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1194799387]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1194799387]}]}]}, {"tin": {"type": "ein", "value": "464387189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 402.0, "npi": [1598720039]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.8, "providers": [{"billed_charge": 436.0, "npi": [1457333619]}]}]}, {"tin": {"type": "ein", "value": "464677951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 271.0, "providers": [{"billed_charge": 271.0, "npi": [1780183624]}]}]}, {"tin": {"type": "ein", "value": "464713792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 220.39, "providers": [{"billed_charge": 350.06, "npi": [1912177023]}]}, {"allowed_amount": 226.77, "providers": [{"billed_charge": 350.06, "npi": [1053562751]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 188.9, "providers": [{"billed_charge": 394.0, "npi": [1669446449, 1144304197]}]}, {"allowed_amount": 189.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1639439896, 1003081472, 1215106216]}]}, {"allowed_amount": 197.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1417989468]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1578983847, 1033538707, 1417989468, 1366080855]}, {"billed_charge": 394.0, "npi": [1821741216, 1932276177, 1154640100, 1467096321]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1780739144, 1639439896, 1447781877, 1215106216]}]}, {"allowed_amount": 227.58, "providers": [{"billed_charge": 394.0, "npi": [1316432784, 1447883756]}]}, {"allowed_amount": 339.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1497786891, 1811048531, 1033538707, 1366080855]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 394.0, "npi": [1912102104]}]}]}, {"tin": {"type": "ein", "value": "464916622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 375.3, "providers": [{"billed_charge": 748.0, "npi": [1437148574]}]}]}, {"tin": {"type": "ein", "value": "465091853"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 397.0, "npi": [1881687507]}]}]}, {"tin": {"type": "ein", "value": "465123983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.1, "providers": [{"billed_charge": 443.0, "npi": [1336227693]}]}]}, {"tin": {"type": "ein", "value": "465292740"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 269.29, "providers": [{"billed_charge": 462.0, "npi": [1013448968, 1023404084, 1154945087]}]}]}, {"tin": {"type": "ein", "value": "465318844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 1651.0, "npi": [1225270416]}]}]}, {"tin": {"type": "ein", "value": "465362272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.86, "providers": [{"billed_charge": 408.0, "npi": [1508830761, 1023423555]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 408.0, "npi": [1861473167]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 408.0, "npi": [1134179922, 1023423555]}]}, {"allowed_amount": 384.37, "providers": [{"billed_charge": 408.0, "npi": [1134179922]}]}]}, {"tin": {"type": "ein", "value": "465449716"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 275.0, "npi": [1184673444]}]}]}, {"tin": {"type": "ein", "value": "465682719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 250.0, "npi": [1487622023]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 278.47, "providers": [{"billed_charge": 834.0, "npi": [1235343922]}]}, {"allowed_amount": 348.08, "providers": [{"billed_charge": 834.0, "npi": [1376117036]}]}]}, {"tin": {"type": "ein", "value": "471012178"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.59, "providers": [{"billed_charge": 181.59, "npi": [1770816860]}]}]}, {"tin": {"type": "ein", "value": "471182996"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 515.0, "npi": [1053976878]}]}]}, {"tin": {"type": "ein", "value": "471346318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 450.07, "providers": [{"billed_charge": 523.0, "npi": [1508284118]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.71, "providers": [{"billed_charge": 399.25, "npi": [1043480361]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 399.25, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.75, "providers": [{"billed_charge": 401.8, "npi": [1285165068]}]}]}, {"tin": {"type": "ein", "value": "472079770"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.58, "providers": [{"billed_charge": 600.0, "npi": [1962699892]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 199.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 385.0, "npi": [1992672646, 1467169540, 1336941046, 1366254575]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 385.0, "npi": [1467169540, 1215698196, 1336941046, 1366254575]}]}, {"allowed_amount": 246.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 385.0, "npi": [1467169540]}]}]}, {"tin": {"type": "ein", "value": "472590836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 534.0, "npi": [1013158427]}]}]}, {"tin": {"type": "ein", "value": "472615759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 430.0, "npi": [1336627769, 1609683275, 1689305492]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 430.0, "npi": [1336627769, 1609683275, 1689305492]}]}]}, {"tin": {"type": "ein", "value": "472619488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1992987770]}]}, {"allowed_amount": 256.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1992987770]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 147.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.0, "npi": [1679969851, 1801231311]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.0, "npi": [1801231311, 1679969851, 1457526311]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 329.0, "npi": [1679969851]}]}]}, {"tin": {"type": "ein", "value": "473553486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 229.56, "providers": [{"billed_charge": 853.0, "npi": [1588921597]}]}]}, {"tin": {"type": "ein", "value": "473660763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 550.0, "npi": [1174830178]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 550.0, "npi": [1174830178]}]}]}, {"tin": {"type": "ein", "value": "473874447"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 400.0, "npi": [1457308744]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 400.0, "npi": [1457308744]}]}]}, {"tin": {"type": "ein", "value": "474291574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 626.22, "npi": [1871143578, 1659366060]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 626.22, "npi": [1447915699]}]}, {"allowed_amount": 379.77, "providers": [{"billed_charge": 626.22, "npi": [1871143578, 1629682331]}]}, {"allowed_amount": 384.37, "providers": [{"billed_charge": 626.22, "npi": [1659366060]}]}]}, {"tin": {"type": "ein", "value": "474781144"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 249.18, "providers": [{"billed_charge": 1781.04, "npi": [1639342926]}]}]}, {"tin": {"type": "ein", "value": "474913206"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.9, "providers": [{"billed_charge": 608.58, "npi": [1912326521]}]}]}, {"tin": {"type": "ein", "value": "475142345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 259.09, "providers": [{"billed_charge": 551.28, "npi": [1801919014]}]}]}, {"tin": {"type": "ein", "value": "475143607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1487646501]}]}, {"allowed_amount": 249.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1487646501]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 821.0, "npi": [1619002888]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 798.0, "npi": [1629335674]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 798.0, "npi": [1619002888]}]}]}, {"tin": {"type": "ein", "value": "475656579"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.67, "providers": [{"billed_charge": 853.0, "npi": [1164833190]}]}]}, {"tin": {"type": "ein", "value": "480805658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.52, "providers": [{"billed_charge": 320.0, "npi": [1700827383]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.52, "providers": [{"billed_charge": 456.0, "npi": [1215467956]}]}, {"allowed_amount": 193.43, "providers": [{"billed_charge": 456.0, "npi": [1932495769, 1851885578, 1972129518]}]}]}, {"tin": {"type": "ein", "value": "510103684"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 252.07, "providers": [{"billed_charge": 588.23, "npi": [1992157408]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 254.47, "providers": [{"billed_charge": 576.0, "npi": [1336726702]}]}]}, {"tin": {"type": "ein", "value": "542063146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 450.0, "npi": [1699706937]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 450.0, "npi": [1699706937]}]}]}, {"tin": {"type": "ein", "value": "542066908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 500.0, "npi": [1417985888]}]}, {"allowed_amount": 450.07, "providers": [{"billed_charge": 500.0, "npi": [1417985888]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 893.0, "npi": [1952351694]}]}, {"allowed_amount": 181.13, "providers": [{"billed_charge": 893.0, "npi": [1770239113, 1750950150]}]}, {"allowed_amount": 189.04, "providers": [{"billed_charge": 893.0, "npi": [1679770879]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 893.0, "npi": [1952351694, 1578537791]}]}, {"allowed_amount": 205.96, "providers": [{"billed_charge": 893.0, "npi": [1194447730, 1235835166, 1770299687]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 893.0, "npi": [1790738144, 1760402820, 1750950150, 1770299687, 1770239113, 1912586090, 1194447730, 1235835166, 1972932788, 1194793950, 1679770879]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 893.0, "npi": [1912586090, 1194793950, 1487093654]}]}]}, {"tin": {"type": "ein", "value": "550891794"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 300.0, "npi": [1518992106]}]}, {"allowed_amount": 189.04, "providers": [{"billed_charge": 300.0, "npi": [1518992106]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 300.0, "npi": [1518992106]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 300.0, "npi": [1518992106]}]}]}, {"tin": {"type": "ein", "value": "561667838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.0, "providers": [{"billed_charge": 644.0, "npi": [1265845101]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 285.26, "providers": [{"billed_charge": 589.0, "npi": [1871027821]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.28, "providers": [{"billed_charge": 495.0, "npi": [1588748495]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.0, "providers": [{"billed_charge": 385.0, "npi": [1508841032]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 247.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 598.0, "npi": [1659319200, 1578671442]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 238.55, "providers": [{"billed_charge": 618.0, "npi": [1043896848, 1073834693]}]}, {"allowed_amount": 254.45, "providers": [{"billed_charge": 618.0, "npi": [1942667654]}]}, {"allowed_amount": 283.07, "providers": [{"billed_charge": 618.0, "npi": [1316966906]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.0, "providers": [{"billed_charge": 562.0, "npi": [1538722160, 1043212764]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 238.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 674.0, "npi": [1861063729, 1134339815]}]}, {"allowed_amount": 283.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 674.0, "npi": [1730195587]}]}, {"allowed_amount": 384.85, "providers": [{"billed_charge": 674.0, "npi": [1528697018]}]}]}, {"tin": {"type": "ein", "value": "582061514"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.07, "providers": [{"billed_charge": 412.0, "npi": [1114260833]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.67, "providers": [{"billed_charge": 453.0, "npi": [1427296557]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.67, "providers": [{"billed_charge": 603.0, "npi": [1457978660]}]}]}, {"tin": {"type": "ein", "value": "582651479"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.04, "providers": [{"billed_charge": 300.0, "npi": [1770858953]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1770858953]}]}]}, {"tin": {"type": "ein", "value": "582676252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 580.0, "npi": [1245227818]}]}]}, {"tin": {"type": "ein", "value": "584348481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 400.0, "npi": [1447314372]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 400.0, "npi": [1447314372]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.72, "providers": [{"billed_charge": 1141.0, "npi": [1205464476]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 1141.0, "npi": [1376621532]}]}]}, {"tin": {"type": "ein", "value": "590634434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 516.33, "npi": [1386224251]}]}, {"allowed_amount": 225.18, "providers": [{"billed_charge": 516.33, "npi": [1528358181]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 156.05, "providers": [{"billed_charge": 1400.0, "npi": [1457715161]}]}, {"allowed_amount": 180.69, "providers": [{"billed_charge": 1400.0, "npi": [1558856674]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 1400.0, "npi": [1336255009, 1679007843, 1730054180, 1922313592, 1669866950, 1639564263, 1750847588, 1083814347, 1659832749, 1215433198, 1467146548, 1700866068, 1245815000, 1073878138, 1356334171]}, {"billed_charge": 1698.0, "npi": [1528324613, 1053817734]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 1400.0, "npi": [1730054180]}]}, {"allowed_amount": 271.03, "providers": [{"billed_charge": 1400.0, "npi": [1588151500, 1093120958]}]}, {"allowed_amount": 274.31, "providers": [{"billed_charge": 1698.0, "npi": [1285619221]}]}, {"allowed_amount": 303.88, "providers": [{"billed_charge": 1400.0, "npi": [1619264512]}]}, {"allowed_amount": 379.77, "providers": [{"billed_charge": 1400.0, "npi": [1538931746, 1730054180, 1568072742, 1356741417, 1083814347, 1174194260, 1467146548]}]}, {"allowed_amount": 384.37, "providers": [{"billed_charge": 1400.0, "npi": [1932859840, 1033452578, 1679007843, 1750847588, 1639564263, 1952332652, 1588001325, 1659832749, 1831165844, 1053760249, 1073878138, 1356334171]}, {"billed_charge": 1698.0, "npi": [1902272099]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 701.0, "npi": [1952510729]}]}]}, {"tin": {"type": "ein", "value": "591108428"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 325.0, "providers": [{"billed_charge": 511.0, "npi": [1639513344]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 221.98, "providers": [{"billed_charge": 675.0, "npi": [1750730792]}]}, {"allowed_amount": 327.39, "providers": [{"billed_charge": 675.0, "npi": [1144518176, 1316680382]}]}]}, {"tin": {"type": "ein", "value": "591773262"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 338.0, "npi": [1215139498]}]}, {"allowed_amount": 338.0, "providers": [{"billed_charge": 338.0, "npi": [1093237521]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1285195057, 1205106796]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 500.0, "npi": [1437599321, 1831179290, 1154633675]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 500.0, "npi": [1164621447]}]}, {"allowed_amount": 247.54, "providers": [{"billed_charge": 500.0, "npi": [1518462928, 1376074286]}]}]}, {"tin": {"type": "ein", "value": "591803105"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 250.0, "npi": [1417191891]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 250.0, "npi": [1417191891]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 537.0, "npi": [1952919581]}]}, {"allowed_amount": 193.24, "providers": [{"billed_charge": 639.0, "npi": [1881158194]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 537.0, "npi": [1316385727]}]}, {"allowed_amount": 434.38, "providers": [{"billed_charge": 537.0, "npi": [1437130184, 1962961938]}]}]}, {"tin": {"type": "ein", "value": "591901199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 400.0, "npi": [1700893583]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 337.52, "npi": [1003694407]}, {"billed_charge": 1024.55, "npi": [1215959952]}]}, {"allowed_amount": 225.18, "providers": [{"billed_charge": 1024.55, "npi": [1407388804]}]}, {"allowed_amount": 337.52, "providers": [{"billed_charge": 337.52, "npi": [1457195265, 1992828461]}]}, {"allowed_amount": 375.3, "providers": [{"billed_charge": 1024.55, "npi": [1518499235]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 328.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "591934417"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 280.0, "npi": [1679109748, 1205870110]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.83, "providers": [{"billed_charge": 429.0, "npi": [1760700348]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 429.0, "npi": [1205327244, 1215919733, 1295717718]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 429.0, "npi": [1831284132, 1760773246]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1326011545]}]}, {"allowed_amount": 198.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1851616783]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1326011545, 1851616783]}]}]}, {"tin": {"type": "ein", "value": "591940256"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 207.61, "npi": [1316577588, 1831883974]}]}, {"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 207.61, "npi": [1316577588, 1598339541, 1306224654, 1639501711]}]}, {"allowed_amount": 207.61, "providers": [{"billed_charge": 207.61, "npi": [1063820777]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 425.0, "npi": [1295984748, 1679919724]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 188.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1921.0, "npi": [1952313173]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 1921.0, "npi": [1649275249]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 1921.0, "npi": [1841934171]}]}]}, {"tin": {"type": "ein", "value": "592189059"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 660.0, "npi": [1558426049]}]}]}, {"tin": {"type": "ein", "value": "592193856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 349.0, "providers": [{"billed_charge": 349.0, "npi": [1659889665]}]}]}, {"tin": {"type": "ein", "value": "592219482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 313.0, "npi": [1639145774]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 313.0, "npi": [1639145774]}]}]}, {"tin": {"type": "ein", "value": "592291897"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 265.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 361.0, "npi": [1285059170]}]}]}, {"tin": {"type": "ein", "value": "592292041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 518.0, "npi": [1659511533]}]}]}, {"tin": {"type": "ein", "value": "592313481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 506.0, "npi": [1801113576]}]}, {"allowed_amount": 215.6, "providers": [{"billed_charge": 506.0, "npi": [1801113576, 1245734409, 1093938573]}]}]}, {"tin": {"type": "ein", "value": "592348526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 251.0, "npi": [1114335023]}]}, {"allowed_amount": 251.0, "providers": [{"billed_charge": 251.0, "npi": [1114335023]}]}]}, {"tin": {"type": "ein", "value": "592358675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.55, "providers": [{"billed_charge": 410.65, "npi": [1477535136]}]}]}, {"tin": {"type": "ein", "value": "592396735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 323.0, "npi": [1093453920, 1053319145, 1083907083]}]}]}, {"tin": {"type": "ein", "value": "592412674"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 392.74, "npi": [1164541801]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.9, "providers": [{"billed_charge": 522.36, "npi": [1629150123, 1336468198]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 522.36, "npi": [1629150123, 1790096972, 1336468198]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 400.0, "npi": [1588194633]}]}]}, {"tin": {"type": "ein", "value": "592676843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 250.0, "npi": [1639572134]}]}, {"allowed_amount": 236.36, "providers": [{"billed_charge": 250.0, "npi": [1639572134]}]}]}, {"tin": {"type": "ein", "value": "592693323"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 300.0, "npi": [1497719611]}]}]}, {"tin": {"type": "ein", "value": "592715999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.18, "providers": [{"billed_charge": 325.0, "npi": [1811098569]}]}]}, {"tin": {"type": "ein", "value": "592832513"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 671.0, "npi": [1285613679]}]}, {"allowed_amount": 257.78, "providers": [{"billed_charge": 671.0, "npi": [1285613679]}]}]}, {"tin": {"type": "ein", "value": "592842187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1578582664]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 367.31, "providers": [{"billed_charge": 507.0, "npi": [1215188834]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 193.24, "providers": [{"billed_charge": 350.06, "npi": [1265427728, 1205821170]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 350.06, "npi": [1710972435, 1649385733]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.0, "npi": [1295267425]}]}, {"allowed_amount": 279.48, "providers": [{"billed_charge": 350.06, "npi": [1710972435]}]}]}, {"tin": {"type": "ein", "value": "593072368"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 498.0, "npi": [1164510566]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593112205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1013014737]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 355.0, "npi": [1104476464, 1780839449, 1154992311]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 355.0, "npi": [1902824139, 1407204845, 1134896079, 1730833492, 1154992311]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 400.0, "npi": [1306055009, 1912291238, 1437148368, 1245455377, 1598711889, 1700415411, 1861954836, 1306938774, 1528123486, 1437265279]}]}, {"allowed_amount": 236.36, "providers": [{"billed_charge": 400.0, "npi": [1780812297]}]}, {"allowed_amount": 247.54, "providers": [{"billed_charge": 400.0, "npi": [1053593095]}]}, {"allowed_amount": 269.89, "providers": [{"billed_charge": 400.0, "npi": [1336118686]}]}, {"allowed_amount": 279.48, "providers": [{"billed_charge": 400.0, "npi": [1134410988, 1992153555, 1285160564]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1235195744, 1437709664, 1942614565, 1528324357, 1295705127, 1831366632, 1730679754, 1174818058, 1679735021, 1720203854, 1033160718, 1588196687, 1477818227, 1205055027, 1710185335, 1215425533, 1396162590, 1679099519]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 610.0, "npi": [1679519516]}]}, {"allowed_amount": 220.39, "providers": [{"billed_charge": 610.0, "npi": [1962899476, 1245211887]}]}, {"allowed_amount": 226.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1720500929, 1619965282, 1992324099, 1841441540, 1992157812, 1003337304, 1689293912, 1215425533]}]}, {"allowed_amount": 229.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1174818058]}]}, {"allowed_amount": 242.74, "providers": [{"billed_charge": 610.0, "npi": [1134501646]}]}, {"allowed_amount": 248.41, "providers": [{"billed_charge": 610.0, "npi": [1194364620, 1386186492]}]}, {"allowed_amount": 253.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1669554689, 1912184730, 1629292875]}]}, {"allowed_amount": 260.31, "providers": [{"billed_charge": 610.0, "npi": [1629429972, 1285747311]}]}]}, {"tin": {"type": "ein", "value": "593285626"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.67, "providers": [{"billed_charge": 240.0, "npi": [1790869006]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 245.0, "npi": [1285085399]}]}, {"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1235425158]}]}]}, {"tin": {"type": "ein", "value": "593311794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 450.0, "npi": [1174510358]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.72, "providers": [{"billed_charge": 917.0, "npi": [1548606148]}]}, {"allowed_amount": 193.24, "providers": [{"billed_charge": 917.0, "npi": [1720078652, 1609361757]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 917.0, "npi": [1952733719]}]}, {"allowed_amount": 244.34, "providers": [{"billed_charge": 917.0, "npi": [1982354023]}]}]}, {"tin": {"type": "ein", "value": "593338654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 701.0, "npi": [1598799942]}]}]}, {"tin": {"type": "ein", "value": "593360315"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.0, "providers": [{"billed_charge": 400.0, "npi": [1104166339]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 959.0, "npi": [1598050064]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 519.0, "npi": [1578191185, 1063745107, 1013440692]}]}, {"allowed_amount": 327.39, "providers": [{"billed_charge": 519.0, "npi": [1912999665, 1124478292, 1235338047]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 312.0, "npi": [1023774049]}]}]}, {"tin": {"type": "ein", "value": "593411454"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.25, "providers": [{"billed_charge": 360.0, "npi": [1417149873]}]}]}, {"tin": {"type": "ein", "value": "593530305"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 417.0, "npi": [1336792589]}]}]}, {"tin": {"type": "ein", "value": "593533166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 242.74, "providers": [{"billed_charge": 319.4, "npi": [1386673176]}]}]}, {"tin": {"type": "ein", "value": "593573936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.72, "providers": [{"billed_charge": 300.0, "npi": [1477661825]}]}]}, {"tin": {"type": "ein", "value": "593577370"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 401.65, "npi": [1861498131, 1184202806]}]}]}, {"tin": {"type": "ein", "value": "593598056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 1041.0, "npi": [1639407943]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 400.0, "npi": [1356350235, 1104029107, 1013410844]}]}, {"allowed_amount": 151.72, "providers": [{"billed_charge": 400.0, "npi": [1750670048, 1639273790, 1013479237, 1134757578, 1881898542, 1134327950, 1881662096, 1851354484, 1174049340, 1528565694, 1861803199]}]}, {"allowed_amount": 183.66, "providers": [{"billed_charge": 400.0, "npi": [1285685321, 1598963290]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 400.0, "npi": [1609175454, 1598750085, 1205395530, 1013410844, 1881898542, 1205807443, 1841511508, 1679134357, 1598963290, 1174049340, 1639273790, 1861803199]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 400.0, "npi": [1679134357]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.54, "providers": [{"billed_charge": 340.0, "npi": [1043524176]}]}]}, {"tin": {"type": "ein", "value": "593730782"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.54, "providers": [{"billed_charge": 300.0, "npi": [1619906260]}]}]}, {"tin": {"type": "ein", "value": "593768197"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 237.95, "providers": [{"billed_charge": 403.0, "npi": [1801804117]}]}]}, {"tin": {"type": "ein", "value": "594142476"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.66, "providers": [{"billed_charge": 450.0, "npi": [1740244805]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 450.0, "npi": [1740244805]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 652.0, "npi": [1699120485, 1891336079]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 652.0, "npi": [1982090288, 1447492913, 1174846158]}]}, {"allowed_amount": 339.28, "providers": [{"billed_charge": 652.0, "npi": [1861942443]}]}, {"allowed_amount": 399.15, "providers": [{"billed_charge": 652.0, "npi": [1699120485, 1891336079]}]}]}, {"tin": {"type": "ein", "value": "598052198"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 341.0, "npi": [1093035065]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 341.0, "npi": [1093035065]}]}]}, {"tin": {"type": "ein", "value": "600099763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 330.0, "npi": [1710990908]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 246.53, "providers": [{"billed_charge": 688.0, "npi": [1861923914, 1558377788, 1558725838]}]}]}, {"tin": {"type": "ein", "value": "611526851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.43, "providers": [{"billed_charge": 443.0, "npi": [1871685685]}]}]}, {"tin": {"type": "ein", "value": "611677183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.1, "providers": [{"billed_charge": 520.43, "npi": [1831830546]}]}]}, {"tin": {"type": "ein", "value": "612037805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 351.0, "npi": [1801027818, 1740898667, 1932880101, 1487688503]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 351.0, "npi": [1487688503]}]}, {"allowed_amount": 279.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 351.0, "npi": [1992725048, 1801027818, 1205586070]}]}, {"allowed_amount": 351.0, "providers": [{"billed_charge": 351.0, "npi": [1992241384]}]}]}, {"tin": {"type": "ein", "value": "621147754"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1346531241]}]}]}, {"tin": {"type": "ein", "value": "621822362"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.48, "providers": [{"billed_charge": 512.0, "npi": [1700175106, 1205400827]}]}]}, {"tin": {"type": "ein", "value": "630895841"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.0, "providers": [{"billed_charge": 235.0, "npi": [1063520278]}]}]}, {"tin": {"type": "ein", "value": "639361935"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 207.95, "providers": [{"billed_charge": 594.0, "npi": [1548550718]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 1400.0, "npi": [1194353987, 1487985883, 1598179285]}, {"billed_charge": 1698.0, "npi": [1962638437]}]}, {"allowed_amount": 197.11, "providers": [{"billed_charge": 1400.0, "npi": [1467713776, 1598252512, 1528001740, 1982728879]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 1400.0, "npi": [1649665761, 1942437892, 1770070187, 1073034039, 1881824621, 1841725199, 1386006385, 1346203155, 1811187925, 1144487927]}]}, {"allowed_amount": 198.79, "providers": [{"billed_charge": 1400.0, "npi": [1548225154]}]}, {"allowed_amount": 199.66, "providers": [{"billed_charge": 1698.0, "npi": [1538622915]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 1400.0, "npi": [1598252512, 1699065763, 1942437892, 1548794563, 1154520104, 1770070187, 1881824621, 1548286446, 1689195406, 1366755472, 1801258033, 1467713776, 1144487927, 1720321524, 1073034039, 1134665912, 1962031930]}, {"billed_charge": 1698.0, "npi": [1568440782]}]}, {"allowed_amount": 450.07, "providers": [{"billed_charge": 1400.0, "npi": [1568953339, 1154756039]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.57, "providers": [{"billed_charge": 1698.0, "npi": [1639589682]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 1400.0, "npi": [1679983670]}]}]}, {"tin": {"type": "ein", "value": "650063092"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 320.0, "npi": [1558361543]}]}]}, {"tin": {"type": "ein", "value": "650085794"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 300.0, "npi": [1407882483]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 300.0, "npi": [1407882483]}]}]}, {"tin": {"type": "ein", "value": "650118506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 200.0, "npi": [1811929029]}]}]}, {"tin": {"type": "ein", "value": "650130324"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 326.06, "npi": [1033151113]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 326.06, "npi": [1033151113]}]}, {"allowed_amount": 257.78, "providers": [{"billed_charge": 326.06, "npi": [1033151113]}]}]}, {"tin": {"type": "ein", "value": "650145061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 250.0, "npi": [1881645729]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1881645729]}]}]}, {"tin": {"type": "ein", "value": "650158744"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 275.0, "npi": [1013474188]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 275.0, "npi": [1093709859, 1962663070]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 275.0, "npi": [1962663070]}]}]}, {"tin": {"type": "ein", "value": "650202995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 1100.0, "npi": [1538271762]}]}]}, {"tin": {"type": "ein", "value": "650217209"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 225.0, "npi": [1831154319]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 225.0, "npi": [1831154319]}]}]}, {"tin": {"type": "ein", "value": "650262189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 315.0, "npi": [1700831088, 1326050105, 1558317594]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 315.0, "npi": [1700831088, 1558317594]}]}]}, {"tin": {"type": "ein", "value": "650264851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 250.0, "npi": [1548283427]}]}]}, {"tin": {"type": "ein", "value": "650268884"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 750.0, "npi": [1700834702]}]}, {"allowed_amount": 223.39, "providers": [{"billed_charge": 750.0, "npi": [1700834702]}]}]}, {"tin": {"type": "ein", "value": "650298964"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 430.0, "npi": [1417939141]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 430.0, "npi": [1417939141]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 711.0, "npi": [1831124825]}]}, {"allowed_amount": 274.31, "providers": [{"billed_charge": 711.0, "npi": [1376572032, 1831124825]}]}]}, {"tin": {"type": "ein", "value": "650327403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 274.31, "providers": [{"billed_charge": 1044.0, "npi": [1346549953]}]}]}, {"tin": {"type": "ein", "value": "650336999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.18, "providers": [{"billed_charge": 350.0, "npi": [1689293151]}]}]}, {"tin": {"type": "ein", "value": "650366342"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 167.55, "providers": [{"billed_charge": 250.0, "npi": [1649384157]}]}, {"allowed_amount": 180.69, "providers": [{"billed_charge": 250.0, "npi": [1063775674]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 250.0, "npi": [1649384157]}]}]}, {"tin": {"type": "ein", "value": "650450662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 537.0, "npi": [1346363967]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 537.0, "npi": [1346363967]}]}]}, {"tin": {"type": "ein", "value": "650454934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 315.0, "npi": [1306821350]}]}]}, {"tin": {"type": "ein", "value": "650500312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.19, "providers": [{"billed_charge": 600.0, "npi": [1639191786]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 600.0, "npi": [1639191786]}]}]}, {"tin": {"type": "ein", "value": "650507012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 417.0, "npi": [1720131998]}]}]}, {"tin": {"type": "ein", "value": "650523388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.83, "providers": [{"billed_charge": 225.0, "npi": [1366883365, 1144301854]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1295029635, 1366883365, 1285165068, 1982785689, 1144301854]}]}, {"allowed_amount": 221.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1295029635, 1285165068]}]}]}, {"tin": {"type": "ein", "value": "650532000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.9, "providers": [{"billed_charge": 290.0, "npi": [1679612055]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 290.0, "npi": [1679612055]}]}]}, {"tin": {"type": "ein", "value": "650532318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 249.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1063434371]}]}]}, {"tin": {"type": "ein", "value": "650533762"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 372.0, "npi": [1184121360, 1801859962, 1902937923, 1730599903]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 372.0, "npi": [1184121360, 1730599903]}]}]}, {"tin": {"type": "ein", "value": "650539792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.26, "providers": [{"billed_charge": 164.26, "npi": [1043428089, 1053426783]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 280.0, "npi": [1891749164]}]}]}, {"tin": {"type": "ein", "value": "650577436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.54, "providers": [{"billed_charge": 412.0, "npi": [1548276140]}]}]}, {"tin": {"type": "ein", "value": "650580501"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1114923703]}]}, {"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1114923703]}]}]}, {"tin": {"type": "ein", "value": "650589189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 550.0, "npi": [1518066695]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 550.0, "npi": [1518066695]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 626.2, "providers": [{"billed_charge": 1556.0, "npi": [1326715418, 1982444204]}, {"billed_charge": 1677.0, "npi": [1316043805, 1427054311]}]}, {"allowed_amount": 736.71, "providers": [{"billed_charge": 1556.0, "npi": [1194074112, 1336382241, 1447375878, 1871750349, 1033146162, 1912403387]}, {"billed_charge": 1677.0, "npi": [1922684448, 1336382241, 1992791586, 1619543105, 1386094274, 1518184225, 1114303526, 1639585607, 1679518120, 1629657184, 1811510282, 1922376730]}]}]}, {"tin": {"type": "ein", "value": "650640914"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 274.31, "providers": [{"billed_charge": 657.04, "npi": [1043414410]}]}]}, {"tin": {"type": "ein", "value": "650661983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 280.0, "npi": [1699863183]}]}]}, {"tin": {"type": "ein", "value": "650672834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1760687842]}, {"billed_charge": 235.0, "npi": [1760687842]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 223.0, "npi": [1760687842]}, {"billed_charge": 230.0, "npi": [1760687842]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 642.69, "npi": [1558637272, 1215956115, 1548528342]}, {"billed_charge": 745.0, "npi": [1588988000, 1699234864, 1851500847]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 642.69, "npi": [1588988000, 1700104874, 1003839309, 1821317264, 1699234864, 1215956115, 1548528342]}, {"billed_charge": 745.0, "npi": [1821317264]}]}, {"allowed_amount": 436.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 642.69, "npi": [1588988000]}]}, {"allowed_amount": 831.36, "providers": [{"billed_charge": 642.69, "npi": [1588988000]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.54, "providers": [{"billed_charge": 642.69, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "650683662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 350.0, "npi": [1134263163]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 350.0, "npi": [1134263163]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 435.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650696044"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 174.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 174.12, "npi": [1134128481]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 642.69, "npi": [1770679771]}, {"billed_charge": 745.0, "npi": [1053407205]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 642.69, "npi": [1770679771]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 147.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.0, "npi": [1205097904, 1255837191]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.0, "npi": [1205097904, 1912707209, 1275415762, 1700317948]}]}, {"allowed_amount": 261.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.0, "npi": [1326047432]}]}, {"allowed_amount": 384.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.0, "npi": [1639535784]}]}]}, {"tin": {"type": "ein", "value": "650708437"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 378.0, "npi": [1346289691]}]}]}, {"tin": {"type": "ein", "value": "650710550"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 171.82, "providers": [{"billed_charge": 446.0, "npi": [1205815529]}]}, {"allowed_amount": 185.6, "providers": [{"billed_charge": 446.0, "npi": [1205815529]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 446.0, "npi": [1205815529]}]}]}, {"tin": {"type": "ein", "value": "650736911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 279.48, "npi": [1629094602]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1699773341]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 350.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650753936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.54, "providers": [{"billed_charge": 410.65, "npi": [1548263353]}]}]}, {"tin": {"type": "ein", "value": "650770715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 275.0, "npi": [1164430716]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 275.0, "npi": [1164430716]}]}]}, {"tin": {"type": "ein", "value": "650784345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 338.0, "npi": [1174814842]}]}, {"allowed_amount": 239.55, "providers": [{"billed_charge": 338.0, "npi": [1174814842, 1376960278]}]}]}, {"tin": {"type": "ein", "value": "650790741"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 430.0, "npi": [1275564106, 1356658595]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.0, "npi": [1275564106]}]}, {"allowed_amount": 206.74, "providers": [{"billed_charge": 430.0, "npi": [1497959092]}]}]}, {"tin": {"type": "ein", "value": "650804844"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 147.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 198.0, "npi": [1639113152, 1124069992, 1497905269, 1508008806]}]}, {"allowed_amount": 198.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 198.0, "npi": [1124069992, 1497905269, 1508008806, 1639113152]}]}]}, {"tin": {"type": "ein", "value": "650856170"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 250.0, "npi": [1750342689]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 310.0, "npi": [1750342689]}]}]}, {"tin": {"type": "ein", "value": "650863823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 430.0, "npi": [1609980531]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 430.0, "npi": [1609980531]}]}]}, {"tin": {"type": "ein", "value": "650867203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.19, "providers": [{"billed_charge": 350.0, "npi": [1205809670]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1205809670]}]}]}, {"tin": {"type": "ein", "value": "650870793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 300.0, "npi": [1699881672]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 300.0, "npi": [1699881672]}]}]}, {"tin": {"type": "ein", "value": "650874445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.43, "providers": [{"billed_charge": 350.0, "npi": [1043255292]}]}]}, {"tin": {"type": "ein", "value": "650879348"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 492.78, "npi": [1942381512]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 1188.0, "npi": [1285875609, 1801835418, 1033159355, 1558302653]}]}, {"allowed_amount": 274.31, "providers": [{"billed_charge": 1188.0, "npi": [1033159355]}]}]}, {"tin": {"type": "ein", "value": "650898836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 250.0, "npi": [1265419220]}]}]}, {"tin": {"type": "ein", "value": "650909168"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 500.0, "npi": [1609828938]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 500.0, "npi": [1609828938]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 500.0, "npi": [1912964156]}]}]}, {"tin": {"type": "ein", "value": "650947880"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 400.0, "npi": [1336146679]}]}]}, {"tin": {"type": "ein", "value": "650949692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 1295.0, "npi": [1568459048]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 1295.0, "npi": [1568459048]}]}, {"allowed_amount": 261.21, "providers": [{"billed_charge": 1295.0, "npi": [1568459048]}]}]}, {"tin": {"type": "ein", "value": "650958737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1013959246]}]}]}, {"tin": {"type": "ein", "value": "650967376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 650.0, "npi": [1881806206]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 650.0, "npi": [1881806206]}]}]}, {"tin": {"type": "ein", "value": "650977950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 450.0, "npi": [1730192758]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 450.0, "npi": [1730192758]}]}]}, {"tin": {"type": "ein", "value": "650980625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 353.0, "npi": [1336233204]}]}]}, {"tin": {"type": "ein", "value": "651002459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.55, "providers": [{"billed_charge": 650.0, "npi": [1720737059]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 650.0, "npi": [1962460618, 1720737059, 1093332090]}]}, {"allowed_amount": 223.39, "providers": [{"billed_charge": 650.0, "npi": [1649278458, 1235131103]}]}, {"allowed_amount": 379.77, "providers": [{"billed_charge": 650.0, "npi": [1093332090]}]}]}, {"tin": {"type": "ein", "value": "651002758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 450.0, "npi": [1649292012]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 450.0, "npi": [1649292012]}]}]}, {"tin": {"type": "ein", "value": "651009275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 400.0, "npi": [1194759928]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 400.0, "npi": [1194759928]}]}]}, {"tin": {"type": "ein", "value": "651015825"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 250.0, "npi": [1720231459, 1063522332]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 250.0, "npi": [1720231459, 1063522332]}]}]}, {"tin": {"type": "ein", "value": "651020386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.96, "providers": [{"billed_charge": 336.0, "npi": [1043253479]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 336.0, "npi": [1043253479]}]}]}, {"tin": {"type": "ein", "value": "651020460"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 650.0, "npi": [1831256809]}]}, {"allowed_amount": 343.7, "providers": [{"billed_charge": 650.0, "npi": [1831256809]}]}]}, {"tin": {"type": "ein", "value": "651039722"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 985.56, "npi": [1548204118]}]}]}, {"tin": {"type": "ein", "value": "651040252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 400.0, "npi": [1750438974]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 400.0, "npi": [1750438974]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 900.0, "npi": [1811345978]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 271.0, "npi": [1104104264, 1700232667, 1457329468]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 271.0, "npi": [1346745312, 1689295792, 1447681846, 1972686327]}]}, {"allowed_amount": 271.0, "providers": [{"billed_charge": 271.0, "npi": [1346745312, 1457329450, 1447681846, 1972686327, 1700232667, 1457329468]}]}]}, {"tin": {"type": "ein", "value": "651061342"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 207.83, "npi": [1730119181]}]}]}, {"tin": {"type": "ein", "value": "651074146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 300.0, "npi": [1083687917]}]}]}, {"tin": {"type": "ein", "value": "651102146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1164482782]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 350.0, "npi": [1164482782]}]}]}, {"tin": {"type": "ein", "value": "651105106"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1568411676]}]}]}, {"tin": {"type": "ein", "value": "660580501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.58, "providers": [{"billed_charge": 350.0, "npi": [1235595257]}]}]}, {"tin": {"type": "ein", "value": "710290019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.01, "providers": [{"billed_charge": 385.0, "npi": [1144962002]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.16, "providers": [{"billed_charge": 346.0, "npi": [1861915233]}]}, {"allowed_amount": 239.01, "providers": [{"billed_charge": 346.0, "npi": [1801788849]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 239.01, "providers": [{"billed_charge": 354.0, "npi": [1740676360, 1689237869]}]}]}, {"tin": {"type": "ein", "value": "721597863"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.13, "providers": [{"billed_charge": 625.0, "npi": [1194557702]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 255.3, "providers": [{"billed_charge": 802.0, "npi": [1699194233]}]}]}, {"tin": {"type": "ein", "value": "742862314"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.05, "providers": [{"billed_charge": 307.76, "npi": [1437667177]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.96, "providers": [{"billed_charge": 441.0, "npi": [1760662282]}]}]}, {"tin": {"type": "ein", "value": "752660403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 207.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 529.2, "npi": [1275982241]}]}]}, {"tin": {"type": "ein", "value": "760339401"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.96, "providers": [{"billed_charge": 355.0, "npi": [1033237235]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 519.0, "npi": [1356907786]}]}]}, {"tin": {"type": "ein", "value": "760617615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.96, "providers": [{"billed_charge": 773.0, "npi": [1861929796]}]}]}, {"tin": {"type": "ein", "value": "770631940"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.72, "providers": [{"billed_charge": 495.0, "npi": [1225057193]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 495.0, "npi": [1225057193]}]}]}, {"tin": {"type": "ein", "value": "800006481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 229.97, "providers": [{"billed_charge": 309.51, "npi": [1013956473]}]}]}, {"tin": {"type": "ein", "value": "800608796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.75, "providers": [{"billed_charge": 350.0, "npi": [1285725515]}]}]}, {"tin": {"type": "ein", "value": "800674849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 348.24, "npi": [1588785240, 1699756312, 1114506300]}]}, {"allowed_amount": 221.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 348.24, "npi": [1164758082]}]}, {"allowed_amount": 227.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 348.24, "npi": [1417300492, 1629674205]}]}]}, {"tin": {"type": "ein", "value": "800926662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 319.0, "npi": [1457309411]}]}]}, {"tin": {"type": "ein", "value": "810723858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.26, "providers": [{"billed_charge": 492.78, "npi": [1417954496]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 515.55, "npi": [1154950988]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 515.55, "npi": [1154950988]}]}]}, {"tin": {"type": "ein", "value": "810977823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1306046214]}]}]}, {"tin": {"type": "ein", "value": "811178868"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 330.0, "npi": [1467626127]}]}, {"allowed_amount": 249.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 330.0, "npi": [1467626127]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.0, "providers": [{"billed_charge": 297.0, "npi": [1184668865, 1437161395]}]}, {"allowed_amount": 244.51, "providers": [{"billed_charge": 297.0, "npi": [1609872647]}]}]}, {"tin": {"type": "ein", "value": "811422897"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.17, "providers": [{"billed_charge": 1039.0, "npi": [1326308255]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 1039.0, "npi": [1326308255]}]}, {"allowed_amount": 327.39, "providers": [{"billed_charge": 1039.0, "npi": [1326308255]}]}]}, {"tin": {"type": "ein", "value": "811849493"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 6600.0, "npi": [1437315652]}]}]}, {"tin": {"type": "ein", "value": "811894645"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 745.0, "npi": [1215994447]}]}]}, {"tin": {"type": "ein", "value": "811899661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.96, "providers": [{"billed_charge": 500.0, "npi": [1013588417]}]}]}, {"tin": {"type": "ein", "value": "812108721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.79, "providers": [{"billed_charge": 413.65, "npi": [1639119597]}]}, {"allowed_amount": 237.55, "providers": [{"billed_charge": 413.65, "npi": [1750562724]}]}]}, {"tin": {"type": "ein", "value": "812574422"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 252.41, "providers": [{"billed_charge": 450.0, "npi": [1912125824]}]}]}, {"tin": {"type": "ein", "value": "812611928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 314.0, "npi": [1932548880]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 314.0, "npi": [1932548880]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 101.15, "providers": [{"billed_charge": 853.0, "npi": [1871925792]}]}, {"allowed_amount": 126.43, "providers": [{"billed_charge": 853.0, "npi": [1902433295]}]}, {"allowed_amount": 151.72, "providers": [{"billed_charge": 853.0, "npi": [1013591528, 1992770085]}]}, {"allowed_amount": 167.55, "providers": [{"billed_charge": 853.0, "npi": [1669052494]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 729.0, "npi": [1033615208]}, {"billed_charge": 853.0, "npi": [1992770085, 1710318472, 1144615725, 1215252432, 1376924308, 1720584758, 1306596119, 1902339518]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 599.0, "npi": [1144568973]}, {"billed_charge": 853.0, "npi": [1578907200, 1992334817, 1083985121, 1851653539, 1184042921, 1275160970, 1669052494, 1902433295, 1144815408, 1619996436, 1215593397, 1235870452, 1881065175, 1982270393, 1639735962, 1043819675, 1164965182]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 853.0, "npi": [1295793586]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 853.0, "npi": [1578907200, 1083985121, 1992334817, 1851653539, 1184042921, 1275160970, 1669052494, 1902433295, 1619996436, 1235870452, 1982270393, 1639735962, 1407115389]}]}, {"allowed_amount": 227.58, "providers": [{"billed_charge": 853.0, "npi": [1073180352, 1912372905, 1336621135, 1881065175, 1043819675, 1164965182]}]}, {"allowed_amount": 279.48, "providers": [{"billed_charge": 853.0, "npi": [1699425553]}]}, {"allowed_amount": 367.87, "providers": [{"billed_charge": 853.0, "npi": [1558317701]}]}, {"allowed_amount": 376.89, "providers": [{"billed_charge": 853.0, "npi": [1174919898, 1376924308, 1558990606]}]}, {"allowed_amount": 384.37, "providers": [{"billed_charge": 599.0, "npi": [1144585043]}]}, {"allowed_amount": 432.79, "providers": [{"billed_charge": 853.0, "npi": [1306827068]}]}]}, {"tin": {"type": "ein", "value": "812685539"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.05, "providers": [{"billed_charge": 390.79, "npi": [1992128482]}]}]}, {"tin": {"type": "ein", "value": "812753865"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 360.0, "npi": [1801069893]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 565.0, "npi": [1801069893]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 211.6, "npi": [1720598006, 1194682732, 1902633134]}]}, {"allowed_amount": 211.6, "providers": [{"billed_charge": 211.6, "npi": [1386504298, 1194682732, 1720598006, 1497427322, 1699630939]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 273.05, "npi": [1497427322]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 331.0, "npi": [1568443232, 1811978950, 1013229707, 1174554893, 1508847088, 1124120019]}]}, {"allowed_amount": 151.72, "providers": [{"billed_charge": 331.0, "npi": [1245417609]}]}, {"allowed_amount": 171.85, "providers": [{"billed_charge": 331.0, "npi": [1275065492, 1811950132, 1386165793]}]}, {"allowed_amount": 180.69, "providers": [{"billed_charge": 331.0, "npi": [1255645255, 1235624552, 1043244908, 1497943856, 1811929144, 1265462873]}]}, {"allowed_amount": 193.24, "providers": [{"billed_charge": 331.0, "npi": [1285626499, 1134126535]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 331.0, "npi": [1568443232, 1811978950, 1053352583, 1235624552, 1255645255, 1013229707, 1174554893, 1497943856, 1508847088, 1760643282, 1124120019, 1144781139, 1043312853, 1407887128, 1265462873, 1538321021, 1578945598]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 331.0, "npi": [1386165793, 1871952515, 1275065492, 1811950132]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 331.0, "npi": [1407887128, 1760643282]}]}, {"allowed_amount": 296.43, "providers": [{"billed_charge": 331.0, "npi": [1043244908]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 331.0, "npi": [1871952515]}]}, {"allowed_amount": 331.0, "providers": [{"billed_charge": 331.0, "npi": [1801057096, 1063640126]}]}]}, {"tin": {"type": "ein", "value": "812968717"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 340.0, "npi": [1245547223]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 340.0, "npi": [1245547223]}]}]}, {"tin": {"type": "ein", "value": "813158598"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.57, "providers": [{"billed_charge": 280.0, "npi": [1710508460]}]}]}, {"tin": {"type": "ein", "value": "813172922"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 884.0, "npi": [1710449731, 1932669983]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 884.0, "npi": [1710449731, 1720669260, 1003303504, 1184253296, 1932669983]}]}]}, {"tin": {"type": "ein", "value": "813456462"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.98, "providers": [{"billed_charge": 310.52, "npi": [1609462357]}]}]}, {"tin": {"type": "ein", "value": "813669955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 440.45, "npi": [1558752618]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 440.45, "npi": [1558752618]}]}, {"allowed_amount": 220.15, "providers": [{"billed_charge": 440.45, "npi": [1558752618]}]}]}, {"tin": {"type": "ein", "value": "813879435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 274.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 905.0, "npi": [1972745438]}]}]}, {"tin": {"type": "ein", "value": "814015095"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 413.0, "npi": [1043957475]}]}]}, {"tin": {"type": "ein", "value": "814102658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 400.0, "npi": [1326343534]}]}]}, {"tin": {"type": "ein", "value": "814912881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 425.0, "npi": [1548413024]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 425.0, "npi": [1548413024]}]}, {"allowed_amount": 246.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 425.0, "npi": [1548413024]}]}]}, {"tin": {"type": "ein", "value": "815026620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 263.28, "providers": [{"billed_charge": 381.0, "npi": [1437142320]}]}]}, {"tin": {"type": "ein", "value": "815094291"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 812.0, "npi": [1164683801]}]}]}, {"tin": {"type": "ein", "value": "815124973"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 415.0, "npi": [1992016497]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 415.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "820788461"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.54, "providers": [{"billed_charge": 1748.0, "npi": [1447450424]}]}]}, {"tin": {"type": "ein", "value": "820821946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 798.0, "npi": [1689743239]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 798.0, "npi": [1508506288, 1447826607]}]}, {"allowed_amount": 346.59, "providers": [{"billed_charge": 798.0, "npi": [1689743239]}]}]}, {"tin": {"type": "ein", "value": "820908477"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.49, "providers": [{"billed_charge": 859.25, "npi": [1285213884]}]}, {"allowed_amount": 137.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 859.25, "npi": [1285213884]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 859.25, "npi": [1285213884]}]}]}, {"tin": {"type": "ein", "value": "820926850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 264.82, "providers": [{"billed_charge": 320.0, "npi": [1588683007]}]}]}, {"tin": {"type": "ein", "value": "821122533"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.58, "providers": [{"billed_charge": 610.0, "npi": [1265650295]}]}]}, {"tin": {"type": "ein", "value": "821483853"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 420.0, "npi": [1235497520]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 420.0, "npi": [1235497520]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 420.0, "npi": [1235497520]}]}]}, {"tin": {"type": "ein", "value": "821746333"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 415.0, "npi": [1861709230]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 415.0, "npi": [1861709230]}]}]}, {"tin": {"type": "ein", "value": "823235514"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 240.0, "npi": [1841491503]}]}]}, {"tin": {"type": "ein", "value": "823273210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 240.0, "npi": [1174848147]}]}]}, {"tin": {"type": "ein", "value": "823352623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.67, "providers": [{"billed_charge": 691.0, "npi": [1770903031]}]}]}, {"tin": {"type": "ein", "value": "823362725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 224.66, "providers": [{"billed_charge": 1725.75, "npi": [1164945077]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 1725.75, "npi": [1386225332]}]}]}, {"tin": {"type": "ein", "value": "823454041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 310.0, "providers": [{"billed_charge": 310.0, "npi": [1881643195]}]}]}, {"tin": {"type": "ein", "value": "823782639"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 250.0, "npi": [1275589764]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 250.0, "npi": [1275589764]}]}]}, {"tin": {"type": "ein", "value": "823898488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 328.96, "providers": [{"billed_charge": 834.0, "npi": [1649706458]}]}]}, {"tin": {"type": "ein", "value": "823920093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 216.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1663.0, "npi": [1659729762]}]}]}, {"tin": {"type": "ein", "value": "824392391"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 350.0, "npi": [1134407307]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 350.0, "npi": [1134407307]}]}]}, {"tin": {"type": "ein", "value": "824525580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 370.0, "npi": [1609196989]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 370.0, "npi": [1609196989]}]}]}, {"tin": {"type": "ein", "value": "824681345"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 241.88, "providers": [{"billed_charge": 595.0, "npi": [1922034156]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["51", "22", "21"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 619.0, "npi": [1407557564, 1225733645, 1316727894, 1902647415]}]}, {"allowed_amount": 151.72, "providers": [{"billed_charge": 619.0, "npi": [1518212547, 1790751204, 1841224169, 1285932079, 1447815444, 1023020856, 1801080346, 1215375423]}]}, {"allowed_amount": 183.66, "providers": [{"billed_charge": 619.0, "npi": [1194711515]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 619.0, "npi": [1790751204, 1346326980, 1639331176, 1285932079, 1104830959, 1447815444, 1316727894, 1689683575, 1801080346, 1407557564, 1194132126, 1215375423]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 619.0, "npi": [1588922249]}]}, {"allowed_amount": 239.55, "providers": [{"billed_charge": 619.0, "npi": [1477295012]}]}, {"allowed_amount": 619.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 619.0, "npi": [1790824936, 1497149793, 1851371405]}]}]}, {"tin": {"type": "ein", "value": "824950980"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 415.0, "npi": [1760426597]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 415.0, "npi": [1811487200, 1225033020]}]}]}, {"tin": {"type": "ein", "value": "825012837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 147.83, "providers": [{"billed_charge": 400.0, "npi": [1730479387]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 400.0, "npi": [1730479387]}]}]}, {"tin": {"type": "ein", "value": "825210774"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 340.0, "npi": [1235180001]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 340.0, "npi": [1235180001]}]}]}, {"tin": {"type": "ein", "value": "831015586"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 240.0, "npi": [1932115631]}]}]}, {"tin": {"type": "ein", "value": "831159063"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.29, "providers": [{"billed_charge": 302.0, "npi": [1730327099]}]}]}, {"tin": {"type": "ein", "value": "831273357"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 440.45, "npi": [1871833491]}]}, {"allowed_amount": 257.78, "providers": [{"billed_charge": 440.45, "npi": [1871833491]}]}]}, {"tin": {"type": "ein", "value": "831606709"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 340.0, "npi": [1144596057]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 340.0, "npi": [1144596057]}]}]}, {"tin": {"type": "ein", "value": "831848483"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 429.4, "npi": [1366460974]}]}]}, {"tin": {"type": "ein", "value": "831912307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 611.0, "npi": [1851611768, 1265453245]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 611.0, "npi": [1851611768, 1265453245]}]}]}, {"tin": {"type": "ein", "value": "831918740"}, "billing_class": "professional", "service_codes": ["55"], "payments": [{"allowed_amount": 134.47, "providers": [{"billed_charge": 400.0, "npi": [1043299456]}]}, {"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1043299456]}]}]}, {"tin": {"type": "ein", "value": "832309162"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 600.0, "npi": [1861435026]}]}]}, {"tin": {"type": "ein", "value": "832459808"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.62, "providers": [{"billed_charge": 853.0, "npi": [1982695516]}]}]}, {"tin": {"type": "ein", "value": "833126409"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1922276153]}]}]}, {"tin": {"type": "ein", "value": "833150521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.58, "providers": [{"billed_charge": 600.0, "npi": [1073719084]}]}]}, {"tin": {"type": "ein", "value": "833191371"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 319.0, "npi": [1194150698]}]}]}, {"tin": {"type": "ein", "value": "833546595"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 400.0, "npi": [1528492949]}]}]}, {"tin": {"type": "ein", "value": "833941640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 349.54, "npi": [1760967012]}]}]}, {"tin": {"type": "ein", "value": "834031845"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 398.64, "npi": [1629519038]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 520.0, "npi": [1790911782]}]}]}, {"tin": {"type": "ein", "value": "834299346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 905.0, "npi": [1215279625]}]}, {"allowed_amount": 274.31, "providers": [{"billed_charge": 905.0, "npi": [1215279625]}]}]}, {"tin": {"type": "ein", "value": "834655627"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.08, "providers": [{"billed_charge": 165.08, "npi": [1033502802]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 255.3, "providers": [{"billed_charge": 701.0, "npi": [1922502152]}]}]}, {"tin": {"type": "ein", "value": "841795983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.14, "providers": [{"billed_charge": 390.0, "npi": [1629654637]}]}]}, {"tin": {"type": "ein", "value": "841958549"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1730112715]}]}, {"allowed_amount": 300.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1730112715]}]}]}, {"tin": {"type": "ein", "value": "841981841"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 650.46, "npi": [1689930075]}]}]}, {"tin": {"type": "ein", "value": "842360009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 255.3, "providers": [{"billed_charge": 964.0, "npi": [1033476817]}]}]}, {"tin": {"type": "ein", "value": "842805012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 500.0, "npi": [1669863189]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 500.0, "npi": [1669863189]}]}]}, {"tin": {"type": "ein", "value": "842840521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 314.0, "npi": [1871782268]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 32.85, "providers": [{"billed_charge": 657.0, "npi": [1821157504]}]}, {"allowed_amount": 126.43, "providers": [{"billed_charge": 657.0, "npi": [1619471935]}]}, {"allowed_amount": 188.49, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 425.0, "npi": [1942485289]}]}, {"allowed_amount": 198.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 425.0, "npi": [1114244993, 1972243970, 1326577925, 1104314889, 1083677322, 1114999695, 1588957328, 1871768861, 1629657135, 1477085744, 1801158969, 1184236473, 1760794556, 1053666495, 1871881797, 1801116231, 1952920779, 1699017681, 1467080796, 1619532124, 1548413024, 1114112240, 1487232369, 1386065142, 1154792059]}, {"billed_charge": 657.0, "npi": [1295115012, 1104314889, 1609454479, 1588957328, 1366420754, 1831350933, 1497261721, 1871768861, 1679843494, 1114501038, 1497495345, 1508506163, 1154645430, 1801158969, 1184236473, 1760794556, 1053666495, 1730429762, 1174084420, 1871881797, 1952920779, 1467080796, 1619532124, 1548413024, 1962142828, 1487232369, 1154792059]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 657.0, "npi": [1821157504, 1114244993, 1578541058, 1730717059, 1295115012, 1326577925, 1720665474, 1235534215, 1053744771, 1104314889, 1972243970, 1932844040, 1114999695, 1417243536, 1952791824, 1366420754, 1588957328, 1609454479, 1669863189, 1831652882, 1629714456, 1497261721, 1659990554, 1801121306, 1578051355, 1871768861, 1831719582, 1245693597, 1790425502, 1649665571, 1033640743, 1053761064, 1942485289, 1134625064, 1104320043, 1356636971, 1114501038, 1497495345, 1508506163, 1154645430, 1184236473, 1801158969, 1053666495, 1619471935, 1730429762, 1174792899, 1174084420, 1871881797, 1891114823, 1952987463, 1477752137, 1952920779, 1013593425, 1124475090, 1699017681, 1467080796, 1619532124, 1316180060, 1548413024, 1750958179, 1114504420, 1033605605, 1659663078, 1538491626, 1235542507, 1962142828, 1386118511, 1861462384, 1487232369, 1164918645, 1386065142, 1851611768, 1154792059]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 657.0, "npi": [1720665474]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 657.0, "npi": [1801416623]}]}, {"allowed_amount": 221.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 425.0, "npi": [1578541058, 1174792899, 1245693597, 1801116231, 1891114823, 1942485289, 1083677322, 1033640743, 1689253064, 1952791824, 1164918645, 1154645430, 1659990554, 1316180060, 1366683997, 1619471935]}, {"billed_charge": 657.0, "npi": [1538470919, 1932844040, 1083677322, 1831350933, 1639735962, 1659990554, 1588304539, 1245693597, 1790425502, 1033640743, 1053761064, 1942485289, 1356636971, 1154645430, 1104566074, 1619471935, 1174792899, 1477752137, 1952920779, 1124475090, 1316180060, 1750958179, 1114504420, 1033605605, 1861462384, 1962039925, 1851611768]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 657.0, "npi": [1962142828, 1104314889, 1619532124, 1326577925]}]}, {"allowed_amount": 286.0, "providers": [{"billed_charge": 425.0, "npi": [1164918645]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 425.0, "npi": [1801416623, 1922686823]}, {"billed_charge": 657.0, "npi": [1801416623, 1922686823]}]}, {"allowed_amount": 341.66, "providers": [{"billed_charge": 425.0, "npi": [1821157504]}, {"billed_charge": 657.0, "npi": [1821157504]}]}, {"allowed_amount": 346.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 425.0, "npi": [1013180843]}, {"billed_charge": 657.0, "npi": [1013180843]}]}, {"allowed_amount": 450.07, "providers": [{"billed_charge": 657.0, "npi": [1134625064, 1508284118]}]}]}, {"tin": {"type": "ein", "value": "843260543"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 300.0, "npi": [1063600872]}]}, {"allowed_amount": 189.04, "providers": [{"billed_charge": 300.0, "npi": [1063600872]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 300.0, "npi": [1063600872]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 300.0, "npi": [1063600872]}]}]}, {"tin": {"type": "ein", "value": "843467601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 300.0, "npi": [1063862837]}]}]}, {"tin": {"type": "ein", "value": "843514418"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.92, "providers": [{"billed_charge": 337.0, "npi": [1215913868]}]}]}, {"tin": {"type": "ein", "value": "843785275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 500.0, "npi": [1760794556]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 500.0, "npi": [1760794556]}]}]}, {"tin": {"type": "ein", "value": "843845474"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 428.3, "npi": [1174125512]}]}]}, {"tin": {"type": "ein", "value": "844424454"}, "billing_class": "professional", "service_codes": ["22", "61", "21"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 619.0, "npi": [1104498997]}]}, {"allowed_amount": 151.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 619.0, "npi": [1255576922]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 619.0, "npi": [1073138913, 1356326995]}]}]}, {"tin": {"type": "ein", "value": "844546949"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 1039.0, "npi": [1366755837]}]}]}, {"tin": {"type": "ein", "value": "844991122"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 360.0, "npi": [1265769822]}, {"billed_charge": 565.0, "npi": [1265769822]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 360.0, "npi": [1265769822]}, {"billed_charge": 565.0, "npi": [1265769822]}]}]}, {"tin": {"type": "ein", "value": "850548129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 159.7, "providers": [{"billed_charge": 159.7, "npi": [1962558171]}]}]}, {"tin": {"type": "ein", "value": "850808438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 521.0, "npi": [1932548542]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 521.0, "npi": [1932548542]}]}, {"allowed_amount": 246.39, "providers": [{"billed_charge": 521.0, "npi": [1932548542]}]}]}, {"tin": {"type": "ein", "value": "850840984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 348.0, "npi": [1750720116]}]}]}, {"tin": {"type": "ein", "value": "850897854"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 475.0, "npi": [1396907762]}]}, {"allowed_amount": 167.55, "providers": [{"billed_charge": 475.0, "npi": [1306167614]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 475.0, "npi": [1306167614, 1003313271]}]}]}, {"tin": {"type": "ein", "value": "852012444"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1033581699]}]}, {"allowed_amount": 249.18, "providers": [{"billed_charge": 350.0, "npi": [1033581699]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.47, "providers": [{"billed_charge": 1095.0, "npi": [1700306925]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1718.0, "npi": [1225520901, 1215279625, 1427233006, 1174886386, 1972745438]}]}, {"allowed_amount": 274.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1718.0, "npi": [1174886386, 1225520901, 1427233006]}]}]}, {"tin": {"type": "ein", "value": "853271503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 500.0, "npi": [1740801760]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 450.0, "npi": [1922397132, 1437773868, 1396038766]}, {"billed_charge": 500.0, "npi": [1740801760]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 450.0, "npi": [1922397132, 1437773868]}, {"billed_charge": 500.0, "npi": [1740702448]}]}]}, {"tin": {"type": "ein", "value": "853646513"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 1230.0, "npi": [1992904833, 1245759778, 1821449414, 1457988743, 1134640212, 1629584180, 1669975447, 1942735576, 1033267679]}]}, {"allowed_amount": 367.87, "providers": [{"billed_charge": 1230.0, "npi": [1245759778]}]}, {"allowed_amount": 369.23, "providers": [{"billed_charge": 1230.0, "npi": [1629584180]}]}, {"allowed_amount": 376.89, "providers": [{"billed_charge": 1230.0, "npi": [1992904833, 1710188453, 1457988743, 1164622155, 1801233077, 1942735576]}]}]}, {"tin": {"type": "ein", "value": "853888725"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 300.74, "providers": [{"billed_charge": 400.0, "npi": [1558801159]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.85, "providers": [{"billed_charge": 494.37, "npi": [1033389150]}]}]}, {"tin": {"type": "ein", "value": "861094148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.21, "providers": [{"billed_charge": 255.0, "npi": [1831149756]}]}]}, {"tin": {"type": "ein", "value": "861284506"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 600.0, "npi": [1689850182]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 600.0, "npi": [1689850182]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 338.08, "providers": [{"billed_charge": 617.0, "npi": [1679034631]}]}]}, {"tin": {"type": "ein", "value": "862458650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 181.13, "providers": [{"billed_charge": 371.0, "npi": [1902629124]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 371.0, "npi": [1902629124]}]}]}, {"tin": {"type": "ein", "value": "863265908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.24, "providers": [{"billed_charge": 415.0, "npi": [1407092562]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 415.0, "npi": [1407092562]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 391.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 869.0, "npi": [1487996518, 1538424007]}]}]}, {"tin": {"type": "ein", "value": "863616061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 287.0, "npi": [1629538442]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 287.0, "npi": [1629538442]}]}]}, {"tin": {"type": "ein", "value": "871203958"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 3000.0, "npi": [1205285665]}]}]}, {"tin": {"type": "ein", "value": "872481943"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 361.96, "npi": [1487933685]}]}]}, {"tin": {"type": "ein", "value": "873049307"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 400.0, "npi": [1487219721]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 400.0, "npi": [1487219721]}]}]}, {"tin": {"type": "ein", "value": "873722274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1023329992]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 715.0, "npi": [1568616498]}]}]}, {"tin": {"type": "ein", "value": "880599082"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 107.25, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 210.0, "npi": [1588440713]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 1107.0, "npi": [1881199073, 1932521036, 1811444110, 1053677047, 1164482303]}]}, {"allowed_amount": 223.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1107.0, "npi": [1164482303]}]}]}, {"tin": {"type": "ein", "value": "880976503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 360.0, "npi": [1912464710]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 232.34, "providers": [{"billed_charge": 451.0, "npi": [1982285409]}]}]}, {"tin": {"type": "ein", "value": "881133167"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 500.0, "npi": [1104357946]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 500.0, "npi": [1104357946]}]}]}, {"tin": {"type": "ein", "value": "881407702"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 350.0, "npi": [1922565027]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 350.0, "npi": [1922565027]}]}]}, {"tin": {"type": "ein", "value": "881882871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 347.68, "npi": [1174774046]}]}, {"allowed_amount": 220.39, "providers": [{"billed_charge": 347.68, "npi": [1417261611, 1639482391]}]}]}, {"tin": {"type": "ein", "value": "881963120"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 171.85, "providers": [{"billed_charge": 400.0, "npi": [1679912117]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1679912117]}]}]}, {"tin": {"type": "ein", "value": "882069171"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 263.0, "npi": [1518227537]}]}]}, {"tin": {"type": "ein", "value": "882783330"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.6, "providers": [{"billed_charge": 337.53, "npi": [1285089649]}]}]}, {"tin": {"type": "ein", "value": "883157983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.68, "providers": [{"billed_charge": 405.0, "npi": [1184337818]}]}, {"allowed_amount": 189.04, "providers": [{"billed_charge": 405.0, "npi": [1295782209]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 405.0, "npi": [1184337818]}]}]}, {"tin": {"type": "ein", "value": "883330119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2783.39, "npi": [1295995272]}]}]}, {"tin": {"type": "ein", "value": "883503551"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 193.24, "providers": [{"billed_charge": 340.0, "npi": [1457467045]}]}]}, {"tin": {"type": "ein", "value": "883518504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 300.0, "npi": [1427733526]}]}]}, {"tin": {"type": "ein", "value": "883946897"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 522.36, "npi": [1316457914]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 522.36, "npi": [1316457914]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 821.32, "npi": [1174886386]}]}, {"allowed_amount": 274.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 821.32, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 594.0, "npi": [1104137546]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 519.0, "npi": [1750729539]}]}, {"allowed_amount": 177.15, "providers": [{"billed_charge": 519.0, "npi": [1437438041]}]}]}, {"tin": {"type": "ein", "value": "900730397"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 177.15, "providers": [{"billed_charge": 519.0, "npi": [1730140781]}]}]}, {"tin": {"type": "ein", "value": "900743550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 365.0, "providers": [{"billed_charge": 365.0, "npi": [1649408659]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 177.15, "providers": [{"billed_charge": 519.0, "npi": [1255620019]}]}]}, {"tin": {"type": "ein", "value": "911939739"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.63, "providers": [{"billed_charge": 531.0, "npi": [1447567011]}]}]}, {"tin": {"type": "ein", "value": "920741055"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 171.85, "providers": [{"billed_charge": 415.0, "npi": [1174906861]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 415.0, "npi": [1174906861]}]}]}, {"tin": {"type": "ein", "value": "920813815"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 893.0, "npi": [1861697948]}]}]}, {"tin": {"type": "ein", "value": "920902509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 246.4, "npi": [1255747507]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 246.4, "npi": [1255747507]}]}]}, {"tin": {"type": "ein", "value": "921011961"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 345.0, "npi": [1255873832]}]}]}, {"tin": {"type": "ein", "value": "921178997"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.52, "providers": [{"billed_charge": 353.0, "npi": [1679985071]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.37, "providers": [{"billed_charge": 534.0, "npi": [1194979591]}]}, {"allowed_amount": 119.57, "providers": [{"billed_charge": 534.0, "npi": [1598087520]}]}, {"allowed_amount": 121.57, "providers": [{"billed_charge": 534.0, "npi": [1700041084]}]}, {"allowed_amount": 168.03, "providers": [{"billed_charge": 534.0, "npi": [1194979591]}]}, {"allowed_amount": 189.04, "providers": [{"billed_charge": 534.0, "npi": [1326159385]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 534.0, "npi": [1639513344, 1730429762, 1972724029]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 534.0, "npi": [1871578088]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 534.0, "npi": [1194979591, 1205414604, 1134418668, 1518522572, 1902158934, 1326159385, 1801151899, 1700041084]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 534.0, "npi": [1821067299, 1194979591, 1164672424, 1861795049, 1134418668, 1073179693, 1437773868, 1598087280, 1902158934, 1144885526, 1801151899]}]}]}, {"tin": {"type": "ein", "value": "921409318"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 224.11, "providers": [{"billed_charge": 456.0, "npi": [1235723297]}]}]}, {"tin": {"type": "ein", "value": "921934530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 500.0, "npi": [1326482092]}, {"billed_charge": 550.0, "npi": [1326482092]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 550.0, "npi": [1326482092]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 28.11, "providers": [{"billed_charge": 1107.0, "npi": [1386104941]}]}, {"allowed_amount": 75.0, "providers": [{"billed_charge": 1107.0, "npi": [1114554466]}]}, {"allowed_amount": 121.57, "providers": [{"billed_charge": 1107.0, "npi": [1881859569]}]}, {"allowed_amount": 134.47, "providers": [{"billed_charge": 1107.0, "npi": [1154054807]}]}, {"allowed_amount": 151.72, "providers": [{"billed_charge": 1107.0, "npi": [1780145763]}]}, {"allowed_amount": 181.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1107.0, "npi": [1649158338, 1457179418, 1679052310]}]}, {"allowed_amount": 185.25, "providers": [{"billed_charge": 1107.0, "npi": [1174018014, 1265847438]}]}, {"allowed_amount": 198.75, "providers": [{"billed_charge": 1107.0, "npi": [1578152484, 1306586151]}]}, {"allowed_amount": 199.63, "providers": [{"billed_charge": 1107.0, "npi": [1407016579, 1578029187, 1982283529, 1174817035, 1568520971, 1265847438, 1275168916, 1679064604, 1497021471, 1760715833, 1649417791, 1346697927, 1043673932, 1073998670, 1336621135, 1962030684, 1558386920, 1902205552, 1376077172]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 1107.0, "npi": [1699234401, 1689250433, 1457927907, 1578152484, 1053994855, 1184201832, 1154054807, 1073142345, 1306586151, 1588616908, 1255999470, 1801237847, 1578144952, 1114677465, 1477080414]}]}, {"allowed_amount": 209.21, "providers": [{"billed_charge": 1107.0, "npi": [1851742209, 1598992646]}]}, {"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1107.0, "npi": [1114554466, 1033452677, 1285384230, 1497496202, 1144961707, 1386104941, 1689061681, 1881859569, 1063916690, 1023647732, 1114450228, 1679052310, 1477182806, 1972243608, 1710742812, 1457179418, 1891186268, 1679100317]}]}, {"allowed_amount": 226.77, "providers": [{"billed_charge": 1107.0, "npi": [1750494159]}]}, {"allowed_amount": 248.41, "providers": [{"billed_charge": 1107.0, "npi": [1013615863]}]}, {"allowed_amount": 257.78, "providers": [{"billed_charge": 1107.0, "npi": [1285384230]}]}, {"allowed_amount": 279.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1107.0, "npi": [1346697927, 1841609351, 1073998670, 1902205552, 1972252377]}]}, {"allowed_amount": 279.63, "providers": [{"billed_charge": 1107.0, "npi": [1740017870]}]}, {"allowed_amount": 300.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1107.0, "npi": [1033452677, 1063916690, 1972243608, 1679100317, 1285384230, 1306586151, 1144961707, 1689061681, 1497730097, 1114450228, 1134782022, 1073263067, 1891186268, 1427318880, 1114554466, 1386104941, 1881859569, 1023647732, 1902547706]}]}, {"allowed_amount": 367.87, "providers": [{"billed_charge": 1107.0, "npi": [1114506920, 1578029187]}]}, {"allowed_amount": 373.7, "providers": [{"billed_charge": 1107.0, "npi": [1245681824]}]}, {"allowed_amount": 375.3, "providers": [{"billed_charge": 1107.0, "npi": [1598405565]}]}, {"allowed_amount": 376.89, "providers": [{"billed_charge": 1107.0, "npi": [1508447087, 1407016579, 1679064604, 1649417791]}]}, {"allowed_amount": 379.77, "providers": [{"billed_charge": 1107.0, "npi": [1528200367]}]}, {"allowed_amount": 384.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1107.0, "npi": [1457927907, 1134782022, 1073142345, 1588616908, 1144568973, 1346689742, 1407505746, 1093793853, 1477080414]}]}, {"allowed_amount": 793.71, "providers": [{"billed_charge": 1107.0, "npi": [1629538475]}]}, {"allowed_amount": 963.53, "providers": [{"billed_charge": 1107.0, "npi": [1144620972]}]}, {"allowed_amount": 1107.0, "providers": [{"billed_charge": 1107.0, "npi": [1710684857]}]}]}, {"tin": {"type": "ein", "value": "922137152"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 223.58, "providers": [{"billed_charge": 1107.0, "npi": [1982066346, 1619339082, 1982004883]}]}]}, {"tin": {"type": "ein", "value": "922193137"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 332.83, "providers": [{"billed_charge": 1107.0, "npi": [1073990057, 1053871236]}]}]}, {"tin": {"type": "ein", "value": "922342411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 338.8, "providers": [{"billed_charge": 338.8, "npi": [1609119577]}]}]}, {"tin": {"type": "ein", "value": "922369623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 328.52, "npi": [1801197447]}]}]}, {"tin": {"type": "ein", "value": "922465140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.58, "providers": [{"billed_charge": 1107.0, "npi": [1992367312]}]}]}, {"tin": {"type": "ein", "value": "922850612"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 225.0, "npi": [1679732374]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 225.0, "npi": [1679732374]}]}]}, {"tin": {"type": "ein", "value": "923012829"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 370.0, "npi": [1396155941]}]}]}, {"tin": {"type": "ein", "value": "923260946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 360.0, "npi": [1992016497, 1689814493]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 360.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "923763921"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 332.83, "providers": [{"billed_charge": 1415.0, "npi": [1376907196]}]}]}, {"tin": {"type": "ein", "value": "931357152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 10100.0, "npi": [1508285941]}]}]}, {"tin": {"type": "ein", "value": "931879238"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 745.0, "npi": [1689061681]}]}, {"allowed_amount": 300.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 745.0, "npi": [1689061681]}]}]}, {"tin": {"type": "ein", "value": "931884363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.69, "providers": [{"billed_charge": 246.39, "npi": [1083952493]}]}]}, {"tin": {"type": "ein", "value": "932033486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 492.78, "npi": [1144540386]}]}, {"allowed_amount": 298.95, "providers": [{"billed_charge": 492.78, "npi": [1144540386]}]}]}, {"tin": {"type": "ein", "value": "932247745"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 300.0, "npi": [1972008944]}]}]}, {"tin": {"type": "ein", "value": "932313410"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.28, "providers": [{"billed_charge": 964.0, "npi": [1538620323]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.0, "providers": [{"billed_charge": 478.0, "npi": [1659132769]}]}]}, {"tin": {"type": "ein", "value": "932887584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 1703.0, "npi": [1518300904]}]}]}, {"tin": {"type": "ein", "value": "933832553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 328.52, "providers": [{"billed_charge": 348.0, "npi": [1598905754]}]}]}, {"tin": {"type": "ein", "value": "933947445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 445.0, "npi": [1366442618]}]}]}, {"tin": {"type": "ein", "value": "934016957"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 147.83, "providers": [{"billed_charge": 215.65, "npi": [1295157667]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 215.65, "npi": [1295157667]}]}]}, {"tin": {"type": "ein", "value": "934267912"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.62, "providers": [{"billed_charge": 324.58, "npi": [1235106154]}]}]}, {"tin": {"type": "ein", "value": "934625263"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.63, "providers": [{"billed_charge": 345.0, "npi": [1639331176]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 199.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1205074275, 1669102661, 1184172967, 1518247600, 1245650548, 1215383542, 1417449273, 1912639899, 1699787804]}]}, {"allowed_amount": 209.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1487398053]}]}, {"allowed_amount": 210.17, "providers": [{"billed_charge": 1318.0, "npi": [1730115825]}]}, {"allowed_amount": 264.82, "providers": [{"billed_charge": 1318.0, "npi": [1720461577]}]}, {"allowed_amount": 320.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1528551165]}]}, {"allowed_amount": 367.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1184172967]}]}, {"allowed_amount": 369.23, "providers": [{"billed_charge": 1318.0, "npi": [1396475828]}]}, {"allowed_amount": 375.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1689134496, 1578531513, 1912587510, 1417449273, 1912639899]}]}, {"allowed_amount": 376.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1528551165, 1265002802, 1396940227, 1801423173]}]}, {"allowed_amount": 434.38, "providers": [{"billed_charge": 1318.0, "npi": [1699787804]}]}]}, {"tin": {"type": "ein", "value": "952848091"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.12, "providers": [{"billed_charge": 353.0, "npi": [1184019051]}]}]}, {"tin": {"type": "ein", "value": "954298276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.09, "providers": [{"billed_charge": 500.0, "npi": [1316218456]}]}]}, {"tin": {"type": "ein", "value": "954373071"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 264.82, "providers": [{"billed_charge": 1320.0, "npi": [1235627456]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 264.82, "providers": [{"billed_charge": 630.0, "npi": [1609032986, 1568103893]}]}]}, {"tin": {"type": "ein", "value": "954835743"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 264.82, "providers": [{"billed_charge": 420.0, "npi": [1821072844]}]}]}, {"tin": {"type": "ein", "value": "990403826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 270.0, "npi": [1992902753]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 270.0, "npi": [1992902753]}]}]}, {"tin": {"type": "ein", "value": "990685574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 270.0, "npi": [1053374017]}]}]}, {"tin": {"type": "ein", "value": "990884958"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 400.0, "npi": [1679079826]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1669849741]}]}]}, {"tin": {"type": "ein", "value": "991437415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 493.0, "npi": [1225520901]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4948.02, "npi": [1356766554, 1699081117, 1194258350]}]}, {"allowed_amount": 274.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4948.02, "npi": [1356766554, 1699081117, 1194258350]}]}]}, {"tin": {"type": "ein", "value": "991683336"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.33, "providers": [{"billed_charge": 300.0, "npi": [1245770163]}]}, {"allowed_amount": 221.75, "providers": [{"billed_charge": 300.0, "npi": [1245770163]}]}]}, {"tin": {"type": "ein", "value": "991995721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.58, "providers": [{"billed_charge": 517.0, "npi": [1215048061]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.88, "providers": [{"billed_charge": 381.0, "npi": [1528026176, 1659728244, 1831350743]}]}]}, {"tin": {"type": "ein", "value": "992147869"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.3, "providers": [{"billed_charge": 579.54, "npi": [1497327233]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 579.54, "npi": [1881412740]}]}]}, {"tin": {"type": "ein", "value": "992522104"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 300.74, "providers": [{"billed_charge": 400.0, "npi": [1205414604]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 139.62, "providers": [{"billed_charge": 750.0, "npi": [1316309834]}]}, {"allowed_amount": 180.69, "providers": [{"billed_charge": 750.0, "npi": [1497809834]}]}, {"allowed_amount": 188.9, "providers": [{"billed_charge": 750.0, "npi": [1255951695]}]}, {"allowed_amount": 205.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1790258051, 1063687556, 1104195973, 1174937130, 1841530649]}]}, {"allowed_amount": 213.54, "providers": [{"billed_charge": 750.0, "npi": [1750335634, 1356582381]}]}, {"allowed_amount": 256.25, "providers": [{"billed_charge": 750.0, "npi": [1417925967]}]}, {"allowed_amount": 269.39, "providers": [{"billed_charge": 750.0, "npi": [1912414426, 1669058111]}]}, {"allowed_amount": 274.31, "providers": [{"billed_charge": 750.0, "npi": [1588782585]}]}, {"allowed_amount": 379.77, "providers": [{"billed_charge": 750.0, "npi": [1467569384, 1881025203, 1245905173]}]}, {"allowed_amount": 386.01, "providers": [{"billed_charge": 750.0, "npi": [1740593581, 1255957775, 1821544115, 1497384309, 1134549082, 1245326107, 1558566653]}]}]}, {"tin": {"type": "ein", "value": "992902671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.75, "providers": [{"billed_charge": 375.0, "npi": [1700826807]}]}, {"allowed_amount": 205.33, "providers": [{"billed_charge": 375.0, "npi": [1700826807]}]}, {"allowed_amount": 214.81, "providers": [{"billed_charge": 375.0, "npi": [1700826807]}]}, {"allowed_amount": 300.74, "providers": [{"billed_charge": 375.0, "npi": [1700826807]}]}]}, {"tin": {"type": "ein", "value": "994517180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.04, "providers": [{"billed_charge": 360.0, "npi": [1700826807]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.81, "providers": [{"billed_charge": 400.0, "npi": [1306158191]}]}]}]}, {"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": "010720868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 275.0, "npi": [1952333775]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 275.0, "npi": [1952333775]}]}]}, {"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 300.0, "npi": [1356394936]}]}]}, {"tin": {"type": "ein", "value": "043170333"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.82, "providers": [{"billed_charge": 387.0, "npi": [1861837411]}]}]}, {"tin": {"type": "ein", "value": "043369653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.51, "providers": [{"billed_charge": 248.0, "npi": [1679888721]}]}]}, {"tin": {"type": "ein", "value": "043589781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.41, "providers": [{"billed_charge": 259.14, "npi": [1003258583]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 259.14, "npi": [1003258583]}]}]}, {"tin": {"type": "ein", "value": "050577791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.88, "providers": [{"billed_charge": 300.0, "npi": [1053378893]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 197.61, "providers": [{"billed_charge": 325.0, "npi": [1992903447]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.61, "providers": [{"billed_charge": 520.0, "npi": [1417957713]}]}]}, {"tin": {"type": "ein", "value": "112781622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.17, "providers": [{"billed_charge": 275.0, "npi": [1437654662]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 218.28, "providers": [{"billed_charge": 430.0, "npi": [1811376023]}]}]}, {"tin": {"type": "ein", "value": "113312035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 430.0, "providers": [{"billed_charge": 430.0, "npi": [1558774968]}]}]}, {"tin": {"type": "ein", "value": "113735424"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 393.0, "npi": [1023248705]}]}, {"allowed_amount": 160.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 393.0, "npi": [1023248705, 1942244793]}]}]}, {"tin": {"type": "ein", "value": "119800956"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 250.0, "npi": [1770591638]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 219.39, "providers": [{"billed_charge": 495.0, "npi": [1154671717]}]}, {"allowed_amount": 266.4, "providers": [{"billed_charge": 550.0, "npi": [1245492818]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.29, "providers": [{"billed_charge": 1149.86, "npi": [1538331061]}]}, {"allowed_amount": 190.58, "providers": [{"billed_charge": 1149.86, "npi": [1679523187]}]}, {"allowed_amount": 234.56, "providers": [{"billed_charge": 1149.86, "npi": [1932299765]}]}]}, {"tin": {"type": "ein", "value": "132748652"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.55, "providers": [{"billed_charge": 353.85, "npi": [1932260551]}]}]}, {"tin": {"type": "ein", "value": "134290167"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 246.0, "npi": [1972595536]}]}]}, {"tin": {"type": "ein", "value": "141910687"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 215.0, "npi": [1740251008]}]}]}, {"tin": {"type": "ein", "value": "141942527"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.27, "providers": [{"billed_charge": 303.0, "npi": [1376767988]}]}]}, {"tin": {"type": "ein", "value": "161395906"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 587.52, "providers": [{"billed_charge": 344.43, "npi": [1992145247]}]}]}, {"tin": {"type": "ein", "value": "161774386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 730.0, "npi": [1417697210]}]}]}, {"tin": {"type": "ein", "value": "200060013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 273.0, "npi": [1750470316]}]}]}, {"tin": {"type": "ein", "value": "200304468"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 265.84, "npi": [1184732489]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 265.84, "npi": [1184732489]}]}]}, {"tin": {"type": "ein", "value": "200362544"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.06, "providers": [{"billed_charge": 293.0, "npi": [1194783670]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 293.0, "npi": [1194783670]}]}]}, {"tin": {"type": "ein", "value": "200403832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.87, "providers": [{"billed_charge": 240.0, "npi": [1326015157]}]}]}, {"tin": {"type": "ein", "value": "200704610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.59, "providers": [{"billed_charge": 216.0, "npi": [1265438188]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 682.0, "npi": [1639562119, 1336300938, 1346560653, 1427632538, 1548910623, 1134294689, 1679150114, 1760988455, 1336310572, 1013534643, 1134396724, 1962066613, 1891229621, 1780754358, 1770088635, 1649614397, 1881679421, 1467741249, 1124472261, 1669667796, 1619400405, 1932723293, 1629053921, 1912226275, 1699975268, 1104244581, 1952930406, 1023302908]}]}, {"allowed_amount": 226.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 682.0, "npi": [1700465671, 1073660445, 1548910623, 1134294689, 1619162658, 1336310572, 1013534643, 1134396724, 1609452341, 1962066613, 1780754358, 1770088635, 1881679421, 1649614397, 1699713214, 1467741249, 1124472261, 1669667796, 1932723293, 1912226275, 1699975268, 1104244581, 1952930406, 1316399215]}]}, {"allowed_amount": 348.54, "providers": [{"billed_charge": 682.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "201021229"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 91.88, "providers": [{"billed_charge": 175.0, "npi": [1154298560]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1154298560]}]}]}, {"tin": {"type": "ein", "value": "201054138"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 69.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 262.0, "npi": [1447242268]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 262.0, "npi": [1134757008, 1447242268]}, {"billed_charge": 371.0, "npi": [1134757008]}, {"billed_charge": 393.0, "npi": [1134757008]}]}]}, {"tin": {"type": "ein", "value": "201132386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 300.0, "npi": [1114952413]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 300.0, "npi": [1114952413]}]}]}, {"tin": {"type": "ein", "value": "201201744"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.03, "providers": [{"billed_charge": 377.0, "npi": [1447367453]}]}]}, {"tin": {"type": "ein", "value": "201202088"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.26, "providers": [{"billed_charge": 233.0, "npi": [1710555248]}]}]}, {"tin": {"type": "ein", "value": "201271870"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 325.0, "npi": [1720165012]}]}, {"allowed_amount": 187.88, "providers": [{"billed_charge": 325.0, "npi": [1720165012]}]}]}, {"tin": {"type": "ein", "value": "201357375"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 268.0, "providers": [{"billed_charge": 268.0, "npi": [1821023524]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 101.81, "providers": [{"billed_charge": 510.0, "npi": [1295357424]}, {"billed_charge": 536.0, "npi": [1295357424, 1215541404, 1538416680, 1003321308]}]}, {"allowed_amount": 113.79, "providers": [{"billed_charge": 536.0, "npi": [1801988720, 1811513708, 1215673264, 1376074351]}]}, {"allowed_amount": 137.45, "providers": [{"billed_charge": 536.0, "npi": [1134772668]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 510.0, "npi": [1295357424, 1184195893]}, {"billed_charge": 536.0, "npi": [1326022948, 1538416680, 1477174985, 1982683595, 1912213133, 1689202574, 1376074351, 1649664657, 1861955700, 1275111833, 1689201725, 1083874879]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 536.0, "npi": [1689201725]}]}, {"allowed_amount": 245.55, "providers": [{"billed_charge": 536.0, "npi": [1639116619, 1104090141]}]}]}, {"tin": {"type": "ein", "value": "201508867"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 185.54, "providers": [{"billed_charge": 393.0, "npi": [1881972677, 1073957429]}]}]}, {"tin": {"type": "ein", "value": "202098546"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 202.05, "providers": [{"billed_charge": 449.0, "npi": [1043730112, 1023548005, 1568429322, 1073366795, 1518221266]}]}]}, {"tin": {"type": "ein", "value": "202364772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.92, "providers": [{"billed_charge": 255.0, "npi": [1518157601]}]}, {"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 255.0, "npi": [1518157601, 1467496398, 1588647796, 1285253716, 1215440284, 1508808734]}]}, {"allowed_amount": 226.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 255.0, "npi": [1215440284, 1285253716]}]}]}, {"tin": {"type": "ein", "value": "202396250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1720037690, 1245280650]}]}]}, {"tin": {"type": "ein", "value": "202500981"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.79, "providers": [{"billed_charge": 450.0, "npi": [1639223688, 1700868809]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 450.0, "npi": [1639223688, 1700868809]}]}]}, {"tin": {"type": "ein", "value": "202705510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1568459857]}]}]}, {"tin": {"type": "ein", "value": "202823061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.06, "providers": [{"billed_charge": 205.0, "npi": [1043272115]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 205.0, "npi": [1043272115]}]}]}, {"tin": {"type": "ein", "value": "203059260"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.77, "providers": [{"billed_charge": 380.0, "npi": [1841602117]}]}, {"allowed_amount": 230.04, "providers": [{"billed_charge": 380.0, "npi": [1790741676]}]}]}, {"tin": {"type": "ein", "value": "203204949"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 255.0, "npi": [1750788188]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 421.0, "npi": [1679923601]}]}, {"allowed_amount": 275.91, "providers": [{"billed_charge": 421.0, "npi": [1679923601]}]}]}, {"tin": {"type": "ein", "value": "204321527"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 1564.0, "npi": [1134114432]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 408.0, "npi": [1194715607]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 408.0, "npi": [1154158426, 1396714317]}]}, {"allowed_amount": 254.88, "providers": [{"billed_charge": 408.0, "npi": [1154158426]}]}]}, {"tin": {"type": "ein", "value": "204389641"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 197.6, "npi": [1639852874, 1114489499, 1508626466, 1942894837]}]}, {"allowed_amount": 186.32, "providers": [{"billed_charge": 197.6, "npi": [1639852874, 1114489499, 1508626466, 1033268677]}]}]}, {"tin": {"type": "ein", "value": "204539852"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 166.59, "providers": [{"billed_charge": 290.76, "npi": [1245267442]}]}]}, {"tin": {"type": "ein", "value": "204595671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 1087.0, "npi": [1093244964]}]}, {"allowed_amount": 167.82, "providers": [{"billed_charge": 1087.0, "npi": [1790728913, 1659614089, 1780795435, 1093244964]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 126.92, "providers": [{"billed_charge": 579.0, "npi": [1225406937]}]}, {"allowed_amount": 148.08, "providers": [{"billed_charge": 579.0, "npi": [1265023451, 1578207767]}]}, {"allowed_amount": 149.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 579.0, "npi": [1992236640, 1821386723, 1114374311, 1689010076, 1093975658, 1467699926, 1043444508, 1841562014]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 579.0, "npi": [1649622176, 1992236640, 1013595289, 1023519683, 1609367523, 1275947434, 1821583956, 1982069589, 1225406937, 1902268154, 1841562014]}]}, {"allowed_amount": 254.88, "providers": [{"billed_charge": 579.0, "npi": [1912307513, 1932623618]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 178.61, "providers": [{"billed_charge": 506.0, "npi": [1972182103]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 308.5, "npi": [1184841835]}]}, {"allowed_amount": 142.53, "providers": [{"billed_charge": 323.92, "npi": [1184841835]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 323.92, "npi": [1730676404]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 323.92, "npi": [1710128657]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["51", "22", "21"], "payments": [{"allowed_amount": 149.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 551.0, "npi": [1649809633, 1740921691, 1578994984, 1609210665, 1144961707, 1487886446, 1134862642, 1114661204, 1316688310, 1710474010, 1861012411, 1447604319]}, {"billed_charge": 582.0, "npi": [1750775904, 1386264331]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 525.0, "npi": [1093395568, 1548836513, 1114421823]}, {"billed_charge": 551.0, "npi": [1528696457, 1487886446, 1134862642, 1205579414, 1659012375, 1316566680, 1790359958, 1437724317, 1831719582]}, {"billed_charge": 554.0, "npi": [1699237032, 1568028942, 1184129207]}, {"billed_charge": 582.0, "npi": [1437715398, 1124915400, 1609809011, 1821594516, 1063925972, 1770166068, 1912402009]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 525.0, "npi": [1700317153, 1932669314]}, {"billed_charge": 528.0, "npi": [1487159778]}, {"billed_charge": 551.0, "npi": [1841860475]}, {"billed_charge": 554.0, "npi": [1366690372, 1306423173, 1356081236, 1861400343, 1780208538]}, {"billed_charge": 582.0, "npi": [1437715398]}]}, {"allowed_amount": 170.97, "providers": [{"billed_charge": 554.0, "npi": [1124880042, 1669011755, 1437802204]}, {"billed_charge": 582.0, "npi": [1124915400, 1063925972, 1043978620]}]}, {"allowed_amount": 260.37, "providers": [{"billed_charge": 525.0, "npi": [1548836513]}, {"billed_charge": 528.0, "npi": [1255951380]}]}]}, {"tin": {"type": "ein", "value": "204923281"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 138.38, "providers": [{"billed_charge": 260.0, "npi": [1053574913]}]}]}, {"tin": {"type": "ein", "value": "204949875"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.94, "providers": [{"billed_charge": 290.0, "npi": [1508840430]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 290.0, "npi": [1508840430]}]}]}, {"tin": {"type": "ein", "value": "204965648"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 246.8, "npi": [1053358200]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 82.2, "providers": [{"billed_charge": 411.0, "npi": [1447267463]}]}, {"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 411.0, "npi": [1285260141, 1447267463]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 259.0, "npi": [1053462150]}]}]}, {"tin": {"type": "ein", "value": "208153119"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 534.0, "npi": [1457096893]}]}]}, {"tin": {"type": "ein", "value": "208411663"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1902808298]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1902808298]}]}, {"allowed_amount": 185.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1902808298]}]}]}, {"tin": {"type": "ein", "value": "208513617"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 155.29, "providers": [{"billed_charge": 420.5, "npi": [1508003583]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 420.5, "npi": [1891165320, 1508003583]}]}]}, {"tin": {"type": "ein", "value": "208541608"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 450.0, "npi": [1346336260]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 450.0, "npi": [1346336260]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.04, "providers": [{"billed_charge": 585.0, "npi": [1164591152]}]}]}, {"tin": {"type": "ein", "value": "222170196"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.29, "providers": [{"billed_charge": 450.0, "npi": [1750318739]}]}]}, {"tin": {"type": "ein", "value": "222352847"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.3, "providers": [{"billed_charge": 292.26, "npi": [1790784510]}]}]}, {"tin": {"type": "ein", "value": "222646010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.52, "providers": [{"billed_charge": 205.52, "npi": [1811036130]}]}]}, {"tin": {"type": "ein", "value": "223266219"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 185.32, "providers": [{"billed_charge": 450.0, "npi": [1639719107]}]}, {"allowed_amount": 213.1, "providers": [{"billed_charge": 450.0, "npi": [1306039359]}]}]}, {"tin": {"type": "ein", "value": "223316007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.49, "providers": [{"billed_charge": 549.0, "npi": [1992295349]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.3, "providers": [{"billed_charge": 823.0, "npi": [1831264456]}]}, {"allowed_amount": 178.34, "providers": [{"billed_charge": 823.0, "npi": [1306365200]}]}, {"allowed_amount": 219.32, "providers": [{"billed_charge": 823.0, "npi": [1952762239]}]}]}, {"tin": {"type": "ein", "value": "225952899"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 305.0, "npi": [1093839656]}]}]}, {"tin": {"type": "ein", "value": "260307415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 343.0, "npi": [1215174537]}]}]}, {"tin": {"type": "ein", "value": "260419006"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 536.23, "providers": [{"billed_charge": 1301.0, "npi": [1417243098]}]}]}, {"tin": {"type": "ein", "value": "260599338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1437812203]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.91, "providers": [{"billed_charge": 408.25, "npi": [1053590489, 1457701906, 1245230358]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 408.25, "npi": [1336241058]}, {"billed_charge": 409.0, "npi": [1356305445]}]}]}, {"tin": {"type": "ein", "value": "260655426"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.75, "providers": [{"billed_charge": 250.0, "npi": [1326016536]}]}]}, {"tin": {"type": "ein", "value": "261179038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 661.0, "npi": [1598791212]}]}, {"allowed_amount": 187.88, "providers": [{"billed_charge": 661.0, "npi": [1598791212]}]}]}, {"tin": {"type": "ein", "value": "261300103"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 350.0, "npi": [1447783832, 1730079005]}]}, {"allowed_amount": 209.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1447783832]}]}]}, {"tin": {"type": "ein", "value": "261474807"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 350.0, "npi": [1154435014]}]}]}, {"tin": {"type": "ein", "value": "261619141"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 432.0, "npi": [1518246313, 1598210858, 1689143422]}]}, {"allowed_amount": 170.97, "providers": [{"billed_charge": 432.0, "npi": [1598210858, 1639734619, 1689143422]}]}]}, {"tin": {"type": "ein", "value": "261802830"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 297.0, "npi": [1043743305]}]}, {"allowed_amount": 276.93, "providers": [{"billed_charge": 297.0, "npi": [1578199204]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 198.0, "npi": [1740145903]}, {"billed_charge": 456.0, "npi": [1124548532]}]}, {"allowed_amount": 155.29, "providers": [{"billed_charge": 198.0, "npi": [1508134008]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 198.0, "npi": [1861785313, 1487674149, 1659769511, 1174741078, 1962083642]}]}, {"allowed_amount": 198.0, "providers": [{"billed_charge": 198.0, "npi": [1437968971, 1104846773, 1578956025, 1013150044, 1487738654]}]}, {"allowed_amount": 300.67, "providers": [{"billed_charge": 456.0, "npi": [1528515210]}]}, {"allowed_amount": 353.73, "providers": [{"billed_charge": 456.0, "npi": [1437491040, 1730716721, 1356879829]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.62, "providers": [{"billed_charge": 198.0, "npi": [1881100121]}]}, {"allowed_amount": 91.88, "providers": [{"billed_charge": 198.0, "npi": [1881100121, 1467600866]}]}, {"allowed_amount": 115.27, "providers": [{"billed_charge": 198.0, "npi": [1366614927, 1114135001, 1508430406, 1497174775]}]}, {"allowed_amount": 136.57, "providers": [{"billed_charge": 198.0, "npi": [1992292106]}, {"billed_charge": 279.0, "npi": [1114563418, 1336896687]}]}, {"allowed_amount": 142.53, "providers": [{"billed_charge": 279.0, "npi": [1932427044]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 198.0, "npi": [1932427044]}]}, {"allowed_amount": 198.0, "providers": [{"billed_charge": 198.0, "npi": [1871872994, 1982051348, 1366614927]}]}, {"allowed_amount": 279.0, "providers": [{"billed_charge": 279.0, "npi": [1194212555, 1114135001, 1366614927, 1881100121, 1124480223]}]}]}, {"tin": {"type": "ein", "value": "262129453"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 250.0, "npi": [1184895286]}]}]}, {"tin": {"type": "ein", "value": "262255271"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1790836997]}]}]}, {"tin": {"type": "ein", "value": "262516349"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 220.0, "npi": [1831296607]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 300.0, "npi": [1740483882]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 202.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 449.0, "npi": [1518128768, 1356791776, 1316391105, 1972000776, 1326272873, 1578191599, 1861810806, 1962701599]}]}]}, {"tin": {"type": "ein", "value": "262987027"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.91, "providers": [{"billed_charge": 596.0, "npi": [1568660090]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 596.0, "npi": [1568660090]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.08, "providers": [{"billed_charge": 370.2, "npi": [1265051700]}]}, {"allowed_amount": 245.55, "providers": [{"billed_charge": 370.2, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 645.75, "npi": [1245685908]}]}, {"allowed_amount": 111.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 645.75, "npi": [1144298829, 1043476807]}]}, {"allowed_amount": 141.91, "providers": [{"billed_charge": 645.75, "npi": [1912922881]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 645.75, "npi": [1972856896, 1912922881, 1346595683, 1114887940, 1922536648, 1245685908, 1760986293, 1730543638, 1578051355, 1568622207]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 645.75, "npi": [1578051355, 1700318706, 1235300211, 1760986293]}]}, {"allowed_amount": 170.97, "providers": [{"billed_charge": 645.75, "npi": [1114887940, 1407528284]}]}, {"allowed_amount": 260.37, "providers": [{"billed_charge": 645.75, "npi": [1659724573]}]}]}, {"tin": {"type": "ein", "value": "263397636"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 300.0, "npi": [1285640169]}]}]}, {"tin": {"type": "ein", "value": "263441529"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.03, "providers": [{"billed_charge": 404.0, "npi": [1811937659]}]}]}, {"tin": {"type": "ein", "value": "263657971"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 255.0, "npi": [1124076377]}]}, {"allowed_amount": 209.62, "providers": [{"billed_charge": 255.0, "npi": [1124076377]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 367.31, "providers": [{"billed_charge": 507.0, "npi": [1609612381]}]}, {"allowed_amount": 432.13, "providers": [{"billed_charge": 507.0, "npi": [1386134419]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 202.05, "providers": [{"billed_charge": 449.0, "npi": [1639601958, 1891965158, 1548757040, 1386038388, 1952668725, 1730611294, 1972761567]}]}]}, {"tin": {"type": "ein", "value": "264216161"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 247.0, "npi": [1114019916]}]}]}, {"tin": {"type": "ein", "value": "264395318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1700044914]}]}]}, {"tin": {"type": "ein", "value": "264557501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 300.0, "npi": [1023051265]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 300.0, "npi": [1023051265]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 491.36, "npi": [1841252657]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 491.36, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 190.0, "npi": [1831210392, 1710062732, 1841607678, 1952608119]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 190.0, "npi": [1326069113]}]}, {"allowed_amount": 185.66, "providers": [{"billed_charge": 190.0, "npi": [1730189192]}]}, {"allowed_amount": 188.05, "providers": [{"billed_charge": 190.0, "npi": [1760822761]}]}, {"allowed_amount": 190.0, "providers": [{"billed_charge": 190.0, "npi": [1972592715]}]}]}, {"tin": {"type": "ein", "value": "270172647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 290.0, "npi": [1376744482]}]}]}, {"tin": {"type": "ein", "value": "270550151"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 611.0, "npi": [1437167129]}]}]}, {"tin": {"type": "ein", "value": "270671865"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 211.94, "providers": [{"billed_charge": 350.0, "npi": [1306881362]}]}]}, {"tin": {"type": "ein", "value": "270709861"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 240.0, "npi": [1760702302]}]}]}, {"tin": {"type": "ein", "value": "270720873"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 275.91, "providers": [{"billed_charge": 459.0, "npi": [1770950552]}]}]}, {"tin": {"type": "ein", "value": "270794018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1932300779]}]}]}, {"tin": {"type": "ein", "value": "271067878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 275.0, "npi": [1134716038]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 275.0, "npi": [1134716038]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 349.0, "providers": [{"billed_charge": 349.0, "npi": [1831307321]}]}]}, {"tin": {"type": "ein", "value": "271788250"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 310.0, "npi": [1578509642]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 425.0, "npi": [1578509642]}]}]}, {"tin": {"type": "ein", "value": "272182082"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 223.0, "npi": [1427491364]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 198.0, "npi": [1740265610, 1427491364]}]}]}, {"tin": {"type": "ein", "value": "272398444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.57, "providers": [{"billed_charge": 350.0, "npi": [1346485877]}]}]}, {"tin": {"type": "ein", "value": "272481555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.59, "providers": [{"billed_charge": 253.0, "npi": [1487184859]}]}]}, {"tin": {"type": "ein", "value": "272582397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 700.0, "npi": [1306000211]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 700.0, "npi": [1306000211]}]}]}, {"tin": {"type": "ein", "value": "272599035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.59, "providers": [{"billed_charge": 185.1, "npi": [1730399437]}]}]}, {"tin": {"type": "ein", "value": "272626998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 650.0, "npi": [1225312648, 1053635482]}]}]}, {"tin": {"type": "ein", "value": "272649285"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.03, "providers": [{"billed_charge": 360.0, "npi": [1568872224]}]}]}, {"tin": {"type": "ein", "value": "272751363"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 196.37, "npi": [1558545822]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.89, "providers": [{"billed_charge": 360.78, "npi": [1316960941]}]}, {"allowed_amount": 234.56, "providers": [{"billed_charge": 360.78, "npi": [1447427711]}]}]}, {"tin": {"type": "ein", "value": "272969038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 300.0, "npi": [1457839987, 1396404646]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1457839987, 1396404646]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.41, "providers": [{"billed_charge": 359.0, "npi": [1750551123]}]}, {"allowed_amount": 220.28, "providers": [{"billed_charge": 359.0, "npi": [1821593476]}]}]}, {"tin": {"type": "ein", "value": "273899821"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.95, "providers": [{"billed_charge": 272.0, "npi": [1629232418]}]}]}, {"tin": {"type": "ein", "value": "274369422"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 205.66, "npi": [1659535987]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 205.66, "npi": [1659535987]}]}]}, {"tin": {"type": "ein", "value": "300995552"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 310.0, "npi": [1902884307]}]}]}, {"tin": {"type": "ein", "value": "311211500"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.47, "providers": [{"billed_charge": 243.0, "npi": [1881577252]}]}]}, {"tin": {"type": "ein", "value": "311255565"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.95, "providers": [{"billed_charge": 385.0, "npi": [1962721506]}]}]}, {"tin": {"type": "ein", "value": "311398575"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.03, "providers": [{"billed_charge": 215.0, "npi": [1730265695]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 200.36, "providers": [{"billed_charge": 320.0, "npi": [1306073366]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 143.78, "providers": [{"billed_charge": 272.08, "npi": [1427405497]}]}]}, {"tin": {"type": "ein", "value": "320235544"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 136.24, "providers": [{"billed_charge": 325.0, "npi": [1184032740]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 196.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 447.0, "npi": [1083690259, 1336149749]}]}]}, {"tin": {"type": "ein", "value": "332805466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 226.75, "providers": [{"billed_charge": 389.0, "npi": [1073744520]}]}]}, {"tin": {"type": "ein", "value": "332916607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.06, "providers": [{"billed_charge": 262.0, "npi": [1013365758]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 262.0, "npi": [1013365758]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 101.81, "providers": [{"billed_charge": 948.0, "npi": [1942691373]}]}, {"allowed_amount": 113.79, "providers": [{"billed_charge": 948.0, "npi": [1952985467]}]}, {"allowed_amount": 148.08, "providers": [{"billed_charge": 948.0, "npi": [1356738124]}]}, {"allowed_amount": 149.31, "providers": [{"billed_charge": 948.0, "npi": [1942466859, 1699962639, 1942689039]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 948.0, "npi": [1669017349]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 948.0, "npi": [1366689028, 1942466859, 1356738124, 1942689039, 1699962639, 1205215415]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1770104986]}]}, {"allowed_amount": 194.36, "providers": [{"billed_charge": 300.0, "npi": [1770104986]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 300.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "333969015"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 507.0, "npi": [1184604357]}]}, {"allowed_amount": 156.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 507.0, "npi": [1730568379]}]}]}, {"tin": {"type": "ein", "value": "334779413"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 400.0, "npi": [1831786516]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 400.0, "npi": [1831786516]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.47, "providers": [{"billed_charge": 1197.0, "npi": [1093337008]}]}, {"allowed_amount": 284.1, "providers": [{"billed_charge": 1040.0, "npi": [1083059182]}]}]}, {"tin": {"type": "ein", "value": "342017298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 257.0, "npi": [1629053988]}]}, {"allowed_amount": 179.67, "providers": [{"billed_charge": 257.0, "npi": [1629053988]}]}]}, {"tin": {"type": "ein", "value": "351693695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.29, "providers": [{"billed_charge": 298.0, "npi": [1194329003]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.97, "providers": [{"billed_charge": 215.0, "npi": [1841445905]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1346771342]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 300.0, "npi": [1083898449, 1760770291]}]}, {"allowed_amount": 184.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1174595763]}]}, {"allowed_amount": 190.45, "providers": [{"billed_charge": 300.0, "npi": [1376741736, 1760770291, 1154389542]}]}]}, {"tin": {"type": "ein", "value": "362690865"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.86, "providers": [{"billed_charge": 290.0, "npi": [1568422012]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 165.84, "providers": [{"billed_charge": 293.0, "npi": [1063973469]}]}]}, {"tin": {"type": "ein", "value": "364799830"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.76, "providers": [{"billed_charge": 200.0, "npi": [1861427288]}]}]}, {"tin": {"type": "ein", "value": "371591769"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1023603305]}]}]}, {"tin": {"type": "ein", "value": "380833014"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 156.53, "providers": [{"billed_charge": 304.0, "npi": [1831307537]}]}]}, {"tin": {"type": "ein", "value": "381973203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.53, "providers": [{"billed_charge": 362.0, "npi": [1194788943]}]}]}, {"tin": {"type": "ein", "value": "383317788"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 156.53, "providers": [{"billed_charge": 304.0, "npi": [1851772388]}]}]}, {"tin": {"type": "ein", "value": "383784872"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.43, "providers": [{"billed_charge": 303.0, "npi": [1659552818]}]}]}, {"tin": {"type": "ein", "value": "392361133"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 1047.36, "npi": [1164616314]}]}, {"allowed_amount": 160.42, "providers": [{"billed_charge": 1047.36, "npi": [1386940450]}]}]}, {"tin": {"type": "ein", "value": "393624856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 246.8, "npi": [1154678811]}]}]}, {"tin": {"type": "ein", "value": "394362698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 150.0, "npi": [1447887773]}, {"billed_charge": 260.0, "npi": [1447887773]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1447887773]}]}]}, {"tin": {"type": "ein", "value": "412226024"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.68, "providers": [{"billed_charge": 210.0, "npi": [1558370411]}]}]}, {"tin": {"type": "ein", "value": "412569180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 393.0, "npi": [1023248705, 1942244793]}]}]}, {"tin": {"type": "ein", "value": "412787724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 600.0, "npi": [1114623402, 1073498507]}]}]}, {"tin": {"type": "ein", "value": "413718737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 360.0, "npi": [1922072461]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 190.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 308.0, "npi": [1841753423]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.0, "npi": [1316926421]}]}]}, {"tin": {"type": "ein", "value": "421656000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.79, "providers": [{"billed_charge": 278.0, "npi": [1285628388]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.67, "providers": [{"billed_charge": 534.0, "npi": [1174017750, 1750387734]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.87, "providers": [{"billed_charge": 602.0, "npi": [1700224136]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.59, "providers": [{"billed_charge": 300.0, "npi": [1083652366]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.42, "providers": [{"billed_charge": 405.0, "npi": [1174248264]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 24.68, "providers": [{"billed_charge": 409.52, "npi": [1912091794]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 123.4, "npi": [1114075785]}]}, {"allowed_amount": 149.31, "providers": [{"billed_charge": 409.52, "npi": [1114075785, 1912091794, 1306133988]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 370.2, "npi": [1114075785]}, {"billed_charge": 409.52, "npi": [1518953025, 1114075785, 1912091794, 1306133988]}]}, {"allowed_amount": 160.42, "providers": [{"billed_charge": 409.52, "npi": [1518953025]}]}, {"allowed_amount": 166.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 409.52, "npi": [1114075785, 1912091794, 1306133988]}]}, {"allowed_amount": 185.1, "providers": [{"billed_charge": 409.52, "npi": [1114075785]}]}, {"allowed_amount": 200.54, "providers": [{"billed_charge": 409.52, "npi": [1912091794]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 202.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 449.0, "npi": [1568802304, 1447870738, 1578913174, 1518199702, 1750736542, 1124010020, 1801392295, 1477087914, 1568695468, 1003098799, 1588766521, 1972591683, 1003810763, 1881956944, 1992793939, 1639732191, 1700175585, 1205255783, 1902057326, 1033172978, 1336317171, 1356803829]}]}]}, {"tin": {"type": "ein", "value": "451259671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.94, "providers": [{"billed_charge": 392.0, "npi": [1306239017]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 273.0, "npi": [1346276631]}]}, {"allowed_amount": 161.7, "providers": [{"billed_charge": 273.0, "npi": [1497911762]}]}, {"allowed_amount": 185.66, "providers": [{"billed_charge": 273.0, "npi": [1346276631]}]}, {"allowed_amount": 209.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 273.0, "npi": [1982609467]}]}]}, {"tin": {"type": "ein", "value": "452914168"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 290.0, "npi": [1760651285]}]}, {"allowed_amount": 288.76, "providers": [{"billed_charge": 290.0, "npi": [1760651285]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 220.88, "providers": [{"billed_charge": 605.0, "npi": [1841828217]}]}, {"allowed_amount": 265.06, "providers": [{"billed_charge": 605.0, "npi": [1154988343]}]}]}, {"tin": {"type": "ein", "value": "453694469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.94, "providers": [{"billed_charge": 392.0, "npi": [1881850261]}]}]}, {"tin": {"type": "ein", "value": "454216983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 285.0, "npi": [1245285212]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 285.0, "npi": [1245285212]}]}]}, {"tin": {"type": "ein", "value": "454266710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 5100.0, "npi": [1356517767]}]}]}, {"tin": {"type": "ein", "value": "454966123"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 240.0, "npi": [1427231497]}]}]}, {"tin": {"type": "ein", "value": "455339282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 700.0, "npi": [1255595047]}]}]}, {"tin": {"type": "ein", "value": "460663349"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 404.94, "npi": [1669886537]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 404.94, "npi": [1669886537, 1356836167]}]}]}, {"tin": {"type": "ein", "value": "460759101"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 269.55, "providers": [{"billed_charge": 599.0, "npi": [1679564892]}]}]}, {"tin": {"type": "ein", "value": "460829877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 250.0, "npi": [1366936866, 1497224588, 1962109389]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1407017114, 1497224588, 1013310549]}]}]}, {"tin": {"type": "ein", "value": "460938202"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 381.0, "npi": [1003480781]}]}, {"allowed_amount": 186.32, "providers": [{"billed_charge": 381.0, "npi": [1003480781]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 264.0, "npi": [1962467910, 1346835626, 1174526958, 1033319058, 1861205395, 1164407417, 1750526141]}]}, {"allowed_amount": 160.51, "providers": [{"billed_charge": 264.0, "npi": [1285043901]}]}, {"allowed_amount": 172.48, "providers": [{"billed_charge": 264.0, "npi": [1649214040]}]}, {"allowed_amount": 186.32, "providers": [{"billed_charge": 264.0, "npi": [1811480643, 1316389075]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.35, "providers": [{"billed_charge": 254.55, "npi": [1023159522]}]}]}, {"tin": {"type": "ein", "value": "461870079"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 240.0, "npi": [1902366735]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 527.0, "npi": [1215441225]}]}]}, {"tin": {"type": "ein", "value": "462718719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 1509.48, "npi": [1396948659]}]}, {"allowed_amount": 276.93, "providers": [{"billed_charge": 1509.48, "npi": [1225515380]}]}]}, {"tin": {"type": "ein", "value": "462964889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 460.0, "npi": [1346278223]}]}]}, {"tin": {"type": "ein", "value": "463581525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 275.0, "npi": [1205601713]}]}]}, {"tin": {"type": "ein", "value": "463595436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 308.5, "npi": [1598822090]}]}, {"allowed_amount": 224.59, "providers": [{"billed_charge": 308.5, "npi": [1598822090]}]}]}, {"tin": {"type": "ein", "value": "463705561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 182.0, "npi": [1326382599]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 182.0, "npi": [1326382599]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 462.21, "npi": [1124658240]}]}]}, {"tin": {"type": "ein", "value": "463756713"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.7, "providers": [{"billed_charge": 938.0, "npi": [1861652547]}]}]}, {"tin": {"type": "ein", "value": "463881616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.2, "providers": [{"billed_charge": 306.0, "npi": [1962465252]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 141.91, "providers": [{"billed_charge": 268.0, "npi": [1588105704, 1669446449]}]}, {"allowed_amount": 142.53, "providers": [{"billed_charge": 273.0, "npi": [1003081472, 1114293172]}]}, {"allowed_amount": 148.08, "providers": [{"billed_charge": 273.0, "npi": [1417989468]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 268.0, "npi": [1174775696, 1669446449, 1013341080, 1821741216]}, {"billed_charge": 273.0, "npi": [1184823825, 1417989468]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 273.0, "npi": [1619964228]}]}, {"allowed_amount": 260.37, "providers": [{"billed_charge": 268.0, "npi": [1912102104]}]}]}, {"tin": {"type": "ein", "value": "464956960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 190.0, "npi": [1972765089]}]}]}, {"tin": {"type": "ein", "value": "465201515"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.66, "providers": [{"billed_charge": 280.0, "npi": [1487611299]}]}]}, {"tin": {"type": "ein", "value": "465292740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.29, "providers": [{"billed_charge": 345.0, "npi": [1013448968, 1154945087]}]}]}, {"tin": {"type": "ein", "value": "465297583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 221.16, "npi": [1245490184]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 221.16, "npi": [1245490184]}]}]}, {"tin": {"type": "ein", "value": "465449716"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 210.0, "npi": [1184673444]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 113.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1730506866, 1619382397]}, {"billed_charge": 254.0, "npi": [1730506866]}]}, {"allowed_amount": 149.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1730506866, 1619382397]}, {"billed_charge": 254.0, "npi": [1295137545, 1730506866]}]}, {"allowed_amount": 190.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1104277888]}, {"billed_charge": 254.0, "npi": [1104277888, 1588653257, 1295137545]}]}]}, {"tin": {"type": "ein", "value": "471428918"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1952301426]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1952301426]}]}]}, {"tin": {"type": "ein", "value": "471473466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 195.32, "npi": [1538446422]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 195.32, "npi": [1538446422]}]}]}, {"tin": {"type": "ein", "value": "471682283"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 450.0, "npi": [1962475111]}]}, {"allowed_amount": 194.36, "providers": [{"billed_charge": 450.0, "npi": [1962475111]}]}]}, {"tin": {"type": "ein", "value": "471739920"}, "billing_class": "professional", "service_codes": ["55"], "payments": [{"allowed_amount": 91.88, "providers": [{"billed_charge": 300.0, "npi": [1770108813]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 299.45, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.06, "providers": [{"billed_charge": 270.8, "npi": [1366883365]}]}, {"allowed_amount": 141.91, "providers": [{"billed_charge": 270.8, "npi": [1851775860]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 270.8, "npi": [1417101411, 1366883365, 1104002054, 1053832691, 1851775860, 1689743445]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 270.8, "npi": [1285165068, 1689743445, 1689878134]}]}, {"allowed_amount": 170.97, "providers": [{"billed_charge": 270.8, "npi": [1457187528]}]}, {"allowed_amount": 206.08, "providers": [{"billed_charge": 270.8, "npi": [1356766554]}]}, {"allowed_amount": 270.8, "providers": [{"billed_charge": 270.8, "npi": [1417101411]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 290.0, "npi": [1992672646]}]}]}, {"tin": {"type": "ein", "value": "472590836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.53, "providers": [{"billed_charge": 400.0, "npi": [1740570118]}]}]}, {"tin": {"type": "ein", "value": "472615759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 324.0, "npi": [1336627769]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 324.0, "npi": [1336627769]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 297.0, "npi": [1609215771]}]}, {"allowed_amount": 194.36, "providers": [{"billed_charge": 297.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "473808924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 318.0, "npi": [1770248668]}]}]}, {"tin": {"type": "ein", "value": "474276880"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 155.29, "providers": [{"billed_charge": 400.0, "npi": [1578968699]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 400.0, "npi": [1578968699]}]}]}, {"tin": {"type": "ein", "value": "474291574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 427.26, "npi": [1447915699, 1659366060, 1912927781]}]}, {"allowed_amount": 185.1, "providers": [{"billed_charge": 427.26, "npi": [1659366060]}]}, {"allowed_amount": 285.3, "providers": [{"billed_charge": 427.26, "npi": [1912927781]}]}, {"allowed_amount": 288.76, "providers": [{"billed_charge": 427.26, "npi": [1659366060]}]}]}, {"tin": {"type": "ein", "value": "474464147"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 251.0, "npi": [1588910343]}]}]}, {"tin": {"type": "ein", "value": "474966216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.81, "providers": [{"billed_charge": 1158.89, "npi": [1487954723]}]}]}, {"tin": {"type": "ein", "value": "510103684"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.13, "providers": [{"billed_charge": 430.77, "npi": [1215312848]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 197.24, "providers": [{"billed_charge": 423.0, "npi": [1962443267]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.67, "providers": [{"billed_charge": 389.0, "npi": [1740068253]}]}]}, {"tin": {"type": "ein", "value": "542063146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 350.0, "npi": [1699706937]}]}, {"allowed_amount": 185.1, "providers": [{"billed_charge": 350.0, "npi": [1699706937]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 611.0, "npi": [1437167129, 1659494854, 1952351694]}]}, {"allowed_amount": 136.57, "providers": [{"billed_charge": 611.0, "npi": [1750950150]}]}, {"allowed_amount": 142.53, "providers": [{"billed_charge": 611.0, "npi": [1679770879]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 611.0, "npi": [1659494854, 1952351694, 1437167129, 1164584124, 1578537791]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 611.0, "npi": [1912586090, 1730509068, 1083241020, 1194793950, 1487093654, 1508800442, 1700853884, 1285602078, 1679770879]}]}, {"allowed_amount": 187.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 611.0, "npi": [1912586090, 1730509068, 1285602078, 1487093654, 1700853884, 1083241020]}]}]}, {"tin": {"type": "ein", "value": "542129332"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.01, "providers": [{"billed_charge": 408.0, "npi": [1871084970]}, {"billed_charge": 410.0, "npi": [1871084970, 1568433308, 1801022421]}]}, {"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 408.0, "npi": [1871084970, 1013111491, 1801022421]}]}]}, {"tin": {"type": "ein", "value": "550829983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.06, "providers": [{"billed_charge": 850.0, "npi": [1881339570]}]}, {"allowed_amount": 121.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 850.0, "npi": [1386712727]}]}, {"allowed_amount": 304.96, "providers": [{"billed_charge": 850.0, "npi": [1275750994]}]}]}, {"tin": {"type": "ein", "value": "550893915"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.69, "providers": [{"billed_charge": 211.0, "npi": [1053390047]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 181.33, "providers": [{"billed_charge": 483.0, "npi": [1083033971]}]}]}, {"tin": {"type": "ein", "value": "561150163"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.12, "providers": [{"billed_charge": 500.0, "npi": [1316937352, 1306985189]}]}]}, {"tin": {"type": "ein", "value": "561230452"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.33, "providers": [{"billed_charge": 225.0, "npi": [1427051804]}]}]}, {"tin": {"type": "ein", "value": "562466775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 193.0, "npi": [1962484378]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 157.05, "providers": [{"billed_charge": 489.0, "npi": [1780242834]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.76, "providers": [{"billed_charge": 277.0, "npi": [1245250554]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 178.61, "providers": [{"billed_charge": 421.0, "npi": [1790104024]}]}, {"allowed_amount": 211.94, "providers": [{"billed_charge": 421.0, "npi": [1013195809]}]}, {"allowed_amount": 220.28, "providers": [{"billed_charge": 421.0, "npi": [1174766356]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.23, "providers": [{"billed_charge": 421.0, "npi": [1003262650]}]}, {"allowed_amount": 211.94, "providers": [{"billed_charge": 421.0, "npi": [1548260458]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 506.0, "npi": [1578004875, 1104189190]}]}]}, {"tin": {"type": "ein", "value": "582595293"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 226.75, "providers": [{"billed_charge": 303.14, "npi": [1841206000]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 778.0, "npi": [1467689091]}]}, {"allowed_amount": 233.57, "providers": [{"billed_charge": 778.0, "npi": [1841602471]}]}]}, {"tin": {"type": "ein", "value": "590634434"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 185.66, "providers": [{"billed_charge": 351.38, "npi": [1598727430]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 111.06, "providers": [{"billed_charge": 1040.0, "npi": [1275775736, 1518351410]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 1040.0, "npi": [1619264512, 1235585225, 1942295563, 1497216204, 1619170669, 1447487152, 1831165844, 1174194260, 1275775736, 1093120958]}, {"billed_charge": 1197.0, "npi": [1689080376, 1518168202, 1609189869]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 1040.0, "npi": [1518351410]}]}, {"allowed_amount": 191.95, "providers": [{"billed_charge": 1040.0, "npi": [1194278044]}]}, {"allowed_amount": 203.61, "providers": [{"billed_charge": 1040.0, "npi": [1093120958, 1386906550]}]}, {"allowed_amount": 228.29, "providers": [{"billed_charge": 1040.0, "npi": [1619264512, 1639565047]}]}, {"allowed_amount": 285.3, "providers": [{"billed_charge": 1197.0, "npi": [1093388878]}]}, {"allowed_amount": 288.76, "providers": [{"billed_charge": 1040.0, "npi": [1679007843, 1619043684, 1639564263, 1497216204, 1619170669, 1831165844, 1093344020, 1417538711, 1508203225, 1134137342]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 1467.0, "npi": [1144813536]}]}]}, {"tin": {"type": "ein", "value": "591559073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 1410.0, "npi": [1144061961]}]}, {"allowed_amount": 395.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1410.0, "npi": [1841629912, 1174104038]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 380.0, "npi": [1669498952, 1902244197, 1295060119]}]}, {"allowed_amount": 202.59, "providers": [{"billed_charge": 380.0, "npi": [1669498952]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.46, "providers": [{"billed_charge": 507.0, "npi": [1013764158]}]}, {"allowed_amount": 190.45, "providers": [{"billed_charge": 507.0, "npi": [1114933082]}]}, {"allowed_amount": 245.55, "providers": [{"billed_charge": 507.0, "npi": [1518427889, 1043255839]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1205106796, 1760728406]}]}, {"allowed_amount": 149.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1154640779, 1205106796]}]}, {"allowed_amount": 156.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1720041247]}]}, {"allowed_amount": 185.66, "providers": [{"billed_charge": 350.0, "npi": [1205220688, 1154633675]}]}]}, {"tin": {"type": "ein", "value": "591797855"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1053054072, 1316548811]}]}, {"allowed_amount": 158.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1629039409, 1588687933]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 295.0, "npi": [1316548811]}]}]}, {"tin": {"type": "ein", "value": "591803105"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 148.08, "providers": [{"billed_charge": 240.0, "npi": [1417191891]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 240.0, "npi": [1417191891]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 113.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 386.0, "npi": [1881950210, 1790751907, 1760458186, 1407822828, 1053570358, 1801393400]}]}, {"allowed_amount": 137.75, "providers": [{"billed_charge": 386.0, "npi": [1174054316]}]}, {"allowed_amount": 144.93, "providers": [{"billed_charge": 386.0, "npi": [1174686695]}]}, {"allowed_amount": 166.49, "providers": [{"billed_charge": 386.0, "npi": [1730155797]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 386.0, "npi": [1295121812, 1659315620, 1356795140]}]}, {"allowed_amount": 170.09, "providers": [{"billed_charge": 386.0, "npi": [1124078076]}]}, {"allowed_amount": 174.88, "providers": [{"billed_charge": 386.0, "npi": [1184244709]}]}, {"allowed_amount": 183.26, "providers": [{"billed_charge": 479.0, "npi": [1457560906]}]}, {"allowed_amount": 190.45, "providers": [{"billed_charge": 386.0, "npi": [1588034995]}]}, {"allowed_amount": 325.8, "providers": [{"billed_charge": 386.0, "npi": [1033260955]}]}, {"allowed_amount": 479.0, "providers": [{"billed_charge": 479.0, "npi": [1033340906]}]}]}, {"tin": {"type": "ein", "value": "591884842"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1497847206]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 253.54, "npi": [1073950200]}, {"billed_charge": 696.35, "npi": [1114587599]}]}, {"allowed_amount": 156.91, "providers": [{"billed_charge": 253.54, "npi": [1164470811]}]}, {"allowed_amount": 168.89, "providers": [{"billed_charge": 253.54, "npi": [1023091477]}]}, {"allowed_amount": 185.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 253.54, "npi": [1205241478]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 248.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.87, "providers": [{"billed_charge": 266.0, "npi": [1629096995]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 266.0, "npi": [1275538944, 1629096995, 1760773246]}]}]}, {"tin": {"type": "ein", "value": "591943602"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.93, "providers": [{"billed_charge": 455.0, "npi": [1346564267]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 300.0, "npi": [1871856492, 1316289606]}]}, {"allowed_amount": 185.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1679919724]}]}, {"allowed_amount": 281.48, "providers": [{"billed_charge": 300.0, "npi": [1235227133]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 120.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 850.0, "npi": [1932152840]}]}, {"allowed_amount": 141.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1302.0, "npi": [1649275249, 1952313173, 1629262126]}]}, {"allowed_amount": 148.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1302.0, "npi": [1083077507, 1578958443, 1386844140, 1669637419, 1316900525, 1700837044, 1164564696, 1164488698, 1962852251]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1302.0, "npi": [1083077507, 1962852251, 1578958443, 1669637419, 1063615516, 1386633774, 1679072367, 1073593166, 1053389650, 1285950931, 1396108635, 1457778748]}]}, {"allowed_amount": 190.45, "providers": [{"billed_charge": 1302.0, "npi": [1710367057]}]}, {"allowed_amount": 260.37, "providers": [{"billed_charge": 1302.0, "npi": [1053389650, 1679072367]}]}]}, {"tin": {"type": "ein", "value": "592111544"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 380.0, "npi": [1306907407]}]}]}, {"tin": {"type": "ein", "value": "592122578"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.81, "providers": [{"billed_charge": 135.0, "npi": [1982651337]}]}, {"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1003023581]}]}]}, {"tin": {"type": "ein", "value": "592227075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 309.0, "npi": [1104276179]}]}]}, {"tin": {"type": "ein", "value": "592292041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.45, "providers": [{"billed_charge": 392.0, "npi": [1780188904]}]}]}, {"tin": {"type": "ein", "value": "592319823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 317.0, "npi": [1306945993]}]}]}, {"tin": {"type": "ein", "value": "592412674"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 293.72, "npi": [1477882223]}]}]}, {"tin": {"type": "ein", "value": "592472922"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 283.0, "npi": [1306959903]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.87, "providers": [{"billed_charge": 392.76, "npi": [1255422127]}]}, {"allowed_amount": 137.95, "providers": [{"billed_charge": 392.76, "npi": [1629150123]}]}, {"allowed_amount": 141.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 392.76, "npi": [1922199843, 1629150123]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 392.76, "npi": [1922199843, 1336468198, 1629150123, 1790096972, 1255422127]}]}]}, {"tin": {"type": "ein", "value": "592577628"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 244.0, "npi": [1992782577]}]}, {"allowed_amount": 196.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 244.0, "npi": [1992782577]}]}]}, {"tin": {"type": "ein", "value": "592579824"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.92, "providers": [{"billed_charge": 530.0, "npi": [1295239887]}]}]}, {"tin": {"type": "ein", "value": "592579826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.92, "providers": [{"billed_charge": 530.0, "npi": [1295998441]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 160.86, "providers": [{"billed_charge": 300.0, "npi": [1275994683]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1558881110]}]}]}, {"tin": {"type": "ein", "value": "592830195"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 226.75, "providers": [{"billed_charge": 300.0, "npi": [1710073648]}]}]}, {"tin": {"type": "ein", "value": "592831647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 409.0, "npi": [1013111624]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 275.49, "providers": [{"billed_charge": 381.0, "npi": [1659954592, 1215188834]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 263.46, "npi": [1649385733]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 263.46, "npi": [1265427728]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 200.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["22", "61", "21"], "payments": [{"allowed_amount": 101.81, "providers": [{"billed_charge": 240.0, "npi": [1992271233, 1639804354, 1255026050, 1336911080, 1487229449, 1407204845, 1134896079, 1104476464, 1750115887, 1396272340, 1407303225, 1588295901]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 240.0, "npi": [1437813664, 1255026050, 1568800613, 1366461543, 1790401479, 1205065513, 1265034763, 1750115887, 1932093010, 1487438131, 1396272340, 1821205303, 1679207450, 1578179453]}]}, {"allowed_amount": 179.67, "providers": [{"billed_charge": 240.0, "npi": [1255026050]}]}, {"allowed_amount": 186.32, "providers": [{"billed_charge": 240.0, "npi": [1568800613]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 433.0, "npi": [1336118686]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 433.0, "npi": [1871887406]}]}, {"allowed_amount": 209.62, "providers": [{"billed_charge": 433.0, "npi": [1285160564]}]}]}, {"tin": {"type": "ein", "value": "593215680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 527.0, "npi": [1407274673, 1265796346]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 295.0, "npi": [1679096085]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 415.0, "npi": [1023350113, 1528248234, 1386289163, 1801095054, 1427091727, 1790969905, 1295266740]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 415.0, "npi": [1427091727]}]}, {"allowed_amount": 170.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.0, "npi": [1245627660]}]}, {"allowed_amount": 190.45, "providers": [{"billed_charge": 415.0, "npi": [1295266740, 1780930719]}]}]}, {"tin": {"type": "ein", "value": "593285626"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.76, "providers": [{"billed_charge": 180.0, "npi": [1790869006]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 180.0, "npi": [1790869006]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 113.79, "providers": [{"billed_charge": 690.0, "npi": [1730886524]}]}, {"allowed_amount": 137.75, "providers": [{"billed_charge": 690.0, "npi": [1558859728]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 690.0, "npi": [1851016166]}]}]}, {"tin": {"type": "ein", "value": "593360315"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 300.0, "npi": [1407004708]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 719.0, "npi": [1225238892, 1982053005, 1568420784, 1245586775, 1164929790]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 719.0, "npi": [1932455136, 1093077307, 1770073876, 1003898982]}]}, {"allowed_amount": 176.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 719.0, "npi": [1699922781]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 351.0, "npi": [1063745107]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 351.0, "npi": [1902951213]}]}, {"allowed_amount": 245.55, "providers": [{"billed_charge": 351.0, "npi": [1922598432]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 333.11, "providers": [{"billed_charge": 536.0, "npi": [1265792733]}]}, {"allowed_amount": 391.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 536.0, "npi": [1093768772]}]}]}, {"tin": {"type": "ein", "value": "593433619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1063500692]}]}]}, {"tin": {"type": "ein", "value": "593577370"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 113.79, "providers": [{"billed_charge": 301.71, "npi": [1689819534]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 301.71, "npi": [1689819534]}]}]}, {"tin": {"type": "ein", "value": "593580766"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 282.68, "providers": [{"billed_charge": 300.0, "npi": [1740269448]}]}]}, {"tin": {"type": "ein", "value": "593606752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1902895576]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 37.43, "providers": [{"billed_charge": 300.0, "npi": [1144678327]}]}, {"allowed_amount": 101.81, "providers": [{"billed_charge": 300.0, "npi": [1104029107, 1043892383]}]}, {"allowed_amount": 113.79, "providers": [{"billed_charge": 300.0, "npi": [1417181249, 1912534595, 1649808452, 1790033157, 1205395530, 1396181996, 1881898542, 1881905198, 1831239508, 1144678327, 1174049340, 1639273790, 1386847903]}]}, {"allowed_amount": 137.75, "providers": [{"billed_charge": 300.0, "npi": [1346687852, 1619940715, 1811192388]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 300.0, "npi": [1750670048, 1417181249, 1689105116, 1811192388, 1316482565, 1013479237, 1053746156, 1447483151, 1144678327, 1831239508, 1144489782, 1679728695, 1811382682, 1174049340, 1275914269, 1861803199]}]}, {"allowed_amount": 156.91, "providers": [{"billed_charge": 300.0, "npi": [1598298960, 1679134357]}]}, {"allowed_amount": 168.89, "providers": [{"billed_charge": 300.0, "npi": [1639663313]}]}, {"allowed_amount": 179.67, "providers": [{"billed_charge": 300.0, "npi": [1144489782]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1043524176, 1548555956]}]}, {"allowed_amount": 185.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1043524176]}]}, {"allowed_amount": 209.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1548555956]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 447.0, "npi": [1134585920, 1821461120, 1073901179, 1699221499, 1891336079, 1043635899, 1093293151]}]}, {"allowed_amount": 160.42, "providers": [{"billed_charge": 447.0, "npi": [1447492913]}]}, {"allowed_amount": 254.88, "providers": [{"billed_charge": 447.0, "npi": [1134585920, 1528521713, 1861942443, 1073901179]}]}, {"allowed_amount": 299.86, "providers": [{"billed_charge": 447.0, "npi": [1891336079]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.6, "providers": [{"billed_charge": 342.0, "npi": [1346622792]}]}]}, {"tin": {"type": "ein", "value": "611300608"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.31, "providers": [{"billed_charge": 332.0, "npi": [1679076491]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 540.0, "providers": [{"billed_charge": 540.0, "npi": [1992826879]}]}]}, {"tin": {"type": "ein", "value": "612037805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 264.0, "npi": [1366806564, 1932880101, 1992241384, 1801027818, 1740898667, 1750027819, 1972009967, 1609156975, 1992725048]}]}, {"allowed_amount": 156.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 264.0, "npi": [1972008852, 1487688503]}]}, {"allowed_amount": 202.43, "providers": [{"billed_charge": 264.0, "npi": [1750027819, 1508516477]}]}, {"allowed_amount": 209.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 264.0, "npi": [1619327780, 1972022648, 1801027818, 1992725048, 1508516477]}]}, {"allowed_amount": 264.0, "providers": [{"billed_charge": 264.0, "npi": [1366806564, 1932880101, 1740003110, 1992241384, 1740898667, 1114658770, 1235639543, 1629666458]}]}]}, {"tin": {"type": "ein", "value": "612299018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 284.0, "npi": [1316138506]}]}, {"allowed_amount": 187.88, "providers": [{"billed_charge": 284.0, "npi": [1316138506]}]}]}, {"tin": {"type": "ein", "value": "621529858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.74, "providers": [{"billed_charge": 263.0, "npi": [1508892688]}]}, {"allowed_amount": 215.94, "providers": [{"billed_charge": 263.0, "npi": [1801114079]}]}]}, {"tin": {"type": "ein", "value": "621647259"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 232.64, "providers": [{"billed_charge": 424.0, "npi": [1407864069]}]}]}, {"tin": {"type": "ein", "value": "635640268"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 549.0, "npi": [1992236921]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.0, "providers": [{"billed_charge": 136.0, "npi": [1538144613]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 1197.0, "npi": [1174586853]}]}, {"allowed_amount": 149.31, "providers": [{"billed_charge": 1197.0, "npi": [1215496534]}]}, {"allowed_amount": 149.99, "providers": [{"billed_charge": 1197.0, "npi": [1700547494]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 1040.0, "npi": [1649665761, 1710945605, 1568777191, 1477873230, 1023403706]}, {"billed_charge": 1197.0, "npi": [1871034074, 1023403706, 1710945605]}]}, {"allowed_amount": 160.42, "providers": [{"billed_charge": 1040.0, "npi": [1023403706]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.04, "providers": [{"billed_charge": 1040.0, "npi": [1366976318]}]}]}, {"tin": {"type": "ein", "value": "650057755"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 689.39, "npi": [1780721837]}]}, {"allowed_amount": 213.79, "providers": [{"billed_charge": 689.39, "npi": [1780721837]}]}]}, {"tin": {"type": "ein", "value": "650063092"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 250.0, "npi": [1558361543]}]}]}, {"tin": {"type": "ein", "value": "650202995"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 125.87, "providers": [{"billed_charge": 770.0, "npi": [1538271762]}]}, {"allowed_amount": 135.74, "providers": [{"billed_charge": 770.0, "npi": [1134231368, 1538271762]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 770.0, "npi": [1134231368, 1538271762, 1114365855]}]}, {"allowed_amount": 215.95, "providers": [{"billed_charge": 770.0, "npi": [1114365855]}]}]}, {"tin": {"type": "ein", "value": "650234567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 250.0, "npi": [1407828320]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 250.0, "npi": [1407828320]}]}]}, {"tin": {"type": "ein", "value": "650236433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 265.56, "npi": [1184629800]}]}]}, {"tin": {"type": "ein", "value": "650258772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.27, "providers": [{"billed_charge": 180.0, "npi": [1134210271]}]}]}, {"tin": {"type": "ein", "value": "650264851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 150.0, "npi": [1548283427]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1548283427]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 596.0, "npi": [1780085548]}, {"billed_charge": 744.0, "npi": [1780085548, 1528856309]}]}, {"allowed_amount": 155.29, "providers": [{"billed_charge": 596.0, "npi": [1790329001]}]}, {"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 744.0, "npi": [1780085548, 1528856309]}]}]}, {"tin": {"type": "ein", "value": "650303665"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 356.0, "npi": [1487628251]}]}]}, {"tin": {"type": "ein", "value": "650310039"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 226.75, "providers": [{"billed_charge": 301.0, "npi": [1972569341]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 540.0, "npi": [1831124825]}]}, {"allowed_amount": 206.08, "providers": [{"billed_charge": 540.0, "npi": [1831124825]}]}]}, {"tin": {"type": "ein", "value": "650327403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 725.3, "npi": [1912498874]}]}, {"allowed_amount": 206.08, "providers": [{"billed_charge": 725.3, "npi": [1104280700, 1063852663]}]}]}, {"tin": {"type": "ein", "value": "650332593"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 205.0, "npi": [1295881365]}]}, {"allowed_amount": 160.42, "providers": [{"billed_charge": 205.0, "npi": [1295881365]}]}]}, {"tin": {"type": "ein", "value": "650378641"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1629040787]}]}]}, {"tin": {"type": "ein", "value": "650450142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 455.0, "npi": [1487692711]}]}]}, {"tin": {"type": "ein", "value": "650496711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.06, "providers": [{"billed_charge": 250.0, "npi": [1154323871]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1154323871]}]}]}, {"tin": {"type": "ein", "value": "650507012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 397.0, "npi": [1720131998]}]}]}, {"tin": {"type": "ein", "value": "650525731"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.29, "providers": [{"billed_charge": 227.0, "npi": [1962433300]}]}]}, {"tin": {"type": "ein", "value": "650532000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1679612055]}]}]}, {"tin": {"type": "ein", "value": "650532318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1063434371]}]}, {"allowed_amount": 187.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1063434371]}]}]}, {"tin": {"type": "ein", "value": "650533762"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.88, "providers": [{"billed_charge": 230.0, "npi": [1730599903]}]}]}, {"tin": {"type": "ein", "value": "650575323"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 179.67, "npi": [1114987641]}]}]}, {"tin": {"type": "ein", "value": "650580501"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 266.0, "npi": [1114923703]}, {"billed_charge": 432.0, "npi": [1114923703]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 472.33, "providers": [{"billed_charge": 1172.0, "npi": [1801594809, 1568490027, 1316043805]}, {"billed_charge": 1182.0, "npi": [1326715418, 1982444204]}]}, {"allowed_amount": 555.69, "providers": [{"billed_charge": 1172.0, "npi": [1629657184, 1619543105, 1922684448, 1992791586, 1336382241, 1386094274, 1114303526, 1326074790, 1679518120, 1639585607, 1811510282, 1013307495, 1831413558, 1922376730]}, {"billed_charge": 1182.0, "npi": [1194074112, 1336382241, 1447375878, 1871750349, 1912403387]}]}]}, {"tin": {"type": "ein", "value": "650640914"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 493.6, "npi": [1437511284]}]}, {"allowed_amount": 206.08, "providers": [{"billed_charge": 493.6, "npi": [1437511284]}]}]}, {"tin": {"type": "ein", "value": "650661983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 200.0, "npi": [1699863183]}]}, {"allowed_amount": 194.36, "providers": [{"billed_charge": 200.0, "npi": [1699863183]}]}]}, {"tin": {"type": "ein", "value": "650672369"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 439.0, "npi": [1801805734]}]}]}, {"tin": {"type": "ein", "value": "650672834"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 175.0, "npi": [1760687842]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1760687842]}]}]}, {"tin": {"type": "ein", "value": "650683662"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.1, "providers": [{"billed_charge": 325.0, "npi": [1134263163]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 290.0, "npi": [1669256285, 1255837191]}]}, {"allowed_amount": 170.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 290.0, "npi": [1669256285]}]}, {"allowed_amount": 191.95, "providers": [{"billed_charge": 290.0, "npi": [1669256285]}]}, {"allowed_amount": 288.76, "providers": [{"billed_charge": 290.0, "npi": [1891957445]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 555.69, "providers": [{"billed_charge": 996.0, "npi": [1396206843]}]}]}, {"tin": {"type": "ein", "value": "650790741"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1154583573, 1699206623]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1124551916]}]}, {"allowed_amount": 154.79, "providers": [{"billed_charge": 295.0, "npi": [1497959092]}]}, {"allowed_amount": 158.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1316135320]}]}, {"allowed_amount": 160.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1124551916]}]}, {"allowed_amount": 161.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1316135320, 1316548811, 1124551916]}]}]}, {"tin": {"type": "ein", "value": "650825133"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.05, "providers": [{"billed_charge": 377.0, "npi": [1407032097]}]}]}, {"tin": {"type": "ein", "value": "650867203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.41, "providers": [{"billed_charge": 250.0, "npi": [1205809670]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1205809670]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.21, "providers": [{"billed_charge": 446.0, "npi": [1760477269, 1629235247]}]}]}, {"tin": {"type": "ein", "value": "650868331"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1578537817]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 250.0, "npi": [1578537817]}]}]}, {"tin": {"type": "ein", "value": "650909168"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 450.0, "npi": [1609828938]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1912964156]}, {"billed_charge": 450.0, "npi": [1609828938]}]}]}, {"tin": {"type": "ein", "value": "650923588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.81, "providers": [{"billed_charge": 175.0, "npi": [1497919039]}]}]}, {"tin": {"type": "ein", "value": "650958737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 225.0, "npi": [1013959246]}]}]}, {"tin": {"type": "ein", "value": "650967376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 450.0, "npi": [1134394067]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 450.0, "npi": [1881806206]}]}]}, {"tin": {"type": "ein", "value": "650980625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 266.0, "npi": [1336233204]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 266.0, "npi": [1336233204]}]}]}, {"tin": {"type": "ein", "value": "650983923"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 265.0, "npi": [1932370723]}]}, {"allowed_amount": 152.72, "providers": [{"billed_charge": 265.0, "npi": [1932370723]}]}]}, {"tin": {"type": "ein", "value": "651002459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 550.0, "npi": [1063413748]}]}]}, {"tin": {"type": "ein", "value": "651015825"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 170.0, "npi": [1720231459, 1063522332]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 170.0, "npi": [1720231459, 1063522332]}]}]}, {"tin": {"type": "ein", "value": "651045187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 284.0, "npi": [1649325051]}]}, {"allowed_amount": 256.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 284.0, "npi": [1649325051]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.53, "providers": [{"billed_charge": 377.0, "npi": [1457463010]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 377.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 205.0, "npi": [1104104264, 1457329450, 1457329468]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 205.0, "npi": [1346745312]}]}, {"allowed_amount": 205.0, "providers": [{"billed_charge": 205.0, "npi": [1346745312]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 300.0, "npi": [1669596201]}]}, {"allowed_amount": 260.37, "providers": [{"billed_charge": 300.0, "npi": [1669596201]}]}]}, {"tin": {"type": "ein", "value": "651092014"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.5, "providers": [{"billed_charge": 190.5, "npi": [1205043536]}]}]}, {"tin": {"type": "ein", "value": "651102146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1164482782]}, {"billed_charge": 300.0, "npi": [1164482782]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 250.0, "npi": [1164482782]}]}]}, {"tin": {"type": "ein", "value": "651114382"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1528056256]}]}]}, {"tin": {"type": "ein", "value": "651157149"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 200.0, "npi": [1689743445]}]}]}, {"tin": {"type": "ein", "value": "651206443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 247.0, "npi": [1922505866]}]}]}, {"tin": {"type": "ein", "value": "651309935"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 203.63, "npi": [1295110732]}]}]}, {"tin": {"type": "ein", "value": "660580501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 266.0, "npi": [1518123264]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.23, "providers": [{"billed_charge": 248.0, "npi": [1164693347]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 178.23, "providers": [{"billed_charge": 240.0, "npi": [1396127973]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 308.0, "npi": [1043538168]}]}]}, {"tin": {"type": "ein", "value": "742844275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 403.0, "npi": [1295269470]}]}]}, {"tin": {"type": "ein", "value": "743257962"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 286.0, "npi": [1538337191]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 286.0, "npi": [1538337191]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 224.29, "providers": [{"billed_charge": 278.0, "npi": [1942581913]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.95, "providers": [{"billed_charge": 340.0, "npi": [1417577503]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "providers": [{"billed_charge": 359.0, "npi": [1316384704]}]}, {"allowed_amount": 144.4, "providers": [{"billed_charge": 359.0, "npi": [1396304945, 1033641139]}]}]}, {"tin": {"type": "ein", "value": "800006481"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 177.27, "providers": [{"billed_charge": 210.03, "npi": [1013956473]}]}]}, {"tin": {"type": "ein", "value": "800674849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 261.84, "npi": [1619994506, 1164758082]}]}, {"allowed_amount": 170.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 261.84, "npi": [1487285714]}]}]}, {"tin": {"type": "ein", "value": "800841009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.22, "providers": [{"billed_charge": 303.0, "npi": [1346653698]}]}]}, {"tin": {"type": "ein", "value": "812108721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.78, "providers": [{"billed_charge": 284.68, "npi": [1063294197]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 284.68, "npi": [1750562724, 1023829439]}]}, {"allowed_amount": 284.68, "providers": [{"billed_charge": 284.68, "npi": [1023829439]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 141.6, "providers": [{"billed_charge": 579.0, "npi": [1144815408]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 579.0, "npi": [1558317701, 1720584758]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 579.0, "npi": [1073180352, 1578907200, 1184042921, 1902433295, 1215593397, 1982270393, 1164965182]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 579.0, "npi": [1992334817, 1275160970, 1902433295, 1619996436, 1235870452, 1982270393, 1639735962, 1598144669]}]}, {"allowed_amount": 170.97, "providers": [{"billed_charge": 579.0, "npi": [1871925792, 1093839128, 1164965182, 1073180352]}]}, {"allowed_amount": 185.1, "providers": [{"billed_charge": 579.0, "npi": [1982270393]}]}, {"allowed_amount": 275.91, "providers": [{"billed_charge": 579.0, "npi": [1558317701]}]}, {"allowed_amount": 276.93, "providers": [{"billed_charge": 579.0, "npi": [1891260568]}]}, {"allowed_amount": 282.68, "providers": [{"billed_charge": 579.0, "npi": [1003235359]}]}]}, {"tin": {"type": "ein", "value": "812753865"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 310.0, "npi": [1801069893]}, {"billed_charge": 425.0, "npi": [1801069893]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 255.0, "npi": [1801069893]}, {"billed_charge": 425.0, "npi": [1801069893]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 310.0, "npi": [1801069893]}]}, {"allowed_amount": 187.88, "providers": [{"billed_charge": 310.0, "npi": [1801069893]}, {"billed_charge": 425.0, "npi": [1801069893]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 158.52, "npi": [1275348534, 1235937046]}]}, {"allowed_amount": 155.29, "providers": [{"billed_charge": 158.52, "npi": [1497427322]}]}, {"allowed_amount": 158.52, "providers": [{"billed_charge": 158.52, "npi": [1851101067, 1194682732, 1275348534, 1720598006, 1497427322, 1699630939]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.81, "providers": [{"billed_charge": 248.0, "npi": [1609195833]}]}, {"allowed_amount": 104.89, "providers": [{"billed_charge": 248.0, "npi": [1669467460, 1013229707, 1508847088, 1144781139, 1538321021]}]}, {"allowed_amount": 113.79, "providers": [{"billed_charge": 248.0, "npi": [1023243888]}]}, {"allowed_amount": 129.57, "providers": [{"billed_charge": 248.0, "npi": [1306405840, 1386165793, 1275065492]}]}, {"allowed_amount": 135.74, "providers": [{"billed_charge": 248.0, "npi": [1255645255, 1417391178, 1821190703, 1043312853, 1811929144, 1578945598]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 248.0, "npi": [1255645255, 1053352583, 1235624552, 1417391178, 1043244908, 1679772396, 1821190703, 1497943856, 1508847088, 1144781139, 1124120019, 1043312853, 1811929144, 1265462873, 1538321021, 1578945598]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 248.0, "npi": [1386165793, 1275065492]}]}, {"allowed_amount": 248.0, "providers": [{"billed_charge": 248.0, "npi": [1801057096]}]}]}, {"tin": {"type": "ein", "value": "812968717"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 300.0, "npi": [1245547223]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 300.0, "npi": [1245547223]}]}]}, {"tin": {"type": "ein", "value": "813505131"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 225.96, "npi": [1447887773]}]}]}, {"tin": {"type": "ein", "value": "814322706"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.71, "providers": [{"billed_charge": 292.26, "npi": [1790784510]}]}]}, {"tin": {"type": "ein", "value": "814744962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 370.0, "npi": [1528326725]}]}]}, {"tin": {"type": "ein", "value": "814918170"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.09, "providers": [{"billed_charge": 209.0, "npi": [1598926040]}]}]}, {"tin": {"type": "ein", "value": "815038483"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 263.46, "npi": [1316095565]}]}]}, {"tin": {"type": "ein", "value": "820788461"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.42, "providers": [{"billed_charge": 1328.0, "npi": [1447450424]}]}]}, {"tin": {"type": "ein", "value": "820821946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.59, "providers": [{"billed_charge": 599.0, "npi": [1366430274]}]}, {"allowed_amount": 260.37, "providers": [{"billed_charge": 599.0, "npi": [1871014324]}]}]}, {"tin": {"type": "ein", "value": "820908477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.66, "providers": [{"billed_charge": 647.85, "npi": [1285213884]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 647.85, "npi": [1285213884]}]}]}, {"tin": {"type": "ein", "value": "821062906"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.88, "providers": [{"billed_charge": 264.38, "npi": [1316387061]}]}]}, {"tin": {"type": "ein", "value": "821369696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.28, "providers": [{"billed_charge": 350.0, "npi": [1225090939]}]}]}, {"tin": {"type": "ein", "value": "821837954"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.53, "providers": [{"billed_charge": 600.0, "npi": [1629283460]}]}]}, {"tin": {"type": "ein", "value": "822030201"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.53, "providers": [{"billed_charge": 521.0, "npi": [1649598715]}]}]}, {"tin": {"type": "ein", "value": "822449007"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 197.13, "providers": [{"billed_charge": 303.0, "npi": [1972760056]}]}]}, {"tin": {"type": "ein", "value": "822847999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 450.0, "npi": [1801151899, 1326021197]}]}]}, {"tin": {"type": "ein", "value": "823235514"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1841491503]}]}]}, {"tin": {"type": "ein", "value": "823352623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.41, "providers": [{"billed_charge": 468.0, "npi": [1427001452]}]}]}, {"tin": {"type": "ein", "value": "824114929"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 250.0, "npi": [1255376778]}]}, {"allowed_amount": 187.88, "providers": [{"billed_charge": 250.0, "npi": [1255376778]}]}]}, {"tin": {"type": "ein", "value": "824392391"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 350.0, "npi": [1134407307]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 350.0, "npi": [1134407307]}]}]}, {"tin": {"type": "ein", "value": "824525580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 265.0, "npi": [1609196989]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 265.0, "npi": [1609196989]}]}, {"allowed_amount": 185.1, "providers": [{"billed_charge": 265.0, "npi": [1609196989]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["51", "22", "21"], "payments": [{"allowed_amount": 113.79, "providers": [{"billed_charge": 422.0, "npi": [1447815444, 1104389469]}]}, {"allowed_amount": 115.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 422.0, "npi": [1790824936]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 422.0, "npi": [1477295012, 1790751204, 1316727894]}]}, {"allowed_amount": 245.55, "providers": [{"billed_charge": 422.0, "npi": [1194711515]}]}, {"allowed_amount": 276.93, "providers": [{"billed_charge": 422.0, "npi": [1063256337]}]}, {"allowed_amount": 422.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 422.0, "npi": [1225418205]}]}]}, {"tin": {"type": "ein", "value": "825210774"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 300.0, "npi": [1235180001]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 300.0, "npi": [1235180001]}]}]}, {"tin": {"type": "ein", "value": "825374245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 210.32, "npi": [1568451045]}]}]}, {"tin": {"type": "ein", "value": "825477267"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 174.11, "providers": [{"billed_charge": 1382.83, "npi": [1649823188]}]}]}, {"tin": {"type": "ein", "value": "830799959"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 41.22, "providers": [{"billed_charge": 381.0, "npi": [1013386069]}]}, {"allowed_amount": 149.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 381.0, "npi": [1497134977, 1831348333, 1114170222, 1013386069, 1033822325, 1700577178]}]}, {"allowed_amount": 186.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 381.0, "npi": [1366985285, 1376980391, 1831348333, 1033822325, 1013386069, 1417792920, 1700577178]}]}]}, {"tin": {"type": "ein", "value": "831912307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 420.0, "npi": [1851611768, 1265453245]}]}, {"allowed_amount": 166.59, "providers": [{"billed_charge": 420.0, "npi": [1265453245]}]}]}, {"tin": {"type": "ein", "value": "831918740"}, "billing_class": "professional", "service_codes": ["55", "21"], "payments": [{"allowed_amount": 115.27, "providers": [{"billed_charge": 300.0, "npi": [1043299456]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1043299456]}]}]}, {"tin": {"type": "ein", "value": "833126409"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 240.0, "npi": [1922276153]}]}]}, {"tin": {"type": "ein", "value": "833158789"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 240.0, "npi": [1215599261]}]}]}, {"tin": {"type": "ein", "value": "833317873"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 399.82, "providers": [{"billed_charge": 425.0, "npi": [1306858352]}]}]}, {"tin": {"type": "ein", "value": "833553816"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 450.0, "npi": [1902037468]}]}]}, {"tin": {"type": "ein", "value": "834291053"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 244.0, "npi": [1578918470]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 244.0, "npi": [1578918470]}]}]}, {"tin": {"type": "ein", "value": "834594332"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 300.0, "npi": [1457801441]}]}]}, {"tin": {"type": "ein", "value": "842123251"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.62, "providers": [{"billed_charge": 695.0, "npi": [1912297920]}]}]}, {"tin": {"type": "ein", "value": "842490149"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1740750322]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 285.0, "npi": [1740750322]}, {"billed_charge": 300.0, "npi": [1740750322]}]}]}, {"tin": {"type": "ein", "value": "842840521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 214.0, "npi": [1871782268]}]}]}, {"tin": {"type": "ein", "value": "843164714"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.4, "providers": [{"billed_charge": 423.0, "npi": [1063602399]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.27, "providers": [{"billed_charge": 494.0, "npi": [1508001496, 1952791824, 1932844040]}]}, {"allowed_amount": 148.08, "providers": [{"billed_charge": 494.0, "npi": [1689096604]}]}, {"allowed_amount": 149.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 315.0, "npi": [1801116231, 1083677322, 1477085744, 1487232369, 1366420754, 1760794556]}, {"billed_charge": 494.0, "npi": [1114244993, 1295115012, 1104314889, 1588957328, 1366420754, 1831350933, 1114501038, 1497495345, 1508506163, 1801158969, 1184236473, 1053666495, 1730429762, 1174084420, 1871881797, 1952920779, 1699017681, 1467080796, 1619532124, 1548413024, 1235542507, 1962142828, 1114112240, 1487232369, 1386065142, 1154792059]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 494.0, "npi": [1982050688, 1114244993, 1578541058, 1730717059, 1841930500, 1720665474, 1295115012, 1326577925, 1932844040, 1104314889, 1235534215, 1114999695, 1417243536, 1952791824, 1609454479, 1366420754, 1174800148, 1831350933, 1669863189, 1629714456, 1801121306, 1871768861, 1831719582, 1790425502, 1649665571, 1679843494, 1033640743, 1134625064, 1942485289, 1275947434, 1013180843, 1114501038, 1497495345, 1508506163, 1184236473, 1619471935, 1053666495, 1730429762, 1174792899, 1871881797, 1821157504, 1477752137, 1952920779, 1508001496, 1619532124, 1467080796, 1366683997, 1316180060, 1548413024, 1699234401, 1750958179, 1114504420, 1033605605, 1659663078, 1538491626, 1235542507, 1962142828, 1114112240, 1386065142, 1851611768, 1154792059, 1801423868]}]}, {"allowed_amount": 166.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 280.0, "npi": [1952791824]}, {"billed_charge": 315.0, "npi": [1033605605, 1801116231, 1891114823, 1942485289, 1083677322, 1952791824, 1174800148, 1164918645, 1659990554, 1366683997, 1619471935]}, {"billed_charge": 494.0, "npi": [1578541058, 1538470919, 1932844040, 1083677322, 1699962639, 1952791824, 1174800148, 1497261721, 1801121306, 1790425502, 1578152484, 1033640743, 1942485289, 1356636971, 1104566074, 1639273790, 1619471935, 1174792899, 1477752137, 1952920779, 1316180060, 1750958179, 1114504420, 1033605605, 1538491626, 1861462384, 1164918645, 1851611768]}]}, {"allowed_amount": 185.1, "providers": [{"billed_charge": 494.0, "npi": [1649665571, 1619532124, 1659663078]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 494.0, "npi": [1922686823]}]}, {"allowed_amount": 260.37, "providers": [{"billed_charge": 494.0, "npi": [1013180843]}]}, {"allowed_amount": 315.0, "providers": [{"billed_charge": 315.0, "npi": [1952791824]}]}, {"allowed_amount": 494.0, "providers": [{"billed_charge": 494.0, "npi": [1982050688, 1932844040, 1538491626, 1952791824, 1164918645]}]}]}, {"tin": {"type": "ein", "value": "843260543"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 185.0, "npi": [1063600872]}]}, {"allowed_amount": 142.53, "providers": [{"billed_charge": 185.0, "npi": [1063600872]}]}]}, {"tin": {"type": "ein", "value": "843653826"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 450.0, "npi": [1205260221]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 450.0, "npi": [1205260221]}]}]}, {"tin": {"type": "ein", "value": "844424454"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 113.79, "providers": [{"billed_charge": 422.0, "npi": [1255576922]}]}, {"allowed_amount": 149.73, "providers": [{"billed_charge": 422.0, "npi": [1073138913, 1255576922, 1649052994]}]}]}, {"tin": {"type": "ein", "value": "844991122"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 360.0, "npi": [1265769822]}, {"billed_charge": 565.0, "npi": [1265769822]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 310.0, "npi": [1265769822]}, {"billed_charge": 425.0, "npi": [1265769822]}]}]}, {"tin": {"type": "ein", "value": "850265533"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.77, "providers": [{"billed_charge": 332.96, "npi": [1316434855]}]}]}, {"tin": {"type": "ein", "value": "850548129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.91, "providers": [{"billed_charge": 239.56, "npi": [1962558171]}]}]}, {"tin": {"type": "ein", "value": "850808438"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 355.0, "npi": [1932548542]}]}, {"allowed_amount": 185.1, "providers": [{"billed_charge": 355.0, "npi": [1932548542]}]}]}, {"tin": {"type": "ein", "value": "850897854"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 109.83, "providers": [{"billed_charge": 325.0, "npi": [1396907762]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 325.0, "npi": [1396907762]}]}]}, {"tin": {"type": "ein", "value": "851040784"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1083200992]}]}]}, {"tin": {"type": "ein", "value": "852480979"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 275.0, "npi": [1801327572]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 190.28, "npi": [1457839987, 1548794878]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 190.28, "npi": [1073667770, 1457839987]}]}, {"allowed_amount": 190.28, "providers": [{"billed_charge": 190.28, "npi": [1073667770]}]}]}, {"tin": {"type": "ein", "value": "853127613"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 300.0, "npi": [1396732673]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 300.0, "npi": [1396732673]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 840.0, "npi": [1225520901]}]}, {"allowed_amount": 206.08, "providers": [{"billed_charge": 840.0, "npi": [1225520901, 1972745438]}]}]}, {"tin": {"type": "ein", "value": "853646513"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 910.0, "npi": [1457988743]}]}, {"allowed_amount": 276.93, "providers": [{"billed_charge": 910.0, "npi": [1629584180]}]}]}, {"tin": {"type": "ein", "value": "853888725"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1558801159]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 300.0, "npi": [1558801159]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 132.37, "providers": [{"billed_charge": 450.0, "npi": [1053671529]}]}]}, {"tin": {"type": "ein", "value": "861112292"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.1, "providers": [{"billed_charge": 230.0, "npi": [1861402505]}]}]}, {"tin": {"type": "ein", "value": "861978414"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 400.0, "npi": [1831786516]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 400.0, "npi": [1831786516]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.46, "providers": [{"billed_charge": 417.0, "npi": [1437180940]}]}]}, {"tin": {"type": "ein", "value": "863265908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 285.0, "npi": [1306069562]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 269.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 599.0, "npi": [1417396193, 1487996518, 1538424007, 1023436235, 1861734253, 1417274481, 1619214707, 1225527898]}]}]}, {"tin": {"type": "ein", "value": "863616061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 216.0, "npi": [1629538442]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 216.0, "npi": [1629538442]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 216.0, "npi": [1629538442]}]}, {"allowed_amount": 216.0, "providers": [{"billed_charge": 216.0, "npi": [1629538442]}]}]}, {"tin": {"type": "ein", "value": "871064571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 283.79, "npi": [1952644908]}]}]}, {"tin": {"type": "ein", "value": "871278138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1821048968]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 285.0, "npi": [1821048968]}, {"billed_charge": 300.0, "npi": [1821048968]}]}, {"allowed_amount": 194.36, "providers": [{"billed_charge": 300.0, "npi": [1821048968]}]}]}, {"tin": {"type": "ein", "value": "871439061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.23, "providers": [{"billed_charge": 255.0, "npi": [1023451713]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 485.0, "npi": [1710227954]}]}]}, {"tin": {"type": "ein", "value": "880599082"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1790824936]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 757.0, "npi": [1932521036]}]}, {"allowed_amount": 167.69, "providers": [{"billed_charge": 757.0, "npi": [1710202965, 1730494741, 1053808493]}]}]}, {"tin": {"type": "ein", "value": "880976503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 310.0, "npi": [1912464710]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 310.0, "npi": [1568927648]}, {"billed_charge": 360.0, "npi": [1912464710]}]}]}, {"tin": {"type": "ein", "value": "881133167"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 450.0, "npi": [1104357946]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 450.0, "npi": [1104357946]}]}]}, {"tin": {"type": "ein", "value": "881463522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 392.76, "npi": [1699304956]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 392.76, "npi": [1699304956]}]}]}, {"tin": {"type": "ein", "value": "881882871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 260.94, "npi": [1528300365]}]}]}, {"tin": {"type": "ein", "value": "882176192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1841219540]}]}]}, {"tin": {"type": "ein", "value": "882357751"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 450.0, "npi": [1265993232]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 450.0, "npi": [1265993232]}]}]}, {"tin": {"type": "ein", "value": "882780773"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.7, "providers": [{"billed_charge": 400.0, "npi": [1720222102]}]}]}, {"tin": {"type": "ein", "value": "882783330"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.7, "providers": [{"billed_charge": 253.54, "npi": [1750745188]}]}]}, {"tin": {"type": "ein", "value": "883157983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.53, "providers": [{"billed_charge": 277.0, "npi": [1295782209]}]}]}, {"tin": {"type": "ein", "value": "900040953"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1669468864]}]}]}, {"tin": {"type": "ein", "value": "900123960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.23, "providers": [{"billed_charge": 260.0, "npi": [1114172376]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.18, "providers": [{"billed_charge": 335.0, "npi": [1235313461]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.37, "providers": [{"billed_charge": 390.0, "npi": [1043668304]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 132.37, "providers": [{"billed_charge": 390.0, "npi": [1346234804]}]}]}, {"tin": {"type": "ein", "value": "920504952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 269.72, "npi": [1376898122]}]}]}, {"tin": {"type": "ein", "value": "921174273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.67, "providers": [{"billed_charge": 254.0, "npi": [1154882140]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 400.0, "npi": [1194979591, 1518522572, 1437773868, 1891116471, 1801151899]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 400.0, "npi": [1194979591, 1518522572, 1902158934, 1891116471, 1801151899]}]}]}, {"tin": {"type": "ein", "value": "921479428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.67, "providers": [{"billed_charge": 260.0, "npi": [1790740041]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 136.57, "providers": [{"billed_charge": 757.0, "npi": [1588145932, 1609586734]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 757.0, "npi": [1588145932, 1609586734]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 757.0, "npi": [1154054807]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 757.0, "npi": [1033452677]}]}, {"allowed_amount": 345.78, "providers": [{"billed_charge": 757.0, "npi": [1558386920]}]}, {"allowed_amount": 406.8, "providers": [{"billed_charge": 757.0, "npi": [1710684857]}]}, {"allowed_amount": 455.86, "providers": [{"billed_charge": 757.0, "npi": [1710684857]}]}]}, {"tin": {"type": "ein", "value": "923012829"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 245.0, "npi": [1396155941]}]}, {"allowed_amount": 160.42, "providers": [{"billed_charge": 245.0, "npi": [1396155941]}]}]}, {"tin": {"type": "ein", "value": "923260946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 310.0, "npi": [1992016497, 1689814493]}]}, {"allowed_amount": 194.36, "providers": [{"billed_charge": 310.0, "npi": [1992016497]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 310.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "923470549"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 155.29, "providers": [{"billed_charge": 285.0, "npi": [1972904324]}, {"billed_charge": 300.0, "npi": [1972904324]}, {"billed_charge": 400.0, "npi": [1972904324]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1972904324]}, {"billed_charge": 400.0, "npi": [1972904324]}]}]}, {"tin": {"type": "ein", "value": "931357152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 10000.0, "npi": [1508285941]}]}]}, {"tin": {"type": "ein", "value": "931523968"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 259.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "931655647"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 259.0, "npi": [1346864931]}]}, {"allowed_amount": 226.75, "providers": [{"billed_charge": 259.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "932247745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 185.0, "npi": [1972008944]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 185.0, "npi": [1972008944]}]}]}, {"tin": {"type": "ein", "value": "932887584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.42, "providers": [{"billed_charge": 6100.0, "npi": [1518300904]}]}]}, {"tin": {"type": "ein", "value": "933538086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 303.0, "npi": [1487262325]}]}]}, {"tin": {"type": "ein", "value": "943432525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.27, "providers": [{"billed_charge": 208.0, "npi": [1588631378]}]}]}, {"tin": {"type": "ein", "value": "943439188"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 275.0, "npi": [1649683566]}]}, {"allowed_amount": 164.1, "providers": [{"billed_charge": 275.0, "npi": [1417342817]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.61, "providers": [{"billed_charge": 467.0, "npi": [1972122760]}]}]}, {"tin": {"type": "ein", "value": "990685574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.31, "providers": [{"billed_charge": 250.0, "npi": [1053374017]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 250.0, "npi": [1053374017]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 175.0, "npi": [1669849741]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1669849741]}]}]}, {"tin": {"type": "ein", "value": "991437415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 370.0, "npi": [1225520901]}]}, {"allowed_amount": 206.08, "providers": [{"billed_charge": 370.0, "npi": [1225520901]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.29, "providers": [{"billed_charge": 267.0, "npi": [1265241210]}]}]}, {"tin": {"type": "ein", "value": "992527322"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 1380.0, "npi": [1174866339]}]}]}, {"tin": {"type": "ein", "value": "992536327"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.73, "providers": [{"billed_charge": 657.1, "npi": [1851921928]}]}, {"allowed_amount": 276.93, "providers": [{"billed_charge": 657.1, "npi": [1831801216]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 510.0, "npi": [1386917789]}]}, {"allowed_amount": 125.87, "providers": [{"billed_charge": 510.0, "npi": [1750950861]}]}, {"allowed_amount": 154.25, "providers": [{"billed_charge": 510.0, "npi": [1821633603, 1750950861, 1376989905, 1659726289, 1437739315, 1447514963, 1326201682]}]}, {"allowed_amount": 160.42, "providers": [{"billed_charge": 510.0, "npi": [1982658225]}]}, {"allowed_amount": 167.82, "providers": [{"billed_charge": 510.0, "npi": [1154383701]}]}, {"allowed_amount": 202.38, "providers": [{"billed_charge": 510.0, "npi": [1376989905]}]}, {"allowed_amount": 206.08, "providers": [{"billed_charge": 510.0, "npi": [1669627055]}]}, {"allowed_amount": 246.8, "providers": [{"billed_charge": 510.0, "npi": [1770532996]}]}, {"allowed_amount": 285.3, "providers": [{"billed_charge": 510.0, "npi": [1881025203]}]}, {"allowed_amount": 289.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 510.0, "npi": [1356331714, 1063687556, 1629698220, 1295972206, 1245473297, 1801114483, 1992479414]}]}]}, {"tin": {"type": "ein", "value": "994517180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.53, "providers": [{"billed_charge": 310.0, "npi": [1700826807]}]}, {"allowed_amount": 161.96, "providers": [{"billed_charge": 310.0, "npi": [1083600803]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.96, "providers": [{"billed_charge": 300.0, "npi": [1306158191]}]}]}]}, {"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": "030571183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 193.0, "npi": [1861878241]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.89, "providers": [{"billed_charge": 322.0, "npi": [1801904313]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 890.0, "npi": [1821325150]}]}]}, {"tin": {"type": "ein", "value": "141338310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.0, "providers": [{"billed_charge": 299.0, "npi": [1619243060]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 397.0, "npi": [1902421894]}]}]}, {"tin": {"type": "ein", "value": "202098546"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.3, "providers": [{"billed_charge": 334.0, "npi": [1043038680]}]}]}, {"tin": {"type": "ein", "value": "202364772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 175.0, "npi": [1588647796]}]}]}, {"tin": {"type": "ein", "value": "202396250"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 105.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1245280650, 1720037690]}]}]}, {"tin": {"type": "ein", "value": "202500981"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.22, "providers": [{"billed_charge": 450.0, "npi": [1700868809]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["51", "21"], "payments": [{"allowed_amount": 96.55, "providers": [{"billed_charge": 411.0, "npi": [1548269178]}]}, {"allowed_amount": 99.74, "providers": [{"billed_charge": 411.0, "npi": [1316566680]}, {"billed_charge": 433.0, "npi": [1063925972]}]}, {"allowed_amount": 110.55, "providers": [{"billed_charge": 433.0, "npi": [1043978620]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 265.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "205158516"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.23, "providers": [{"billed_charge": 1027.8, "npi": [1225094188]}]}, {"allowed_amount": 99.74, "providers": [{"billed_charge": 1027.8, "npi": [1225094188]}]}, {"allowed_amount": 105.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1027.8, "npi": [1225094188]}]}]}, {"tin": {"type": "ein", "value": "223837962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.74, "providers": [{"billed_charge": 2257.92, "npi": [1194920637]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.76, "providers": [{"billed_charge": 304.0, "npi": [1447477633]}]}, {"allowed_amount": 93.23, "providers": [{"billed_charge": 304.0, "npi": [1851738793]}]}, {"allowed_amount": 105.94, "providers": [{"billed_charge": 304.0, "npi": [1457731994]}]}]}, {"tin": {"type": "ein", "value": "260655426"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 180.0, "npi": [1326016536]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 51.22, "providers": [{"billed_charge": 126.0, "npi": [1568912889, 1487390878, 1336896687]}]}, {"allowed_amount": 62.37, "providers": [{"billed_charge": 126.0, "npi": [1497174775, 1366614927]}]}, {"allowed_amount": 64.02, "providers": [{"billed_charge": 126.0, "npi": [1114135001, 1194212555, 1366614927]}, {"billed_charge": 180.0, "npi": [1114135001]}]}, {"allowed_amount": 89.33, "providers": [{"billed_charge": 126.0, "npi": [1114563418]}, {"billed_charge": 180.0, "npi": [1669150736, 1902385008]}]}, {"allowed_amount": 93.23, "providers": [{"billed_charge": 126.0, "npi": [1043712425, 1932427044, 1871703942, 1366614927]}, {"billed_charge": 180.0, "npi": [1336754480, 1932427044, 1871703942, 1831415223]}]}, {"allowed_amount": 105.94, "providers": [{"billed_charge": 126.0, "npi": [1871703942, 1568741320, 1043712425, 1336896687, 1902385008, 1669150736, 1215335922, 1831415223, 1124480223]}]}, {"allowed_amount": 126.0, "providers": [{"billed_charge": 126.0, "npi": [1114135001, 1194212555, 1487390878, 1366614927]}]}, {"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1194212555, 1881803732, 1487390878, 1366614927]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 193.0, "npi": [1285138750]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 150.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 334.0, "npi": [1356791776, 1811106321, 1447494901, 1962701599]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 413.3, "npi": [1033226899, 1629068333]}]}, {"allowed_amount": 110.55, "providers": [{"billed_charge": 413.3, "npi": [1114887940]}]}]}, {"tin": {"type": "ein", "value": "263792403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.49, "providers": [{"billed_charge": 190.0, "npi": [1750351862]}]}, {"allowed_amount": 132.11, "providers": [{"billed_charge": 190.0, "npi": [1205829009]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.3, "providers": [{"billed_charge": 334.0, "npi": [1730611294, 1598113367]}]}]}, {"tin": {"type": "ein", "value": "264448971"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.79, "providers": [{"billed_charge": 250.0, "npi": [1639154727]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.77, "providers": [{"billed_charge": 363.82, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "270720873"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 177.53, "providers": [{"billed_charge": 367.0, "npi": [1588343776]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.5, "providers": [{"billed_charge": 259.0, "npi": [1063269900]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.17, "providers": [{"billed_charge": 266.0, "npi": [1548788482]}]}]}, {"tin": {"type": "ein", "value": "274384326"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 140.18, "providers": [{"billed_charge": 430.0, "npi": [1427555101]}]}]}, {"tin": {"type": "ein", "value": "311697099"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 89.47, "providers": [{"billed_charge": 135.0, "npi": [1144308537]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.61, "providers": [{"billed_charge": 281.0, "npi": [1639541014]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.75, "providers": [{"billed_charge": 207.0, "npi": [1114245107]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.1, "providers": [{"billed_charge": 880.0, "npi": [1790937175]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 160.0, "npi": [1841445905]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 193.0, "npi": [1598182552]}]}]}, {"tin": {"type": "ein", "value": "352440359"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.73, "providers": [{"billed_charge": 1000.06, "npi": [1700239308]}]}]}, {"tin": {"type": "ein", "value": "392361133"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 670.08, "npi": [1164616314]}]}]}, {"tin": {"type": "ein", "value": "393624856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 159.58, "npi": [1154678811]}]}]}, {"tin": {"type": "ein", "value": "412569180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 243.0, "npi": [1457416331]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.55, "providers": [{"billed_charge": 264.94, "npi": [1114075785, 1912091794]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 150.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 334.0, "npi": [1013327808, 1568802304, 1912943010, 1124010020, 1528591815, 1053845768, 1679561609, 1003098799, 1033172978, 1578913174, 1366893976, 1588766521, 1922000314, 1467844571, 1205024254]}]}]}, {"tin": {"type": "ein", "value": "452317099"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.62, "providers": [{"billed_charge": 302.0, "npi": [1164006615]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 494.0, "npi": [1992906432]}]}]}, {"tin": {"type": "ein", "value": "454266710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.73, "providers": [{"billed_charge": 5050.0, "npi": [1356517767]}]}]}, {"tin": {"type": "ein", "value": "455188506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.33, "providers": [{"billed_charge": 462.0, "npi": [1942513197]}]}, {"allowed_amount": 326.4, "providers": [{"billed_charge": 462.0, "npi": [1942513197]}]}]}, {"tin": {"type": "ein", "value": "460759101"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.25, "providers": [{"billed_charge": 445.0, "npi": [1487048864]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.17, "providers": [{"billed_charge": 170.0, "npi": [1164866299]}]}, {"allowed_amount": 96.34, "providers": [{"billed_charge": 170.0, "npi": [1033319058]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 340.0, "npi": [1881649812]}]}]}, {"tin": {"type": "ein", "value": "463102442"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.25, "providers": [{"billed_charge": 181.0, "npi": [1811963473]}]}, {"allowed_amount": 96.34, "providers": [{"billed_charge": 181.0, "npi": [1811963473]}]}]}, {"tin": {"type": "ein", "value": "463705561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.33, "providers": [{"billed_charge": 143.0, "npi": [1326382599]}]}, {"allowed_amount": 105.94, "providers": [{"billed_charge": 143.0, "npi": [1326382599]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.76, "providers": [{"billed_charge": 200.0, "npi": [1932276177]}]}, {"allowed_amount": 95.75, "providers": [{"billed_charge": 190.0, "npi": [1417989468]}]}]}, {"tin": {"type": "ein", "value": "465394907"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 169.58, "npi": [1326157710]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 146.0, "npi": [1922862325]}]}, {"allowed_amount": 99.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 188.0, "npi": [1215698196]}]}]}, {"tin": {"type": "ein", "value": "473808924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 208.0, "npi": [1043733967]}]}, {"allowed_amount": 113.29, "providers": [{"billed_charge": 208.0, "npi": [1649614082]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.49, "providers": [{"billed_charge": 279.0, "npi": [1215501176]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 102.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 289.0, "npi": [1588265037]}]}, {"allowed_amount": 120.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 289.0, "npi": [1356968978]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 453.0, "npi": [1508942731]}]}]}, {"tin": {"type": "ein", "value": "561079264"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.76, "providers": [{"billed_charge": 243.61, "npi": [1487002770]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.82, "providers": [{"billed_charge": 312.0, "npi": [1043449622]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.33, "providers": [{"billed_charge": 226.0, "npi": [1831727122]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 132.11, "providers": [{"billed_charge": 312.0, "npi": [1326607912]}, {"billed_charge": 360.0, "npi": [1568616498]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 652.0, "npi": [1043897119]}]}, {"allowed_amount": 186.71, "providers": [{"billed_charge": 652.0, "npi": [1043897119]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 340.0, "npi": [1952697559]}]}]}, {"tin": {"type": "ein", "value": "591559073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 1050.0, "npi": [1285639021]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 104.82, "providers": [{"billed_charge": 323.0, "npi": [1053014688]}]}, {"allowed_amount": 113.29, "providers": [{"billed_charge": 323.0, "npi": [1548495229]}]}, {"allowed_amount": 117.15, "providers": [{"billed_charge": 323.0, "npi": [1508438250]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 73.22, "providers": [{"billed_charge": 267.0, "npi": [1790751907]}, {"billed_charge": 308.0, "npi": [1508516998]}]}, {"allowed_amount": 122.54, "providers": [{"billed_charge": 267.0, "npi": [1821468240, 1821978834, 1124745351]}]}, {"allowed_amount": 157.99, "providers": [{"billed_charge": 267.0, "npi": [1396394003]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 161.72, "npi": [1871657957]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.76, "providers": [{"billed_charge": 968.0, "npi": [1649275249]}]}, {"allowed_amount": 95.75, "providers": [{"billed_charge": 968.0, "npi": [1245506161]}]}, {"allowed_amount": 96.55, "providers": [{"billed_charge": 968.0, "npi": [1306152400]}]}, {"allowed_amount": 99.74, "providers": [{"billed_charge": 968.0, "npi": [1245506161]}]}, {"allowed_amount": 105.94, "providers": [{"billed_charge": 968.0, "npi": [1437391331, 1306334628, 1366561847, 1437147931, 1295056380]}]}, {"allowed_amount": 106.36, "providers": [{"billed_charge": 968.0, "npi": [1174817340]}]}, {"allowed_amount": 119.69, "providers": [{"billed_charge": 968.0, "npi": [1417223728, 1760821235, 1215228374]}]}, {"allowed_amount": 148.31, "providers": [{"billed_charge": 968.0, "npi": [1386807857]}]}, {"allowed_amount": 164.81, "providers": [{"billed_charge": 968.0, "npi": [1538637483]}]}, {"allowed_amount": 168.36, "providers": [{"billed_charge": 968.0, "npi": [1114118478]}]}]}, {"tin": {"type": "ein", "value": "592193856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 177.0, "npi": [1427051010]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.87, "providers": [{"billed_charge": 193.0, "npi": [1164765608, 1184836876]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 180.0, "npi": [1962954990, 1790401479]}]}, {"allowed_amount": 96.34, "providers": [{"billed_charge": 180.0, "npi": [1780839449, 1932093010, 1215475157, 1962954990]}]}]}, {"tin": {"type": "ein", "value": "593258237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.06, "providers": [{"billed_charge": 150.0, "npi": [1801940242]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 310.0, "npi": [1194981498]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.34, "providers": [{"billed_charge": 463.0, "npi": [1174903884, 1437414935]}]}, {"allowed_amount": 107.9, "providers": [{"billed_charge": 463.0, "npi": [1972983625]}]}, {"allowed_amount": 112.52, "providers": [{"billed_charge": 463.0, "npi": [1174903884]}]}, {"allowed_amount": 549.42, "providers": [{"billed_charge": 463.0, "npi": [1124553185]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 73.22, "providers": [{"billed_charge": 193.0, "npi": [1366670432]}]}, {"allowed_amount": 96.34, "providers": [{"billed_charge": 193.0, "npi": [1205395530, 1174049340]}]}]}, {"tin": {"type": "ein", "value": "593696338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 307.71, "npi": [1427730126]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 331.0, "npi": [1134585920]}]}, {"allowed_amount": 125.03, "providers": [{"billed_charge": 331.0, "npi": [1134585920]}]}, {"allowed_amount": 164.81, "providers": [{"billed_charge": 331.0, "npi": [1134585920]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.72, "providers": [{"billed_charge": 345.0, "npi": [1407662406]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 149.36, "providers": [{"billed_charge": 410.0, "npi": [1649253675, 1376572933]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.25, "providers": [{"billed_charge": 227.0, "npi": [1811382369]}]}]}, {"tin": {"type": "ein", "value": "630740487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.43, "providers": [{"billed_charge": 251.0, "npi": [1700846037]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 87.77, "providers": [{"billed_charge": 880.0, "npi": [1083616320]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 652.0, "npi": [1669606109]}]}]}, {"tin": {"type": "ein", "value": "650057755"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 275.75, "npi": [1780721837]}]}]}, {"tin": {"type": "ein", "value": "650202995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 550.0, "npi": [1538271762]}]}]}, {"tin": {"type": "ein", "value": "650327403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 537.0, "npi": [1912498874]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 305.56, "providers": [{"billed_charge": 757.0, "npi": [1982444204]}]}, {"allowed_amount": 359.48, "providers": [{"billed_charge": 757.0, "npi": [1194074112, 1033146162, 1447375878]}, {"billed_charge": 867.0, "npi": [1679518120, 1013307495]}]}]}, {"tin": {"type": "ein", "value": "650661983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 150.0, "npi": [1699863183]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 225.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650790741"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1124551916]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 339.0, "npi": [1760477269, 1629235247]}]}, {"allowed_amount": 126.87, "providers": [{"billed_charge": 339.0, "npi": [1760477269]}]}, {"allowed_amount": 186.71, "providers": [{"billed_charge": 339.0, "npi": [1457598088]}]}]}, {"tin": {"type": "ein", "value": "650927444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.15, "providers": [{"billed_charge": 157.99, "npi": [1295708998]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 132.0, "npi": [1346745312]}]}, {"allowed_amount": 132.0, "providers": [{"billed_charge": 132.0, "npi": [1346745312, 1972686327]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.36, "providers": [{"billed_charge": 250.0, "npi": [1669596201]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.0, "providers": [{"billed_charge": 275.0, "npi": [1215925185]}]}]}, {"tin": {"type": "ein", "value": "800674849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 167.52, "npi": [1629674205]}]}, {"allowed_amount": 107.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 167.52, "npi": [1699756312]}]}, {"allowed_amount": 110.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 167.52, "npi": [1629674205]}]}]}, {"tin": {"type": "ein", "value": "800690174"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 193.0, "npi": [1497862353]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.0, "providers": [{"billed_charge": 129.0, "npi": [1508958893]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 158.0, "npi": [1578945598]}]}]}, {"tin": {"type": "ein", "value": "824525580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 168.0, "npi": [1609196989]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.22, "providers": [{"billed_charge": 312.0, "npi": [1194132126]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.72, "providers": [{"billed_charge": 275.0, "npi": [1659990554, 1801116231, 1619471935]}]}]}, {"tin": {"type": "ein", "value": "843514418"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.49, "providers": [{"billed_charge": 161.0, "npi": [1881944817, 1295487452]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.74, "providers": [{"billed_charge": 640.0, "npi": [1437116308]}]}, {"allowed_amount": 108.51, "providers": [{"billed_charge": 640.0, "npi": [1437116308]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 200.25, "providers": [{"billed_charge": 445.0, "npi": [1619214707, 1861734253]}]}]}, {"tin": {"type": "ein", "value": "874785613"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 400.0, "npi": [1104122670]}]}]}, {"tin": {"type": "ein", "value": "882051065"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.34, "providers": [{"billed_charge": 296.0, "npi": [1588650634]}]}]}, {"tin": {"type": "ein", "value": "900743550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.0, "providers": [{"billed_charge": 183.0, "npi": [1932293727]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 89.33, "providers": [{"billed_charge": 564.0, "npi": [1588145932, 1609586734]}]}, {"allowed_amount": 105.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 564.0, "npi": [1588145932, 1609586734]}]}]}, {"tin": {"type": "ein", "value": "923260946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.94, "providers": [{"billed_charge": 215.0, "npi": [1992016497, 1689814493]}]}, {"allowed_amount": 148.31, "providers": [{"billed_charge": 215.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.89, "providers": [{"billed_charge": 315.0, "npi": [1174056485]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1669849741]}]}]}]}, {"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": "264181577"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.0, "providers": [{"billed_charge": 102.0, "npi": [1548532757, 1417238007]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.0, "providers": [{"billed_charge": 432.0, "npi": [1609194430]}]}, {"allowed_amount": 176.09, "providers": [{"billed_charge": 432.0, "npi": [1457814261]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.86, "providers": [{"billed_charge": 760.0, "npi": [1235625443, 1306334628, 1477015139, 1245506161, 1215228374, 1972589943, 1437509080, 1396900924, 1427408863]}]}, {"allowed_amount": 85.72, "providers": [{"billed_charge": 760.0, "npi": [1306152400]}]}, {"allowed_amount": 91.63, "providers": [{"billed_charge": 760.0, "npi": [1942879523]}]}, {"allowed_amount": 101.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 760.0, "npi": [1235625443, 1982899399, 1245506161, 1144514738, 1972589943, 1073711768]}]}, {"allowed_amount": 101.92, "providers": [{"billed_charge": 760.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 107.8, "providers": [{"billed_charge": 760.0, "npi": [1902845043, 1730165655]}]}, {"allowed_amount": 109.35, "providers": [{"billed_charge": 760.0, "npi": [1437509080, 1124262290, 1306334628, 1679510242]}]}, {"allowed_amount": 111.09, "providers": [{"billed_charge": 760.0, "npi": [1902845043, 1871744037]}]}, {"allowed_amount": 113.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 760.0, "npi": [1013924356, 1306909189, 1093778318, 1275569683, 1992782742, 1073711768, 1306068507, 1417210527, 1699724195, 1417223728, 1972908978, 1972169779, 1902439607, 1699836858, 1881076412, 1396900924, 1205424322, 1154708550, 1982899399, 1306152400, 1154580561, 1215228374, 1770556508, 1710263009, 1477015139, 1598840167, 1477515112, 1245506161, 1760821235, 1972589943, 1437326972]}]}, {"allowed_amount": 116.24, "providers": [{"billed_charge": 760.0, "npi": [1699724195, 1982656799]}]}, {"allowed_amount": 118.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 760.0, "npi": [1437509080, 1679510242, 1437147931, 1306334628]}]}, {"allowed_amount": 120.6, "providers": [{"billed_charge": 760.0, "npi": [1073711768, 1699836858, 1215228374, 1437509080]}]}, {"allowed_amount": 126.11, "providers": [{"billed_charge": 760.0, "npi": [1073711768]}]}, {"allowed_amount": 126.35, "providers": [{"billed_charge": 760.0, "npi": [1477015139, 1013924356, 1154708550, 1417223728, 1154580561, 1972169779, 1760821235, 1215228374, 1992782742, 1073711768]}]}, {"allowed_amount": 131.02, "providers": [{"billed_charge": 760.0, "npi": [1073599098]}]}, {"allowed_amount": 137.29, "providers": [{"billed_charge": 760.0, "npi": [1306068507, 1770556508]}]}, {"allowed_amount": 144.01, "providers": [{"billed_charge": 760.0, "npi": [1306893813]}]}, {"allowed_amount": 153.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 760.0, "npi": [1437147931]}]}, {"allowed_amount": 157.34, "providers": [{"billed_charge": 760.0, "npi": [1699836858]}]}, {"allowed_amount": 175.2, "providers": [{"billed_charge": 760.0, "npi": [1407344260, 1306909189]}]}, {"allowed_amount": 177.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 760.0, "npi": [1154580561, 1396900924, 1093778318, 1598840167]}]}, {"allowed_amount": 222.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 760.0, "npi": [1144514738]}]}, {"allowed_amount": 230.79, "providers": [{"billed_charge": 760.0, "npi": [1366625733]}]}]}, {"tin": {"type": "ein", "value": "592347217"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.64, "providers": [{"billed_charge": 760.0, "npi": [1982899399]}]}, {"allowed_amount": 143.38, "providers": [{"billed_charge": 760.0, "npi": [1982899399]}]}]}, {"tin": {"type": "ein", "value": "592795081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1982713632]}]}]}, {"tin": {"type": "ein", "value": "593398308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.25, "providers": [{"billed_charge": 392.0, "npi": [1801993506]}]}]}, {"tin": {"type": "ein", "value": "650883043"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.09, "providers": [{"billed_charge": 300.0, "npi": [1356384291]}]}, {"allowed_amount": 192.56, "providers": [{"billed_charge": 300.0, "npi": [1356384291]}]}]}]}, {"name": "Initial 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": "99468", "billing_code_type_version": "2022", "description": "1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 973.14, "providers": [{"billed_charge": 6850.0, "npi": [1972908978, 1548561186]}]}, {"allowed_amount": 981.25, "providers": [{"billed_charge": 6850.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 985.71, "providers": [{"billed_charge": 6850.0, "npi": [1851309587]}]}, {"allowed_amount": 1052.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6850.0, "npi": [1427467497, 1124262290, 1366561847, 1780639609, 1932340155, 1295056380, 1700164670]}]}, {"allowed_amount": 1069.58, "providers": [{"billed_charge": 6850.0, "npi": [1942879523]}]}, {"allowed_amount": 1094.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6850.0, "npi": [1548561186, 1164488698, 1598840167, 1396900924, 1093778318, 1417223728, 1306152400, 1972908978, 1598439218, 1760821235, 1215228374, 1427408863, 1881076412, 1417210527]}]}, {"allowed_amount": 1136.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6850.0, "npi": [1386807857, 1124262290, 1932340155, 1700164670]}]}, {"allowed_amount": 1216.43, "providers": [{"billed_charge": 6850.0, "npi": [1477015139, 1154708550, 1417223728, 1972169779, 1760821235, 1992782742, 1417210527]}]}, {"allowed_amount": 1473.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6850.0, "npi": [1386807857, 1497714109]}]}, {"allowed_amount": 1675.02, "providers": [{"billed_charge": 6850.0, "npi": [1063607810, 1902439607]}]}]}, {"tin": {"type": "ein", "value": "592567276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1094.78, "providers": [{"billed_charge": 4830.0, "npi": [1972062099]}]}]}]}, {"name": "Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed", "billing_code_type": "CPT", "billing_code": "64415", "billing_code_type_version": "2022", "description": "INJECTION AA&/STRD BRACHIAL PLEXUS W/IMG GDN", "allowed_amounts": [{"tin": {"type": "ein", "value": "270293215"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 223.16, "providers": [{"billed_charge": 425.0, "npi": [1588037865]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 215.64, "providers": [{"billed_charge": 1000.0, "npi": [1104899889, 1326400011, 1215391909, 1568874782]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 196.8, "providers": [{"billed_charge": 900.0, "npi": [1154519262, 1164840807]}]}, {"allowed_amount": 215.39, "providers": [{"billed_charge": 900.0, "npi": [1790927200, 1134482250]}]}, {"allowed_amount": 223.16, "providers": [{"billed_charge": 900.0, "npi": [1164404968, 1033372941, 1164840807]}]}, {"allowed_amount": 343.81, "providers": [{"billed_charge": 900.0, "npi": [1790927200, 1134482250]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 196.8, "providers": [{"billed_charge": 649.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 169.81, "providers": [{"billed_charge": 1760.0, "npi": [1679536494]}]}, {"allowed_amount": 205.88, "providers": [{"billed_charge": 1760.0, "npi": [1356435796]}]}, {"allowed_amount": 343.81, "providers": [{"billed_charge": 1760.0, "npi": [1215986823]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 77.11, "providers": [{"billed_charge": 800.0, "npi": [1558953513, 1417527441]}]}, {"allowed_amount": 77.73, "providers": [{"billed_charge": 800.0, "npi": [1033674023]}]}, {"allowed_amount": 90.72, "providers": [{"billed_charge": 800.0, "npi": [1679042600, 1588132617, 1811460090, 1346811809]}]}, {"allowed_amount": 196.8, "providers": [{"billed_charge": 800.0, "npi": [1508006305, 1033372941, 1417935230]}]}, {"allowed_amount": 223.16, "providers": [{"billed_charge": 800.0, "npi": [1851309025, 1346811809, 1508006305, 1588132617, 1558953513, 1033372941, 1417527441, 1417935230]}]}]}, {"tin": {"type": "ein", "value": "742074766"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 369.95, "providers": [{"billed_charge": 600.0, "npi": [1346279684]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.8, "providers": [{"billed_charge": 2400.0, "npi": [1730683533]}]}, {"allowed_amount": 223.16, "providers": [{"billed_charge": 2400.0, "npi": [1427309632]}]}]}, {"tin": {"type": "ein", "value": "831655633"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 90.72, "providers": [{"billed_charge": 642.0, "npi": [1841799210]}]}, {"allowed_amount": 215.39, "providers": [{"billed_charge": 642.0, "npi": [1093729279]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.8, "providers": [{"billed_charge": 199.0, "npi": [1750366589]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 212.0, "providers": [{"billed_charge": 212.0, "npi": [1235418831]}]}]}]}, {"name": "Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed", "billing_code_type": "CPT", "billing_code": "64447", "billing_code_type_version": "2022", "description": "INJECTION AA&/STRD FEMORAL NERVE W/IMG GDN", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 181.44, "providers": [{"billed_charge": 350.0, "npi": [1861663155]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.56, "providers": [{"billed_charge": 875.0, "npi": [1588111538]}]}, {"allowed_amount": 195.12, "providers": [{"billed_charge": 875.0, "npi": [1194706796]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.13, "providers": [{"billed_charge": 375.0, "npi": [1497315113]}]}]}, {"tin": {"type": "ein", "value": "392900678"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 339.15, "providers": [{"billed_charge": 1500.0, "npi": [1316969140]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 97.56, "providers": [{"billed_charge": 875.0, "npi": [1326400011]}]}, {"allowed_amount": 195.12, "providers": [{"billed_charge": 875.0, "npi": [1902007065, 1215391909, 1346390887]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 97.17, "providers": [{"billed_charge": 900.0, "npi": [1164404968]}]}, {"allowed_amount": 181.44, "providers": [{"billed_charge": 900.0, "npi": [1164404968, 1639364623]}]}, {"allowed_amount": 187.15, "providers": [{"billed_charge": 900.0, "npi": [1063711802]}]}, {"allowed_amount": 315.86, "providers": [{"billed_charge": 900.0, "npi": [1790927200]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 187.15, "providers": [{"billed_charge": 1540.0, "npi": [1275671067]}]}, {"allowed_amount": 315.86, "providers": [{"billed_charge": 1540.0, "npi": [1215986823]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 35.55, "providers": [{"billed_charge": 500.0, "npi": [1558953513, 1417527441]}]}, {"allowed_amount": 41.82, "providers": [{"billed_charge": 500.0, "npi": [1588132617, 1811460090, 1578518338]}]}, {"allowed_amount": 71.67, "providers": [{"billed_charge": 500.0, "npi": [1033674023]}]}, {"allowed_amount": 83.64, "providers": [{"billed_charge": 500.0, "npi": [1588132617, 1578518338, 1851309025]}]}, {"allowed_amount": 90.72, "providers": [{"billed_charge": 500.0, "npi": [1508006305]}]}, {"allowed_amount": 97.17, "providers": [{"billed_charge": 500.0, "npi": [1346886272, 1508006305, 1578518338, 1558953513, 1588132617, 1033372941, 1417527441, 1811460090, 1417935230]}]}, {"allowed_amount": 181.44, "providers": [{"billed_charge": 500.0, "npi": [1508006305, 1417935230]}]}, {"allowed_amount": 194.33, "providers": [{"billed_charge": 500.0, "npi": [1588132617, 1578518338, 1508006305]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 187.15, "providers": [{"billed_charge": 590.0, "npi": [1184129785]}]}]}, {"tin": {"type": "ein", "value": "742074766"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 178.85, "providers": [{"billed_charge": 930.0, "npi": [1265479489]}]}, {"allowed_amount": 339.15, "providers": [{"billed_charge": 930.0, "npi": [1114185071]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 181.44, "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 93.58, "providers": [{"billed_charge": 178.0, "npi": [1740227586, 1033403407, 1700022316, 1235418831]}]}, {"allowed_amount": 174.62, "providers": [{"billed_charge": 178.0, "npi": [1356730824]}]}, {"allowed_amount": 178.0, "providers": [{"billed_charge": 178.0, "npi": [1669000972, 1235418831]}]}]}]}, {"name": "Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch", "billing_code_type": "CPT", "billing_code": "64450", "billing_code_type_version": "2022", "description": "INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH", "allowed_amounts": [{"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.45, "providers": [{"billed_charge": 113.0, "npi": [1124118138]}]}, {"allowed_amount": 58.47, "providers": [{"billed_charge": 113.0, "npi": [1538525423]}]}]}, {"tin": {"type": "ein", "value": "270293215"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 25.45, "providers": [{"billed_charge": 239.0, "npi": [1952114241, 1588037865]}, {"billed_charge": 477.0, "npi": [1588037865]}]}, {"allowed_amount": 33.93, "providers": [{"billed_charge": 239.0, "npi": [1952114241, 1588037865]}]}, {"allowed_amount": 35.11, "providers": [{"billed_charge": 239.0, "npi": [1922583699]}]}, {"allowed_amount": 77.96, "providers": [{"billed_charge": 239.0, "npi": [1588037865]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.42, "providers": [{"billed_charge": 383.0, "npi": [1720433725]}]}]}, {"tin": {"type": "ein", "value": "271725488"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 12.73, "providers": [{"billed_charge": 477.0, "npi": [1275364804]}]}, {"allowed_amount": 25.45, "providers": [{"billed_charge": 477.0, "npi": [1275364804]}]}, {"allowed_amount": 33.93, "providers": [{"billed_charge": 477.0, "npi": [1588037865, 1629809447]}]}, {"allowed_amount": 77.96, "providers": [{"billed_charge": 477.0, "npi": [1073370193, 1275364804, 1629809447]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.67, "providers": [{"billed_charge": 724.0, "npi": [1649739491]}]}]}, {"tin": {"type": "ein", "value": "473033715"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 56.31, "providers": [{"billed_charge": 1507.35, "npi": [1679546402, 1326542739]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 35.11, "providers": [{"billed_charge": 1500.0, "npi": [1659140283]}]}, {"allowed_amount": 57.12, "providers": [{"billed_charge": 1500.0, "npi": [1164404968]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 107.5, "providers": [{"billed_charge": 223.0, "npi": [1780618298]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 52.66, "providers": [{"billed_charge": 500.0, "npi": [1588132617, 1093282279]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 112.62, "providers": [{"billed_charge": 330.0, "npi": [1053376756]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.64, "providers": [{"billed_charge": 483.0, "npi": [1144005208]}]}, {"allowed_amount": 94.87, "providers": [{"billed_charge": 483.0, "npi": [1326579566, 1770223166]}]}, {"allowed_amount": 153.0, "providers": [{"billed_charge": 468.0, "npi": [1730168568]}]}, {"allowed_amount": 189.73, "providers": [{"billed_charge": 483.0, "npi": [1801092465]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 1538.0, "npi": [1477549756]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.5, "providers": [{"billed_charge": 204.0, "npi": [1881716769]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.37, "providers": [{"billed_charge": 317.0, "npi": [1548756893]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.76, "providers": [{"billed_charge": 203.0, "npi": [1790444651]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.97, "providers": [{"billed_charge": 203.0, "npi": [1679776330]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.16, "providers": [{"billed_charge": 860.0, "npi": [1578552758]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.76, "providers": [{"billed_charge": 243.0, "npi": [1154073237]}]}, {"allowed_amount": 65.44, "providers": [{"billed_charge": 243.0, "npi": [1730542549]}]}, {"allowed_amount": 112.62, "providers": [{"billed_charge": 243.0, "npi": [1215517537, 1215739164]}]}, {"allowed_amount": 116.94, "providers": [{"billed_charge": 243.0, "npi": [1669608618, 1881125722]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1457812273]}]}]}]}, {"name": "Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed", "billing_code_type": "CPT", "billing_code": "64445", "billing_code_type_version": "2022", "description": "INJECTION AA&/STRD SCIATIC NERVE W/IMG GDN", "allowed_amounts": [{"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 224.34, "providers": [{"billed_charge": 965.0, "npi": [1588111538, 1649563644, 1861797565]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.18, "providers": [{"billed_charge": 400.0, "npi": [1497315113]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 224.34, "providers": [{"billed_charge": 965.0, "npi": [1902007065, 1326400011]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 78.46, "providers": [{"billed_charge": 697.5, "npi": [1417527441, 1558953513]}]}, {"allowed_amount": 92.31, "providers": [{"billed_charge": 697.5, "npi": [1588132617, 1578518338, 1811460090]}]}, {"allowed_amount": 200.24, "providers": [{"billed_charge": 697.5, "npi": [1508006305]}]}, {"allowed_amount": 251.17, "providers": [{"billed_charge": 697.5, "npi": [1346886272, 1508006305, 1578518338, 1588132617, 1558953513, 1033372941, 1417527441, 1811460090, 1417935230]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.17, "providers": [{"billed_charge": 2100.0, "npi": [1801885009]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 251.17, "providers": [{"billed_charge": 1050.0, "npi": [1356873210]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 184.0, "providers": [{"billed_charge": 184.0, "npi": [1740227586, 1700022316, 1740258565, 1033403407]}]}]}]}, {"name": "Injection, acetaminophen, not otherwise specified,10 mg", "billing_code_type": "CPT", "billing_code": "J0131", "billing_code_type_version": "2022", "description": "Injection, acetaminophen, not otherwise specified,10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 0.09, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.22, "providers": [{"billed_charge": 0.48, "npi": [1912964768]}]}, {"allowed_amount": 0.32, "providers": [{"billed_charge": 0.71, "npi": [1912964768]}]}, {"allowed_amount": 0.6, "providers": [{"billed_charge": 1.34, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.15, "providers": [{"billed_charge": 4.24, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.35, "providers": [{"billed_charge": 4.99, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.23, "providers": [{"billed_charge": 0.23, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.38, "providers": [{"billed_charge": 0.38, "npi": [1063582989]}]}]}]}, {"name": "Injection, bupivicaine, not otherwise specified, 0.5 mg", "billing_code_type": "CPT", "billing_code": "J0665", "billing_code_type_version": "2022", "description": "Injection, bupivicaine, not otherwise specified, 0.5 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.04, "providers": [{"billed_charge": 0.04, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.02, "npi": [1912964768]}, {"billed_charge": 0.03, "npi": [1912964768]}]}, {"allowed_amount": 0.02, "providers": [{"billed_charge": 0.05, "npi": [1912964768]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 0.06, "npi": [1912964768]}, {"billed_charge": 0.07, "npi": [1912964768]}]}, {"allowed_amount": 0.04, "providers": [{"billed_charge": 0.08, "npi": [1912964768]}, {"billed_charge": 0.09, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.31, "providers": [{"billed_charge": 1.14, "npi": [1184709057]}]}, {"allowed_amount": 0.36, "providers": [{"billed_charge": 1.33, "npi": [1184709057]}]}]}]}, {"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": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 10.0, "npi": [1447842356, 1679357701]}]}, {"allowed_amount": 0.84, "providers": [{"billed_charge": 10.0, "npi": [1629680814]}]}, {"allowed_amount": 0.95, "providers": [{"billed_charge": 10.0, "npi": [1134832926]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.17, "providers": [{"billed_charge": 15.0, "npi": [1023732609]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.75, "providers": [{"billed_charge": 55.75, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.43, "providers": [{"billed_charge": 20.0, "npi": [1629763552]}]}, {"allowed_amount": 0.46, "providers": [{"billed_charge": 20.0, "npi": [1992109896]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 24.0, "npi": [1902003635]}]}, {"allowed_amount": 1.18, "providers": [{"billed_charge": 24.0, "npi": [1902003635]}]}, {"allowed_amount": 1.26, "providers": [{"billed_charge": 24.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.52, "providers": [{"billed_charge": 112.75, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 30.0, "npi": [1346087350]}]}, {"allowed_amount": 1.26, "providers": [{"billed_charge": 30.0, "npi": [1407650658]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 30.0, "npi": [1235529116]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 97.66, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 100.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 3.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.79, "providers": [{"billed_charge": 24.0, "npi": [1417321969]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 100.0, "npi": [1255203873, 1306686381]}]}, {"allowed_amount": 1.17, "providers": [{"billed_charge": 100.0, "npi": [1306686381, 1184441719]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 50.0, "npi": [1558182824, 1417535881, 1407682255, 1215675988, 1447735030, 1780373209]}]}, {"allowed_amount": 0.76, "providers": [{"billed_charge": 50.0, "npi": [1558182824]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 50.0, "npi": [1447735030]}]}, {"allowed_amount": 1.12, "providers": [{"billed_charge": 50.0, "npi": [1194518241]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.88, "providers": [{"billed_charge": 46.95, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 80.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "472146421"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 14.92, "npi": [1255316881]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 1.15, "npi": [1932602406]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 60.0, "npi": [1861685034]}]}]}, {"tin": {"type": "ein", "value": "520619006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.73, "providers": [{"billed_charge": 0.73, "npi": [1780650473]}]}]}, {"tin": {"type": "ein", "value": "521253920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.96, "providers": [{"billed_charge": 2.96, "npi": [1598761355]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.83, "providers": [{"billed_charge": 139.5, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "582380955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.69, "providers": [{"billed_charge": 25.0, "npi": [1144279670]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.79, "providers": [{"billed_charge": 1.75, "npi": [1912964768]}]}, {"allowed_amount": 1.57, "providers": [{"billed_charge": 3.5, "npi": [1912964768]}]}, {"allowed_amount": 12.84, "providers": [{"billed_charge": 28.53, "npi": [1912964768]}]}, {"allowed_amount": 12.92, "providers": [{"billed_charge": 28.72, "npi": [1912964768]}]}, {"allowed_amount": 12.94, "providers": [{"billed_charge": 28.75, "npi": [1912964768]}]}, {"allowed_amount": 15.74, "providers": [{"billed_charge": 34.99, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.75, "providers": [{"billed_charge": 39.88, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.22, "providers": [{"billed_charge": 77.88, "npi": [1184709057]}]}, {"allowed_amount": 35.33, "providers": [{"billed_charge": 130.5, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.17, "providers": [{"billed_charge": 28.0, "npi": [1821729914]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.17, "providers": [{"billed_charge": 4.38, "npi": [1255868279]}]}, {"allowed_amount": 1.25, "providers": [{"billed_charge": 7.13, "npi": [1992209852]}, {"billed_charge": 69.97, "npi": [1770169476]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.2, "providers": [{"billed_charge": 100.5, "npi": [1336221019]}]}, {"allowed_amount": 30.52, "providers": [{"billed_charge": 112.75, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.41, "providers": [{"billed_charge": 89.75, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "611355320"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 45.0, "npi": [1659384865]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.45, "providers": [{"billed_charge": 87.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.08, "providers": [{"billed_charge": 154.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 18.75, "npi": [1902994908]}, {"billed_charge": 30.0, "npi": [1902994908]}]}, {"allowed_amount": 1.4, "providers": [{"billed_charge": 25.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.33, "providers": [{"billed_charge": 130.5, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 50.0, "npi": [1891735544, 1023759875]}]}, {"allowed_amount": 0.75, "providers": [{"billed_charge": 50.0, "npi": [1225176209, 1508115825]}]}, {"allowed_amount": 0.81, "providers": [{"billed_charge": 50.0, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 2.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.61, "providers": [{"billed_charge": 2.0, "npi": [1225899826]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 2.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "822146009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.88, "providers": [{"billed_charge": 4.0, "npi": [1164614079]}]}]}, {"tin": {"type": "ein", "value": "830705469"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.71, "providers": [{"billed_charge": 25.0, "npi": [1659721975]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 1.25, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.58, "providers": [{"billed_charge": 24.0, "npi": [1457057671]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 24.0, "npi": [1023650793, 1508489972, 1457057671]}, {"billed_charge": 1536.0, "npi": [1023650793]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 24.0, "npi": [1023650793]}]}, {"allowed_amount": 1.12, "providers": [{"billed_charge": 24.0, "npi": [1457057671]}]}, {"allowed_amount": 1.27, "providers": [{"billed_charge": 24.0, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.52, "providers": [{"billed_charge": 10.0, "npi": [1033303771]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 10.0, "npi": [1336613603, 1093315947, 1922735695, 1851799282, 1366953242]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 10.0, "npi": [1386324051]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 14.88, "npi": [1891724704]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 85.0, "npi": [1205061744]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 85.0, "npi": [1205061744]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 36.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 21.25, "npi": [1568031219, 1740036516]}]}, {"allowed_amount": 1.25, "providers": [{"billed_charge": 42.5, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.67, "providers": [{"billed_charge": 0.81, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 1.0, "npi": [1720963028, 1376329110]}]}, {"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1376329110]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 0.53, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "911641797"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.69, "providers": [{"billed_charge": 4.0, "npi": [1437302247]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}, {"allowed_amount": 1.18, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.58, "providers": [{"billed_charge": 56.0, "npi": [1598185472]}]}, {"allowed_amount": 0.75, "providers": [{"billed_charge": 56.0, "npi": [1932680022]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.26, "providers": [{"billed_charge": 20.0, "npi": [1992825152]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.6, "providers": [{"billed_charge": 141.6, "npi": [1023010113]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 2.0, "npi": [1407235955]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.29, "providers": [{"billed_charge": 0.82, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.29, "providers": [{"billed_charge": 25.0, "npi": [1730391343]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.11, "providers": [{"billed_charge": 3.0, "npi": [1972068708]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 3.0, "npi": [1902664568, 1972068708, 1629763552]}]}]}, {"tin": {"type": "ein", "value": "202935692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.18, "providers": [{"billed_charge": 5.0, "npi": [1700350444]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 45.0, "npi": [1902003635]}]}, {"allowed_amount": 0.29, "providers": [{"billed_charge": 45.0, "npi": [1902003635]}]}, {"allowed_amount": 0.3, "providers": [{"billed_charge": 45.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203587332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.29, "providers": [{"billed_charge": 1.0, "npi": [1619670072]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 6.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 20.0, "npi": [1427436229]}]}, {"allowed_amount": 0.29, "providers": [{"billed_charge": 20.0, "npi": [1407650658, 1033830427]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.19, "providers": [{"billed_charge": 14.24, "npi": [1801321104]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 9.38, "npi": [1548938491]}]}, {"allowed_amount": 0.18, "providers": [{"billed_charge": 20.0, "npi": [1912750597]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 2.5, "npi": [1871676668]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 5.0, "npi": [1497419923]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 2.5, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.19, "providers": [{"billed_charge": 50.0, "npi": [1801317219]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 1.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 40.0, "npi": [1164803078, 1174007991]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 40.0, "npi": [1174007991]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 4.5, "npi": [1154295913]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 50.0, "npi": [1215675988, 1447735030]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 50.0, "npi": [1194518241, 1588533509, 1407682255, 1386334928, 1215675988, 1447735030, 1700752599]}]}, {"allowed_amount": 0.17, "providers": [{"billed_charge": 50.0, "npi": [1558182824, 1588533509, 1407682255]}]}, {"allowed_amount": 0.18, "providers": [{"billed_charge": 50.0, "npi": [1588533509]}]}, {"allowed_amount": 0.26, "providers": [{"billed_charge": 50.0, "npi": [1194518241, 1215675988]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 50.0, "npi": [1215675988, 1447735030]}]}]}, {"tin": {"type": "ein", "value": "461470761"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.18, "providers": [{"billed_charge": 1.0, "npi": [1689083537]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 60.0, "npi": [1326017468]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 60.0, "npi": [1326017468]}]}, {"allowed_amount": 0.29, "providers": [{"billed_charge": 60.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "463562590"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 1.6, "npi": [1023447943]}]}]}, {"tin": {"type": "ein", "value": "464828405"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 8.19, "npi": [1356358402]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 1.0, "npi": [1932602406, 1689244063]}]}, {"allowed_amount": 0.17, "providers": [{"billed_charge": 1.0, "npi": [1942186648]}]}, {"allowed_amount": 0.28, "providers": [{"billed_charge": 1.0, "npi": [1528858784]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 10.0, "npi": [1861685034]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 10.0, "npi": [1629665419]}]}, {"allowed_amount": 0.19, "providers": [{"billed_charge": 10.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "474782014"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.18, "providers": [{"billed_charge": 2.0, "npi": [1568229664]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.23, "providers": [{"billed_charge": 0.52, "npi": [1912964768]}]}, {"allowed_amount": 0.46, "providers": [{"billed_charge": 1.02, "npi": [1912964768]}]}, {"allowed_amount": 0.47, "providers": [{"billed_charge": 1.04, "npi": [1912964768]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 1.08, "npi": [1912964768]}]}, {"allowed_amount": 0.52, "providers": [{"billed_charge": 1.16, "npi": [1912964768]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 1.19, "npi": [1912964768]}]}, {"allowed_amount": 0.58, "providers": [{"billed_charge": 1.28, "npi": [1912964768]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 1.37, "npi": [1912964768]}]}, {"allowed_amount": 0.66, "providers": [{"billed_charge": 1.46, "npi": [1912964768]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 1.61, "npi": [1912964768]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 2.25, "npi": [1912964768]}]}, {"allowed_amount": 1.05, "providers": [{"billed_charge": 2.33, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 3.4, "npi": [1184387367]}, {"billed_charge": 4.86, "npi": [1598198012]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.98, "providers": [{"billed_charge": 11.0, "npi": [1184709057]}]}, {"allowed_amount": 3.21, "providers": [{"billed_charge": 11.88, "npi": [1184709057]}]}, {"allowed_amount": 3.25, "providers": [{"billed_charge": 12.0, "npi": [1184709057]}]}, {"allowed_amount": 4.67, "providers": [{"billed_charge": 17.25, "npi": [1184709057]}]}, {"allowed_amount": 4.71, "providers": [{"billed_charge": 17.42, "npi": [1184709057]}]}, {"allowed_amount": 11.1, "providers": [{"billed_charge": 41.0, "npi": [1184709057]}]}, {"allowed_amount": 12.15, "providers": [{"billed_charge": 44.9, "npi": [1184709057]}]}, {"allowed_amount": 12.42, "providers": [{"billed_charge": 45.88, "npi": [1184709057]}]}, {"allowed_amount": 13.8, "providers": [{"billed_charge": 51.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 14.0, "npi": [1780251546, 1457491839]}]}, {"allowed_amount": 0.25, "providers": [{"billed_charge": 14.0, "npi": [1265406185]}]}, {"allowed_amount": 0.29, "providers": [{"billed_charge": 14.0, "npi": [1407634298]}]}, {"allowed_amount": 0.43, "providers": [{"billed_charge": 14.0, "npi": [1780098095]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.11, "providers": [{"billed_charge": 1.74, "npi": [1396338877]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 3.4, "npi": [1730620188]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 1.0, "npi": [1205276201]}]}, {"allowed_amount": 0.26, "providers": [{"billed_charge": 1.0, "npi": [1689173155]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 6.8, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.61, "providers": [{"billed_charge": 21.75, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "730725208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.27, "providers": [{"billed_charge": 8.13, "npi": [1144205360]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 4.0, "npi": [1902994908]}]}, {"allowed_amount": 0.34, "providers": [{"billed_charge": 4.0, "npi": [1902994908]}]}, {"allowed_amount": 0.36, "providers": [{"billed_charge": 4.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.76, "providers": [{"billed_charge": 6.5, "npi": [1033475959]}]}, {"allowed_amount": 3.93, "providers": [{"billed_charge": 14.5, "npi": [1033475959]}]}, {"allowed_amount": 4.87, "providers": [{"billed_charge": 18.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 20.0, "npi": [1942335492]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 20.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812381044"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.22, "providers": [{"billed_charge": 3.0, "npi": [1790825008]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 1.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.44, "providers": [{"billed_charge": 10.0, "npi": [1497895387]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 1.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 1.0, "npi": [1407731177, 1114498730, 1811798275, 1225899826]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 1.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 1.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.2, "providers": [{"billed_charge": 25.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.31, "providers": [{"billed_charge": 3.75, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "822146009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.22, "providers": [{"billed_charge": 0.4, "npi": [1164614079]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 4.0, "npi": [1912482282]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 4.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 10.0, "npi": [1386324051]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 10.5, "npi": [1093670945, 1568031219, 1740036516]}]}, {"allowed_amount": 0.17, "providers": [{"billed_charge": 10.5, "npi": [1194609198]}]}, {"allowed_amount": 0.18, "providers": [{"billed_charge": 10.5, "npi": [1194609198]}]}, {"allowed_amount": 0.3, "providers": [{"billed_charge": 10.5, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 3.0, "npi": [1649028697]}]}, {"allowed_amount": 0.29, "providers": [{"billed_charge": 3.0, "npi": [1952040552]}]}, {"allowed_amount": 0.3, "providers": [{"billed_charge": 3.0, "npi": [1649028697, 1720963028]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.22, "providers": [{"billed_charge": 50.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.28, "providers": [{"billed_charge": 15.0, "npi": [1720686116]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 1.0, "npi": [1174729446, 1740932318]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 1.0, "npi": [1174729446, 1740932318]}]}, {"allowed_amount": 0.29, "providers": [{"billed_charge": 1.0, "npi": [1174729446]}]}, {"allowed_amount": 0.3, "providers": [{"billed_charge": 1.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 10.0, "npi": [1598185472, 1386487593, 1306332333]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 10.0, "npi": [1598185472, 1386487593]}]}, {"allowed_amount": 0.17, "providers": [{"billed_charge": 10.0, "npi": [1386487593]}]}, {"allowed_amount": 0.3, "providers": [{"billed_charge": 10.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 10.0, "npi": [1992825152]}]}, {"allowed_amount": 0.3, "providers": [{"billed_charge": 10.0, "npi": [1992825152]}]}]}]}, {"name": "Injection, dicyclomine hcl, up to 20 mg", "billing_code_type": "CPT", "billing_code": "J0500", "billing_code_type_version": "2022", "description": "Injection, dicyclomine hcl, up to 20 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.61, "providers": [{"billed_charge": 36.9, "npi": [1912964768]}]}, {"allowed_amount": 26.33, "providers": [{"billed_charge": 58.5, "npi": [1912964768]}]}, {"allowed_amount": 32.72, "providers": [{"billed_charge": 72.72, "npi": [1912964768]}]}, {"allowed_amount": 33.21, "providers": [{"billed_charge": 73.8, "npi": [1912964768]}]}, {"allowed_amount": 52.65, "providers": [{"billed_charge": 117.0, "npi": [1912964768]}]}]}]}, {"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": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.96, "providers": [{"billed_charge": 20.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203587332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.83, "providers": [{"billed_charge": 7.0, "npi": [1619670072]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.84, "providers": [{"billed_charge": 125.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.96, "providers": [{"billed_charge": 25.0, "npi": [1447735030]}]}, {"allowed_amount": 1.07, "providers": [{"billed_charge": 25.0, "npi": [1538051990]}]}, {"allowed_amount": 1.73, "providers": [{"billed_charge": 25.0, "npi": [1629670286]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 4.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.3, "providers": [{"billed_charge": 100.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.61, "providers": [{"billed_charge": 1.61, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.78, "providers": [{"billed_charge": 8.41, "npi": [1912964768]}]}, {"allowed_amount": 3.96, "providers": [{"billed_charge": 8.81, "npi": [1912964768]}]}, {"allowed_amount": 4.04, "providers": [{"billed_charge": 8.97, "npi": [1912964768]}]}, {"allowed_amount": 4.77, "providers": [{"billed_charge": 10.61, "npi": [1912964768]}]}, {"allowed_amount": 4.78, "providers": [{"billed_charge": 10.61, "npi": [1912964768]}]}, {"allowed_amount": 6.4, "providers": [{"billed_charge": 14.22, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.95, "providers": [{"billed_charge": 70.0, "npi": [1184709057]}]}, {"allowed_amount": 28.42, "providers": [{"billed_charge": 105.0, "npi": [1184709057]}]}, {"allowed_amount": 57.12, "providers": [{"billed_charge": 211.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.93, "providers": [{"billed_charge": 68.0, "npi": [1407634298]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.84, "providers": [{"billed_charge": 125.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.84, "providers": [{"billed_charge": 125.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 156.25, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 2.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.96, "providers": [{"billed_charge": 3.0, "npi": [1407731177, 1811798275]}]}, {"allowed_amount": 1.67, "providers": [{"billed_charge": 3.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.51, "providers": [{"billed_charge": 55.75, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.67, "providers": [{"billed_charge": 10.0, "npi": [1386324051]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.12, "providers": [{"billed_charge": 33.0, "npi": [1306332333]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.39, "providers": [{"billed_charge": 7.39, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.0, "providers": [{"billed_charge": 127.0, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.24, "providers": [{"billed_charge": 131.24, "npi": [1023010113]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.5, "providers": [{"billed_charge": 33.5, "npi": [1427806025]}]}]}]}, {"name": "Injection, enoxaparin sodium, 10 mg", "billing_code_type": "CPT", "billing_code": "J1650", "billing_code_type_version": "2022", "description": "Injection, enoxaparin sodium, 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.54, "providers": [{"billed_charge": 50.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.89, "providers": [{"billed_charge": 11.34, "npi": [1043218753]}]}, {"allowed_amount": 9.01, "providers": [{"billed_charge": 11.48, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.64, "providers": [{"billed_charge": 5.88, "npi": [1912964768]}]}, {"allowed_amount": 2.65, "providers": [{"billed_charge": 5.88, "npi": [1912964768]}]}, {"allowed_amount": 2.66, "providers": [{"billed_charge": 5.92, "npi": [1912964768]}]}, {"allowed_amount": 3.15, "providers": [{"billed_charge": 7.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.01, "providers": [{"billed_charge": 11.94, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.85, "providers": [{"billed_charge": 62.25, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 32.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.99, "providers": [{"billed_charge": 3.99, "npi": [1154304475]}]}]}]}, {"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": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.29, "providers": [{"billed_charge": 1.09, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.02, "providers": [{"billed_charge": 1.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.07, "npi": [1912964768]}]}, {"allowed_amount": 0.05, "providers": [{"billed_charge": 0.11, "npi": [1912964768]}, {"billed_charge": 0.12, "npi": [1912964768]}]}, {"allowed_amount": 0.17, "providers": [{"billed_charge": 0.38, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.29, "providers": [{"billed_charge": 1.09, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.46, "providers": [{"billed_charge": 4.18, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.07, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.07, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.02, "providers": [{"billed_charge": 10.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.06, "providers": [{"billed_charge": 0.06, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 1.0, "npi": [1467804930]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.42, "providers": [{"billed_charge": 0.42, "npi": [1427806025]}]}]}]}, {"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": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.34, "providers": [{"billed_charge": 17.15, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.51, "providers": [{"billed_charge": 11.51, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.07, "providers": [{"billed_charge": 1.07, "npi": [1790700904]}]}, {"allowed_amount": 5.49, "providers": [{"billed_charge": 5.49, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 8.28, "npi": [1912964768]}]}, {"allowed_amount": 4.34, "providers": [{"billed_charge": 9.65, "npi": [1912964768]}]}, {"allowed_amount": 4.56, "providers": [{"billed_charge": 10.13, "npi": [1912964768]}]}, {"allowed_amount": 5.54, "providers": [{"billed_charge": 12.3, "npi": [1912964768]}]}, {"allowed_amount": 5.96, "providers": [{"billed_charge": 13.26, "npi": [1912964768]}]}, {"allowed_amount": 6.02, "providers": [{"billed_charge": 13.37, "npi": [1912964768]}]}, {"allowed_amount": 6.08, "providers": [{"billed_charge": 13.5, "npi": [1912964768]}]}, {"allowed_amount": 6.73, "providers": [{"billed_charge": 14.96, "npi": [1912964768]}]}, {"allowed_amount": 7.67, "providers": [{"billed_charge": 17.04, "npi": [1912964768]}]}, {"allowed_amount": 7.92, "providers": [{"billed_charge": 17.61, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.84, "providers": [{"billed_charge": 125.0, "npi": [1184709057]}]}, {"allowed_amount": 36.55, "providers": [{"billed_charge": 135.0, "npi": [1184709057]}]}, {"allowed_amount": 44.13, "providers": [{"billed_charge": 163.0, "npi": [1184709057]}]}, {"allowed_amount": 58.47, "providers": [{"billed_charge": 216.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.15, "providers": [{"billed_charge": 269.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.36, "providers": [{"billed_charge": 138.0, "npi": [1033475959]}]}]}]}, {"name": "Injection, haloperidol, up to 5 mg", "billing_code_type": "CPT", "billing_code": "J1630", "billing_code_type_version": "2022", "description": "Injection, haloperidol, up to 5 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.96, "providers": [{"billed_charge": 0.96, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.95, "providers": [{"billed_charge": 3.95, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.67, "providers": [{"billed_charge": 8.15, "npi": [1912964768]}]}, {"allowed_amount": 3.8, "providers": [{"billed_charge": 8.44, "npi": [1912964768]}]}, {"allowed_amount": 4.45, "providers": [{"billed_charge": 9.88, "npi": [1912964768]}]}]}]}, {"name": "Injection, heparin sodium, per 1000 units", "billing_code_type": "CPT", "billing_code": "J1644", "billing_code_type_version": "2022", "description": "Injection, heparin sodium, per 1000 units", "allowed_amounts": [{"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.22, "providers": [{"billed_charge": 3.22, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.63, "providers": [{"billed_charge": 1.4, "npi": [1912964768]}]}, {"allowed_amount": 0.98, "providers": [{"billed_charge": 2.17, "npi": [1912964768]}]}, {"allowed_amount": 1.09, "providers": [{"billed_charge": 2.42, "npi": [1912964768]}]}, {"allowed_amount": 1.28, "providers": [{"billed_charge": 2.84, "npi": [1912964768]}]}, {"allowed_amount": 5.22, "providers": [{"billed_charge": 11.61, "npi": [1912964768]}]}, {"allowed_amount": 9.27, "providers": [{"billed_charge": 20.61, "npi": [1912964768]}]}, {"allowed_amount": 9.28, "providers": [{"billed_charge": 20.61, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.71, "providers": [{"billed_charge": 24.8, "npi": [1184709057]}]}, {"allowed_amount": 8.39, "providers": [{"billed_charge": 31.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.37, "providers": [{"billed_charge": 30.91, "npi": [1336221019]}]}, {"allowed_amount": 8.39, "providers": [{"billed_charge": 31.0, "npi": [1336221019]}]}]}]}, {"name": "Injection, hydralazine hcl, up to 20 mg", "billing_code_type": "CPT", "billing_code": "J0360", "billing_code_type_version": "2022", "description": "Injection, hydralazine hcl, up to 20 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.99, "providers": [{"billed_charge": 11.08, "npi": [1912964768]}]}, {"allowed_amount": 6.82, "providers": [{"billed_charge": 15.16, "npi": [1912964768]}]}, {"allowed_amount": 8.0, "providers": [{"billed_charge": 17.78, "npi": [1912964768]}]}, {"allowed_amount": 9.18, "providers": [{"billed_charge": 20.4, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.32, "providers": [{"billed_charge": 166.32, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.01, "providers": [{"billed_charge": 266.0, "npi": [1033475959]}]}, {"allowed_amount": 107.33, "providers": [{"billed_charge": 396.5, "npi": [1033475959]}]}]}]}, {"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": "204560540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 1.42, "npi": [1952409765]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.0, "providers": [{"billed_charge": 3.85, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.18, "providers": [{"billed_charge": 0.42, "npi": [1093700346]}]}, {"allowed_amount": 0.19, "providers": [{"billed_charge": 0.42, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.13, "providers": [{"billed_charge": 1.13, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.06, "providers": [{"billed_charge": 0.06, "npi": [1790700904]}]}, {"allowed_amount": 0.76, "providers": [{"billed_charge": 0.76, "npi": [1790700904]}]}, {"allowed_amount": 1.06, "providers": [{"billed_charge": 1.06, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.05, "providers": [{"billed_charge": 2.33, "npi": [1912964768]}]}, {"allowed_amount": 1.12, "providers": [{"billed_charge": 2.49, "npi": [1912964768]}]}, {"allowed_amount": 1.49, "providers": [{"billed_charge": 3.32, "npi": [1912964768]}]}, {"allowed_amount": 1.57, "providers": [{"billed_charge": 3.5, "npi": [1912964768]}]}, {"allowed_amount": 2.02, "providers": [{"billed_charge": 4.5, "npi": [1912964768]}]}, {"allowed_amount": 2.03, "providers": [{"billed_charge": 4.5, "npi": [1912964768]}]}, {"allowed_amount": 3.15, "providers": [{"billed_charge": 7.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.73, "providers": [{"billed_charge": 4.12, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.72, "providers": [{"billed_charge": 47.0, "npi": [1184709057]}]}, {"allowed_amount": 18.95, "providers": [{"billed_charge": 70.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.57, "providers": [{"billed_charge": 1.64, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.62, "providers": [{"billed_charge": 10.33, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.9, "providers": [{"billed_charge": 14.4, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.18, "providers": [{"billed_charge": 39.93, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.86, "providers": [{"billed_charge": 5.86, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.97, "providers": [{"billed_charge": 2.97, "npi": [1154304475]}]}]}]}, {"name": "Injection, insulin, per 5 units", "billing_code_type": "CPT", "billing_code": "J1815", "billing_code_type_version": "2022", "description": "Injection, insulin, per 5 units", "allowed_amounts": [{"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.57, "providers": [{"billed_charge": 76.0, "npi": [1164478442]}]}, {"allowed_amount": 33.48, "providers": [{"billed_charge": 123.67, "npi": [1164478442]}]}, {"allowed_amount": 34.06, "providers": [{"billed_charge": 125.83, "npi": [1164478442]}]}, {"allowed_amount": 36.71, "providers": [{"billed_charge": 135.6, "npi": [1164478442]}]}, {"allowed_amount": 39.96, "providers": [{"billed_charge": 147.6, "npi": [1164478442]}]}, {"allowed_amount": 41.15, "providers": [{"billed_charge": 152.0, "npi": [1164478442]}]}, {"allowed_amount": 49.67, "providers": [{"billed_charge": 183.5, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.87, "providers": [{"billed_charge": 1.92, "npi": [1912964768]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 2.07, "npi": [1912964768]}]}, {"allowed_amount": 1.06, "providers": [{"billed_charge": 2.35, "npi": [1912964768]}]}, {"allowed_amount": 1.08, "providers": [{"billed_charge": 2.39, "npi": [1912964768]}]}, {"allowed_amount": 1.32, "providers": [{"billed_charge": 2.94, "npi": [1912964768]}]}, {"allowed_amount": 1.39, "providers": [{"billed_charge": 3.09, "npi": [1912964768]}]}, {"allowed_amount": 1.79, "providers": [{"billed_charge": 3.98, "npi": [1912964768]}]}, {"allowed_amount": 1.83, "providers": [{"billed_charge": 4.06, "npi": [1912964768]}]}, {"allowed_amount": 1.86, "providers": [{"billed_charge": 4.14, "npi": [1912964768]}]}, {"allowed_amount": 1.92, "providers": [{"billed_charge": 4.25, "npi": [1912964768]}]}, {"allowed_amount": 1.93, "providers": [{"billed_charge": 4.29, "npi": [1912964768]}]}, {"allowed_amount": 2.15, "providers": [{"billed_charge": 4.78, "npi": [1912964768]}]}, {"allowed_amount": 2.32, "providers": [{"billed_charge": 5.15, "npi": [1912964768]}]}, {"allowed_amount": 2.46, "providers": [{"billed_charge": 5.48, "npi": [1912964768]}]}, {"allowed_amount": 3.22, "providers": [{"billed_charge": 7.16, "npi": [1912964768]}]}, {"allowed_amount": 3.29, "providers": [{"billed_charge": 7.32, "npi": [1912964768]}]}, {"allowed_amount": 3.33, "providers": [{"billed_charge": 7.4, "npi": [1912964768]}]}, {"allowed_amount": 3.34, "providers": [{"billed_charge": 7.43, "npi": [1912964768]}]}, {"allowed_amount": 3.37, "providers": [{"billed_charge": 7.48, "npi": [1912964768]}]}, {"allowed_amount": 3.4, "providers": [{"billed_charge": 7.56, "npi": [1912964768]}]}, {"allowed_amount": 3.41, "providers": [{"billed_charge": 7.59, "npi": [1912964768]}]}, {"allowed_amount": 3.44, "providers": [{"billed_charge": 7.64, "npi": [1912964768]}]}, {"allowed_amount": 3.49, "providers": [{"billed_charge": 7.76, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 0.72, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.25, "providers": [{"billed_charge": 100.67, "npi": [1184709057]}]}, {"allowed_amount": 97.45, "providers": [{"billed_charge": 360.0, "npi": [1184709057]}]}]}]}, {"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": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 5.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 0.34, "npi": [1568419976]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 3.53, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 3.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "043633263"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 51.0, "npi": [1972503910]}]}]}, {"tin": {"type": "ein", "value": "060250773"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 3.82, "npi": [1467517235]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 2.48, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060646715"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 2.48, "npi": [1427007848]}]}]}, {"tin": {"type": "ein", "value": "060646813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 10.35, "npi": [1871713495]}]}]}, {"tin": {"type": "ein", "value": "061562701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 25.0, "npi": [1982663423]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 1.41, "npi": [1427041581]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 12.79, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "111630755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 4.56, "npi": [1326046467]}]}]}, {"tin": {"type": "ein", "value": "111631746"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 11.05, "npi": [1346380870]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 3.5, "npi": [1245370717]}]}]}, {"tin": {"type": "ein", "value": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 6.89, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "112050523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 25.0, "npi": [1043279565]}]}]}, {"tin": {"type": "ein", "value": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 3.05, "npi": [1346603107]}]}]}, {"tin": {"type": "ein", "value": "112868878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 3.71, "npi": [1407877137]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 0.61, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "131740119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 2.61, "npi": [1104808062]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 3.54, "npi": [1063426377]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 3.06, "npi": [1043224355]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 2.06, "npi": [1194832477]}, {"billed_charge": 2.85, "npi": [1194832477]}]}]}, {"tin": {"type": "ein", "value": "133964321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 6.0, "npi": [1932280666]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.99, "providers": [{"billed_charge": 5.68, "npi": [1669578324, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "135564934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 0.9, "npi": [1174768071]}]}]}, {"tin": {"type": "ein", "value": "141348692"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 11.25, "npi": [1497701106]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.61, "providers": [{"billed_charge": 25.0, "npi": [1801608138]}]}]}, {"tin": {"type": "ein", "value": "160743187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 2.97, "npi": [1790727543]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 3.6, "npi": [1518998699]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 3.6, "npi": [1518998699]}]}]}, {"tin": {"type": "ein", "value": "161533232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 14.0, "npi": [1639209596]}]}]}, {"tin": {"type": "ein", "value": "200214051"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 20.48, "npi": [1568413573]}]}]}, {"tin": {"type": "ein", "value": "200760917"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 11.0, "npi": [1922298454]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 111.5, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.34, "providers": [{"billed_charge": 15.0, "npi": [1407116544, 1396933057, 1750084265]}]}, {"allowed_amount": 0.45, "providers": [{"billed_charge": 15.0, "npi": [1730631482, 1942418579, 1659116861]}]}, {"allowed_amount": 1.08, "providers": [{"billed_charge": 15.0, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "203204949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 47.9, "npi": [1942391230]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 20.0, "npi": [1902003635]}]}, {"allowed_amount": 0.91, "providers": [{"billed_charge": 20.0, "npi": [1902003635]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 20.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.44, "providers": [{"billed_charge": 142.0, "npi": [1164478442]}]}, {"allowed_amount": 39.79, "providers": [{"billed_charge": 147.0, "npi": [1164478442]}]}, {"allowed_amount": 68.22, "providers": [{"billed_charge": 252.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.11, "providers": [{"billed_charge": 7.34, "npi": [1215003348, 1316992134]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 7.93, "npi": [1134133002]}, {"billed_charge": 18.92, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 36.5, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 9.0, "npi": [1316960578]}]}]}, {"tin": {"type": "ein", "value": "210635001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.52, "providers": [{"billed_charge": 24.91, "npi": [1235134024]}]}]}, {"tin": {"type": "ein", "value": "210635009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 5.0, "npi": [1689714255]}]}]}, {"tin": {"type": "ein", "value": "210662542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.22, "providers": [{"billed_charge": 5.89, "npi": [1053382697]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.88, "providers": [{"billed_charge": 102.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221487243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 2.85, "npi": [1003236878]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.87, "providers": [{"billed_charge": 2.4, "npi": [1457456279]}]}]}, {"tin": {"type": "ein", "value": "221487602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.88, "providers": [{"billed_charge": 2.6, "npi": [1669462420]}, {"billed_charge": 4.2, "npi": [1669462420]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.89, "providers": [{"billed_charge": 7.02, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.89, "providers": [{"billed_charge": 13.5, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "222592333"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 3.32, "npi": [1447275037]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.88, "providers": [{"billed_charge": 0.55, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.89, "providers": [{"billed_charge": 1.21, "npi": [1215027966]}]}, {"allowed_amount": 0.92, "providers": [{"billed_charge": 2.04, "npi": [1215027966]}, {"billed_charge": 4.38, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "223452412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 0.81, "npi": [1609983790]}]}]}, {"tin": {"type": "ein", "value": "223548695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 3.0, "npi": [1073516183]}]}, {"allowed_amount": 0.94, "providers": [{"billed_charge": 3.0, "npi": [1275583726]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.89, "providers": [{"billed_charge": 0.99, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.15, "providers": [{"billed_charge": 5.0, "npi": [1811992084]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.11, "providers": [{"billed_charge": 24.1, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "231996150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 15.91, "npi": [1174822068]}]}, {"allowed_amount": 0.57, "providers": [{"billed_charge": 9.41, "npi": [1174822068]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 455.0, "npi": [1770150914, 1417947490]}]}]}, {"tin": {"type": "ein", "value": "240795682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 8.0, "npi": [1730173154]}, {"billed_charge": 32.0, "npi": [1730173154]}]}]}, {"tin": {"type": "ein", "value": "250965406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.69, "providers": [{"billed_charge": 30.0, "npi": [1477538312]}]}]}, {"tin": {"type": "ein", "value": "250969492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.53, "providers": [{"billed_charge": 3.06, "npi": [1639579212]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.59, "providers": [{"billed_charge": 2.25, "npi": [1801321104]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 11.0, "npi": [1992799050]}, {"billed_charge": 22.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.83, "providers": [{"billed_charge": 15.0, "npi": [1326573270]}]}]}, {"tin": {"type": "ein", "value": "270712680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 7.0, "npi": [1760764849]}]}]}, {"tin": {"type": "ein", "value": "273815440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 19.65, "npi": [1851632616]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.59, "providers": [{"billed_charge": 3.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "300754305"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 37.6, "npi": [1407191984]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 0.77, "npi": [1598868655]}, {"billed_charge": 7.79, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 5.95, "npi": [1215936927]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 34.5, "npi": [1801937008]}, {"billed_charge": 35.9, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "320579508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 114.0, "npi": [1790250959]}]}]}, {"tin": {"type": "ein", "value": "330599494"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 0.46, "npi": [1184722779]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 20.0, "npi": [1457705618]}]}, {"allowed_amount": 0.78, "providers": [{"billed_charge": 20.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "340714593"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 3.65, "npi": [1902858152]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.73, "providers": [{"billed_charge": 3.65, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.11, "providers": [{"billed_charge": 19.4, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "341041385"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.73, "providers": [{"billed_charge": 15.0, "npi": [1639131535]}]}]}, {"tin": {"type": "ein", "value": "341105619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 9.75, "npi": [1811939887]}]}]}, {"tin": {"type": "ein", "value": "344428256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 3.0, "npi": [1407854771]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 32.47, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 32.47, "npi": [1306898960]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 23.0, "npi": [1700883717]}]}]}, {"tin": {"type": "ein", "value": "351151208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 16.5, "npi": [1699757401]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 58.55, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.87, "providers": [{"billed_charge": 2.6, "npi": [1396882205]}, {"billed_charge": 182.6, "npi": [1396882205]}]}]}, {"tin": {"type": "ein", "value": "356001540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 16.06, "npi": [1740268846]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 44.75, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.97, "providers": [{"billed_charge": 13.7, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 53.62, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 12.0, "npi": [1548306343]}]}, {"allowed_amount": 0.48, "providers": [{"billed_charge": 12.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 123.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 24.1, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "364867084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 35.0, "npi": [1376870840]}]}]}, {"tin": {"type": "ein", "value": "370681540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 27.18, "npi": [1033116876]}]}]}, {"tin": {"type": "ein", "value": "371119538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 54.36, "npi": [1013071653]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.44, "providers": [{"billed_charge": 7.08, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 17.2, "npi": [1831132133]}]}]}, {"tin": {"type": "ein", "value": "382776791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.43, "providers": [{"billed_charge": 5.82, "npi": [1083644579]}]}]}, {"tin": {"type": "ein", "value": "382791823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.43, "providers": [{"billed_charge": 5.13, "npi": [1992725352]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 40.0, "npi": [1164803078, 1174007991]}]}, {"allowed_amount": 0.83, "providers": [{"billed_charge": 40.0, "npi": [1174007991]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.17, "providers": [{"billed_charge": 154.05, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.4, "providers": [{"billed_charge": 2.85, "npi": [1356433049]}, {"billed_charge": 93.2, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 95.0, "npi": [1336231091]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.75, "providers": [{"billed_charge": 49.75, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 4.03, "npi": [1700827896]}]}]}, {"tin": {"type": "ein", "value": "421672810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.68, "providers": [{"billed_charge": 93.86, "npi": [1902844988]}]}]}, {"tin": {"type": "ein", "value": "430687077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 15.05, "npi": [1508859661]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 8.25, "npi": [1871665380]}, {"billed_charge": 16.5, "npi": [1962572396]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.83, "providers": [{"billed_charge": 5.0, "npi": [1467595793]}]}, {"allowed_amount": 0.85, "providers": [{"billed_charge": 5.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.41, "providers": [{"billed_charge": 49.75, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450503116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.59, "providers": [{"billed_charge": 67.75, "npi": [1578500484]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 20.0, "npi": [1164151197]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 35.0, "npi": [1194518241, 1164803078, 1417535881, 1831840396, 1407682255, 1447735030, 1700752599, 1780373209]}, {"billed_charge": 60.0, "npi": [1194518241, 1588533509, 1558182824, 1407682255, 1386334928, 1215675988, 1447735030, 1700752599]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 60.0, "npi": [1558182824, 1780373209, 1407682255]}]}, {"allowed_amount": 0.55, "providers": [{"billed_charge": 35.0, "npi": [1558182824]}, {"billed_charge": 60.0, "npi": [1558182824, 1407682255]}]}, {"allowed_amount": 0.56, "providers": [{"billed_charge": 35.0, "npi": [1558182824, 1588533509]}, {"billed_charge": 60.0, "npi": [1588533509]}]}, {"allowed_amount": 0.61, "providers": [{"billed_charge": 35.0, "npi": [1831840396]}]}, {"allowed_amount": 0.81, "providers": [{"billed_charge": 35.0, "npi": [1194518241, 1831840396]}, {"billed_charge": 60.0, "npi": [1285507392, 1417535881, 1215675988]}]}, {"allowed_amount": 0.83, "providers": [{"billed_charge": 35.0, "npi": [1447735030]}, {"billed_charge": 60.0, "npi": [1215675988]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.69, "providers": [{"billed_charge": 27.72, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.0, "providers": [{"billed_charge": 5.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "463176429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 11.8, "npi": [1619911104]}]}]}, {"tin": {"type": "ein", "value": "465143606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.57, "providers": [{"billed_charge": 3.19, "npi": [1396194197]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.79, "providers": [{"billed_charge": 12.56, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470379755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.81, "providers": [{"billed_charge": 99.5, "npi": [1336184019]}]}]}, {"tin": {"type": "ein", "value": "470796875"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.24, "providers": [{"billed_charge": 32.5, "npi": [1285676544]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.29, "providers": [{"billed_charge": 16.3, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 1.88, "npi": [1689244063]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 1.88, "npi": [1942186648]}]}]}, {"tin": {"type": "ein", "value": "473923087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 50.0, "npi": [1366815144]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 50.0, "npi": [1861685034]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.58, "providers": [{"billed_charge": 18.55, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "510103684"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 16.75, "npi": [1134194038]}]}]}, {"tin": {"type": "ein", "value": "510382045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 89.0, "npi": [1023060472]}]}]}, {"tin": {"type": "ein", "value": "510603966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.87, "providers": [{"billed_charge": 62.0, "npi": [1699819003]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.07, "providers": [{"billed_charge": 3.07, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.5, "providers": [{"billed_charge": 1.5, "npi": [1245655638]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.94, "providers": [{"billed_charge": 0.94, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 0.6, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.08, "providers": [{"billed_charge": 18.95, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.08, "providers": [{"billed_charge": 137.5, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 20.45, "npi": [1487866315]}, {"billed_charge": 20.65, "npi": [1396790325]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 20.45, "npi": [1417432840, 1346297892]}]}]}, {"tin": {"type": "ein", "value": "560619359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.04, "providers": [{"billed_charge": 59.9, "npi": [1013918960]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 20.45, "npi": [1295789907]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 20.45, "npi": [1295789907]}, {"billed_charge": 20.6, "npi": [1376985135]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 29.95, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "561509260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 19.25, "npi": [1497797088]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 14.0, "npi": [1659435840]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 9.46, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "580625140"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.81, "providers": [{"billed_charge": 28.41, "npi": [1740272095]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 11.0, "npi": [1528056066]}]}, {"allowed_amount": 0.67, "providers": [{"billed_charge": 47.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581685139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.91, "providers": [{"billed_charge": 7.93, "npi": [1255401519]}, {"billed_charge": 18.92, "npi": [1255401519]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 32.0, "npi": [1427055821]}, {"billed_charge": 93.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581734026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 9.0, "npi": [1659376630]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.59, "providers": [{"billed_charge": 18.1, "npi": [1598784720]}]}, {"allowed_amount": 0.6, "providers": [{"billed_charge": 18.1, "npi": [1194744326]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.91, "providers": [{"billed_charge": 58.5, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.74, "providers": [{"billed_charge": 96.5, "npi": [1952340994]}]}, {"allowed_amount": 0.76, "providers": [{"billed_charge": 96.5, "npi": [1457396079]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.68, "providers": [{"billed_charge": 35.3, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582095884"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 19.6, "npi": [1457329435]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 90.5, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.74, "providers": [{"billed_charge": 9.46, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 7.93, "npi": [1528027240]}, {"billed_charge": 18.92, "npi": [1528027240]}, {"billed_charge": 22.61, "npi": [1528027240]}, {"billed_charge": 29.58, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "582453303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.74, "providers": [{"billed_charge": 5.25, "npi": [1851388748]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 12.5, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 110.63, "npi": [1295702728, 1386940823]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 54.77, "npi": [1295702728]}, {"billed_charge": 219.05, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.63, "providers": [{"billed_charge": 6.92, "npi": [1912964768]}]}, {"allowed_amount": 1.81, "providers": [{"billed_charge": 4.03, "npi": [1912964768]}]}, {"allowed_amount": 1.94, "providers": [{"billed_charge": 4.32, "npi": [1912964768]}]}, {"allowed_amount": 2.33, "providers": [{"billed_charge": 5.17, "npi": [1912964768]}]}, {"allowed_amount": 2.43, "providers": [{"billed_charge": 5.4, "npi": [1912964768]}]}, {"allowed_amount": 2.46, "providers": [{"billed_charge": 5.46, "npi": [1912964768]}]}, {"allowed_amount": 2.6, "providers": [{"billed_charge": 5.78, "npi": [1912964768]}]}, {"allowed_amount": 2.67, "providers": [{"billed_charge": 5.92, "npi": [1912964768]}]}, {"allowed_amount": 3.12, "providers": [{"billed_charge": 6.92, "npi": [1912964768]}]}, {"allowed_amount": 3.15, "providers": [{"billed_charge": 7.0, "npi": [1912964768]}]}, {"allowed_amount": 3.52, "providers": [{"billed_charge": 7.82, "npi": [1912964768]}]}, {"allowed_amount": 4.03, "providers": [{"billed_charge": 8.96, "npi": [1912964768]}]}, {"allowed_amount": 4.18, "providers": [{"billed_charge": 9.28, "npi": [1912964768]}]}, {"allowed_amount": 4.24, "providers": [{"billed_charge": 9.42, "npi": [1912964768]}]}, {"allowed_amount": 4.66, "providers": [{"billed_charge": 10.34, "npi": [1912964768]}]}, {"allowed_amount": 4.69, "providers": [{"billed_charge": 10.42, "npi": [1912964768]}]}, {"allowed_amount": 4.82, "providers": [{"billed_charge": 10.72, "npi": [1912964768]}]}, {"allowed_amount": 5.09, "providers": [{"billed_charge": 11.32, "npi": [1912964768]}]}, {"allowed_amount": 6.23, "providers": [{"billed_charge": 13.84, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 23.06, "npi": [1437135811]}]}, {"allowed_amount": 0.68, "providers": [{"billed_charge": 23.06, "npi": [1437135811]}]}, {"allowed_amount": 0.86, "providers": [{"billed_charge": 23.06, "npi": [1376529743]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.98, "providers": [{"billed_charge": 3.65, "npi": [1194790055]}, {"billed_charge": 3.95, "npi": [1194790055]}, {"billed_charge": 9.5, "npi": [1194790055]}]}, {"allowed_amount": 2.01, "providers": [{"billed_charge": 3.65, "npi": [1194790055]}, {"billed_charge": 9.5, "npi": [1194790055]}]}, {"allowed_amount": 2.04, "providers": [{"billed_charge": 3.65, "npi": [1194790055]}, {"billed_charge": 3.92, "npi": [1194790055]}, {"billed_charge": 3.95, "npi": [1194790055]}, {"billed_charge": 9.5, "npi": [1194790055]}, {"billed_charge": 10.8, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.61, "providers": [{"billed_charge": 32.4, "npi": [1033001748]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 15.75, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.97, "providers": [{"billed_charge": 120.0, "npi": [1700979465]}]}, {"allowed_amount": 0.98, "providers": [{"billed_charge": 60.0, "npi": [1700979465]}]}, {"allowed_amount": 0.99, "providers": [{"billed_charge": 60.0, "npi": [1700979465, 1972664530]}]}, {"allowed_amount": 1.0, "providers": [{"billed_charge": 120.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.24, "providers": [{"billed_charge": 6.3, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.05, "providers": [{"billed_charge": 75.0, "npi": [1720085137]}]}, {"allowed_amount": 2.11, "providers": [{"billed_charge": 75.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 37.8, "npi": [1891782470]}]}, {"allowed_amount": 1.24, "providers": [{"billed_charge": 37.2, "npi": [1891782470]}, {"billed_charge": 38.7, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.67, "providers": [{"billed_charge": 23.06, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 57.41, "npi": [1083692594]}]}, {"allowed_amount": 0.68, "providers": [{"billed_charge": 22.1, "npi": [1083692594]}]}, {"allowed_amount": 6.35, "providers": [{"billed_charge": 31.77, "npi": [1275511651]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 5.65, "npi": [1578620449]}, {"billed_charge": 20.95, "npi": [1578620449]}]}, {"allowed_amount": 1.21, "providers": [{"billed_charge": 4.42, "npi": [1578620449]}, {"billed_charge": 11.45, "npi": [1578620449]}]}, {"allowed_amount": 1.23, "providers": [{"billed_charge": 4.55, "npi": [1578620449]}, {"billed_charge": 4.9, "npi": [1578620449]}, {"billed_charge": 7.97, "npi": [1578620449]}, {"billed_charge": 13.93, "npi": [1578620449]}, {"billed_charge": 15.93, "npi": [1578620449]}]}, {"allowed_amount": 1.24, "providers": [{"billed_charge": 4.9, "npi": [1578620449]}, {"billed_charge": 5.33, "npi": [1578620449]}, {"billed_charge": 5.65, "npi": [1578620449]}, {"billed_charge": 7.97, "npi": [1578620449]}, {"billed_charge": 13.93, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 23.06, "npi": [1881632818]}]}, {"allowed_amount": 0.68, "providers": [{"billed_charge": 23.06, "npi": [1346519816, 1881632818]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.68, "providers": [{"billed_charge": 24.3, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 13.29, "npi": [1184387367]}]}, {"allowed_amount": 0.48, "providers": [{"billed_charge": 6.3, "npi": [1598198012]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.17, "providers": [{"billed_charge": 50.0, "npi": [1528387842]}]}, {"allowed_amount": 1.2, "providers": [{"billed_charge": 200.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.07, "providers": [{"billed_charge": 9.71, "npi": [1396992475]}, {"billed_charge": 10.0, "npi": [1396992475]}, {"billed_charge": 11.2, "npi": [1396992475]}]}, {"allowed_amount": 1.09, "providers": [{"billed_charge": 9.71, "npi": [1396992475]}]}, {"allowed_amount": 1.1, "providers": [{"billed_charge": 27.72, "npi": [1396992475]}, {"billed_charge": 41.58, "npi": [1396992475]}]}, {"allowed_amount": 1.11, "providers": [{"billed_charge": 9.71, "npi": [1396992475]}, {"billed_charge": 10.0, "npi": [1396992475]}, {"billed_charge": 11.2, "npi": [1396992475]}, {"billed_charge": 41.58, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.63, "providers": [{"billed_charge": 18.17, "npi": [1841237930]}]}, {"allowed_amount": 8.26, "providers": [{"billed_charge": 19.66, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.82, "providers": [{"billed_charge": 69.5, "npi": [1184709057]}]}, {"allowed_amount": 23.55, "providers": [{"billed_charge": 87.0, "npi": [1184709057]}]}, {"allowed_amount": 25.72, "providers": [{"billed_charge": 95.0, "npi": [1184709057]}]}, {"allowed_amount": 38.44, "providers": [{"billed_charge": 142.0, "npi": [1184709057]}]}, {"allowed_amount": 39.79, "providers": [{"billed_charge": 147.0, "npi": [1184709057]}]}, {"allowed_amount": 68.49, "providers": [{"billed_charge": 253.0, "npi": [1184709057]}]}, {"allowed_amount": 70.65, "providers": [{"billed_charge": 261.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.45, "providers": [{"billed_charge": 10.4, "npi": [1437177664]}, {"billed_charge": 14.23, "npi": [1437177664]}]}, {"allowed_amount": 1.47, "providers": [{"billed_charge": 5.2, "npi": [1437177664]}]}, {"allowed_amount": 1.49, "providers": [{"billed_charge": 14.22, "npi": [1437177664]}, {"billed_charge": 18.61, "npi": [1437177664]}, {"billed_charge": 18.62, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 18.0, "npi": [1407634298]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.19, "providers": [{"billed_charge": 5.86, "npi": [1699874248]}, {"billed_charge": 6.3, "npi": [1699874248]}, {"billed_charge": 6.84, "npi": [1699874248]}]}, {"allowed_amount": 1.21, "providers": [{"billed_charge": 6.3, "npi": [1699874248]}, {"billed_charge": 6.84, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.83, "providers": [{"billed_charge": 23.06, "npi": [1427024942]}]}, {"allowed_amount": 0.86, "providers": [{"billed_charge": 23.06, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 7.27, "npi": [1821186313]}, {"billed_charge": 24.24, "npi": [1821186313]}, {"billed_charge": 24.3, "npi": [1821186313]}]}, {"allowed_amount": 1.22, "providers": [{"billed_charge": 7.27, "npi": [1821186313]}]}, {"allowed_amount": 1.23, "providers": [{"billed_charge": 7.27, "npi": [1821186313]}]}, {"allowed_amount": 1.24, "providers": [{"billed_charge": 7.27, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.34, "providers": [{"billed_charge": 24.23, "npi": [1396338877]}, {"billed_charge": 24.24, "npi": [1629544358]}, {"billed_charge": 24.3, "npi": [1518457357]}]}, {"allowed_amount": 0.39, "providers": [{"billed_charge": 7.27, "npi": [1821674474]}]}, {"allowed_amount": 0.45, "providers": [{"billed_charge": 7.27, "npi": [1053831032, 1073001673, 1265916266, 1730620188]}, {"billed_charge": 24.3, "npi": [1942567375]}]}, {"allowed_amount": 0.91, "providers": [{"billed_charge": 24.3, "npi": [1114377728, 1417533902]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 24.3, "npi": [1073001673]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 218.65, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.98, "providers": [{"billed_charge": 3.65, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.67, "providers": [{"billed_charge": 22.5, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 3.95, "npi": [1821155912]}]}, {"allowed_amount": 1.24, "providers": [{"billed_charge": 4.9, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593234721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.24, "providers": [{"billed_charge": 13.93, "npi": [1518024462]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.55, "providers": [{"billed_charge": 87.0, "npi": [1336221019]}]}, {"allowed_amount": 27.25, "providers": [{"billed_charge": 100.66, "npi": [1336221019]}]}, {"allowed_amount": 32.57, "providers": [{"billed_charge": 120.33, "npi": [1336221019]}]}, {"allowed_amount": 45.22, "providers": [{"billed_charge": 167.03, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593527036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.69, "providers": [{"billed_charge": 6.3, "npi": [1740276518]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.77, "providers": [{"billed_charge": 11.5, "npi": [1811991227]}]}, {"allowed_amount": 0.78, "providers": [{"billed_charge": 4.5, "npi": [1811991227]}, {"billed_charge": 5.75, "npi": [1811991227]}, {"billed_charge": 6.0, "npi": [1811991227]}, {"billed_charge": 9.0, "npi": [1811991227]}, {"billed_charge": 15.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.83, "providers": [{"billed_charge": 3.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 38.59, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 6.7, "npi": [1265539498]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 8.6, "npi": [1265539498]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 0.48, "npi": [1154365062]}, {"billed_charge": 2.39, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 4.41, "npi": [1952307027]}, {"billed_charge": 5.09, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.86, "providers": [{"billed_charge": 16.73, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.04, "providers": [{"billed_charge": 65.82, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.44, "providers": [{"billed_charge": 11.7, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "611334601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 4.0, "npi": [1447457775]}]}]}, {"tin": {"type": "ein", "value": "611786722"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 11.75, "npi": [1154876985]}]}]}, {"tin": {"type": "ein", "value": "620475842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.87, "providers": [{"billed_charge": 21.65, "npi": [1164590386]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 3.3, "npi": [1558365890]}]}, {"allowed_amount": 0.57, "providers": [{"billed_charge": 2.06, "npi": [1558365890]}, {"billed_charge": 2.07, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.86, "providers": [{"billed_charge": 103.0, "npi": [1023055126]}]}, {"allowed_amount": 0.87, "providers": [{"billed_charge": 394.04, "npi": [1982650024]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 9.0, "npi": [1104870187]}]}]}, {"tin": {"type": "ein", "value": "621619857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 30.87, "npi": [1811942238]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 72.69, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621682198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 20.37, "npi": [1689628984]}]}]}, {"tin": {"type": "ein", "value": "621682202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 39.51, "npi": [1659323772]}]}]}, {"tin": {"type": "ein", "value": "621753289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.88, "providers": [{"billed_charge": 4.63, "npi": [1699765453]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.75, "providers": [{"billed_charge": 25.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 31.43, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "621801363"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 24.0, "npi": [1275580938]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 6.82, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "621812558"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 14.6, "npi": [1457321036]}]}]}, {"tin": {"type": "ein", "value": "631159023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 3.72, "npi": [1720039712]}]}]}, {"tin": {"type": "ein", "value": "636000288"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 1.0, "npi": [1609811538]}, {"billed_charge": 3.5, "npi": [1609811538]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 9.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.61, "providers": [{"billed_charge": 3.65, "npi": [1083644033]}, {"billed_charge": 9.49, "npi": [1083644033]}, {"billed_charge": 9.5, "npi": [1083644033]}]}, {"allowed_amount": 0.62, "providers": [{"billed_charge": 3.65, "npi": [1083644033]}, {"billed_charge": 9.5, "npi": [1083644033]}]}, {"allowed_amount": 0.63, "providers": [{"billed_charge": 3.92, "npi": [1083644033]}, {"billed_charge": 3.95, "npi": [1083644033]}, {"billed_charge": 9.49, "npi": [1083644033]}, {"billed_charge": 9.5, "npi": [1083644033]}, {"billed_charge": 10.78, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 5.8, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "711045290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.64, "providers": [{"billed_charge": 3.15, "npi": [1962435792]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 32.62, "npi": [1295723229]}, {"billed_charge": 33.15, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "721561131"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1467560599]}]}]}, {"tin": {"type": "ein", "value": "730657693"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.44, "providers": [{"billed_charge": 87.5, "npi": [1700471497]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 87.25, "npi": [1467473579]}]}]}, {"tin": {"type": "ein", "value": "731034824"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 86.22, "npi": [1831103654]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.44, "providers": [{"billed_charge": 46.5, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.88, "providers": [{"billed_charge": 43.25, "npi": [1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.03, "providers": [{"billed_charge": 13.24, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 3.88, "npi": [1932152337]}, {"billed_charge": 6.5, "npi": [1982666111]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 116.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 20.89, "npi": [1942294939]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 12.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.7, "providers": [{"billed_charge": 12.12, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "742225672"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.52, "providers": [{"billed_charge": 10.35, "npi": [1629089966]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.35, "providers": [{"billed_charge": 21.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 18.75, "npi": [1902994908]}]}, {"allowed_amount": 1.08, "providers": [{"billed_charge": 18.75, "npi": [1902994908]}]}, {"allowed_amount": 1.1, "providers": [{"billed_charge": 18.0, "npi": [1902994908]}, {"billed_charge": 18.75, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 8.97, "npi": [1528064649]}, {"billed_charge": 16.47, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.78, "providers": [{"billed_charge": 9.57, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 3.16, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752302928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.78, "providers": [{"billed_charge": 15.0, "npi": [1740273994]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 4.56, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 21.5, "npi": [1992753222]}]}, {"allowed_amount": 0.73, "providers": [{"billed_charge": 43.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.02, "providers": [{"billed_charge": 13.0, "npi": [1598744856]}]}, {"allowed_amount": 1.03, "providers": [{"billed_charge": 13.0, "npi": [1598744856]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 13.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 50.0, "npi": [1891735544, 1023759875, 1902912454]}]}, {"allowed_amount": 0.46, "providers": [{"billed_charge": 50.0, "npi": [1194060756]}]}, {"allowed_amount": 0.58, "providers": [{"billed_charge": 50.0, "npi": [1508115825, 1023759875, 1902912454]}]}, {"allowed_amount": 0.59, "providers": [{"billed_charge": 50.0, "npi": [1508115825]}]}, {"allowed_amount": 0.6, "providers": [{"billed_charge": 50.0, "npi": [1508115825, 1023759875, 1568500445, 1902912454]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 361.5, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 21.4, "npi": [1063968196]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 21.4, "npi": [1649726738]}]}]}, {"tin": {"type": "ein", "value": "812381044"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.68, "providers": [{"billed_charge": 2.5, "npi": [1790825008]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 2.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 0.47, "providers": [{"billed_charge": 2.0, "npi": [1811798275]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 2.0, "npi": [1114498730, 1811798275, 1225899826]}]}, {"allowed_amount": 0.81, "providers": [{"billed_charge": 2.0, "npi": [1407731177]}]}, {"allowed_amount": 0.83, "providers": [{"billed_charge": 2.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814015190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 22.0, "npi": [1881144889]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.75, "providers": [{"billed_charge": 27.87, "npi": [1922530468]}]}, {"allowed_amount": 9.76, "providers": [{"billed_charge": 27.88, "npi": [1922530468]}]}, {"allowed_amount": 19.51, "providers": [{"billed_charge": 55.75, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 0.32, "npi": [1609858950]}, {"billed_charge": 0.76, "npi": [1134152549]}, {"billed_charge": 165.0, "npi": [1134152549, 1609858950]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.03, "providers": [{"billed_charge": 85.73, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 17.2, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 29.75, "npi": [1992798409]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 25.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "821349955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 28.52, "npi": [1750819025]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.19, "providers": [{"billed_charge": 3.19, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "821885403"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 17.85, "npi": [1891294518]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.13, "providers": [{"billed_charge": 22.55, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "823166379"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 50.0, "npi": [1407367030]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 49.98, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 18.75, "npi": [1245813708]}]}, {"allowed_amount": 0.48, "providers": [{"billed_charge": 18.75, "npi": [1245813708]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 18.75, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831294232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 32.0, "npi": [1083174973]}]}]}, {"tin": {"type": "ein", "value": "831872200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.78, "providers": [{"billed_charge": 89.3, "npi": [1194290106]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.23, "providers": [{"billed_charge": 31.8, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 5.19, "npi": [1790787307]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 90.0, "npi": [1043915523, 1720096092]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 84.55, "npi": [1891709192]}, {"billed_charge": 95.28, "npi": [1891709192]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.53, "providers": [{"billed_charge": 3.53, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 6.24, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.31, "providers": [{"billed_charge": 38.02, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "841335382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 45.0, "npi": [1013544014]}]}]}, {"tin": {"type": "ein", "value": "843065045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.08, "providers": [{"billed_charge": 64.56, "npi": [1104461276]}]}]}, {"tin": {"type": "ein", "value": "843073061"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 114.0, "npi": [1750932117]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.91, "providers": [{"billed_charge": 40.0, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 4.68, "npi": [1891724704]}]}]}, {"tin": {"type": "ein", "value": "852556972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.59, "providers": [{"billed_charge": 23.1, "npi": [1790376564]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.34, "providers": [{"billed_charge": 120.0, "npi": [1205061744]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 120.0, "npi": [1205061744]}]}, {"allowed_amount": 0.45, "providers": [{"billed_charge": 120.0, "npi": [1154054260, 1578631925]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 120.0, "npi": [1154054260, 1275669780]}]}, {"allowed_amount": 0.91, "providers": [{"billed_charge": 120.0, "npi": [1578631925]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 120.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.4, "providers": [{"billed_charge": 36.0, "npi": [1205156643]}]}, {"allowed_amount": 0.41, "providers": [{"billed_charge": 36.0, "npi": [1205156643]}]}, {"allowed_amount": 0.45, "providers": [{"billed_charge": 36.0, "npi": [1114696176, 1154480218]}]}, {"allowed_amount": 0.46, "providers": [{"billed_charge": 36.0, "npi": [1922436922]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 36.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 74.31, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 193.8, "npi": [1114744752]}, {"billed_charge": 196.0, "npi": [1427875061]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 7.88, "npi": [1073576740]}, {"billed_charge": 25.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "862126493"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 70.0, "npi": [1184465643]}]}]}, {"tin": {"type": "ein", "value": "870692261"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.5, "providers": [{"billed_charge": 27.5, "npi": [1689769911]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 20.0, "npi": [1669156121]}]}, {"allowed_amount": 0.56, "providers": [{"billed_charge": 20.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 21.25, "npi": [1093670945, 1568031219, 1740036516]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 21.25, "npi": [1194609198]}]}, {"allowed_amount": 0.56, "providers": [{"billed_charge": 21.25, "npi": [1194609198]}]}, {"allowed_amount": 0.91, "providers": [{"billed_charge": 21.25, "npi": [1740036516]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 21.25, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 80.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.29, "providers": [{"billed_charge": 2.75, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.64, "providers": [{"billed_charge": 28.25, "npi": [1144096553]}, {"billed_charge": 64.88, "npi": [1689440091]}]}, {"allowed_amount": 0.65, "providers": [{"billed_charge": 42.13, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880455713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 13.0, "npi": [1770626426]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 3.0, "npi": [1720963028]}]}]}, {"tin": {"type": "ein", "value": "881580452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.41, "providers": [{"billed_charge": 10.0, "npi": [1417278516]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 2.4, "npi": [1679299408]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 200.0, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 1.77, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "900054201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 6.0, "npi": [1720011810]}]}]}, {"tin": {"type": "ein", "value": "900065118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 6.0, "npi": [1275566200]}]}]}, {"tin": {"type": "ein", "value": "900412842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 6.0, "npi": [1124341672]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 15.0, "npi": [1306883228]}]}]}, {"tin": {"type": "ein", "value": "910652651"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 12.26, "npi": [1861432726]}]}]}, {"tin": {"type": "ein", "value": "911267921"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 166.75, "npi": [1093713091]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 215.0, "npi": [1740932318]}]}, {"allowed_amount": 0.48, "providers": [{"billed_charge": 215.0, "npi": [1740932318]}]}, {"allowed_amount": 0.91, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 67.0, "npi": [1598185472, 1386487593, 1932680022]}]}, {"allowed_amount": 0.46, "providers": [{"billed_charge": 67.0, "npi": [1306332333]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 67.0, "npi": [1386487593]}]}, {"allowed_amount": 0.56, "providers": [{"billed_charge": 67.0, "npi": [1306332333, 1932680022]}]}, {"allowed_amount": 0.94, "providers": [{"billed_charge": 67.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 68.75, "npi": [1770587107]}]}]}, {"tin": {"type": "ein", "value": "930429015"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 3.94, "npi": [1801887658]}, {"billed_charge": 26.94, "npi": [1801887658]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 13.68, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "933040761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.67, "providers": [{"billed_charge": 187.5, "npi": [1407637531]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 20.3, "npi": [1891048807]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.5, "providers": [{"billed_charge": 37.5, "npi": [1366896300]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 16.88, "npi": [1851530984]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 7.52, "npi": [1043220650]}]}]}, {"tin": {"type": "ein", "value": "943167314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 5.88, "npi": [1093712374]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 12.0, "npi": [1083648810]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 136.5, "providers": [{"billed_charge": 7.0, "npi": [1003183708]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 137.43, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "951643360"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 93.25, "npi": [1992752315]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.45, "providers": [{"billed_charge": 250.45, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "951675600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 23.51, "npi": [1336173269]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.73, "providers": [{"billed_charge": 30.0, "npi": [1700829199]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 20.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 10.0, "npi": [1467804930]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "956001880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1194711952]}]}]}, {"tin": {"type": "ein", "value": "990177350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 14.3, "npi": [1043263080]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.05, "providers": [{"billed_charge": 33.5, "npi": [1366281750]}]}, {"allowed_amount": 2.11, "providers": [{"billed_charge": 33.5, "npi": [1427806025, 1366281750]}]}, {"allowed_amount": 33.5, "providers": [{"billed_charge": 33.5, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 97.02, "npi": [1306679378]}]}]}]}, {"name": "Injection, lidocaine hydrochloride, 1 mg", "billing_code_type": "CPT", "billing_code": "J2003", "billing_code_type_version": "2022", "description": "Injection, lidocaine hydrochloride, 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.05, "providers": [{"billed_charge": 0.1, "npi": [1912964768]}]}, {"allowed_amount": 0.1, "providers": [{"billed_charge": 0.23, "npi": [1912964768]}]}, {"allowed_amount": 0.11, "providers": [{"billed_charge": 0.24, "npi": [1912964768]}]}, {"allowed_amount": 0.15, "providers": [{"billed_charge": 0.33, "npi": [1912964768]}]}, {"allowed_amount": 0.19, "providers": [{"billed_charge": 0.42, "npi": [1912964768]}]}, {"allowed_amount": 0.32, "providers": [{"billed_charge": 0.7, "npi": [1912964768]}]}]}]}, {"name": "Injection, lorazepam, 2 mg", "billing_code_type": "CPT", "billing_code": "J2060", "billing_code_type_version": "2022", "description": "Injection, lorazepam, 2 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.03, "providers": [{"billed_charge": 122.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.05, "providers": [{"billed_charge": 5.05, "npi": [1669417838]}]}, {"allowed_amount": 10.05, "providers": [{"billed_charge": 10.05, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 7.0, "npi": [1912964768]}]}, {"allowed_amount": 3.24, "providers": [{"billed_charge": 7.2, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.19, "providers": [{"billed_charge": 7.6, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.53, "providers": [{"billed_charge": 98.0, "npi": [1184709057]}]}, {"allowed_amount": 33.03, "providers": [{"billed_charge": 122.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.65, "providers": [{"billed_charge": 39.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.3, "providers": [{"billed_charge": 5.3, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.5, "providers": [{"billed_charge": 33.5, "npi": [1427806025]}]}]}]}, {"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": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.24, "providers": [{"billed_charge": 22.13, "npi": [1407116544, 1568097129]}]}, {"allowed_amount": 0.26, "providers": [{"billed_charge": 22.13, "npi": [1881293868]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 22.13, "npi": [1568097129, 1730631482, 1518375435, 1568792893]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 2.0, "npi": [1720655582]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 2.0, "npi": [1952884074, 1699117903]}]}]}, {"tin": {"type": "ein", "value": "383584702"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.33, "providers": [{"billed_charge": 0.8, "npi": [1215021472]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 2.0, "npi": [1184441719]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.34, "providers": [{"billed_charge": 2.0, "npi": [1407682255]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 2.0, "npi": [1558182824, 1194518241, 1447735030, 1629670286]}]}, {"allowed_amount": 0.43, "providers": [{"billed_charge": 2.0, "npi": [1407682255]}]}, {"allowed_amount": 0.44, "providers": [{"billed_charge": 2.0, "npi": [1700752599]}]}, {"allowed_amount": 0.59, "providers": [{"billed_charge": 2.0, "npi": [1447735030]}]}, {"allowed_amount": 0.64, "providers": [{"billed_charge": 2.0, "npi": [1194518241]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 1.0, "npi": [1669179636]}]}, {"allowed_amount": 0.5, "providers": [{"billed_charge": 0.5, "npi": [1669179636]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 1.25, "npi": [1245655638]}]}]}, {"tin": {"type": "ein", "value": "561463611"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 0.6, "npi": [1659043685]}]}]}, {"tin": {"type": "ein", "value": "582380955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.39, "providers": [{"billed_charge": 0.6, "npi": [1144279670]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 0.38, "npi": [1912964768]}]}, {"allowed_amount": 0.41, "providers": [{"billed_charge": 0.91, "npi": [1912964768]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 1.1, "npi": [1912964768]}]}, {"allowed_amount": 0.81, "providers": [{"billed_charge": 1.8, "npi": [1912964768]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 2.31, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.89, "providers": [{"billed_charge": 14.36, "npi": [1184709057]}]}, {"allowed_amount": 10.59, "providers": [{"billed_charge": 39.13, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.89, "providers": [{"billed_charge": 14.36, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.1, "providers": [{"billed_charge": 3.15, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.61, "providers": [{"billed_charge": 13.32, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 5.0, "npi": [1891735544, 1508115825, 1023759875]}]}, {"allowed_amount": 0.42, "providers": [{"billed_charge": 5.0, "npi": [1508115825]}]}, {"allowed_amount": 0.46, "providers": [{"billed_charge": 5.0, "npi": [1225176209, 1023759875, 1508115825]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.32, "providers": [{"billed_charge": 1.5, "npi": [1508489972, 1457057671]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 1.5, "npi": [1023650793, 1508489972, 1457057671]}]}, {"allowed_amount": 0.59, "providers": [{"billed_charge": 1.5, "npi": [1023650793, 1457057671]}]}, {"allowed_amount": 0.64, "providers": [{"billed_charge": 1.5, "npi": [1457057671]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 1.5, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.32, "providers": [{"billed_charge": 65.0, "npi": [1770084022]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 65.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 0.38, "providers": [{"billed_charge": 65.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.39, "providers": [{"billed_charge": 1.0, "npi": [1467097352]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 25.0, "npi": [1205061744]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 25.0, "npi": [1205061744]}]}, {"allowed_amount": 0.32, "providers": [{"billed_charge": 25.0, "npi": [1205061744]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 25.0, "npi": [1205061744, 1154054260]}]}, {"allowed_amount": 0.43, "providers": [{"billed_charge": 25.0, "npi": [1154054260, 1275669780]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.32, "providers": [{"billed_charge": 2.0, "npi": [1922436922]}]}, {"allowed_amount": 0.34, "providers": [{"billed_charge": 2.0, "npi": [1922436922]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 2.0, "npi": [1114696176]}]}, {"allowed_amount": 0.38, "providers": [{"billed_charge": 2.0, "npi": [1114696176, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 13.0, "npi": [1386487593]}]}, {"allowed_amount": 0.39, "providers": [{"billed_charge": 13.0, "npi": [1306332333]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.73, "providers": [{"billed_charge": 7.8, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.56, "providers": [{"billed_charge": 36.58, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.21, "providers": [{"billed_charge": 2.21, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.91, "providers": [{"billed_charge": 8.68, "npi": [1912964768]}]}, {"allowed_amount": 4.49, "providers": [{"billed_charge": 9.98, "npi": [1912964768]}]}, {"allowed_amount": 4.66, "providers": [{"billed_charge": 10.36, "npi": [1912964768]}]}, {"allowed_amount": 4.96, "providers": [{"billed_charge": 11.02, "npi": [1912964768]}]}, {"allowed_amount": 6.77, "providers": [{"billed_charge": 15.04, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.8, "providers": [{"billed_charge": 151.9, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.51, "providers": [{"billed_charge": 55.75, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.56, "providers": [{"billed_charge": 200.0, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.07, "providers": [{"billed_charge": 10.07, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "946000533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 155.87, "providers": [{"billed_charge": 155.87, "npi": [1063406551]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.52, "providers": [{"billed_charge": 5.52, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.24, "providers": [{"billed_charge": 131.24, "npi": [1023010113]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.5, "providers": [{"billed_charge": 33.5, "npi": [1427806025]}]}]}]}, {"name": "Injection, midazolam hydrochloride, per 1 mg", "billing_code_type": "CPT", "billing_code": "J2250", "billing_code_type_version": "2022", "description": "Injection, midazolam hydrochloride, per 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.5, "providers": [{"billed_charge": 1.5, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 0.54, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 2.07, "npi": [1912964768]}]}, {"allowed_amount": 1.26, "providers": [{"billed_charge": 2.81, "npi": [1912964768]}]}, {"allowed_amount": 1.43, "providers": [{"billed_charge": 3.17, "npi": [1912964768]}]}, {"allowed_amount": 1.69, "providers": [{"billed_charge": 3.75, "npi": [1912964768]}]}, {"allowed_amount": 1.88, "providers": [{"billed_charge": 4.17, "npi": [1912964768]}, {"billed_charge": 4.18, "npi": [1912964768]}]}, {"allowed_amount": 1.9, "providers": [{"billed_charge": 4.22, "npi": [1912964768]}]}, {"allowed_amount": 2.05, "providers": [{"billed_charge": 4.55, "npi": [1912964768]}]}, {"allowed_amount": 2.21, "providers": [{"billed_charge": 4.92, "npi": [1912964768]}]}, {"allowed_amount": 3.79, "providers": [{"billed_charge": 8.42, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.71, "providers": [{"billed_charge": 76.5, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.57, "providers": [{"billed_charge": 64.5, "npi": [1366496937]}]}]}]}, {"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": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.94, "providers": [{"billed_charge": 54.9, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.9, "providers": [{"billed_charge": 2.9, "npi": [1144282583]}]}, {"allowed_amount": 4.35, "providers": [{"billed_charge": 4.35, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.73, "providers": [{"billed_charge": 10.45, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 7.0, "npi": [1912964768]}]}, {"allowed_amount": 3.26, "providers": [{"billed_charge": 7.25, "npi": [1912964768]}]}, {"allowed_amount": 3.37, "providers": [{"billed_charge": 7.49, "npi": [1912964768]}]}, {"allowed_amount": 4.21, "providers": [{"billed_charge": 9.37, "npi": [1912964768]}]}, {"allowed_amount": 4.5, "providers": [{"billed_charge": 10.0, "npi": [1912964768]}]}, {"allowed_amount": 5.06, "providers": [{"billed_charge": 11.24, "npi": [1912964768]}]}, {"allowed_amount": 5.85, "providers": [{"billed_charge": 12.99, "npi": [1912964768]}]}, {"allowed_amount": 6.75, "providers": [{"billed_charge": 14.99, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.25, "providers": [{"billed_charge": 145.0, "npi": [1184709057]}]}, {"allowed_amount": 42.5, "providers": [{"billed_charge": 157.0, "npi": [1184709057]}]}, {"allowed_amount": 64.97, "providers": [{"billed_charge": 240.0, "npi": [1184709057]}]}, {"allowed_amount": 82.02, "providers": [{"billed_charge": 303.0, "npi": [1184709057]}]}, {"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.02, "providers": [{"billed_charge": 170.0, "npi": [1336221019]}]}, {"allowed_amount": 58.47, "providers": [{"billed_charge": 216.0, "npi": [1336221019]}]}, {"allowed_amount": 64.95, "providers": [{"billed_charge": 239.94, "npi": [1336221019]}]}, {"allowed_amount": 64.97, "providers": [{"billed_charge": 240.0, "npi": [1336221019]}]}, {"allowed_amount": 71.73, "providers": [{"billed_charge": 265.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.03, "providers": [{"billed_charge": 31.5, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.7, "providers": [{"billed_charge": 102.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.55, "providers": [{"billed_charge": 13.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.97, "providers": [{"billed_charge": 240.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.3, "providers": [{"billed_charge": 58.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.83, "providers": [{"billed_charge": 17.86, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.2, "providers": [{"billed_charge": 133.2, "npi": [1508859323]}]}]}]}, {"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": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 5.0, "npi": [1982309795]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 60.0, "npi": [1902003635]}]}, {"allowed_amount": 0.24, "providers": [{"billed_charge": 60.0, "npi": [1902003635]}]}, {"allowed_amount": 0.25, "providers": [{"billed_charge": 60.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.89, "providers": [{"billed_charge": 21.75, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204560540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 3.25, "npi": [1952409765]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 20.0, "npi": [1912750597]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.18, "providers": [{"billed_charge": 3.75, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.92, "providers": [{"billed_charge": 1.18, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.03, "providers": [{"billed_charge": 3.99, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.2, "providers": [{"billed_charge": 24.88, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 74.81, "npi": [1376783548]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.86, "providers": [{"billed_charge": 11.35, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 10.0, "npi": [1447735030]}]}, {"allowed_amount": 0.14, "providers": [{"billed_charge": 10.0, "npi": [1588533509]}]}, {"allowed_amount": 0.21, "providers": [{"billed_charge": 10.0, "npi": [1447735030]}]}, {"allowed_amount": 0.23, "providers": [{"billed_charge": 10.0, "npi": [1215675988]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.0, "providers": [{"billed_charge": 3.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 3.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.22, "providers": [{"billed_charge": 7.22, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.67, "providers": [{"billed_charge": 0.67, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.36, "providers": [{"billed_charge": 0.36, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.89, "providers": [{"billed_charge": 0.89, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 0.14, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.26, "providers": [{"billed_charge": 13.23, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 1.24, "npi": [1912964768]}]}, {"allowed_amount": 0.95, "providers": [{"billed_charge": 2.11, "npi": [1912964768]}]}, {"allowed_amount": 1.17, "providers": [{"billed_charge": 2.6, "npi": [1912964768]}]}, {"allowed_amount": 1.74, "providers": [{"billed_charge": 3.86, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.56, "providers": [{"billed_charge": 3.56, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.73, "providers": [{"billed_charge": 6.51, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.94, "providers": [{"billed_charge": 10.88, "npi": [1184709057]}]}, {"allowed_amount": 5.86, "providers": [{"billed_charge": 21.63, "npi": [1184709057]}]}, {"allowed_amount": 5.89, "providers": [{"billed_charge": 21.75, "npi": [1184709057]}]}, {"allowed_amount": 7.85, "providers": [{"billed_charge": 29.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 7.0, "npi": [1407634298]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.86, "providers": [{"billed_charge": 21.63, "npi": [1336221019]}]}, {"allowed_amount": 5.89, "providers": [{"billed_charge": 21.75, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593622226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 15.0, "npi": [1740277805]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 1.0, "npi": [1689173155]}]}, {"allowed_amount": 0.21, "providers": [{"billed_charge": 1.0, "npi": [1689173155]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.49, "providers": [{"billed_charge": 141.41, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.57, "providers": [{"billed_charge": 15.04, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.94, "providers": [{"billed_charge": 31.25, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.74, "providers": [{"billed_charge": 19.25, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.61, "providers": [{"billed_charge": 61.75, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.13, "providers": [{"billed_charge": 8.13, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.21, "providers": [{"billed_charge": 2.21, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.44, "providers": [{"billed_charge": 1.8, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.57, "providers": [{"billed_charge": 4.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 10.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.89, "providers": [{"billed_charge": 21.75, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.75, "providers": [{"billed_charge": 4.9, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 1.0, "npi": [1225899826]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.88, "providers": [{"billed_charge": 13.94, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.57, "providers": [{"billed_charge": 4.5, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 10.0, "npi": [1245813708]}]}, {"allowed_amount": 0.14, "providers": [{"billed_charge": 10.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.41, "providers": [{"billed_charge": 4.76, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.42, "providers": [{"billed_charge": 0.42, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.11, "providers": [{"billed_charge": 10.0, "npi": [1700405818, 1871681999]}]}, {"allowed_amount": 0.12, "providers": [{"billed_charge": 10.0, "npi": [1366953242, 1871681999]}]}, {"allowed_amount": 0.13, "providers": [{"billed_charge": 10.0, "npi": [1659389229]}]}, {"allowed_amount": 0.21, "providers": [{"billed_charge": 10.0, "npi": [1386324051, 1093315947]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.24, "providers": [{"billed_charge": 50.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.11, "providers": [{"billed_charge": 1.0, "npi": [1205156643]}]}, {"allowed_amount": 0.13, "providers": [{"billed_charge": 1.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 10.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 21.25, "npi": [1568031219]}]}, {"allowed_amount": 0.15, "providers": [{"billed_charge": 10.5, "npi": [1194609198]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 2.01, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.14, "providers": [{"billed_charge": 1.38, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.38, "providers": [{"billed_charge": 0.38, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 50.0, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 87.0, "npi": [1306332333, 1932680022]}]}, {"allowed_amount": 0.24, "providers": [{"billed_charge": 87.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.24, "providers": [{"billed_charge": 20.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.21, "providers": [{"billed_charge": 2.21, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.0, "providers": [{"billed_charge": 2.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 5.0, "npi": [1467804930]}]}]}]}, {"name": "Injection, orphenadrine citrate, up to 60 mg", "billing_code_type": "CPT", "billing_code": "J2360", "billing_code_type_version": "2022", "description": "Injection, orphenadrine citrate, up to 60 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.63, "providers": [{"billed_charge": 40.0, "npi": [1558182824]}]}, {"allowed_amount": 15.53, "providers": [{"billed_charge": 40.0, "npi": [1194518241, 1215675988]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.24, "providers": [{"billed_charge": 36.0, "npi": [1912964768]}]}, {"allowed_amount": 8.1, "providers": [{"billed_charge": 18.0, "npi": [1912964768]}]}, {"allowed_amount": 16.2, "providers": [{"billed_charge": 36.0, "npi": [1912964768]}]}, {"allowed_amount": 21.06, "providers": [{"billed_charge": 46.8, "npi": [1912964768]}]}, {"allowed_amount": 24.98, "providers": [{"billed_charge": 55.51, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.2, "providers": [{"billed_charge": 44.2, "npi": [1194790055]}]}]}]}, {"name": "Injection, phenylephrine hydrochloride, 20 micrograms", "billing_code_type": "CPT", "billing_code": "J2371", "billing_code_type_version": "2022", "description": "Injection, phenylephrine hydrochloride, 20 micrograms", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1912964768]}, {"billed_charge": 0.02, "npi": [1912964768]}]}, {"allowed_amount": 0.06, "providers": [{"billed_charge": 0.14, "npi": [1912964768]}]}, {"allowed_amount": 0.09, "providers": [{"billed_charge": 0.2, "npi": [1912964768]}]}, {"allowed_amount": 0.14, "providers": [{"billed_charge": 0.3, "npi": [1912964768]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 0.35, "npi": [1912964768]}]}, {"allowed_amount": 0.21, "providers": [{"billed_charge": 0.47, "npi": [1912964768]}]}, {"allowed_amount": 0.24, "providers": [{"billed_charge": 0.54, "npi": [1912964768]}]}, {"allowed_amount": 0.32, "providers": [{"billed_charge": 0.7, "npi": [1912964768]}]}, {"allowed_amount": 0.39, "providers": [{"billed_charge": 0.88, "npi": [1912964768]}]}, {"allowed_amount": 0.63, "providers": [{"billed_charge": 1.4, "npi": [1912964768]}]}, {"allowed_amount": 1.05, "providers": [{"billed_charge": 2.33, "npi": [1912964768]}]}]}]}, {"name": "Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)", "billing_code_type": "CPT", "billing_code": "J2543", "billing_code_type_version": "2022", "description": "Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)", "allowed_amounts": [{"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 7.53, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.01, "providers": [{"billed_charge": 2.01, "npi": [1720099286]}]}, {"allowed_amount": 8.43, "providers": [{"billed_charge": 8.43, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.48, "providers": [{"billed_charge": 5.5, "npi": [1912964768]}]}, {"allowed_amount": 4.71, "providers": [{"billed_charge": 10.46, "npi": [1912964768]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 13.6, "npi": [1912964768]}]}, {"allowed_amount": 6.44, "providers": [{"billed_charge": 14.31, "npi": [1912964768]}]}, {"allowed_amount": 7.75, "providers": [{"billed_charge": 17.22, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.15, "providers": [{"billed_charge": 62.0, "npi": [1215960315]}]}]}]}, {"name": "Injection, propofol, 10 mg", "billing_code_type": "CPT", "billing_code": "J2704", "billing_code_type_version": "2022", "description": "Injection, propofol, 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.26, "providers": [{"billed_charge": 0.26, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 0.16, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.4, "providers": [{"billed_charge": 0.9, "npi": [1912964768]}]}, {"allowed_amount": 0.41, "providers": [{"billed_charge": 0.9, "npi": [1912964768]}]}, {"allowed_amount": 0.52, "providers": [{"billed_charge": 1.16, "npi": [1912964768]}]}, {"allowed_amount": 0.64, "providers": [{"billed_charge": 1.42, "npi": [1912964768]}]}, {"allowed_amount": 0.85, "providers": [{"billed_charge": 1.89, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.56, "providers": [{"billed_charge": 16.83, "npi": [1184709057]}]}, {"allowed_amount": 4.9, "providers": [{"billed_charge": 18.1, "npi": [1184709057]}]}, {"allowed_amount": 5.35, "providers": [{"billed_charge": 19.75, "npi": [1184709057]}]}, {"allowed_amount": 5.9, "providers": [{"billed_charge": 21.8, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.19, "providers": [{"billed_charge": 6.25, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.0, "providers": [{"billed_charge": 2.0, "npi": [1427055839]}]}]}]}, {"name": "Injection, succinylcholine chloride, up to 20 mg", "billing_code_type": "CPT", "billing_code": "J0330", "billing_code_type_version": "2022", "description": "Injection, succinylcholine chloride, up to 20 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.41, "providers": [{"billed_charge": 0.41, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 2.08, "npi": [1912964768]}]}, {"allowed_amount": 0.99, "providers": [{"billed_charge": 2.2, "npi": [1912964768]}]}, {"allowed_amount": 1.06, "providers": [{"billed_charge": 2.37, "npi": [1912964768]}]}, {"allowed_amount": 1.17, "providers": [{"billed_charge": 2.6, "npi": [1912964768]}]}]}]}, {"name": "Injection, vancomycin hydrochloride, 10 mg", "billing_code_type": "CPT", "billing_code": "J3373", "billing_code_type_version": "2022", "description": "Injection, vancomycin hydrochloride, 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.23, "providers": [{"billed_charge": 2.23, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 0.33, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.04, "providers": [{"billed_charge": 0.09, "npi": [1912964768]}]}, {"allowed_amount": 0.08, "providers": [{"billed_charge": 0.18, "npi": [1912964768]}]}, {"allowed_amount": 0.13, "providers": [{"billed_charge": 0.3, "npi": [1912964768]}]}, {"allowed_amount": 0.14, "providers": [{"billed_charge": 0.3, "npi": [1912964768]}]}, {"allowed_amount": 0.21, "providers": [{"billed_charge": 0.48, "npi": [1912964768]}]}]}]}, {"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": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.98, "providers": [{"billed_charge": 832.0, "npi": [1013534643, 1952930406, 1548910623]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 481.0, "npi": [1124016225]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 173.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1811263015, 1326148495, 1225252083, 1952608119, 1881890457, 1528497948]}]}]}, {"tin": {"type": "ein", "value": "413690420"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 650.0, "npi": [1891783080]}, {"billed_charge": 700.0, "npi": [1891783080]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 432.81, "npi": [1912091794]}]}]}, {"tin": {"type": "ein", "value": "473808924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.33, "providers": [{"billed_charge": 391.0, "npi": [1770248668]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 1197.0, "npi": [1346525128, 1932410370, 1528066958, 1558884783]}]}]}, {"tin": {"type": "ein", "value": "590704934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.33, "providers": [{"billed_charge": 300.0, "npi": [1548455686]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.37, "providers": [{"billed_charge": 532.0, "npi": [1013764158]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.33, "providers": [{"billed_charge": 375.0, "npi": [1194806489, 1760825004]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 1589.0, "npi": [1235625443, 1306909189, 1598840167, 1629262126, 1952313173]}]}]}, {"tin": {"type": "ein", "value": "592219482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 275.0, "npi": [1639145774]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.33, "providers": [{"billed_charge": 336.24, "npi": [1710972435]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.33, "providers": [{"billed_charge": 818.0, "npi": [1467330290]}]}]}, {"tin": {"type": "ein", "value": "593398308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 435.5, "providers": [{"billed_charge": 871.0, "npi": [1699980847]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 1197.0, "npi": [1548794563, 1790023166, 1700547494]}]}]}, {"tin": {"type": "ein", "value": "650130324"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.98, "providers": [{"billed_charge": 326.06, "npi": [1033151113]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 404.73, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "650720209"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.33, "providers": [{"billed_charge": 260.0, "npi": [1124550553]}]}]}, {"tin": {"type": "ein", "value": "650909168"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.98, "providers": [{"billed_charge": 714.47, "npi": [1912964156]}]}]}, {"tin": {"type": "ein", "value": "651002758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.98, "providers": [{"billed_charge": 450.0, "npi": [1649292012]}]}]}, {"tin": {"type": "ein", "value": "812968717"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 400.0, "npi": [1245547223]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 571.0, "npi": [1932844040, 1952791824, 1174800148, 1164918645]}]}]}, {"tin": {"type": "ein", "value": "863265908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.33, "providers": [{"billed_charge": 415.0, "npi": [1306069562]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.04, "providers": [{"billed_charge": 300.0, "npi": [1336586809]}]}]}, {"tin": {"type": "ein", "value": "911939739"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.9, "providers": [{"billed_charge": 440.0, "npi": [1871728220]}]}]}, {"tin": {"type": "ein", "value": "931884363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 199.41, "npi": [1083952493]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.41, "providers": [{"billed_charge": 503.0, "npi": [1497917744, 1417332131]}]}]}]}, {"name": "Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older", "billing_code_type": "CPT", "billing_code": "36556", "billing_code_type_version": "2022", "description": "INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 241.45, "providers": [{"billed_charge": 425.0, "npi": [1366721789]}]}]}, {"tin": {"type": "ein", "value": "061330992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.58, "providers": [{"billed_charge": 649.0, "npi": [1538321138]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.74, "providers": [{"billed_charge": 224.4, "npi": [1184841835]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.47, "providers": [{"billed_charge": 251.58, "npi": [1619959186, 1689878134]}]}, {"allowed_amount": 109.02, "providers": [{"billed_charge": 251.58, "npi": [1891761128]}]}, {"allowed_amount": 229.78, "providers": [{"billed_charge": 251.58, "npi": [1710403381]}]}, {"allowed_amount": 251.58, "providers": [{"billed_charge": 251.58, "npi": [1508266081, 1295185189, 1598208647, 1184120172, 1740226190, 1124392378, 1760495998]}]}]}, {"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 266.25, "providers": [{"billed_charge": 970.0, "npi": [1588111538, 1861797565, 1174187207]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 344.78, "providers": [{"billed_charge": 807.0, "npi": [1730152646]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 344.78, "providers": [{"billed_charge": 435.0, "npi": [1215919733, 1265774574]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.55, "providers": [{"billed_charge": 770.0, "npi": [1023282548]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 344.78, "providers": [{"billed_charge": 356.0, "npi": [1235419060]}]}]}, {"tin": {"type": "ein", "value": "461631538"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.56, "providers": [{"billed_charge": 368.0, "npi": [1891703336]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 440.36, "providers": [{"billed_charge": 871.0, "npi": [1164501102]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.04, "providers": [{"billed_charge": 1452.0, "npi": [1023219763]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.8, "providers": [{"billed_charge": 175.8, "npi": [1366883365, 1144301854]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.16, "providers": [{"billed_charge": 225.0, "npi": [1235517558]}]}, {"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1104288836]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.94, "providers": [{"billed_charge": 1170.0, "npi": [1619002888]}, {"billed_charge": 1231.0, "npi": [1558659524]}]}, {"allowed_amount": 229.78, "providers": [{"billed_charge": 1231.0, "npi": [1962844944]}]}, {"allowed_amount": 344.78, "providers": [{"billed_charge": 1231.0, "npi": [1962844944, 1629335674]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 344.78, "providers": [{"billed_charge": 770.0, "npi": [1962853945]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 344.78, "providers": [{"billed_charge": 433.0, "npi": [1023434834, 1922341437]}]}, {"allowed_amount": 410.91, "providers": [{"billed_charge": 433.0, "npi": [1023434834, 1922341437]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.88, "providers": [{"billed_charge": 378.0, "npi": [1497929954]}]}, {"allowed_amount": 344.78, "providers": [{"billed_charge": 378.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.85, "providers": [{"billed_charge": 510.0, "npi": [1891836391]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11903.22, "providers": [{"billed_charge": 6043.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 401.58, "providers": [{"billed_charge": 880.0, "npi": [1902394257]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.68, "providers": [{"billed_charge": 315.0, "npi": [1801481361, 1376902221]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.32, "providers": [{"billed_charge": 1428.0, "npi": [1861473225, 1598306813]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.93, "providers": [{"billed_charge": 798.0, "npi": [1366673725]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.25, "providers": [{"billed_charge": 770.0, "npi": [1790131613]}]}, {"allowed_amount": 192.88, "providers": [{"billed_charge": 770.0, "npi": [1326240417]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 344.78, "providers": [{"billed_charge": 587.0, "npi": [1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.88, "providers": [{"billed_charge": 770.0, "npi": [1346811312]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.66, "providers": [{"billed_charge": 982.0, "npi": [1770223166]}]}, {"allowed_amount": 366.77, "providers": [{"billed_charge": 952.0, "npi": [1003880774]}, {"billed_charge": 1167.0, "npi": [1922206168]}]}, {"allowed_amount": 391.31, "providers": [{"billed_charge": 982.0, "npi": [1346560364]}, {"billed_charge": 1016.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 366.77, "providers": [{"billed_charge": 919.0, "npi": [1619945169]}]}]}, {"tin": {"type": "ein", "value": "650696044"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.99, "providers": [{"billed_charge": 85.99, "npi": [1134128481]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 589.16, "providers": [{"billed_charge": 663.96, "npi": [1770679771]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.39, "providers": [{"billed_charge": 919.0, "npi": [1407282445]}]}, {"allowed_amount": 366.77, "providers": [{"billed_charge": 919.0, "npi": [1740578368, 1811933062, 1013307495, 1689014185, 1407344492, 1316261233, 1922189653, 1952714487]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.04, "providers": [{"billed_charge": 1410.0, "npi": [1659326494]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 359.31, "providers": [{"billed_charge": 3077.52, "npi": [1982967535]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.05, "providers": [{"billed_charge": 2944.35, "npi": [1215279625, 1225520901]}]}, {"allowed_amount": 193.88, "providers": [{"billed_charge": 2944.35, "npi": [1437600285]}]}, {"allowed_amount": 344.78, "providers": [{"billed_charge": 2944.35, "npi": [1568803096, 1346403052, 1942445895]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.09, "providers": [{"billed_charge": 999.0, "npi": [1760800015]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.12, "providers": [{"billed_charge": 476.0, "npi": [1164482303]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.47, "providers": [{"billed_charge": 476.0, "npi": [1215517537]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 229.78, "providers": [{"billed_charge": 639.0, "npi": [1003076183]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.05, "providers": [{"billed_charge": 6042.82, "npi": [1699081117]}]}, {"allowed_amount": 344.78, "providers": [{"billed_charge": 6042.82, "npi": [1194258350]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.61, "providers": [{"billed_charge": 378.0, "npi": [1669722765]}]}]}]}, {"name": "Insertion of temporary indwelling bladder catheter; simple (eg, Foley)", "billing_code_type": "CPT", "billing_code": "51702", "billing_code_type_version": "2022", "description": "INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "061760818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 590.06, "providers": [{"billed_charge": 1685.88, "npi": [1376876664]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.85, "providers": [{"billed_charge": 94.0, "npi": [1508134008]}]}, {"allowed_amount": 36.11, "providers": [{"billed_charge": 88.0, "npi": [1275794885, 1083041750]}, {"billed_charge": 94.0, "npi": [1942218433, 1619384187]}]}, {"allowed_amount": 72.21, "providers": [{"billed_charge": 94.0, "npi": [1730716721]}]}, {"allowed_amount": 94.0, "providers": [{"billed_charge": 94.0, "npi": [1356879829]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.08, "providers": [{"billed_charge": 214.0, "npi": [1811481294]}]}, {"allowed_amount": 90.41, "providers": [{"billed_charge": 214.0, "npi": [1104203801, 1003133836, 1356690721]}]}]}, {"tin": {"type": "ein", "value": "273100946"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.01, "providers": [{"billed_charge": 712.27, "npi": [1225339898]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 216.61, "providers": [{"billed_charge": 481.36, "npi": [1912964768]}]}, {"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.5, "providers": [{"billed_charge": 966.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.83, "providers": [{"billed_charge": 259.0, "npi": [1013357508]}, {"billed_charge": 285.0, "npi": [1376522144]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.94, "providers": [{"billed_charge": 146.0, "npi": [1649684051]}]}]}]}, {"name": "Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older", "billing_code_type": "CPT", "billing_code": "36558", "billing_code_type_version": "2022", "description": "INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1183.78, "providers": [{"billed_charge": 1500.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 797.0, "providers": [{"billed_charge": 797.0, "npi": [1740028687]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 348.75, "providers": [{"billed_charge": 670.0, "npi": [1700315025, 1235517558]}]}, {"allowed_amount": 388.12, "providers": [{"billed_charge": 670.0, "npi": [1104288836]}]}, {"allowed_amount": 539.85, "providers": [{"billed_charge": 670.0, "npi": [1538588207]}]}, {"allowed_amount": 670.0, "providers": [{"billed_charge": 670.0, "npi": [1104288836, 1619497567, 1538588207]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.37, "providers": [{"billed_charge": 1008.0, "npi": [1053327114]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1079.71, "providers": [{"billed_charge": 5983.0, "npi": [1346714128]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 324.7, "providers": [{"billed_charge": 1444.0, "npi": [1104145366]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 458.49, "providers": [{"billed_charge": 868.0, "npi": [1588084073]}]}, {"allowed_amount": 868.0, "providers": [{"billed_charge": 868.0, "npi": [1588084073]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1183.78, "providers": [{"billed_charge": 3000.0, "npi": [1669498952]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 471.42, "providers": [{"billed_charge": 1744.0, "npi": [1518126523, 1386090702]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 576.24, "providers": [{"billed_charge": 1754.0, "npi": [1962834671]}]}, {"allowed_amount": 1138.03, "providers": [{"billed_charge": 1754.0, "npi": [1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650696044"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.95, "providers": [{"billed_charge": 263.95, "npi": [1134128481]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 620.55, "providers": [{"billed_charge": 1379.0, "npi": [1619214707, 1487996518]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 468.42, "providers": [{"billed_charge": 791.0, "npi": [1194979591]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.2, "providers": [{"billed_charge": 22948.51, "npi": [1194258350]}]}, {"allowed_amount": 1138.03, "providers": [{"billed_charge": 22948.51, "npi": [1194258350]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1183.78, "providers": [{"billed_charge": 1500.0, "npi": [1306158191]}]}]}]}, {"name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96367", "billing_code_type_version": "2022", "description": "IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR", "allowed_amounts": [{"tin": {"type": "ein", "value": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.11, "providers": [{"billed_charge": 239.26, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.0, "providers": [{"billed_charge": 39.0, "npi": [1174586465]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.98, "providers": [{"billed_charge": 39.0, "npi": [1528022332]}]}, {"allowed_amount": 39.0, "providers": [{"billed_charge": 39.0, "npi": [1649538828, 1700011335]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.0, "providers": [{"billed_charge": 39.0, "npi": [1669919155]}]}]}, {"tin": {"type": "ein", "value": "382383119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.83, "providers": [{"billed_charge": 227.0, "npi": [1902894512]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.88, "providers": [{"billed_charge": 112.0, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.69, "providers": [{"billed_charge": 213.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.93, "providers": [{"billed_charge": 406.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 451.14, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.44, "providers": [{"billed_charge": 569.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.37, "providers": [{"billed_charge": 99.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 338.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.44, "providers": [{"billed_charge": 801.25, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.04, "providers": [{"billed_charge": 163.77, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.1, "providers": [{"billed_charge": 241.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.86, "providers": [{"billed_charge": 53.86, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1016.75, "providers": [{"billed_charge": 350.0, "npi": [1902803315]}]}]}]}, {"name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96368", "billing_code_type_version": "2022", "description": "IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS", "allowed_amounts": [{"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.28, "providers": [{"billed_charge": 27.45, "npi": [1467073254, 1508137670, 1790906154, 1891725164, 1881271310, 1669919155]}]}, {"allowed_amount": 27.45, "providers": [{"billed_charge": 27.45, "npi": [1285780387, 1790906154, 1891725164, 1194285486, 1457715096]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.28, "providers": [{"billed_charge": 27.45, "npi": [1174586465, 1669737953, 1508137670, 1508108390, 1942457692]}]}, {"allowed_amount": 27.45, "providers": [{"billed_charge": 27.45, "npi": [1174586465, 1508137670, 1467073254, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.28, "providers": [{"billed_charge": 27.45, "npi": [1649538828]}]}, {"allowed_amount": 27.45, "providers": [{"billed_charge": 27.45, "npi": [1790906154, 1285780387, 1528022332, 1649538828]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.28, "providers": [{"billed_charge": 27.45, "npi": [1194822353, 1396774956, 1073833653]}]}, {"allowed_amount": 27.45, "providers": [{"billed_charge": 27.45, "npi": [1710947940, 1194822353, 1558395434, 1396774956]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.28, "providers": [{"billed_charge": 27.45, "npi": [1285780387, 1225353766, 1508137670, 1790906154, 1346206257, 1699926774]}]}, {"allowed_amount": 27.45, "providers": [{"billed_charge": 27.45, "npi": [1669737953, 1790906154, 1710947940, 1710175526]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.28, "providers": [{"billed_charge": 27.45, "npi": [1467073254]}]}, {"allowed_amount": 27.45, "providers": [{"billed_charge": 27.45, "npi": [1508108390, 1790906154, 1669919155, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.68, "providers": [{"billed_charge": 341.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 338.0, "npi": [1184709057]}]}]}]}, {"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": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 1600.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.87, "providers": [{"billed_charge": 257.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "270036484"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 232.0, "npi": [1154355188]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 329.0, "npi": [1144266024]}]}, {"allowed_amount": 105.03, "providers": [{"billed_charge": 316.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.34, "providers": [{"billed_charge": 110.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.55, "providers": [{"billed_charge": 312.34, "npi": [1912964768]}]}, {"allowed_amount": 140.56, "providers": [{"billed_charge": 312.34, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 416.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.34, "providers": [{"billed_charge": 193.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 200.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 230.84, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 398.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 416.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.69, "providers": [{"billed_charge": 103.0, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 156.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621740235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.21, "providers": [{"billed_charge": 414.11, "npi": [1770674350]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 409.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.46, "providers": [{"billed_charge": 512.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.33, "providers": [{"billed_charge": 320.0, "npi": [1902803315]}]}]}]}, {"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": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 687.78, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "131740130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 2340.0, "npi": [1447255153]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 3270.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1046.78, "providers": [{"billed_charge": 2990.79, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "141338467"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 547.0, "npi": [1124072715]}]}]}, {"tin": {"type": "ein", "value": "160743187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 456.0, "npi": [1790727543]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.89, "providers": [{"billed_charge": 661.89, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.57, "providers": [{"billed_charge": 1300.0, "npi": [1164478442]}]}, {"allowed_amount": 351.91, "providers": [{"billed_charge": 1300.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.19, "providers": [{"billed_charge": 87.19, "npi": [1285780387, 1467073254, 1508137670, 1790906154, 1891725164, 1194285486, 1881271310, 1346206257, 1669919155, 1457715096, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.19, "providers": [{"billed_charge": 87.19, "npi": [1174586465, 1669737953, 1508108390, 1508137670, 1467073254, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.19, "providers": [{"billed_charge": 87.19, "npi": [1285780387, 1700011335, 1790906154, 1649538828, 1912961293, 1891725164, 1528022332, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.19, "providers": [{"billed_charge": 87.19, "npi": [1710947940, 1558395434, 1396774956, 1194822353, 1346206257, 1073833653, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 654.49, "providers": [{"billed_charge": 1430.0, "npi": [1457456279]}]}, {"allowed_amount": 890.16, "providers": [{"billed_charge": 1430.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "221487602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 654.49, "providers": [{"billed_charge": 1038.0, "npi": [1669462420]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 1113.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.19, "providers": [{"billed_charge": 87.19, "npi": [1669737953, 1285780387, 1710947940, 1225353766, 1710175526, 1467073254, 1508137670, 1790906154, 1346206257, 1073833653, 1699926774, 1235796277]}]}]}, {"tin": {"type": "ein", "value": "270036484"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 653.0, "npi": [1154355188]}]}]}, {"tin": {"type": "ein", "value": "320579508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1512.0, "npi": [1790250959]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.19, "providers": [{"billed_charge": 87.19, "npi": [1508108390, 1467073254, 1790906154, 1669919155, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "340714593"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 422.58, "providers": [{"billed_charge": 1454.0, "npi": [1902858152]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 3145.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 721.89, "providers": [{"billed_charge": 454.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 675.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 1635.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "382383119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.28, "providers": [{"billed_charge": 671.9, "npi": [1902894512]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 216.1, "providers": [{"billed_charge": 272.3, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.43, "providers": [{"billed_charge": 650.0, "npi": [1437259694]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 682.81, "providers": [{"billed_charge": 732.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.07, "providers": [{"billed_charge": 518.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "470376604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.59, "providers": [{"billed_charge": 635.0, "npi": [1336470558]}]}]}, {"tin": {"type": "ein", "value": "475531420"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 408.59, "providers": [{"billed_charge": 348.0, "npi": [1144695081]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.15, "providers": [{"billed_charge": 1102.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 733.31, "providers": [{"billed_charge": 953.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 678.61, "providers": [{"billed_charge": 2524.0, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "560529976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.13, "providers": [{"billed_charge": 794.0, "npi": [1700860491]}]}]}, {"tin": {"type": "ein", "value": "560532309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 336.25, "providers": [{"billed_charge": 1176.0, "npi": [1396746228]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.9, "providers": [{"billed_charge": 735.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "582095884"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.22, "providers": [{"billed_charge": 1095.0, "npi": [1457329435]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 550.22, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582179986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.74, "providers": [{"billed_charge": 550.22, "npi": [1437186111]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 550.22, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.6, "providers": [{"billed_charge": 262.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 550.22, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "586002659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.35, "providers": [{"billed_charge": 204.0, "npi": [1861615304]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 445.17, "providers": [{"billed_charge": 591.1, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 378.0, "providers": [{"billed_charge": 840.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1145.6, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1332.72, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1873.92, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 2453.89, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 2999.5, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 1161.72, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.81, "providers": [{"billed_charge": 626.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1379.37, "providers": [{"billed_charge": 1195.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 1241.0, "npi": [1578620449]}]}, {"allowed_amount": 1145.6, "providers": [{"billed_charge": 1241.0, "npi": [1578620449]}]}, {"allowed_amount": 1232.02, "providers": [{"billed_charge": 1241.0, "npi": [1578620449]}]}, {"allowed_amount": 1763.4, "providers": [{"billed_charge": 1241.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 837.37, "providers": [{"billed_charge": 389.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 721.89, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 941.75, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1180.94, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1303.86, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1340.18, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1360.01, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1419.09, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1588.75, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1601.89, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1873.92, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1875.71, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 1995.5, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 2068.97, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}, {"allowed_amount": 2253.07, "providers": [{"billed_charge": 425.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.91, "providers": [{"billed_charge": 1300.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 972.89, "providers": [{"billed_charge": 1120.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.85, "providers": [{"billed_charge": 789.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 559.74, "providers": [{"billed_charge": 1054.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 899.41, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.72, "providers": [{"billed_charge": 1818.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 1241.0, "npi": [1821155912]}]}, {"allowed_amount": 1142.04, "providers": [{"billed_charge": 1241.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.91, "providers": [{"billed_charge": 1300.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.88, "providers": [{"billed_charge": 965.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 635.0, "providers": [{"billed_charge": 635.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.08, "providers": [{"billed_charge": 312.09, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.05, "providers": [{"billed_charge": 767.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621740235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 527.9, "providers": [{"billed_charge": 905.46, "npi": [1770674350]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.1, "providers": [{"billed_charge": 1607.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}, {"allowed_amount": 1145.6, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}, {"allowed_amount": 1358.96, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}, {"allowed_amount": 1856.6, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}, {"allowed_amount": 1940.4, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}, {"allowed_amount": 1988.86, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}, {"allowed_amount": 2075.27, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}, {"allowed_amount": 2494.43, "providers": [{"billed_charge": 421.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 701.78, "providers": [{"billed_charge": 1109.05, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 159.11, "providers": [{"billed_charge": 159.11, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 408.31, "providers": [{"billed_charge": 1162.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 1113.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 1336.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.59, "providers": [{"billed_charge": 541.0, "npi": [1467473579]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 1384.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 449.05, "providers": [{"billed_charge": 1283.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "752302928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.44, "providers": [{"billed_charge": 562.0, "npi": [1740273994]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 2177.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.91, "providers": [{"billed_charge": 1300.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 1113.0, "npi": [1376198028]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 431.93, "providers": [{"billed_charge": 774.0, "npi": [1982150009]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 509.46, "providers": [{"billed_charge": 592.0, "npi": [1790787307]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 684.0, "providers": [{"billed_charge": 684.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "853825982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 86.23, "providers": [{"billed_charge": 350.0, "npi": [1326354283]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 86.23, "providers": [{"billed_charge": 198.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 530.48, "providers": [{"billed_charge": 638.52, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 81.53, "providers": [{"billed_charge": 352.04, "npi": [1619931409, 1154385946]}]}, {"allowed_amount": 93.92, "providers": [{"billed_charge": 141.95, "npi": [1619931409]}, {"billed_charge": 352.04, "npi": [1619931409, 1154385946]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 89.49, "providers": [{"billed_charge": 275.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "932759167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 1512.0, "npi": [1396600151]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3003.8, "providers": [{"billed_charge": 920.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.58, "providers": [{"billed_charge": 591.43, "npi": [1851530984]}]}]}, {"tin": {"type": "ein", "value": "951643360"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3003.8, "providers": [{"billed_charge": 812.0, "npi": [1992752315]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.2, "providers": [{"billed_charge": 941.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3003.8, "providers": [{"billed_charge": 990.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1379.37, "providers": [{"billed_charge": 1381.0, "npi": [1427806025, 1366281750]}]}, {"allowed_amount": 1687.95, "providers": [{"billed_charge": 1381.0, "npi": [1427806025]}]}, {"allowed_amount": 1950.34, "providers": [{"billed_charge": 1381.0, "npi": [1366281750]}]}, {"allowed_amount": 1964.89, "providers": [{"billed_charge": 1381.0, "npi": [1427806025]}]}, {"allowed_amount": 2256.03, "providers": [{"billed_charge": 1381.0, "npi": [1366281750]}]}, {"allowed_amount": 3940.5, "providers": [{"billed_charge": 1381.0, "npi": [1427806025]}]}]}]}, {"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": "030219309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.48, "providers": [{"billed_charge": 222.0, "npi": [1568419976]}]}]}, {"tin": {"type": "ein", "value": "042103881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 178.0, "npi": [1548202641]}]}]}, {"tin": {"type": "ein", "value": "042697983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 332.0, "npi": [1023049236]}]}]}, {"tin": {"type": "ein", "value": "042769210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 351.0, "npi": [1134227606]}]}]}, {"tin": {"type": "ein", "value": "043314093"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 214.0, "npi": [1346218294]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 215.0, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.02, "providers": [{"billed_charge": 151.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.02, "providers": [{"billed_charge": 337.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 149.14, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "131624070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 2984.0, "npi": [1477616571]}]}]}, {"tin": {"type": "ein", "value": "131740130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 196.0, "npi": [1447255153]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 415.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.64, "providers": [{"billed_charge": 1013.25, "npi": [1427616002, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 377.0, "npi": [1518998699]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.51, "providers": [{"billed_charge": 472.78, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "202844893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.55, "providers": [{"billed_charge": 190.0, "npi": [1568551455]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 233.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 4131.0, "npi": [1215003348, 1316992134]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 339.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.61, "providers": [{"billed_charge": 17.61, "npi": [1457715096, 1285780387]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.41, "providers": [{"billed_charge": 17.61, "npi": [1942457692]}]}, {"allowed_amount": 17.61, "providers": [{"billed_charge": 17.61, "npi": [1508137670]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.61, "providers": [{"billed_charge": 17.61, "npi": [1790906154, 1285780387]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.61, "providers": [{"billed_charge": 17.61, "npi": [1194822353]}]}]}, {"tin": {"type": "ein", "value": "210635009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.98, "providers": [{"billed_charge": 595.0, "npi": [1689714255]}]}]}, {"tin": {"type": "ein", "value": "221487243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 193.34, "providers": [{"billed_charge": 758.0, "npi": [1003236878]}]}]}, {"tin": {"type": "ein", "value": "221487330"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.98, "providers": [{"billed_charge": 310.0, "npi": [1114924834]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.08, "providers": [{"billed_charge": 440.0, "npi": [1730692344]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.28, "providers": [{"billed_charge": 134.4, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.08, "providers": [{"billed_charge": 316.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.88, "providers": [{"billed_charge": 468.0, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "223452412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 200.27, "providers": [{"billed_charge": 316.0, "npi": [1609983790]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 316.0, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "231352213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 165.05, "providers": [{"billed_charge": 266.0, "npi": [1376339226]}]}]}, {"tin": {"type": "ein", "value": "232896725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.28, "providers": [{"billed_charge": 440.0, "npi": [1487640207]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.5, "providers": [{"billed_charge": 256.0, "npi": [1770150914, 1417947490]}]}, {"allowed_amount": 108.51, "providers": [{"billed_charge": 256.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "251925187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.89, "providers": [{"billed_charge": 234.0, "npi": [1568403111]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.06, "providers": [{"billed_charge": 399.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.41, "providers": [{"billed_charge": 17.61, "npi": [1699926774]}]}, {"allowed_amount": 17.61, "providers": [{"billed_charge": 17.61, "npi": [1790906154, 1467073254]}]}]}, {"tin": {"type": "ein", "value": "263359979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.22, "providers": [{"billed_charge": 299.0, "npi": [1386896306]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.67, "providers": [{"billed_charge": 232.8, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 189.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "272814378"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 233.0, "npi": [1841562709]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.73, "providers": [{"billed_charge": 250.1, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "310564121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.67, "providers": [{"billed_charge": 327.0, "npi": [1053339507]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.1, "providers": [{"billed_charge": 324.0, "npi": [1982784534]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.02, "providers": [{"billed_charge": 172.27, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.32, "providers": [{"billed_charge": 104.5, "npi": [1538164090]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.1, "providers": [{"billed_charge": 147.6, "npi": [1215936927]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.5, "providers": [{"billed_charge": 193.0, "npi": [1801937008, 1255377149]}]}]}, {"tin": {"type": "ein", "value": "320579508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 714.0, "npi": [1790250959]}]}]}, {"tin": {"type": "ein", "value": "333995572"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.69, "providers": [{"billed_charge": 910.5, "npi": [1457146250]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.69, "providers": [{"billed_charge": 318.0, "npi": [1679525919]}]}]}, {"tin": {"type": "ein", "value": "341883132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.47, "providers": [{"billed_charge": 330.0, "npi": [1598765539]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.03, "providers": [{"billed_charge": 180.0, "npi": [1306898960]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 164.0, "npi": [1700883717]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 297.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 130.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "356001540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 200.0, "npi": [1740268846]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.6, "providers": [{"billed_charge": 681.19, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.25, "providers": [{"billed_charge": 357.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.77, "providers": [{"billed_charge": 228.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "371119538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.25, "providers": [{"billed_charge": 483.0, "npi": [1013071653]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 117.8, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "383176536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 223.0, "npi": [1053356352]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.41, "providers": [{"billed_charge": 79.9, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "390830664"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.43, "providers": [{"billed_charge": 175.9, "npi": [1518993880]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.33, "providers": [{"billed_charge": 175.9, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "420504780"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.84, "providers": [{"billed_charge": 124.64, "npi": [1083708226]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.82, "providers": [{"billed_charge": 85.0, "npi": [1790740363]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.19, "providers": [{"billed_charge": 363.0, "npi": [1871665380]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.12, "providers": [{"billed_charge": 147.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "452528314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.32, "providers": [{"billed_charge": 251.06, "npi": [1972576247]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.35, "providers": [{"billed_charge": 319.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.77, "providers": [{"billed_charge": 32.12, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "470379755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.72, "providers": [{"billed_charge": 213.0, "npi": [1336184019]}]}]}, {"tin": {"type": "ein", "value": "473923087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 306.13, "npi": [1366815144]}]}]}, {"tin": {"type": "ein", "value": "480637331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.58, "providers": [{"billed_charge": 519.78, "npi": [1023171634]}]}]}, {"tin": {"type": "ein", "value": "521958352"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 628.0, "npi": [1790789212]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 159.63, "providers": [{"billed_charge": 77.0, "npi": [1831220714]}]}, {"allowed_amount": 161.43, "providers": [{"billed_charge": 231.0, "npi": [1255684460]}]}, {"allowed_amount": 161.44, "providers": [{"billed_charge": 231.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 57.0, "npi": [1417432840, 1487866315, 1346297892]}]}]}, {"tin": {"type": "ein", "value": "560532309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.02, "providers": [{"billed_charge": 119.0, "npi": [1396746228]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 464.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "561376368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 464.0, "npi": [1063463156]}]}]}, {"tin": {"type": "ein", "value": "562143518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.18, "providers": [{"billed_charge": 275.37, "npi": [1881688976]}]}]}, {"tin": {"type": "ein", "value": "570370242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 262.0, "npi": [1699756221]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.06, "providers": [{"billed_charge": 210.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.76, "providers": [{"billed_charge": 321.0, "npi": [1871556621]}]}]}, {"tin": {"type": "ein", "value": "580566256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 210.0, "npi": [1588640692]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.06, "providers": [{"billed_charge": 210.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "580568702"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.39, "providers": [{"billed_charge": 359.0, "npi": [1063406684]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.22, "providers": [{"billed_charge": 286.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.76, "providers": [{"billed_charge": 255.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.43, "providers": [{"billed_charge": 116.37, "npi": [1598784720]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.45, "providers": [{"billed_charge": 307.0, "npi": [1225050396]}]}, {"allowed_amount": 106.06, "providers": [{"billed_charge": 307.0, "npi": [1457396079]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.73, "providers": [{"billed_charge": 210.0, "npi": [1093716979]}]}, {"allowed_amount": 104.74, "providers": [{"billed_charge": 210.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.45, "providers": [{"billed_charge": 133.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582095884"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.45, "providers": [{"billed_charge": 133.0, "npi": [1457329435]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 381.55, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.6, "providers": [{"billed_charge": 141.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 381.55, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.78, "providers": [{"billed_charge": 274.0, "npi": [1326043548]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 381.55, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.67, "providers": [{"billed_charge": 232.8, "npi": [1295702728, 1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.76, "providers": [{"billed_charge": 258.0, "npi": [1912964768]}]}, {"allowed_amount": 116.1, "providers": [{"billed_charge": 258.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.39, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 293.4, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 398.0, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 770.31, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 1197.84, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 1222.42, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 1230.76, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 1294.72, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 1315.91, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 1486.85, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 2130.01, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 2188.64, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 2317.42, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 2344.12, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 2446.1, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 2518.57, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}, {"allowed_amount": 4756.38, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 379.7, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.28, "providers": [{"billed_charge": 184.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 165.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 491.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 218.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.31, "providers": [{"billed_charge": 330.2, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 646.38, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 1215.7, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 1422.14, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 1463.23, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 1611.0, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 1845.73, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 1982.14, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}, {"allowed_amount": 2161.56, "providers": [{"billed_charge": 261.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.31, "providers": [{"billed_charge": 165.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.34, "providers": [{"billed_charge": 127.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 991.64, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 1322.16, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 1351.15, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 1359.4, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 1674.91, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 1678.53, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 1779.01, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 1942.5, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}, {"allowed_amount": 2177.68, "providers": [{"billed_charge": 186.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.37, "providers": [{"billed_charge": 206.0, "npi": [1013942432]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.61, "providers": [{"billed_charge": 233.0, "npi": [1184709057]}]}, {"allowed_amount": 63.07, "providers": [{"billed_charge": 233.0, "npi": [1184709057]}]}, {"allowed_amount": 63.08, "providers": [{"billed_charge": 233.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.18, "providers": [{"billed_charge": 237.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.53, "providers": [{"billed_charge": 165.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 336.51, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 942.96, "providers": [{"billed_charge": 232.8, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 398.0, "npi": [1376512988]}]}, {"allowed_amount": 2462.59, "providers": [{"billed_charge": 398.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 261.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593234721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1161.28, "providers": [{"billed_charge": 261.0, "npi": [1518024462]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 233.0, "npi": [1336221019]}]}, {"allowed_amount": 63.08, "providers": [{"billed_charge": 233.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.47, "providers": [{"billed_charge": 310.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.08, "providers": [{"billed_charge": 327.54, "npi": [1215960315]}]}, {"allowed_amount": 212.09, "providers": [{"billed_charge": 327.54, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.15, "providers": [{"billed_charge": 295.34, "npi": [1265539498]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.74, "providers": [{"billed_charge": 185.26, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.41, "providers": [{"billed_charge": 284.0, "npi": [1952307027, 1447388335]}]}, {"allowed_amount": 98.42, "providers": [{"billed_charge": 284.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "611334601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.95, "providers": [{"billed_charge": 112.0, "npi": [1447457775]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 156.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.32, "providers": [{"billed_charge": 72.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.26, "providers": [{"billed_charge": 311.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.6, "providers": [{"billed_charge": 516.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.28, "providers": [{"billed_charge": 306.53, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "621811285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.44, "providers": [{"billed_charge": 692.0, "npi": [1326022765]}]}]}, {"tin": {"type": "ein", "value": "621861200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 925.0, "npi": [1740252592]}]}]}, {"tin": {"type": "ein", "value": "630891904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.17, "providers": [{"billed_charge": 103.73, "npi": [1447303227]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.2, "providers": [{"billed_charge": 136.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.46, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 90.47, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 1066.56, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 1315.91, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 1720.08, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 1799.61, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 1980.18, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 1988.47, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 1997.57, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2147.11, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2176.2, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2190.0, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2246.55, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2275.16, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2360.31, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2507.12, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2579.59, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}, {"allowed_amount": 2767.54, "providers": [{"billed_charge": 195.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.49, "providers": [{"billed_charge": 180.31, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.89, "providers": [{"billed_charge": 201.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.17, "providers": [{"billed_charge": 76.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "720880258"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.89, "providers": [{"billed_charge": 110.0, "npi": [1518924109]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.5, "providers": [{"billed_charge": 466.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "726014606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.17, "providers": [{"billed_charge": 93.0, "npi": [1295716637]}]}]}, {"tin": {"type": "ein", "value": "730700090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.35, "providers": [{"billed_charge": 344.4, "npi": [1144228487]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.63, "providers": [{"billed_charge": 328.0, "npi": [1467473579]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 303.0, "npi": [1164526786]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 303.0, "npi": [1619115383, 1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.31, "providers": [{"billed_charge": 433.0, "npi": [1447883301]}]}, {"allowed_amount": 143.47, "providers": [{"billed_charge": 801.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 605.75, "npi": [1982666111]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 351.0, "npi": [1942294939]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.52, "providers": [{"billed_charge": 209.4, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 89.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.75, "providers": [{"billed_charge": 505.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 343.0, "npi": [1528027786]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 921.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 233.0, "npi": [1033475959]}]}, {"allowed_amount": 63.08, "providers": [{"billed_charge": 233.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.45, "providers": [{"billed_charge": 133.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.91, "providers": [{"billed_charge": 159.5, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.5, "providers": [{"billed_charge": 352.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.57, "providers": [{"billed_charge": 274.0, "npi": [1649726738]}]}, {"allowed_amount": 95.08, "providers": [{"billed_charge": 274.0, "npi": [1982150009]}]}]}, {"tin": {"type": "ein", "value": "814322087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.35, "providers": [{"billed_charge": 344.0, "npi": [1386188837]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 730.0, "providers": [{"billed_charge": 370.0, "npi": [1134152549]}]}, {"allowed_amount": 730.02, "providers": [{"billed_charge": 248.0, "npi": [1134152549]}]}]}, {"tin": {"type": "ein", "value": "821885403"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.73, "providers": [{"billed_charge": 354.0, "npi": [1891294518]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.58, "providers": [{"billed_charge": 189.4, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.16, "providers": [{"billed_charge": 216.0, "npi": [1790787307]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.51, "providers": [{"billed_charge": 467.47, "npi": [1043915523]}]}, {"allowed_amount": 112.15, "providers": [{"billed_charge": 366.69, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 678.77, "npi": [1891709192]}]}]}, {"tin": {"type": "ein", "value": "840446259"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.16, "providers": [{"billed_charge": 264.0, "npi": [1982668133]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.0, "providers": [{"billed_charge": 172.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.73, "providers": [{"billed_charge": 423.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "842569909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.47, "providers": [{"billed_charge": 310.0, "npi": [1003465097]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.28, "providers": [{"billed_charge": 819.0, "npi": [1982799375]}]}]}, {"tin": {"type": "ein", "value": "850983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 288.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 588.32, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.3, "providers": [{"billed_charge": 113.41, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 400.0, "npi": [1528169125]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 430.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.39, "providers": [{"billed_charge": 27.21, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "900412842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.44, "providers": [{"billed_charge": 189.0, "npi": [1124341672]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.28, "providers": [{"billed_charge": 178.0, "npi": [1306883228]}]}]}, {"tin": {"type": "ein", "value": "910565546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.31, "providers": [{"billed_charge": 423.07, "npi": [1518912609]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.41, "providers": [{"billed_charge": 400.0, "npi": [1750142121]}]}]}, {"tin": {"type": "ein", "value": "932759167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 714.0, "npi": [1396600151]}]}]}, {"tin": {"type": "ein", "value": "934555562"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 459.0, "npi": [1841069044]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 577.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 660.0, "providers": [{"billed_charge": 660.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 359.0, "npi": [1265423917]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 272.0, "providers": [{"billed_charge": 272.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.94, "providers": [{"billed_charge": 358.94, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.0, "providers": [{"billed_charge": 207.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.0, "providers": [{"billed_charge": 475.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.46, "providers": [{"billed_charge": 737.0, "npi": [1457382483]}]}, {"allowed_amount": 96.47, "providers": [{"billed_charge": 737.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 287.0, "npi": [1427806025]}, {"billed_charge": 305.0, "npi": [1427806025, 1780429076, 1366281750]}]}, {"allowed_amount": 305.0, "providers": [{"billed_charge": 305.0, "npi": [1427806025]}]}, {"allowed_amount": 327.28, "providers": [{"billed_charge": 305.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.37, "providers": [{"billed_charge": 844.0, "npi": [1255171096]}]}]}]}, {"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": "042697983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 826.0, "npi": [1023049236]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 776.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "131624070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 2984.0, "npi": [1477616571]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 1002.0, "npi": [1952332801, 1194832477]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.34, "providers": [{"billed_charge": 170.0, "npi": [1982309795]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 818.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 1097.88, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.79, "providers": [{"billed_charge": 171.0, "npi": [1902003635]}]}, {"allowed_amount": 95.63, "providers": [{"billed_charge": 171.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1379.37, "providers": [{"billed_charge": 7074.0, "npi": [1215003348]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.65, "providers": [{"billed_charge": 38.65, "npi": [1174586465, 1942457692, 1508137670]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.65, "providers": [{"billed_charge": 38.65, "npi": [1669919155]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 654.49, "providers": [{"billed_charge": 1430.0, "npi": [1457456279]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 671.78, "providers": [{"billed_charge": 1195.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 671.78, "providers": [{"billed_charge": 1195.0, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 753.43, "providers": [{"billed_charge": 782.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "231996150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 350.13, "providers": [{"billed_charge": 1374.0, "npi": [1174822068]}]}]}, {"tin": {"type": "ein", "value": "237134386"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 553.15, "providers": [{"billed_charge": 593.0, "npi": [1508823741]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.65, "providers": [{"billed_charge": 38.65, "npi": [1942457692]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.38, "providers": [{"billed_charge": 126.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 793.0, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.91, "providers": [{"billed_charge": 857.57, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "331216751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.69, "providers": [{"billed_charge": 611.4, "npi": [1407082308]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.65, "providers": [{"billed_charge": 38.65, "npi": [1790906154, 1497258164, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "333995572"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.66, "providers": [{"billed_charge": 1318.0, "npi": [1457146250]}]}]}, {"tin": {"type": "ein", "value": "340714581"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.66, "providers": [{"billed_charge": 294.0, "npi": [1942385794]}]}]}, {"tin": {"type": "ein", "value": "350868085"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 878.0, "npi": [1366407603]}]}]}, {"tin": {"type": "ein", "value": "351088640"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 610.0, "npi": [1235109778]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 721.89, "providers": [{"billed_charge": 454.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 606.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 1373.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 568.0, "npi": [1376521575]}]}]}, {"tin": {"type": "ein", "value": "390830664"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.01, "providers": [{"billed_charge": 655.9, "npi": [1518993880]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.81, "providers": [{"billed_charge": 227.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.54, "providers": [{"billed_charge": 195.0, "npi": [1558182824, 1194518241, 1588533509, 1447735030]}]}]}, {"tin": {"type": "ein", "value": "463487442"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 671.78, "providers": [{"billed_charge": 959.28, "npi": [1568825545]}]}]}, {"tin": {"type": "ein", "value": "510064318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 502.89, "providers": [{"billed_charge": 834.0, "npi": [1467546135]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 725.07, "providers": [{"billed_charge": 780.0, "npi": [1831220714]}]}]}, {"tin": {"type": "ein", "value": "560552787"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 544.61, "providers": [{"billed_charge": 991.0, "npi": [1144211301]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 544.61, "providers": [{"billed_charge": 531.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562143518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 636.74, "providers": [{"billed_charge": 1346.29, "npi": [1881688976]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.79, "providers": [{"billed_charge": 765.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.74, "providers": [{"billed_charge": 793.0, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "580572465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 607.0, "npi": [1922178789]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.79, "providers": [{"billed_charge": 796.0, "npi": [1376574277]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 793.0, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.89, "providers": [{"billed_charge": 454.75, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 330.3, "providers": [{"billed_charge": 734.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1145.6, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1332.72, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1469.79, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1505.39, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1628.04, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1815.76, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1963.55, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 2581.44, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 1137.72, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.81, "providers": [{"billed_charge": 715.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590683252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 559.74, "providers": [{"billed_charge": 708.0, "npi": [1427114099]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 539.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.12, "providers": [{"billed_charge": 853.0, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 624.0, "npi": [1578620449]}]}, {"allowed_amount": 1132.16, "providers": [{"billed_charge": 624.0, "npi": [1578620449]}]}, {"allowed_amount": 1145.6, "providers": [{"billed_charge": 624.0, "npi": [1578620449]}]}, {"allowed_amount": 1356.14, "providers": [{"billed_charge": 624.0, "npi": [1578620449]}]}, {"allowed_amount": 2032.83, "providers": [{"billed_charge": 624.0, "npi": [1578620449]}]}, {"allowed_amount": 2171.26, "providers": [{"billed_charge": 624.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.24, "providers": [{"billed_charge": 853.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 721.89, "providers": [{"billed_charge": 439.0, "npi": [1396992475]}]}, {"allowed_amount": 1098.05, "providers": [{"billed_charge": 439.0, "npi": [1396992475]}]}, {"allowed_amount": 1909.97, "providers": [{"billed_charge": 439.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.09, "providers": [{"billed_charge": 898.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.56, "providers": [{"billed_charge": 57.56, "npi": [1407634298]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 761.18, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1207.34, "providers": [{"billed_charge": 624.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.88, "providers": [{"billed_charge": 870.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.08, "providers": [{"billed_charge": 327.54, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.07, "providers": [{"billed_charge": 722.0, "npi": [1447388335]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 342.8, "providers": [{"billed_charge": 539.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "616001218"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 439.22, "providers": [{"billed_charge": 841.8, "npi": [1518911338]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.05, "providers": [{"billed_charge": 448.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "630288856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.77, "providers": [{"billed_charge": 473.0, "npi": [1558364802]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 1303.86, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 1628.04, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 1713.2, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 1877.65, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 2025.66, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 2104.22, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 2251.03, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 2444.84, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 2739.92, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}, {"allowed_amount": 4756.38, "providers": [{"billed_charge": 391.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 701.78, "providers": [{"billed_charge": 1128.33, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.28, "providers": [{"billed_charge": 251.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 1045.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 400.0, "npi": [1164526786]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 1143.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 636.74, "providers": [{"billed_charge": 1063.29, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.8, "providers": [{"billed_charge": 1008.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.09, "providers": [{"billed_charge": 898.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.7, "providers": [{"billed_charge": 1095.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.71, "providers": [{"billed_charge": 624.88, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 509.46, "providers": [{"billed_charge": 1657.44, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "843178470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.11, "providers": [{"billed_charge": 459.0, "npi": [1588290993]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.1, "providers": [{"billed_charge": 226.84, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.54, "providers": [{"billed_charge": 100.0, "npi": [1669156121]}, {"billed_charge": 125.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.3, "providers": [{"billed_charge": 62.44, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 1427.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.79, "providers": [{"billed_charge": 140.0, "npi": [1174729446]}]}, {"allowed_amount": 95.63, "providers": [{"billed_charge": 140.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 888.9, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.21, "providers": [{"billed_charge": 705.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.4, "providers": [{"billed_charge": 1548.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 725.0, "providers": [{"billed_charge": 725.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 62.42, "providers": [{"billed_charge": 194.0, "npi": [1467804930]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.05, "providers": [{"billed_charge": 793.0, "npi": [1366281750]}]}, {"allowed_amount": 818.35, "providers": [{"billed_charge": 793.0, "npi": [1366281750]}]}, {"allowed_amount": 1379.37, "providers": [{"billed_charge": 793.0, "npi": [1427806025, 1780429076]}]}, {"allowed_amount": 1622.83, "providers": [{"billed_charge": 793.0, "npi": [1780429076]}]}, {"allowed_amount": 1706.27, "providers": [{"billed_charge": 793.0, "npi": [1780429076]}]}, {"allowed_amount": 1707.76, "providers": [{"billed_charge": 793.0, "npi": [1366281750]}]}]}]}, {"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": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 226.36, "providers": [{"billed_charge": 1115.0, "npi": [1366852121]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.05, "providers": [{"billed_charge": 395.57, "npi": [1184841835]}]}, {"allowed_amount": 197.79, "providers": [{"billed_charge": 395.57, "npi": [1184841835]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 215.99, "providers": [{"billed_charge": 503.0, "npi": [1477574028]}]}, {"allowed_amount": 216.0, "providers": [{"billed_charge": 216.0, "npi": [1265539621, 1659734341, 1194931626, 1376561100, 1730716721, 1619384187, 1639305212]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.37, "providers": [{"billed_charge": 438.42, "npi": [1265051700, 1639433725]}]}, {"allowed_amount": 197.29, "providers": [{"billed_charge": 438.42, "npi": [1679544704, 1619914868]}]}, {"allowed_amount": 204.6, "providers": [{"billed_charge": 438.42, "npi": [1619959186, 1184120172, 1295185189]}]}, {"allowed_amount": 301.85, "providers": [{"billed_charge": 438.42, "npi": [1356169056]}]}, {"allowed_amount": 400.42, "providers": [{"billed_charge": 438.42, "npi": [1710403381, 1740226190]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 732.2, "npi": [1104989698]}]}]}, {"tin": {"type": "ein", "value": "270781655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.22, "providers": [{"billed_charge": 972.0, "npi": [1225205313]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.22, "providers": [{"billed_charge": 1116.0, "npi": [1083936413]}]}, {"allowed_amount": 204.6, "providers": [{"billed_charge": 1116.0, "npi": [1942267182]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.29, "providers": [{"billed_charge": 280.0, "npi": [1285916627]}]}, {"allowed_amount": 204.6, "providers": [{"billed_charge": 280.0, "npi": [1215919733]}]}]}, {"tin": {"type": "ein", "value": "412117806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.52, "providers": [{"billed_charge": 525.0, "npi": [1750938924]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.22, "providers": [{"billed_charge": 972.0, "npi": [1063542249]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 449.34, "providers": [{"billed_charge": 813.0, "npi": [1760709406]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 431.97, "providers": [{"billed_charge": 1271.0, "npi": [1154333987]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 230.8, "npi": [1144301854]}]}]}, {"tin": {"type": "ein", "value": "472961712"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 743.57, "providers": [{"billed_charge": 1190.0, "npi": [1588749972]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.29, "providers": [{"billed_charge": 701.0, "npi": [1629335674]}]}, {"allowed_amount": 204.6, "providers": [{"billed_charge": 731.0, "npi": [1629335674]}]}, {"allowed_amount": 308.36, "providers": [{"billed_charge": 731.0, "npi": [1619002888]}]}, {"allowed_amount": 701.0, "providers": [{"billed_charge": 701.0, "npi": [1982841961]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 1200.0, "npi": [1669836177, 1982961934]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.22, "providers": [{"billed_charge": 878.28, "npi": [1104453455]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 1384.0, "npi": [1497186365]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.14, "providers": [{"billed_charge": 225.0, "npi": [1205403565]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 1200.0, "npi": [1265485577, 1154756039]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 335.28, "providers": [{"billed_charge": 1513.0, "npi": [1639109150, 1538148127]}, {"billed_charge": 1677.0, "npi": [1801092465]}]}, {"allowed_amount": 623.46, "providers": [{"billed_charge": 1539.0, "npi": [1003880774, 1346220811, 1891894838, 1124093703]}]}, {"allowed_amount": 670.56, "providers": [{"billed_charge": 1427.0, "npi": [1639424906, 1801245675, 1255735221, 1073762043, 1902866494]}, {"billed_charge": 1463.0, "npi": [1114509270]}, {"billed_charge": 1513.0, "npi": [1639109150, 1053690479]}, {"billed_charge": 1677.0, "npi": [1518927193]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 623.46, "providers": [{"billed_charge": 1560.0, "npi": [1851618227]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 1011.0, "npi": [1801120027]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 359.0, "npi": [1770679771]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 311.73, "providers": [{"billed_charge": 1340.0, "npi": [1841225752]}]}, {"allowed_amount": 623.46, "providers": [{"billed_charge": 1151.0, "npi": [1174815799]}, {"billed_charge": 1335.0, "npi": [1316261233, 1275100059]}, {"billed_charge": 1340.0, "npi": [1689014185, 1811933062]}, {"billed_charge": 1388.0, "npi": [1629657184, 1407344492, 1013307495]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.52, "providers": [{"billed_charge": 1235.0, "npi": [1821733312]}]}, {"allowed_amount": 431.97, "providers": [{"billed_charge": 1235.0, "npi": [1649375783]}]}]}, {"tin": {"type": "ein", "value": "752684562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 404.27, "providers": [{"billed_charge": 873.0, "npi": [1336176064]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 297.93, "providers": [{"billed_charge": 1483.0, "npi": [1720664733]}]}, {"allowed_amount": 595.86, "providers": [{"billed_charge": 1212.0, "npi": [1699135160]}, {"billed_charge": 1485.0, "npi": [1730717570]}, {"billed_charge": 1491.0, "npi": [1265704332]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 462.25, "providers": [{"billed_charge": 616.0, "npi": [1144543927]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 400.42, "providers": [{"billed_charge": 895.0, "npi": [1881825461]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 308.36, "providers": [{"billed_charge": 3415.11, "npi": [1063807170]}]}, {"allowed_amount": 337.88, "providers": [{"billed_charge": 3415.11, "npi": [1437600285]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 281.95, "providers": [{"billed_charge": 536.0, "npi": [1831584085]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.22, "providers": [{"billed_charge": 798.0, "npi": [1982282992]}]}, {"allowed_amount": 204.6, "providers": [{"billed_charge": 798.0, "npi": [1548919707]}]}, {"allowed_amount": 215.99, "providers": [{"billed_charge": 798.0, "npi": [1891324745]}]}, {"allowed_amount": 221.52, "providers": [{"billed_charge": 798.0, "npi": [1306473624, 1891324745]}]}, {"allowed_amount": 400.42, "providers": [{"billed_charge": 798.0, "npi": [1063158533]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.6, "providers": [{"billed_charge": 1068.0, "npi": [1962441048, 1336725225, 1003076183]}]}, {"allowed_amount": 400.42, "providers": [{"billed_charge": 1068.0, "npi": [1801221619, 1619408739, 1003076183]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.82, "providers": [{"billed_charge": 630.0, "npi": [1548248115]}]}]}]}, {"name": "Iron", "billing_code_type": "CPT", "billing_code": "83540", "billing_code_type_version": "2022", "description": "ASSAY OF IRON", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.86, "providers": [{"billed_charge": 101.92, "npi": [1912964768]}]}, {"allowed_amount": 63.02, "providers": [{"billed_charge": 140.05, "npi": [1912964768]}]}, {"allowed_amount": 69.84, "providers": [{"billed_charge": 155.21, "npi": [1912964768]}]}, {"allowed_amount": 93.83, "providers": [{"billed_charge": 208.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 84.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.47, "providers": [{"billed_charge": 145.57, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 84.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.01, "providers": [{"billed_charge": 15.45, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.47, "providers": [{"billed_charge": 36.72, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.48, "providers": [{"billed_charge": 78.0, "npi": [1982606992]}]}]}]}, {"name": "Iron binding capacity", "billing_code_type": "CPT", "billing_code": "83550", "billing_code_type_version": "2022", "description": "IRON BINDING CAPACITY", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.83, "providers": [{"billed_charge": 208.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.54, "providers": [{"billed_charge": 135.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.74, "providers": [{"billed_charge": 196.4, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.54, "providers": [{"billed_charge": 135.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.36, "providers": [{"billed_charge": 97.85, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.74, "providers": [{"billed_charge": 49.52, "npi": [1609596907]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 450.17, "providers": [{"billed_charge": 450.17, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.72, "providers": [{"billed_charge": 174.39, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.57, "providers": [{"billed_charge": 36.0, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.59, "providers": [{"billed_charge": 155.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.15, "providers": [{"billed_charge": 106.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.0, "providers": [{"billed_charge": 183.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.94, "providers": [{"billed_charge": 275.42, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.18, "providers": [{"billed_charge": 333.77, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.58, "providers": [{"billed_charge": 140.0, "npi": [1184709057]}]}, {"allowed_amount": 37.9, "providers": [{"billed_charge": 140.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.9, "providers": [{"billed_charge": 140.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.72, "providers": [{"billed_charge": 254.41, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.93, "providers": [{"billed_charge": 26.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.65, "providers": [{"billed_charge": 879.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.63, "providers": [{"billed_charge": 710.37, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.6, "providers": [{"billed_charge": 736.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.9, "providers": [{"billed_charge": 15.9, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.34, "providers": [{"billed_charge": 273.73, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.91, "providers": [{"billed_charge": 114.24, "npi": [1023774601]}]}]}]}, {"name": "Lactate dehydrogenase (LD), (LDH);", "billing_code_type": "CPT", "billing_code": "83615", "billing_code_type_version": "2022", "description": "LACTATE DEHYDROGENASE LDH", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.05, "providers": [{"billed_charge": 128.99, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.04, "providers": [{"billed_charge": 135.53, "npi": [1245720820]}]}, {"allowed_amount": 7.01, "providers": [{"billed_charge": 135.53, "npi": [1245720820]}]}, {"allowed_amount": 9.06, "providers": [{"billed_charge": 135.53, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 175.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "753013577"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.65, "providers": [{"billed_charge": 24.16, "npi": [1982021564]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.04, "providers": [{"billed_charge": 75.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.78, "providers": [{"billed_charge": 73.0, "npi": [1982606992]}]}]}]}, {"name": "Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy", "billing_code_type": "CPT", "billing_code": "59151", "billing_code_type_version": "2022", "description": "LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY", "allowed_amounts": [{"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31423.62, "providers": [{"billed_charge": 23809.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 918.48, "providers": [{"billed_charge": 2379.36, "npi": [1427635093, 1831582303]}]}, {"allowed_amount": 984.03, "providers": [{"billed_charge": 2380.0, "npi": [1457731994, 1558894683, 1639107212, 1114504255]}]}, {"allowed_amount": 1252.4, "providers": [{"billed_charge": 2380.0, "npi": [1851738793, 1457731994]}]}]}, {"tin": {"type": "ein", "value": "310873154"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 952.42, "providers": [{"billed_charge": 2695.0, "npi": [1235752015]}]}]}, {"tin": {"type": "ein", "value": "311340739"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12784.98, "providers": [{"billed_charge": 47379.0, "npi": [1447359997]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12011.01, "providers": [{"billed_charge": 8103.34, "npi": [1700828852]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1415.02, "providers": [{"billed_charge": 3378.0, "npi": [1972507945]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 123.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9945.0, "npi": [1013994169]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1337.85, "providers": [{"billed_charge": 2973.0, "npi": [1700175585]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1118.15, "providers": [{"billed_charge": 1607.0, "npi": [1154640100]}, {"billed_charge": 1781.0, "npi": [1184823825]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37879.32, "providers": [{"billed_charge": 28932.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 958.42, "providers": [{"billed_charge": 7725.0, "npi": [1962852251]}]}, {"allowed_amount": 1118.15, "providers": [{"billed_charge": 7725.0, "npi": [1649275249]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 984.03, "providers": [{"billed_charge": 2358.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.07, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 932.0, "npi": [1215207956]}]}]}]}, {"name": "Laparoscopy, surgical, appendectomy", "billing_code_type": "CPT", "billing_code": "44970", "billing_code_type_version": "2022", "description": "LAPAROSCOPIC APPENDECTOMY", "allowed_amounts": [{"tin": {"type": "ein", "value": "113735424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 838.34, "providers": [{"billed_charge": 1935.0, "npi": [1457416331]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 902.83, "providers": [{"billed_charge": 1868.0, "npi": [1396714317]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 109.74, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2257.0, "npi": [1588723373]}]}, {"allowed_amount": 122.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2257.0, "npi": [1659641595, 1588723373]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 158.49, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 2128.0, "npi": [1285260141]}]}, {"allowed_amount": 884.44, "providers": [{"billed_charge": 2128.0, "npi": [1285260141]}]}, {"allowed_amount": 990.57, "providers": [{"billed_charge": 2128.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "223872047"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 902.83, "providers": [{"billed_charge": 5000.0, "npi": [1952357626]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1076.95, "providers": [{"billed_charge": 3211.55, "npi": [1457396814]}]}]}, {"tin": {"type": "ein", "value": "263441529"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 787.05, "providers": [{"billed_charge": 2093.05, "npi": [1811937659]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 821.06, "providers": [{"billed_charge": 1711.0, "npi": [1437588555]}]}]}, {"tin": {"type": "ein", "value": "412569180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 902.83, "providers": [{"billed_charge": 1935.0, "npi": [1023248705]}]}]}, {"tin": {"type": "ein", "value": "413690420"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1891783080]}]}, {"allowed_amount": 902.83, "providers": [{"billed_charge": 3100.0, "npi": [1891783080]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 989.55, "providers": [{"billed_charge": 2199.0, "npi": [1568802304, 1053845768, 1477087914, 1568695468, 1003098799, 1033172978, 1578913174, 1366893976, 1205024254]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 109.74, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 826.0, "npi": [1821704552, 1215698196, 1922862325]}]}, {"allowed_amount": 122.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 826.0, "npi": [1629696786, 1215698196, 1922862325]}]}, {"allowed_amount": 208.73, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 826.0, "npi": [1598216681]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5831.06, "providers": [{"billed_charge": 5831.06, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3375.0, "providers": [{"billed_charge": 7500.0, "npi": [1912964768]}]}, {"allowed_amount": 4050.0, "providers": [{"billed_charge": 9000.0, "npi": [1912964768]}]}, {"allowed_amount": 5400.0, "providers": [{"billed_charge": 12000.0, "npi": [1912964768]}]}, {"allowed_amount": 6750.0, "providers": [{"billed_charge": 15000.0, "npi": [1912964768]}]}, {"allowed_amount": 8100.0, "providers": [{"billed_charge": 18000.0, "npi": [1912964768]}]}, {"allowed_amount": 9450.0, "providers": [{"billed_charge": 21000.0, "npi": [1912964768]}]}, {"allowed_amount": 10125.0, "providers": [{"billed_charge": 22500.0, "npi": [1912964768]}]}, {"allowed_amount": 10800.0, "providers": [{"billed_charge": 24000.0, "npi": [1912964768]}]}, {"allowed_amount": 13500.0, "providers": [{"billed_charge": 30000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 122.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 945.0, "npi": [1710902606, 1770256638]}]}, {"allowed_amount": 902.83, "providers": [{"billed_charge": 3780.0, "npi": [1093120958, 1669866950]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20517.97, "providers": [{"billed_charge": 9060.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "592832513"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 884.44, "providers": [{"billed_charge": 2294.0, "npi": [1285613679]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 853.65, "providers": [{"billed_charge": 1525.0, "npi": [1275628059]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2745.0, "npi": [1346848173]}]}, {"allowed_amount": 853.65, "providers": [{"billed_charge": 3659.0, "npi": [1568420784]}, {"billed_charge": 5488.5, "npi": [1932455136]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14789.87, "providers": [{"billed_charge": 26650.29, "npi": [1023055126]}]}]}, {"tin": {"type": "ein", "value": "621647259"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1095.12, "providers": [{"billed_charge": 1877.0, "npi": [1407864069]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5275.2, "providers": [{"billed_charge": 15072.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 838.34, "providers": [{"billed_charge": 3780.0, "npi": [1215499314, 1124349220]}]}, {"allowed_amount": 902.83, "providers": [{"billed_charge": 3780.0, "npi": [1023403706, 1215499314]}]}]}, {"tin": {"type": "ein", "value": "650202995"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 657.78, "providers": [{"billed_charge": 3600.0, "npi": [1538271762]}]}, {"allowed_amount": 709.37, "providers": [{"billed_charge": 3600.0, "npi": [1134231368]}]}, {"allowed_amount": 902.83, "providers": [{"billed_charge": 3600.0, "npi": [1134231368]}]}, {"allowed_amount": 1128.54, "providers": [{"billed_charge": 3600.0, "npi": [1114365855]}]}]}, {"tin": {"type": "ein", "value": "650575323"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 853.65, "providers": [{"billed_charge": 914.62, "npi": [1114987641]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 902.83, "providers": [{"billed_charge": 2030.19, "npi": [1558637272, 1215956115, 1821317264, 1548528342]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 838.34, "providers": [{"billed_charge": 1200.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650784345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 853.65, "providers": [{"billed_charge": 1228.0, "npi": [1174814842]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11679.46, "providers": [{"billed_charge": 21699.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 990.57, "providers": [{"billed_charge": 3000.0, "npi": [1811345978]}, {"billed_charge": 3600.0, "npi": [1811345978]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 52.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1508247537]}]}, {"allowed_amount": 92.09, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1164065454]}]}, {"allowed_amount": 99.31, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1922971514, 1326873951]}]}, {"allowed_amount": 104.41, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1124296801, 1083426530, 1982080099, 1710540893]}]}, {"allowed_amount": 108.96, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1609024736, 1114230117, 1770044364, 1114516689, 1417683509]}]}, {"allowed_amount": 118.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1588108930, 1760862510]}]}, {"allowed_amount": 122.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1164065454]}]}, {"allowed_amount": 134.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1982080099, 1568175933, 1770044364, 1114516689, 1861122194, 1760945844, 1417683509, 1033080502, 1679124861]}]}, {"allowed_amount": 208.73, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 746.0, "npi": [1821695511]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9716.93, "providers": [{"billed_charge": 22066.0, "npi": [1932152337]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15790.01, "providers": [{"billed_charge": 66223.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "821062906"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 726.0, "providers": [{"billed_charge": 1306.8, "npi": [1316387061]}]}]}, {"tin": {"type": "ein", "value": "843164714"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 731.02, "providers": [{"billed_charge": 1896.0, "npi": [1063602399]}]}]}, {"tin": {"type": "ein", "value": "844772515"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 800.0, "npi": [1164719910]}]}, {"allowed_amount": 186.48, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 800.0, "npi": [1164719910]}]}]}, {"tin": {"type": "ein", "value": "871064571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1076.95, "providers": [{"billed_charge": 1384.45, "npi": [1952644908]}]}]}, {"tin": {"type": "ein", "value": "874199649"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 990.57, "providers": [{"billed_charge": 3271.0, "npi": [1760564793]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 853.65, "providers": [{"billed_charge": 3578.0, "npi": [1730494741]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 902.83, "providers": [{"billed_charge": 3224.42, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "900813612"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.42, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 622.73, "npi": [1144802422]}]}]}, {"tin": {"type": "ein", "value": "921479428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 914.63, "providers": [{"billed_charge": 1200.0, "npi": [1790740041]}]}]}, {"tin": {"type": "ein", "value": "991437415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 902.83, "providers": [{"billed_charge": 1935.0, "npi": [1225520901]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 902.83, "providers": [{"billed_charge": 18512.08, "npi": [1356766554, 1194258350]}]}, {"allowed_amount": 1076.95, "providers": [{"billed_charge": 18512.08, "npi": [1699081117, 1194258350]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39205.1, "providers": [{"billed_charge": 26410.0, "npi": [1427806025]}, {"billed_charge": 39620.0, "npi": [1366281750]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 126.62, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 377.67, "npi": [1124843016]}]}, {"allowed_amount": 208.73, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 377.67, "npi": [1437893757]}]}, {"allowed_amount": 1076.95, "providers": [{"billed_charge": 2777.0, "npi": [1588782585, 1669627055]}]}, {"allowed_amount": 1289.76, "providers": [{"billed_charge": 2777.0, "npi": [1770532996]}]}]}]}, {"name": "Laparoscopy, surgical, colpopexy (suspension of vaginal apex)", "billing_code_type": "CPT", "billing_code": "57425", "billing_code_type_version": "2022", "description": "LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.73, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3317.0, "npi": [1588723373]}]}, {"allowed_amount": 89.21, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3317.0, "npi": [1659641595, 1588723373]}]}, {"allowed_amount": 135.49, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3317.0, "npi": [1659641595, 1497024053]}]}, {"allowed_amount": 159.46, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3317.0, "npi": [1588723373]}]}, {"allowed_amount": 178.42, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3317.0, "npi": [1659641595, 1497024053, 1588723373]}]}, {"allowed_amount": 270.97, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3317.0, "npi": [1659641595]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.17, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3316.2, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "452434777"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 90.88, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2600.0, "npi": [1720386964]}]}, {"allowed_amount": 178.42, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2600.0, "npi": [1720386964]}]}, {"allowed_amount": 181.76, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2600.0, "npi": [1720386964]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 74.46, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1184.0, "npi": [1982080099]}]}, {"allowed_amount": 84.67, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1184.0, "npi": [1588108930]}]}, {"allowed_amount": 96.08, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1184.0, "npi": [1861122194]}]}, {"allowed_amount": 178.42, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1184.0, "npi": [1275047698]}]}, {"allowed_amount": 192.17, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1184.0, "npi": [1518380104]}]}, {"allowed_amount": 303.31, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1184.0, "npi": [1104436476]}]}]}, {"tin": {"type": "ein", "value": "853095264"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 178.42, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 14005.0, "npi": [1427288455]}]}, {"allowed_amount": 303.31, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9375.0, "npi": [1427288455]}]}]}]}, {"name": "Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code": "58571", "billing_code_type_version": "2022", "description": "LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY", "allowed_amounts": [{"tin": {"type": "ein", "value": "043735278"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 176.56, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2142.32, "npi": [1699716670]}]}, {"allowed_amount": 277.26, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2142.32, "npi": [1699716670]}]}]}, {"tin": {"type": "ein", "value": "200673569"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.64, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3900.0, "npi": [1083727085]}]}, {"allowed_amount": 295.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3900.0, "npi": [1083727085]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 77.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1588723373]}]}, {"allowed_amount": 86.82, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1497024053, 1588723373, 1659641595]}]}, {"allowed_amount": 131.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1659641595]}]}, {"allowed_amount": 155.19, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 166.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1588723373]}]}, {"allowed_amount": 173.64, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1497024053, 1467622258, 1659641595, 1588723373]}]}, {"allowed_amount": 188.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1588723373]}]}, {"allowed_amount": 202.01, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1588723373]}]}, {"allowed_amount": 263.71, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3188.0, "npi": [1659641595, 1497024053]}]}]}, {"tin": {"type": "ein", "value": "208686147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.64, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 25000.0, "npi": [1962529800]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1237.79, "providers": [{"billed_charge": 2785.0, "npi": [1013380609]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 94.27, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3187.86, "npi": [1093728602]}]}, {"allowed_amount": 166.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3187.86, "npi": [1093728602]}]}, {"allowed_amount": 188.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3187.86, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.19, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10063.0, "npi": [1942809959]}]}, {"allowed_amount": 165.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10063.0, "npi": [1427722628]}]}, {"allowed_amount": 173.64, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10063.0, "npi": [1891095196]}]}, {"allowed_amount": 533.93, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10063.0, "npi": [1396416673]}]}]}, {"tin": {"type": "ein", "value": "452434777"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 86.82, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2400.0, "npi": [1720386964]}]}, {"allowed_amount": 88.45, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2400.0, "npi": [1720386964]}]}]}, {"tin": {"type": "ein", "value": "461652956"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 176.89, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 13665.0, "npi": [1659499341]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 155.19, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1211.0, "npi": [1225671597, 1366254575]}]}, {"allowed_amount": 173.64, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1211.0, "npi": [1972502714, 1225671597]}]}, {"allowed_amount": 295.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1211.0, "npi": [1972502714]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.27, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1518380104, 1861122194]}]}, {"allowed_amount": 140.44, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1942680731]}]}, {"allowed_amount": 146.12, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1518380104, 1508247537, 1982080099, 1447792387]}]}, {"allowed_amount": 152.5, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1861122194, 1477193878, 1487033031]}]}, {"allowed_amount": 166.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1588108930]}]}, {"allowed_amount": 173.64, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1982369195, 1336659507, 1215207956, 1093449530, 1942680731, 1104436476, 1326873951]}]}, {"allowed_amount": 188.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1083426530, 1982080099, 1447792387, 1588108930, 1518380104, 1861122194, 1477193878]}]}, {"allowed_amount": 295.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1106.0, "npi": [1114796331, 1215207956]}]}]}, {"tin": {"type": "ein", "value": "651205955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1185.55, "providers": [{"billed_charge": 2500.0, "npi": [1730189697]}]}]}, {"tin": {"type": "ein", "value": "812987434"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.19, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 13665.0, "npi": [1265805386]}]}]}, {"tin": {"type": "ein", "value": "853095264"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 86.82, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 13665.0, "npi": [1427288455]}]}, {"allowed_amount": 147.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9115.0, "npi": [1427288455]}]}]}]}, {"name": "Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code": "58573", "billing_code_type_version": "2022", "description": "LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR", "allowed_amounts": [{"tin": {"type": "ein", "value": "043735278"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 236.14, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2911.42, "npi": [1699716670]}]}, {"allowed_amount": 273.22, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2911.42, "npi": [1699716670]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 207.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4311.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 222.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4311.0, "npi": [1588723373]}]}, {"allowed_amount": 232.24, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4311.0, "npi": [1467622258, 1659641595, 1497024053, 1588723373]}]}, {"allowed_amount": 252.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4311.0, "npi": [1588723373]}]}, {"allowed_amount": 352.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4311.0, "npi": [1659641595]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 222.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4310.43, "npi": [1093728602]}]}, {"allowed_amount": 252.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4310.43, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 207.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9915.0, "npi": [1396416673]}]}]}, {"tin": {"type": "ein", "value": "452434777"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 236.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3200.0, "npi": [1720386964]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 207.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1625.0, "npi": [1366254575]}]}, {"allowed_amount": 232.24, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1625.0, "npi": [1972502714, 1225671597]}]}, {"allowed_amount": 394.81, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1625.0, "npi": [1972502714]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 174.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1922458355]}]}, {"allowed_amount": 187.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1093165862]}]}, {"allowed_amount": 195.73, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1447792387, 1508247537, 1982080099, 1518380104]}]}, {"allowed_amount": 204.27, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1780401208]}]}, {"allowed_amount": 222.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1588108930]}]}, {"allowed_amount": 232.24, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1700776572, 1104436476]}]}, {"allowed_amount": 252.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1518380104, 1861122194, 1982080099, 1477193878]}]}, {"allowed_amount": 394.81, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1498.0, "npi": [1114796331, 1215207956]}]}]}, {"tin": {"type": "ein", "value": "832523412"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 207.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 18285.0, "npi": [1790134641]}]}]}]}, {"name": "Laparoscopy, surgical; cholecystectomy", "billing_code_type": "CPT", "billing_code": "47562", "billing_code_type_version": "2022", "description": "LAPAROSCOPY SURG CHOLECYSTECTOMY", "allowed_amounts": [{"tin": {"type": "ein", "value": "113735424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 918.62, "providers": [{"billed_charge": 2118.0, "npi": [1023248705]}]}]}, {"tin": {"type": "ein", "value": "203625173"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 134.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10590.0, "npi": [1912900960]}]}, {"allowed_amount": 144.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10590.0, "npi": [1912900960]}]}, {"allowed_amount": 204.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 7135.0, "npi": [1912900960]}, {"billed_charge": 10590.0, "npi": [1912900960]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 120.25, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2468.0, "npi": [1588723373]}]}, {"allowed_amount": 134.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2468.0, "npi": [1467622258, 1497024053, 1588723373]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.31, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 2346.0, "npi": [1285260141]}]}, {"allowed_amount": 173.95, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 2346.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "223695645"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 421.98, "providers": [{"billed_charge": 3000.0, "npi": [1063592285]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 989.28, "providers": [{"billed_charge": 3532.8, "npi": [1457396814]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 918.62, "providers": [{"billed_charge": 3392.0, "npi": [1669730933]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 989.28, "providers": [{"billed_charge": 1078.0, "npi": [1235419060]}]}, {"allowed_amount": 1078.0, "providers": [{"billed_charge": 1078.0, "npi": [1235419060]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 130.3, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2467.5, "npi": [1093728602]}]}, {"allowed_amount": 147.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2467.5, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 134.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9963.0, "npi": [1942728548]}]}]}, {"tin": {"type": "ein", "value": "392873318"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 970.71, "providers": [{"billed_charge": 1100.0, "npi": [1699733964]}]}]}, {"tin": {"type": "ein", "value": "413690420"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1891783080]}]}]}, {"tin": {"type": "ein", "value": "450503116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10016.32, "providers": [{"billed_charge": 42905.31, "npi": [1578500484]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 1237.05, "providers": [{"billed_charge": 2749.0, "npi": [1568802304, 1912943010, 1053845768, 1477087914, 1568695468, 1003098799]}]}]}, {"tin": {"type": "ein", "value": "452434777"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 134.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2500.0, "npi": [1720386964]}]}, {"allowed_amount": 137.07, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2500.0, "npi": [1720386964]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 935.1, "providers": [{"billed_charge": 1392.0, "npi": [1316284953, 1215425988, 1720062516]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 772.39, "providers": [{"billed_charge": 1275.0, "npi": [1336394154]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 120.25, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 906.0, "npi": [1225671597, 1215698196, 1922862325, 1669027967]}]}, {"allowed_amount": 134.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 906.0, "npi": [1821704552, 1972502714, 1386230670, 1215698196, 1922862325, 1811662810]}]}, {"allowed_amount": 228.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 906.0, "npi": [1972502714, 1811662810, 1386230670]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5888.82, "providers": [{"billed_charge": 5888.82, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1021.35, "providers": [{"billed_charge": 1918.0, "npi": [1609255447]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9450.0, "providers": [{"billed_charge": 21000.0, "npi": [1912964768]}]}, {"allowed_amount": 10125.0, "providers": [{"billed_charge": 22500.0, "npi": [1912964768]}]}, {"allowed_amount": 10800.0, "providers": [{"billed_charge": 24000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 989.28, "providers": [{"billed_charge": 4188.0, "npi": [1093120958]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39205.1, "providers": [{"billed_charge": 19754.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5129.49, "providers": [{"billed_charge": 5298.25, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "611526851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 738.84, "providers": [{"billed_charge": 2354.0, "npi": [1871685685]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 918.62, "providers": [{"billed_charge": 4188.0, "npi": [1215499314]}]}, {"allowed_amount": 989.28, "providers": [{"billed_charge": 4188.0, "npi": [1023403706, 1356439855]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 918.62, "providers": [{"billed_charge": 2228.01, "npi": [1821317264]}]}, {"allowed_amount": 989.28, "providers": [{"billed_charge": 2228.01, "npi": [1821317264, 1588988000, 1558637272]}]}]}, {"tin": {"type": "ein", "value": "650770715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 918.62, "providers": [{"billed_charge": 3000.0, "npi": [1164430716]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14476.62, "providers": [{"billed_charge": 43398.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650889710"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 114.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 124.0, "npi": [1841430774]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1087.2, "providers": [{"billed_charge": 4000.0, "npi": [1811345978]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.91, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1013628213, 1164065454]}]}, {"allowed_amount": 108.82, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1366983074, 1376207803, 1942680731, 1326873951]}]}, {"allowed_amount": 114.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1083426530, 1982080099, 1518380104, 1982706107, 1710540893]}]}, {"allowed_amount": 119.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1861743650, 1326287491, 1114230117, 1770044364, 1205694221, 1114516689, 1891489076, 1417683509, 1760945844, 1780401208, 1922971514, 1245691260]}]}, {"allowed_amount": 120.25, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1851440788, 1184338238]}]}, {"allowed_amount": 127.17, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1720528789]}]}, {"allowed_amount": 130.3, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1588108930, 1679124861, 1568175933, 1760862510]}]}, {"allowed_amount": 134.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1376207803, 1609343821, 1164065454, 1740432848, 1932819794, 1013628213, 1093449530, 1942680731, 1649120445, 1184338238, 1326873951]}]}, {"allowed_amount": 144.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1184338238]}]}, {"allowed_amount": 147.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1588108930, 1326287491, 1447792387, 1396175493, 1205694221, 1861122194, 1861743650, 1760862510, 1760945844, 1568175933, 1518380104, 1770044364, 1265158364, 1710540893, 1083426530, 1508247537, 1518492404, 1922971514, 1245691260, 1679124861]}]}, {"allowed_amount": 204.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1740432848]}]}, {"allowed_amount": 228.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 818.0, "npi": [1336659507, 1114796331, 1609343821]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1226.02, "providers": [{"billed_charge": 1893.0, "npi": [1689297764]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18522.89, "providers": [{"billed_charge": 18085.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "813879435"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1180.07, "providers": [{"billed_charge": 3700.0, "npi": [1972745438]}]}]}, {"tin": {"type": "ein", "value": "821122533"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 935.1, "providers": [{"billed_charge": 2000.0, "npi": [1265650295]}]}]}, {"tin": {"type": "ein", "value": "844772515"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.54, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1500.0, "npi": [1164719910]}]}, {"allowed_amount": 204.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1500.0, "npi": [1164719910]}, {"billed_charge": 1800.0, "npi": [1164719910]}]}]}, {"tin": {"type": "ein", "value": "871203958"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.31, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 39250.0, "npi": [1487147583]}]}, {"allowed_amount": 970.71, "providers": [{"billed_charge": 44000.0, "npi": [1205285665]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 935.1, "providers": [{"billed_charge": 3923.0, "npi": [1053808493]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1180.07, "providers": [{"billed_charge": 3530.12, "npi": [1174886386]}, {"billed_charge": 3533.13, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "921479428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1001.9, "providers": [{"billed_charge": 1400.0, "npi": [1790740041]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 989.28, "providers": [{"billed_charge": 20338.45, "npi": [1194258350]}]}, {"allowed_amount": 1180.07, "providers": [{"billed_charge": 20338.45, "npi": [1194258350]}]}]}]}, {"name": "Laparoscopy, surgical; cholecystectomy with cholangiography", "billing_code_type": "CPT", "billing_code": "47563", "billing_code_type_version": "2022", "description": "LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY", "allowed_amounts": [{"tin": {"type": "ein", "value": "113735424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 996.44, "providers": [{"billed_charge": 2299.0, "npi": [1942244793]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 130.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2684.0, "npi": [1588723373]}]}, {"allowed_amount": 145.94, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2684.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 168.65, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 2557.0, "npi": [1285260141]}]}, {"allowed_amount": 188.89, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 2557.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "264190328"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1280.04, "providers": [{"billed_charge": 3107.92, "npi": [1497771323]}]}]}, {"tin": {"type": "ein", "value": "271978178"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1280.04, "providers": [{"billed_charge": 1634.18, "npi": [1871674770]}]}]}, {"tin": {"type": "ein", "value": "392873318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1054.06, "providers": [{"billed_charge": 1110.0, "npi": [1699733964]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 1258.2, "providers": [{"billed_charge": 2796.0, "npi": [1366893976, 1578913174]}]}, {"allowed_amount": 1572.75, "providers": [{"billed_charge": 3495.0, "npi": [1578913174]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.08, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1780.5, "npi": [1669239166]}]}, {"allowed_amount": 1612.44, "providers": [{"billed_charge": 3561.0, "npi": [1154988343]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 130.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 989.0, "npi": [1922862325]}]}, {"allowed_amount": 145.94, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 989.0, "npi": [1669027967]}]}]}, {"tin": {"type": "ein", "value": "475091016"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.1, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1634.18, "npi": [1518369578]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8100.0, "providers": [{"billed_charge": 18000.0, "npi": [1912964768]}]}, {"allowed_amount": 9450.0, "providers": [{"billed_charge": 21000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37879.32, "providers": [{"billed_charge": 28932.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.1, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1147.0, "npi": [1770256638]}]}, {"allowed_amount": 1264.71, "providers": [{"billed_charge": 4588.0, "npi": [1093120958]}]}]}, {"tin": {"type": "ein", "value": "592832513"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1054.06, "providers": [{"billed_charge": 2754.0, "npi": [1285613679]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1014.19, "providers": [{"billed_charge": 4347.0, "npi": [1235426883]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12706.79, "providers": [{"billed_charge": 18819.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1056.92, "providers": [{"billed_charge": 2428.0, "npi": [1861923914]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 996.44, "providers": [{"billed_charge": 1500.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650784345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1086.63, "providers": [{"billed_charge": 1469.0, "npi": [1174814842]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.94, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 889.0, "npi": [1740432848, 1376207803, 1093165862]}]}, {"allowed_amount": 160.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 889.0, "npi": [1447792387]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 867.37, "providers": [{"billed_charge": 3745.0, "npi": [1831416544]}]}]}, {"tin": {"type": "ein", "value": "821369696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 908.48, "providers": [{"billed_charge": 2017.0, "npi": [1225090939]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1073.09, "providers": [{"billed_charge": 3832.47, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "991437415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1073.09, "providers": [{"billed_charge": 2299.0, "npi": [1225520901]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1073.09, "providers": [{"billed_charge": 22119.8, "npi": [1356766554]}]}]}]}, {"name": "Laparoscopy, surgical; repair initial inguinal hernia", "billing_code_type": "CPT", "billing_code": "49650", "billing_code_type_version": "2022", "description": "LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA", "allowed_amounts": [{"tin": {"type": "ein", "value": "203625173"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 89.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4700.0, "npi": [1912900960]}]}, {"allowed_amount": 134.32, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9400.0, "npi": [1912900960]}]}, {"allowed_amount": 136.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4700.0, "npi": [1912900960]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 80.03, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1587.0, "npi": [1588723373]}]}, {"allowed_amount": 89.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1587.0, "npi": [1497024053, 1588723373]}]}, {"allowed_amount": 120.05, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1587.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 102.82, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 1528.0, "npi": [1285260141]}]}, {"allowed_amount": 115.16, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 1528.0, "npi": [1285260141]}]}, {"allowed_amount": 154.23, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 1528.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 86.26, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1586.91, "npi": [1093728602]}]}, {"allowed_amount": 97.88, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1586.91, "npi": [1093728602]}]}, {"allowed_amount": 146.83, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1586.91, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "452434777"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 134.32, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2500.0, "npi": [1720386964]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 40.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 592.0, "npi": [1215698196]}]}, {"allowed_amount": 80.03, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 592.0, "npi": [1215698196, 1922862325]}]}, {"allowed_amount": 89.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 592.0, "npi": [1972502714, 1215698196, 1922862325]}]}, {"allowed_amount": 120.05, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 592.0, "npi": [1821704552, 1922862325]}]}, {"allowed_amount": 134.32, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 592.0, "npi": [1922862325]}]}, {"allowed_amount": 152.23, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 592.0, "npi": [1972502714]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 37.93, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1982080099]}]}, {"allowed_amount": 40.02, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1184338238]}]}, {"allowed_amount": 48.94, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1588108930]}]}, {"allowed_amount": 50.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1700776572, 1013628213]}]}, {"allowed_amount": 56.9, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1083426530, 1710540893]}]}, {"allowed_amount": 59.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1114230117]}]}, {"allowed_amount": 64.7, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1568175933]}]}, {"allowed_amount": 67.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1700776572, 1013628213]}]}, {"allowed_amount": 72.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1326873951]}]}, {"allowed_amount": 75.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1083426530, 1982080099, 1518380104, 1508247537, 1710540893]}]}, {"allowed_amount": 79.17, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1780401208, 1770044364, 1891489076, 1477193878]}]}, {"allowed_amount": 89.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1366983074, 1982369195, 1609343821, 1215207956, 1013628213, 1033080502, 1700776572, 1184338238]}]}, {"allowed_amount": 97.88, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1083426530, 1588108930, 1518380104, 1770044364, 1477193878, 1821245176, 1780401208, 1710540893]}]}, {"allowed_amount": 113.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1508247537]}]}, {"allowed_amount": 114.17, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1609343821]}]}, {"allowed_amount": 146.83, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1326287491]}]}, {"allowed_amount": 152.23, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 532.0, "npi": [1104436476]}]}]}, {"tin": {"type": "ein", "value": "844772515"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 89.55, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 600.0, "npi": [1164719910]}]}, {"allowed_amount": 203.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1500.0, "npi": [1164719910]}]}]}]}, {"name": "Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method", "billing_code_type": "CPT", "billing_code": "58662", "billing_code_type_version": "2022", "description": "LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.49, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2458.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 67.69, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2458.0, "npi": [1497024053, 1467622258, 1659641595, 1588723373]}]}, {"allowed_amount": 102.8, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2458.0, "npi": [1659641595]}]}, {"allowed_amount": 120.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2458.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 129.41, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2458.0, "npi": [1588723373]}]}, {"allowed_amount": 135.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2458.0, "npi": [1467622258, 1659641595, 1497024053, 1588723373]}]}, {"allowed_amount": 205.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2458.0, "npi": [1659641595, 1497024053]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 848.36, "providers": [{"billed_charge": 2197.0, "npi": [1851738793]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 146.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2457.93, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "452434777"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 137.91, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1800.0, "npi": [1720386964]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 995.37, "providers": [{"billed_charge": 1559.0, "npi": [1184823825]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.69, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 954.0, "npi": [1972502714]}]}, {"allowed_amount": 115.07, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 954.0, "npi": [1972502714]}]}, {"allowed_amount": 120.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 954.0, "npi": [1366254575]}]}, {"allowed_amount": 135.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 954.0, "npi": [1972502714, 1215698196]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 948.68, "providers": [{"billed_charge": 1693.0, "npi": [1528123486]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 56.9, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1518380104]}]}, {"allowed_amount": 59.39, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1962193078]}]}, {"allowed_amount": 64.7, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1588108930]}]}, {"allowed_amount": 67.69, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1093449530, 1700776572, 1215207956]}]}, {"allowed_amount": 73.42, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1588108930, 1447792387, 1982080099, 1861122194, 1477193878]}]}, {"allowed_amount": 113.8, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1518380104]}]}, {"allowed_amount": 115.07, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1215207956]}]}, {"allowed_amount": 118.77, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1477193878]}]}, {"allowed_amount": 135.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1700776572, 1215207956, 1821695511]}]}, {"allowed_amount": 146.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 866.0, "npi": [1982080099, 1447792387]}]}]}, {"tin": {"type": "ein", "value": "853095264"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.13, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10650.0, "npi": [1427288455]}]}]}]}, {"name": "Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)", "billing_code_type": "CPT", "billing_code": "58661", "billing_code_type_version": "2022", "description": "LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES", "allowed_amounts": [{"tin": {"type": "ein", "value": "043735278"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 157.01, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1522.48, "npi": [1699716670]}]}, {"allowed_amount": 216.91, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1522.48, "npi": [1699716670]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 50.14, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1588723373]}]}, {"allowed_amount": 85.21, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1497024053]}]}, {"allowed_amount": 109.85, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1588723373]}]}, {"allowed_amount": 122.91, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1588723373]}]}, {"allowed_amount": 164.78, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 176.41, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1588723373]}]}, {"allowed_amount": 184.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1467622258, 1659641595, 1497024053, 1588723373]}]}, {"allowed_amount": 186.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1659641595, 1497024053]}]}, {"allowed_amount": 280.01, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2271.0, "npi": [1497024053]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 385.51, "providers": [{"billed_charge": 2011.0, "npi": [1639107212]}]}, {"allowed_amount": 1156.52, "providers": [{"billed_charge": 2011.0, "npi": [1114504255]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 133.46, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2270.64, "npi": [1093728602]}]}, {"allowed_amount": 200.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2270.64, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 61.46, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10092.0, "npi": [1730600453]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.21, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 875.0, "npi": [1366254575]}]}, {"allowed_amount": 109.85, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 875.0, "npi": [1922862325, 1669027967]}]}, {"allowed_amount": 184.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 875.0, "npi": [1225671597]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12158.41, "providers": [{"billed_charge": 20248.93, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1471.93, "providers": [{"billed_charge": 1887.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 35.12, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1447792387]}]}, {"allowed_amount": 61.73, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1114796331]}]}, {"allowed_amount": 66.73, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1588108930, 1568175933, 1477193878]}]}, {"allowed_amount": 70.25, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1710540893]}]}, {"allowed_amount": 71.53, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1114796331]}]}, {"allowed_amount": 73.31, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1477193878]}]}, {"allowed_amount": 77.57, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1447792387]}]}, {"allowed_amount": 103.43, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1982080099]}]}, {"allowed_amount": 117.61, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1760862510]}]}, {"allowed_amount": 122.91, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1114796331, 1336659507, 1922458355]}]}, {"allowed_amount": 133.46, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1447792387, 1588108930, 1982080099, 1477193878]}]}, {"allowed_amount": 149.12, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1942680731]}]}, {"allowed_amount": 156.72, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1114796331]}]}, {"allowed_amount": 161.91, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1477193878]}]}, {"allowed_amount": 184.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1093449530, 1104436476, 1215207956]}]}, {"allowed_amount": 200.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1588108930]}]}, {"allowed_amount": 208.95, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 795.0, "npi": [1215207956]}]}]}]}, {"name": "Level I - Surgical pathology, gross examination only", "billing_code_type": "CPT", "billing_code": "88300", "billing_code_type_version": "2022", "description": "LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 43.85, "providers": [{"billed_charge": 43.85, "npi": [1649272022]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1326270125]}]}, {"allowed_amount": 7.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1083622427, 1477608628]}]}, {"allowed_amount": 8.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1760454516]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1427080951]}]}, {"allowed_amount": 6.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1346336674]}]}, {"allowed_amount": 8.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1427080951]}]}]}, {"tin": {"type": "ein", "value": "203139459"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1437382173]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1356313548]}]}, {"allowed_amount": 7.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 6.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1154393221, 1568615078]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.15, "providers": [{"billed_charge": 262.55, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1538572128, 1316191083, 1407886757]}]}, {"allowed_amount": 7.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1538572128, 1154596468]}]}, {"allowed_amount": 7.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1538572128, 1407886757]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1447336516]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1790865467, 1831246511]}]}, {"allowed_amount": 14.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1790865467]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["11", "22", "23", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1194797985, 1467617506, 1821258211, 1609161892, 1902096894, 1164402152, 1619920204, 1386964815, 1669675153, 1114999091, 1386140663, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 5.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1700994431]}]}, {"allowed_amount": 6.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1851529945, 1669675153, 1821258211, 1437126612]}]}, {"allowed_amount": 6.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1386964815]}]}, {"allowed_amount": 7.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1194797985, 1689646465, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 8.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1457333817, 1144205188, 1639152366, 1225291495]}]}, {"allowed_amount": 6.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1457333817, 1144205188, 1639152366, 1225291495]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 8.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1154341956, 1700850237]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.33, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 39.9, "npi": [1487657573]}]}, {"allowed_amount": 12.45, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 39.9, "npi": [1487657573]}, {"billed_charge": 49.5, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 7.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 6.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1326402371]}]}, {"allowed_amount": 7.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1265489090, 1326402371, 1538115852, 1689614620]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1619949641, 1659573715, 1972654846, 1144292855]}]}, {"allowed_amount": 6.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1972654846]}]}, {"allowed_amount": 7.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1619949641, 1659573715, 1972654846, 1144292855]}]}]}, {"tin": {"type": "ein", "value": "800294054"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 4.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1972582146]}]}]}, {"tin": {"type": "ein", "value": "822178304"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1104890383]}]}]}, {"tin": {"type": "ein", "value": "941196033"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.88, "npi": [1922360627]}]}]}]}, {"name": "Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization", "billing_code_type": "CPT", "billing_code": "88302", "billing_code_type_version": "2022", "description": "LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.9, "providers": [{"billed_charge": 77.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1083622427, 1326270125]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1083622427, 1477608628]}]}, {"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1083622427]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1659337251, 1750664132, 1477966984, 1427080951, 1457870719]}]}, {"allowed_amount": 10.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1457870719]}]}, {"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1659337251, 1497715684, 1750664132, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1356313548]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1356313548, 1023032190]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 9.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1154393221, 1568615078]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1689646465, 1194797985, 1821258211, 1609161892, 1619920204, 1386964815, 1669675153, 1114999091, 1386140663, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 8.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1700994431]}]}, {"allowed_amount": 8.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1700994431]}]}, {"allowed_amount": 9.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1669675153]}]}, {"allowed_amount": 10.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1700994431]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1689646465, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1457333817, 1144205188]}]}, {"allowed_amount": 9.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1457333817, 1861474819, 1144205188]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1306911706]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 85.4, "npi": [1487657573]}]}, {"allowed_amount": 21.85, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 85.4, "npi": [1487657573]}]}, {"allowed_amount": 26.32, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 85.4, "npi": [1487657573]}, {"billed_charge": 93.3, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1720460264]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1215909536, 1770734337, 1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 6.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1265489090, 1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 10.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}]}]}, {"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": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.25, "providers": [{"billed_charge": 116.25, "npi": [1548294465, 1184673634]}]}]}, {"tin": {"type": "ein", "value": "112647243"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 20.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1033605696]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1083622427, 1326270125]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1477608628, 1083622427, 1760454516, 1326270125]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1083622427]}]}, {"allowed_amount": 19.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1760454516]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 2.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1750664132]}]}, {"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 14.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1659337251]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1346336674, 1750664132, 1427080951]}]}, {"allowed_amount": 16.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1659337251]}]}, {"allowed_amount": 17.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1427080951]}]}, {"allowed_amount": 19.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1497956569, 1356313548, 1023032190]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.06, "providers": [{"billed_charge": 84.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 63.03, "providers": [{"billed_charge": 84.0, "npi": [1356313548, 1023032190]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1013145424, 1053654145, 1700167533, 1417310871]}]}, {"allowed_amount": 11.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1013145424]}]}, {"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1053654145]}]}]}, {"tin": {"type": "ein", "value": "310953484"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1508850538, 1518113851]}]}]}, {"tin": {"type": "ein", "value": "333691586"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1255321584]}]}, {"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1851748552, 1548258833, 1225230626, 1023097854]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1861756371]}]}]}, {"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1164453486]}]}]}, {"tin": {"type": "ein", "value": "393115024"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 58.12, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 153.0, "npi": [1487534954]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.39, "npi": [1225075872]}]}]}, {"tin": {"type": "ein", "value": "462187282"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1609846484]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1760781132, 1154393221, 1568615078]}]}, {"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1154393221]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.0, "providers": [{"billed_charge": 142.0, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.8, "providers": [{"billed_charge": 108.8, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.31, "npi": [1609372143]}]}]}, {"tin": {"type": "ein", "value": "560986500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1366066631]}]}]}, {"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.56, "providers": [{"billed_charge": 467.9, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1538572128, 1407886757, 1316191083, 1679794671, 1811962194, 1154596468]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1538572128, 1407886757, 1316191083, 1811962194, 1154596468, 1215902143]}]}, {"allowed_amount": 16.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1407886757]}]}]}, {"tin": {"type": "ein", "value": "591263616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1215313010, 1154558963]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 20.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1487994497]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1790865467, 1033311758]}]}]}, {"tin": {"type": "ein", "value": "591300359"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.5, "npi": [1508089475]}]}]}, {"tin": {"type": "ein", "value": "591548765"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 39.95, "providers": [{"billed_charge": 68.0, "npi": [1568484632]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["11", "22", "23", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1194797985, 1689646465, 1467617506, 1609161892, 1821258211, 1164402152, 1619920204, 1396044574, 1386964815, 1669675153, 1114999091, 1386140663, 1851529945, 1518900315, 1902096894, 1700994431]}]}, {"allowed_amount": 12.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1700994431]}]}, {"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1821258211, 1164402152, 1669675153, 1437126612, 1902096894]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1689646465, 1467617506, 1194797985, 1609161892, 1619920204, 1114999091, 1285969717, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1164402152, 1689646465, 1396044574, 1700994431]}]}, {"allowed_amount": 19.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1306911706, 1154371854]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1487689758]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1669446837]}]}, {"allowed_amount": 10.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1720067994]}]}, {"allowed_amount": 20.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 102.3, "npi": [1487657573]}]}, {"allowed_amount": 31.39, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 102.3, "npi": [1487657573]}, {"billed_charge": 124.9, "npi": [1487657573]}]}, {"allowed_amount": 34.91, "providers": [{"billed_charge": 124.9, "npi": [1487657573]}]}, {"allowed_amount": 42.06, "providers": [{"billed_charge": 124.9, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.21, "npi": [1477180693]}]}]}, {"tin": {"type": "ein", "value": "621729316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.48, "providers": [{"billed_charge": 126.0, "npi": [1154696243]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.65, "providers": [{"billed_charge": 299.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1720460264, 1073532818, 1669746731]}]}, {"allowed_amount": 19.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1669746731]}]}]}, {"tin": {"type": "ein", "value": "650026153"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1386635688]}]}, {"allowed_amount": 19.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1508009275]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1215909536, 1770734337, 1841441490, 1922070259]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 12.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1689614620]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1326402371, 1538115852, 1689614620]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1619949641, 1659573715, 1972654846]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1619949641, 1659573715, 1972654846, 1144292855]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1619949641, 1972654846]}]}]}, {"tin": {"type": "ein", "value": "731527740"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.22, "providers": [{"billed_charge": 149.0, "npi": [1447280474]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.3, "npi": [1508939141]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1255469250]}]}]}, {"tin": {"type": "ein", "value": "800294054"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1972582146, 1245242700]}]}, {"allowed_amount": 20.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1972582146, 1245242700]}]}]}, {"tin": {"type": "ein", "value": "821927787"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1134157043]}]}]}, {"tin": {"type": "ein", "value": "883107953"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1487636379, 1841272820, 1417923095]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1033184445]}]}]}, {"tin": {"type": "ein", "value": "993892790"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.23, "npi": [1548431349]}]}]}]}, {"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": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 191.5, "providers": [{"billed_charge": 191.5, "npi": [1548294465, 1184673634, 1790171916, 1457882060, 1649272022, 1376699199]}]}]}, {"tin": {"type": "ein", "value": "061340963"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1922030451]}]}]}, {"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.56, "providers": [{"billed_charge": 161.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1083622427, 1760454516, 1326270125]}]}, {"allowed_amount": 52.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1760454516, 1083622427, 1477608628, 1326270125]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1083622427, 1477608628, 1326270125]}]}, {"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1083622427]}]}, {"allowed_amount": 65.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1083622427]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 7.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1457870719]}]}, {"allowed_amount": 7.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1457870719]}]}, {"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1427080951]}, {"billed_charge": 141.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1750664132, 1477966984, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 65.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1427080951, 1457870719]}]}, {"allowed_amount": 66.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203139459"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1093745341]}]}, {"allowed_amount": 69.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1023334976]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 52.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1134107857, 1356313548, 1023032190]}]}, {"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 71.27, "providers": [{"billed_charge": 132.0, "npi": [1497956569, 1356313548]}]}, {"allowed_amount": 105.86, "providers": [{"billed_charge": 132.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "205405972"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 114.9, "npi": [1992812473]}]}, {"allowed_amount": 128.89, "providers": [{"billed_charge": 225.99, "npi": [1992812473]}]}]}, {"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.46, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 82.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1821383027]}]}]}, {"tin": {"type": "ein", "value": "270512334"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1457798407]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1497162978, 1780949222, 1013145424, 1417310871, 1740422872, 1245445949]}]}, {"allowed_amount": 37.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1013145424]}]}, {"allowed_amount": 37.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1700167533]}]}, {"allowed_amount": 46.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1689105884, 1780949222]}]}, {"allowed_amount": 54.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1497162978]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1457804361, 1073653655]}]}]}, {"tin": {"type": "ein", "value": "310895497"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 59.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1932304755]}]}]}, {"tin": {"type": "ein", "value": "310953484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1518113851]}]}]}, {"tin": {"type": "ein", "value": "333691586"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1548258833]}]}, {"allowed_amount": 46.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1851748552, 1912494154]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1275591869]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1649703976]}]}]}, {"tin": {"type": "ein", "value": "454486874"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 102.81, "providers": [{"billed_charge": 140.0, "npi": [1831169762, 1790980837, 1497167720, 1396164430, 1417390287, 1730679986, 1154617843, 1164955928, 1003073628, 1477965887]}]}]}, {"tin": {"type": "ein", "value": "460563060"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1972582146]}]}, {"allowed_amount": 69.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1245242700]}]}]}, {"tin": {"type": "ein", "value": "462187282"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1609846484]}]}]}, {"tin": {"type": "ein", "value": "464450797"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 128.89, "providers": [{"billed_charge": 323.0, "npi": [1851707186]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1760781132, 1154393221, 1568615078]}]}, {"allowed_amount": 46.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 46.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1154393221, 1568615078]}]}]}, {"tin": {"type": "ein", "value": "562164799"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1437333135]}]}]}, {"tin": {"type": "ein", "value": "581910975"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 108.74, "providers": [{"billed_charge": 258.0, "npi": [1003919531, 1225444300]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1114361573]}]}]}, {"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81", "21"], "payments": [{"allowed_amount": 34.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.13, "providers": [{"billed_charge": 560.28, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 36.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1538572128, 1407886757, 1316191083, 1679794671, 1811962194, 1154596468, 1982920823, 1215902143]}]}, {"allowed_amount": 52.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1538572128, 1407886757, 1811962194, 1154596468, 1982920823, 1215902143]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1811962194, 1679794671, 1407886757, 1982920823]}]}, {"allowed_amount": 54.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1538572128, 1811962194]}]}]}, {"tin": {"type": "ein", "value": "591263616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1154558963]}]}, {"allowed_amount": 69.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1407122492]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.49, "providers": [{"billed_charge": 180.0, "npi": [1174696249]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1386616779, 1790170819, 1962585463]}]}, {"allowed_amount": 109.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1790865467, 1790170819, 1962585463]}]}, {"allowed_amount": 109.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1033311758]}]}]}, {"tin": {"type": "ein", "value": "591300359"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1740541051]}]}, {"allowed_amount": 109.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1376698126]}]}]}, {"tin": {"type": "ein", "value": "591548765"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 68.49, "providers": [{"billed_charge": 114.0, "npi": [1568484632]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["11", "22", "23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1194797985, 1689646465, 1821258211, 1609161892, 1467617506, 1902096894, 1164402152, 1619920204, 1386964815, 1669675153, 1114999091, 1437126612, 1386140663, 1851529945, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 40.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1700994431]}]}, {"allowed_amount": 46.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1821258211, 1164402152, 1669675153, 1437126612, 1851529945, 1902096894]}]}, {"allowed_amount": 46.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1164402152, 1669675153, 1821258211, 1902096894]}]}, {"allowed_amount": 52.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1689646465, 1467617506, 1194797985, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1194797985, 1689646465, 1609161892, 1619920204, 1114999091, 1518900315, 1396044574]}]}, {"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1194797985, 1467617506, 1689646465, 1821258211, 1609161892, 1164402152, 1619920204, 1386964815, 1396044574, 1669675153, 1114999091, 1386140663, 1518900315, 1902096894]}]}, {"allowed_amount": 63.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1386964815]}]}, {"allowed_amount": 92.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1700994431]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 46.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 46.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 115.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1225291495]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1144221417, 1770946428, 1154371854]}]}, {"allowed_amount": 69.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1144221417, 1841280674, 1568968097, 1154371854]}]}, {"allowed_amount": 74.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1861696353]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["81", "21"], "payments": [{"allowed_amount": 53.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1043605645]}]}, {"allowed_amount": 178.0, "providers": [{"billed_charge": 178.0, "npi": [1326289455]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 34.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1568496636, 1154341956, 1700850237]}]}, {"allowed_amount": 69.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1154462380, 1083673388]}]}]}, {"tin": {"type": "ein", "value": "592114442"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 33.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 65.41, "npi": [1700959590]}]}, {"allowed_amount": 36.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 65.41, "npi": [1700959590]}]}, {"allowed_amount": 68.49, "providers": [{"billed_charge": 132.83, "npi": [1700959590]}]}, {"allowed_amount": 74.65, "providers": [{"billed_charge": 132.83, "npi": [1700959590]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1083690168, 1750349593, 1881026078, 1043200967]}]}]}, {"tin": {"type": "ein", "value": "593520146"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1922022854]}]}, {"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1467429720, 1922022854]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 19.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 23.86, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}, {"billed_charge": 207.3, "npi": [1487657573]}]}, {"allowed_amount": 26.41, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 27.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 29.7, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 29.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 31.81, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 207.3, "npi": [1487657573]}]}, {"allowed_amount": 33.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 35.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}, {"billed_charge": 207.3, "npi": [1487657573]}]}, {"allowed_amount": 53.69, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 59.15, "providers": [{"billed_charge": 207.3, "npi": [1487657573]}]}, {"allowed_amount": 59.16, "providers": [{"billed_charge": 207.3, "npi": [1487657573]}]}, {"allowed_amount": 71.27, "providers": [{"billed_charge": 207.3, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "630792807"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 54.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1922364215]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1194201194]}]}, {"allowed_amount": 65.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1720460264, 1073532818, 1285755132]}]}]}, {"tin": {"type": "ein", "value": "650026153"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1508009275]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1639571698]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 26.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1922070259]}]}, {"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 35.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1922070259]}]}, {"allowed_amount": 52.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 52.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1326402371, 1538115852]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 57.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1104922459]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 327.0, "npi": [1619949641, 1659573715, 1972654846, 1144292855]}]}, {"allowed_amount": 52.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 327.0, "npi": [1619949641, 1659573715, 1972654846, 1144292855]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 327.0, "npi": [1619949641, 1144292855]}]}, {"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 327.0, "npi": [1972654846]}]}]}, {"tin": {"type": "ein", "value": "650728724"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1881996221]}]}, {"allowed_amount": 46.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1912077488, 1881996221]}]}, {"allowed_amount": 46.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1912077488, 1881996221]}]}]}, {"tin": {"type": "ein", "value": "710747490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1609229145]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 74.56, "providers": [{"billed_charge": 278.0, "npi": [1013175694, 1134447535, 1114450384, 1497958995, 1144515412, 1780027763, 1851518773, 1942487251, 1154447993, 1295296283, 1295991198]}]}]}, {"tin": {"type": "ein", "value": "800294054"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 35.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1972582146]}]}, {"allowed_amount": 69.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1972582146, 1245242700]}]}]}, {"tin": {"type": "ein", "value": "811279016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 34.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1871628529]}]}, {"allowed_amount": 69.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1871628529]}]}]}, {"tin": {"type": "ein", "value": "811294016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 36.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 324.15, "npi": [1295092583]}]}, {"allowed_amount": 52.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 324.15, "npi": [1295092583]}]}]}, {"tin": {"type": "ein", "value": "821795059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.29, "providers": [{"billed_charge": 99.08, "npi": [1518473263]}]}, {"allowed_amount": 68.65, "providers": [{"billed_charge": 99.08, "npi": [1518473263]}]}]}, {"tin": {"type": "ein", "value": "821927787"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1134157043]}]}]}, {"tin": {"type": "ein", "value": "824615899"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.56, "providers": [{"billed_charge": 209.65, "npi": [1467938993]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["81", "21"], "payments": [{"allowed_amount": 54.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1649220781]}]}, {"allowed_amount": 104.04, "providers": [{"billed_charge": 196.0, "npi": [1649220781]}]}]}, {"tin": {"type": "ein", "value": "883107953"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 53.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1952377525]}]}, {"allowed_amount": 109.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1841272820, 1750647988, 1417923095]}]}, {"allowed_amount": 109.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1750647988]}]}]}, {"tin": {"type": "ein", "value": "920741915"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1598975708]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1245680354]}]}]}]}, {"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": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 744.0, "npi": [1518047018]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 774.0, "npi": [1083622427, 1326270125]}]}, {"allowed_amount": 114.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 774.0, "npi": [1477608628]}]}, {"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 774.0, "npi": [1083622427, 1477608628, 1326270125]}]}, {"allowed_amount": 144.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 774.0, "npi": [1083622427, 1760454516]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 60.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1659337251]}]}, {"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1659337251, 1750664132, 1891985925, 1477966984, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 116.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1750664132, 1477966984, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 144.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1356313548, 1023032190]}]}, {"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1356313548, 1023032190]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 282.69, "providers": [{"billed_charge": 549.0, "npi": [1356313548]}]}, {"allowed_amount": 421.44, "providers": [{"billed_charge": 549.0, "npi": [1356313548, 1023032190]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1092.0, "npi": [1609193069]}]}]}, {"tin": {"type": "ein", "value": "237098532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 484.0, "npi": [1205062833]}]}]}, {"tin": {"type": "ein", "value": "263423803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1235220914]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1689105884]}]}]}, {"tin": {"type": "ein", "value": "333691586"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.0, "npi": [1023097854]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 527.0, "npi": [1760781132, 1154393221, 1568615078]}]}, {"allowed_amount": 100.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 527.0, "npi": [1154393221, 1568615078]}]}, {"allowed_amount": 116.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 527.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1396046785]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 383.0, "npi": [1558858589]}]}]}, {"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 75.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 573.0, "npi": [1811962194, 1316191083, 1154596468, 1407886757]}]}, {"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 573.0, "npi": [1811962194, 1679794671]}]}, {"allowed_amount": 118.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 573.0, "npi": [1215902143]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1245207885, 1689640286]}]}, {"allowed_amount": 152.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1487994497]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 59.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1790170819]}]}, {"allowed_amount": 75.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1790865467, 1790170819, 1831246511]}]}, {"allowed_amount": 240.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1790170819, 1033311758, 1831246511]}]}]}, {"tin": {"type": "ein", "value": "591300359"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.5, "npi": [1043630312]}]}]}, {"tin": {"type": "ein", "value": "591548765"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 152.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1568484632]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1194797985, 1467617506, 1821258211, 1609161892, 1689646465, 1902096894, 1619920204, 1386964815, 1669675153, 1114999091, 1285969717, 1386140663, 1851529945, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 89.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1700994431]}]}, {"allowed_amount": 100.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1821258211, 1164402152, 1669675153, 1851529945, 1902096894]}]}, {"allowed_amount": 114.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1609161892, 1619920204, 1285969717, 1518900315, 1396044574]}]}, {"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1194797985, 1467617506, 1689646465, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 116.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1386964815, 1669675153, 1285969717, 1386140663, 1396044574]}]}, {"allowed_amount": 138.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1386964815]}]}, {"allowed_amount": 138.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 565.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1457333817, 1861474819, 1144205188, 1225291495]}]}, {"allowed_amount": 100.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1457333817, 1861474819, 1144205188]}]}]}, {"tin": {"type": "ein", "value": "591614252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1306911706]}]}, {"allowed_amount": 152.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1568968097]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1700850237]}]}, {"allowed_amount": 152.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 158.49, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 264.6, "npi": [1487657573]}]}, {"allowed_amount": 170.22, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 264.6, "npi": [1487657573]}]}, {"allowed_amount": 193.28, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 264.6, "npi": [1487657573]}, {"billed_charge": 425.4, "npi": [1487657573]}]}, {"allowed_amount": 205.09, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 264.6, "npi": [1487657573]}, {"billed_charge": 425.4, "npi": [1487657573]}]}, {"allowed_amount": 234.63, "providers": [{"billed_charge": 425.4, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621729316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 397.5, "providers": [{"billed_charge": 702.29, "npi": [1154696243]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 684.0, "npi": [1720460264]}]}, {"allowed_amount": 144.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 684.0, "npi": [1720460264, 1194201194]}]}]}, {"tin": {"type": "ein", "value": "650026153"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1235592957]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 42.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1770734337]}]}, {"allowed_amount": 71.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1841441490]}]}, {"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 85.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1215909536]}]}, {"allowed_amount": 100.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1922070259]}]}, {"allowed_amount": 114.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 116.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 531.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 114.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1265489090, 1326402371, 1538115852, 1689614620]}]}, {"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1265489090, 1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 116.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1326402371, 1689614620]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 77.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 506.0, "npi": [1659573715, 1972654846, 1144292855]}]}, {"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 506.0, "npi": [1972654846]}]}]}, {"tin": {"type": "ein", "value": "883107953"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1841272820]}]}]}]}, {"name": "Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection", "billing_code_type": "CPT", "billing_code": "88309", "billing_code_type_version": "2022", "description": "LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1104.0, "npi": [1326270125]}]}, {"allowed_amount": 201.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1104.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 549.0, "npi": [1346336674, 1750664132, 1457870719]}]}, {"allowed_amount": 253.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 549.0, "npi": [1750664132, 1891985925, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 201.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 650.0, "npi": [1023032190]}]}, {"allowed_amount": 204.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 650.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1740422872]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 326.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1232.0, "npi": [1316974009]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 927.0, "npi": [1568615078]}]}, {"allowed_amount": 177.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 927.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1407886757]}]}, {"allowed_amount": 201.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 681.0, "npi": [1407886757]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 136.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 719.0, "npi": [1467617506, 1821258211, 1609161892, 1386964815, 1669675153, 1114999091, 1386140663, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 177.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 719.0, "npi": [1164402152, 1669675153, 1821258211, 1902096894]}]}, {"allowed_amount": 201.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 719.0, "npi": [1194797985, 1467617506, 1689646465, 1114999091, 1386140663, 1518900315, 1396044574]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 136.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1144205188, 1225291495]}]}, {"allowed_amount": 177.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1457333817, 1144205188, 1225291495]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 235.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 365.4, "npi": [1487657573]}]}, {"allowed_amount": 283.85, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 365.4, "npi": [1487657573]}, {"billed_charge": 647.0, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 676.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 201.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 676.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 709.0, "npi": [1689614620, 1538115852]}]}, {"allowed_amount": 201.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 709.0, "npi": [1326402371, 1538115852, 1689614620]}]}]}]}, {"name": "Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "58611", "billing_code_type_version": "2022", "description": "LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.44, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 265.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.44, "providers": [{"billed_charge": 980.0, "npi": [1831582303]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 13.06, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1382.0, "npi": [1730600453]}]}, {"allowed_amount": 100.44, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1382.0, "npi": [1730600453]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 76.5, "npi": [1669446449, 1154640100]}]}, {"allowed_amount": 15.9, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 76.5, "npi": [1821741216]}]}, {"allowed_amount": 76.5, "billing_code_modifier": ["80", "AS"], "providers": [{"billed_charge": 76.5, "npi": [1821741216, 1447883756, 1316432784, 1912102104]}]}, {"allowed_amount": 82.5, "providers": [{"billed_charge": 153.0, "npi": [1740240571, 1144304197]}]}, {"allowed_amount": 100.44, "providers": [{"billed_charge": 153.0, "npi": [1154640100, 1710074182]}]}, {"allowed_amount": 151.37, "providers": [{"billed_charge": 153.0, "npi": [1912102104]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.58, "providers": [{"billed_charge": 221.0, "npi": [1457463010]}]}, {"allowed_amount": 108.92, "providers": [{"billed_charge": 221.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.98, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 94.0, "npi": [1194878298, 1073837183]}]}, {"allowed_amount": 94.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 94.0, "npi": [1477910560, 1487033031, 1780400523, 1194878298, 1609643931, 1033587134, 1073837183]}]}]}]}, {"name": "Lipase", "billing_code_type": "CPT", "billing_code": "83690", "billing_code_type_version": "2022", "description": "ASSAY OF LIPASE", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.82, "providers": [{"billed_charge": 128.06, "npi": [1427616002, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1477608628]}]}, {"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.36, "providers": [{"billed_charge": 281.36, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.59, "providers": [{"billed_charge": 246.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 165.06, "providers": [{"billed_charge": 206.33, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.0, "providers": [{"billed_charge": 200.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 62.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 159.83, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.87, "providers": [{"billed_charge": 63.2, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.44, "providers": [{"billed_charge": 158.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.0, "providers": [{"billed_charge": 212.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.21, "providers": [{"billed_charge": 101.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.86, "providers": [{"billed_charge": 76.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.0, "providers": [{"billed_charge": 93.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.94, "providers": [{"billed_charge": 146.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.31, "providers": [{"billed_charge": 23.31, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.08, "providers": [{"billed_charge": 26.08, "npi": [1942281266]}]}, {"allowed_amount": 28.4, "providers": [{"billed_charge": 28.4, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.76, "providers": [{"billed_charge": 21.76, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.81, "providers": [{"billed_charge": 302.3, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.68, "providers": [{"billed_charge": 361.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1110.05, "providers": [{"billed_charge": 273.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 547.09, "providers": [{"billed_charge": 1302.59, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.59, "providers": [{"billed_charge": 246.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.89, "providers": [{"billed_charge": 154.68, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.59, "providers": [{"billed_charge": 246.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.0, "providers": [{"billed_charge": 102.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.01, "providers": [{"billed_charge": 64.89, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 357.97, "providers": [{"billed_charge": 1022.78, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.54, "providers": [{"billed_charge": 26.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.47, "providers": [{"billed_charge": 284.2, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.89, "providers": [{"billed_charge": 64.69, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.6, "providers": [{"billed_charge": 576.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.8, "providers": [{"billed_charge": 888.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.75, "providers": [{"billed_charge": 705.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.8, "providers": [{"billed_charge": 208.0, "npi": [1366496937]}]}, {"allowed_amount": 199.85, "providers": [{"billed_charge": 571.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.3, "providers": [{"billed_charge": 34.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.23, "providers": [{"billed_charge": 221.54, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 495.95, "providers": [{"billed_charge": 1417.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.1, "providers": [{"billed_charge": 466.0, "npi": [1114576857]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.59, "providers": [{"billed_charge": 246.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.95, "providers": [{"billed_charge": 367.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.49, "providers": [{"billed_charge": 184.25, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.32, "providers": [{"billed_charge": 298.06, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.25, "providers": [{"billed_charge": 215.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 196.78, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.12, "providers": [{"billed_charge": 734.62, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.14, "providers": [{"billed_charge": 33.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.58, "providers": [{"billed_charge": 119.85, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.72, "providers": [{"billed_charge": 36.36, "npi": [1609596907]}]}, {"allowed_amount": 6.89, "providers": [{"billed_charge": 36.36, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.0, "providers": [{"billed_charge": 217.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.37, "providers": [{"billed_charge": 370.37, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.0, "providers": [{"billed_charge": 84.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.0, "providers": [{"billed_charge": 64.0, "npi": [1427806025]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.39, "providers": [{"billed_charge": 289.0, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "131725076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.02, "providers": [{"billed_charge": 278.0, "npi": [1720185267]}]}]}, {"tin": {"type": "ein", "value": "131974191"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.02, "providers": [{"billed_charge": 29.46, "npi": [1417027558]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.43, "providers": [{"billed_charge": 238.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.12, "providers": [{"billed_charge": 53.0, "npi": [1811992084]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.09, "providers": [{"billed_charge": 309.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.39, "providers": [{"billed_charge": 45.0, "npi": [1457705618]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.52, "providers": [{"billed_charge": 55.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.58, "providers": [{"billed_charge": 155.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.39, "providers": [{"billed_charge": 27.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.69, "providers": [{"billed_charge": 222.0, "npi": [1992703540]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.34, "providers": [{"billed_charge": 193.0, "npi": [1144247982]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.65, "providers": [{"billed_charge": 559.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "582433432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.86, "providers": [{"billed_charge": 327.75, "npi": [1467406132]}]}]}, {"tin": {"type": "ein", "value": "582504530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.39, "providers": [{"billed_charge": 360.0, "npi": [1730123175]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.95, "providers": [{"billed_charge": 488.78, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.34, "providers": [{"billed_charge": 178.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.87, "providers": [{"billed_charge": 393.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.78, "providers": [{"billed_charge": 342.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.52, "providers": [{"billed_charge": 220.0, "npi": [1396992475]}]}, {"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.43, "providers": [{"billed_charge": 238.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 7.25, "providers": [{"billed_charge": 26.78, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.65, "providers": [{"billed_charge": 409.33, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.74, "providers": [{"billed_charge": 342.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.87, "providers": [{"billed_charge": 272.12, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.39, "providers": [{"billed_charge": 301.04, "npi": [1245720820]}]}, {"allowed_amount": 15.53, "providers": [{"billed_charge": 301.04, "npi": [1245720820]}]}, {"allowed_amount": 20.09, "providers": [{"billed_charge": 301.04, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.39, "providers": [{"billed_charge": 191.14, "npi": [1497798847]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.14, "providers": [{"billed_charge": 345.1, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.14, "providers": [{"billed_charge": 1048.48, "npi": [1992776405]}]}]}, {"tin": {"type": "ein", "value": "621619857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.42, "providers": [{"billed_charge": 1622.85, "npi": [1811942238]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.11, "providers": [{"billed_charge": 101.35, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.31, "providers": [{"billed_charge": 207.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.77, "providers": [{"billed_charge": 178.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.37, "providers": [{"billed_charge": 13.39, "npi": [1831228709]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 13.39, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.92, "providers": [{"billed_charge": 150.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.9, "providers": [{"billed_charge": 19.9, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.43, "providers": [{"billed_charge": 238.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.11, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 194.76, "npi": [1366150773]}]}, {"allowed_amount": 13.39, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 194.76, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.11, "providers": [{"billed_charge": 40.17, "npi": [1609596907]}, {"billed_charge": 75.88, "npi": [1609596907]}]}, {"allowed_amount": 13.39, "providers": [{"billed_charge": 40.17, "npi": [1609596907]}, {"billed_charge": 75.88, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.69, "providers": [{"billed_charge": 161.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.15, "providers": [{"billed_charge": 124.0, "npi": [1427806025, 1780429076]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.38, "providers": [{"billed_charge": 1.09, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.31, "providers": [{"billed_charge": 15.92, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.51, "providers": [{"billed_charge": 5.09, "npi": [1801963343]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 616.35, "providers": [{"billed_charge": 793.24, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 441.89, "providers": [{"billed_charge": 868.51, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 0.6, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.73, "providers": [{"billed_charge": 2.54, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.01, "providers": [{"billed_charge": 10.5, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.06, "providers": [{"billed_charge": 2.63, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.87, "providers": [{"billed_charge": 2.87, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.57, "providers": [{"billed_charge": 0.63, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.23, "providers": [{"billed_charge": 0.51, "npi": [1912964768]}]}, {"allowed_amount": 0.25, "providers": [{"billed_charge": 0.55, "npi": [1912964768]}]}, {"allowed_amount": 0.26, "providers": [{"billed_charge": 0.57, "npi": [1912964768]}]}, {"allowed_amount": 9.58, "providers": [{"billed_charge": 21.28, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.18, "providers": [{"billed_charge": 13.9, "npi": [1700979465]}]}, {"allowed_amount": 16.23, "providers": [{"billed_charge": 15.83, "npi": [1700979465]}]}, {"allowed_amount": 17.8, "providers": [{"billed_charge": 12.51, "npi": [1700979465]}]}, {"allowed_amount": 17.89, "providers": [{"billed_charge": 4.0, "npi": [1700979465]}]}, {"allowed_amount": 18.64, "providers": [{"billed_charge": 13.9, "npi": [1700979465]}]}, {"allowed_amount": 18.72, "providers": [{"billed_charge": 13.9, "npi": [1700979465]}]}, {"allowed_amount": 18.98, "providers": [{"billed_charge": 13.9, "npi": [1700979465]}]}, {"allowed_amount": 19.5, "providers": [{"billed_charge": 12.51, "npi": [1700979465]}]}, {"allowed_amount": 21.04, "providers": [{"billed_charge": 12.51, "npi": [1700979465]}]}, {"allowed_amount": 22.35, "providers": [{"billed_charge": 12.51, "npi": [1700979465]}]}, {"allowed_amount": 47.82, "providers": [{"billed_charge": 13.9, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.04, "providers": [{"billed_charge": 9.0, "npi": [1720085137]}]}, {"allowed_amount": 26.12, "providers": [{"billed_charge": 9.0, "npi": [1720085137]}]}, {"allowed_amount": 29.19, "providers": [{"billed_charge": 9.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.59, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 10.49, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 12.21, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 13.76, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 15.6, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 18.76, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 19.31, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 19.33, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 22.5, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 22.52, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 22.96, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 24.33, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}, {"allowed_amount": 29.45, "providers": [{"billed_charge": 0.01, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 2.98, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.81, "providers": [{"billed_charge": 14.97, "npi": [1184709057]}]}, {"allowed_amount": 3.63, "providers": [{"billed_charge": 13.42, "npi": [1184709057]}]}, {"allowed_amount": 4.28, "providers": [{"billed_charge": 15.81, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.28, "providers": [{"billed_charge": 2.2, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.63, "providers": [{"billed_charge": 13.42, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.67, "providers": [{"billed_charge": 1.03, "npi": [1215960315]}]}, {"allowed_amount": 22.11, "providers": [{"billed_charge": 1.03, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.23, "providers": [{"billed_charge": 0.28, "npi": [1053424648]}]}, {"allowed_amount": 40.97, "providers": [{"billed_charge": 1.82, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.2, "providers": [{"billed_charge": 14.87, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.04, "providers": [{"billed_charge": 8.68, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.55, "providers": [{"billed_charge": 13.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.67, "providers": [{"billed_charge": 13.35, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "650378614"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.2, "providers": [{"billed_charge": 3.0, "npi": [1124161872]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 3.0, "npi": [1376727321]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.37, "providers": [{"billed_charge": 3.92, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.94, "providers": [{"billed_charge": 2.69, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.31, "providers": [{"billed_charge": 9.47, "npi": [1114576857, 1457306359]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.28, "providers": [{"billed_charge": 15.81, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.18, "providers": [{"billed_charge": 3.3, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 15.26, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.81, "providers": [{"billed_charge": 2.31, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.32, "providers": [{"billed_charge": 2.61, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 0.51, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.5, "providers": [{"billed_charge": 5.42, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.74, "providers": [{"billed_charge": 0.55, "npi": [1780429076]}]}]}]}, {"name": "Magnesium", "billing_code_type": "CPT", "billing_code": "83735", "billing_code_type_version": "2022", "description": "ASSAY OF MAGNESIUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1477608628]}]}, {"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.69, "providers": [{"billed_charge": 26.8, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1659337251]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.65, "providers": [{"billed_charge": 128.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "320443777"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.26, "providers": [{"billed_charge": 19.26, "npi": [1174660120]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.01, "providers": [{"billed_charge": 127.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.45, "providers": [{"billed_charge": 61.1, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.74, "providers": [{"billed_charge": 108.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.48, "providers": [{"billed_charge": 72.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.07, "providers": [{"billed_charge": 106.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "464163620"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.49, "providers": [{"billed_charge": 25.0, "npi": [1265854855]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.72, "providers": [{"billed_charge": 20.72, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.16, "providers": [{"billed_charge": 18.16, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.03, "providers": [{"billed_charge": 16.03, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.62, "providers": [{"billed_charge": 17.62, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.32, "providers": [{"billed_charge": 16.32, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "586002830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.0, "providers": [{"billed_charge": 139.0, "npi": [1306890942]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.8, "providers": [{"billed_charge": 197.34, "npi": [1912964768]}]}, {"allowed_amount": 88.81, "providers": [{"billed_charge": 197.34, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.0, "providers": [{"billed_charge": 139.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.0, "providers": [{"billed_charge": 196.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 489.16, "providers": [{"billed_charge": 1164.67, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1437126612, 1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.65, "providers": [{"billed_charge": 128.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.7, "providers": [{"billed_charge": 150.59, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.65, "providers": [{"billed_charge": 128.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.03, "providers": [{"billed_charge": 98.88, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.46, "providers": [{"billed_charge": 578.45, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.39, "providers": [{"billed_charge": 23.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.25, "providers": [{"billed_charge": 315.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.79, "providers": [{"billed_charge": 33.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1265489090, 1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.69, "providers": [{"billed_charge": 6.7, "npi": [1831228709]}]}, {"allowed_amount": 6.7, "providers": [{"billed_charge": 6.7, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.5, "providers": [{"billed_charge": 501.43, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.05, "providers": [{"billed_charge": 463.0, "npi": [1114576857, 1457306359]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.85, "providers": [{"billed_charge": 30.0, "npi": [1083931489, 1598953614, 1700074143]}]}, {"allowed_amount": 10.86, "providers": [{"billed_charge": 30.0, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.65, "providers": [{"billed_charge": 128.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.71, "providers": [{"billed_charge": 215.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.26, "providers": [{"billed_charge": 180.75, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.73, "providers": [{"billed_charge": 250.66, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.6, "providers": [{"billed_charge": 216.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.0, "providers": [{"billed_charge": 57.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.63, "providers": [{"billed_charge": 183.29, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.16, "providers": [{"billed_charge": 160.0, "npi": [1376175687]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.34, "providers": [{"billed_charge": 32.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.56, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 49.28, "npi": [1366150773]}]}, {"allowed_amount": 6.7, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 49.28, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.7, "providers": [{"billed_charge": 75.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.0, "providers": [{"billed_charge": 215.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.85, "providers": [{"billed_charge": 81.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.0, "providers": [{"billed_charge": 190.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.54, "providers": [{"billed_charge": 188.54, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.0, "providers": [{"billed_charge": 235.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 165.36, "providers": [{"billed_charge": 165.36, "npi": [1811099674]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)", "billing_code_type": "CPT", "billing_code": "74181", "billing_code_type_version": "2022", "description": "MRI ABDOMEN W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 95.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1135.0, "npi": [1225069776, 1538196977, 1265428908, 1851569701]}]}, {"allowed_amount": 102.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1135.0, "npi": [1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 123.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1135.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 343.0, "npi": [1053383786, 1225089428, 1558450023]}]}, {"allowed_amount": 125.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 343.0, "npi": [1093748840, 1053383786, 1225089428]}]}]}, {"tin": {"type": "ein", "value": "451649781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 998.0, "npi": [1760945273]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 179.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1396852851, 1326343716, 1659767093, 1336347335]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1457619017, 1366627804]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 50.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1538588207]}]}, {"allowed_amount": 83.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1053585380]}]}, {"allowed_amount": 88.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1053585380]}]}, {"allowed_amount": 90.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1770646457, 1538588207]}]}, {"allowed_amount": 95.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1053585380, 1215024971, 1538588207, 1891996047, 1770646457]}]}, {"allowed_amount": 97.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1851826440, 1770646457, 1215024971, 1891996047]}]}, {"allowed_amount": 102.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2085.33, "providers": [{"billed_charge": 4634.06, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 481.0, "npi": [1710179676]}]}, {"allowed_amount": 210.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 481.0, "npi": [1306135777]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 92.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 998.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1508319815]}]}, {"allowed_amount": 125.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1568953065]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 584.0, "npi": [1184112468]}]}, {"allowed_amount": 157.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 584.0, "npi": [1346696663]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "21"], "payments": [{"allowed_amount": 92.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 480.0, "npi": [1235578980]}]}, {"allowed_amount": 157.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 480.0, "npi": [1649764531]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 623.19, "providers": [{"billed_charge": 5496.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 250.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 998.0, "npi": [1639357288]}]}]}, {"tin": {"type": "ein", "value": "751292603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 251.0, "npi": [1376747949]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 135.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 459.0, "npi": [1578505475]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 95.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 102.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "834721282"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 998.0, "npi": [1780658468]}]}]}, {"tin": {"type": "ein", "value": "871439061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1215170790]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 369.0, "npi": [1316990328]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code": "74183", "billing_code_type_version": "2022", "description": "MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 543.0, "npi": [1447559950]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1043.0, "npi": [1942704440, 1801989033, 1720245582]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 147.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1744.0, "npi": [1225069776, 1851569701]}]}, {"allowed_amount": 158.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1744.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.25, "npi": [1851675276]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 142.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 527.0, "npi": [1053383786]}]}, {"allowed_amount": 192.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 527.0, "npi": [1225089428, 1437125077]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 274.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 611.0, "npi": [1396852851, 1730384447, 1336347335]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 136.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1053585380]}]}, {"allowed_amount": 138.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1770646457, 1053585380]}]}, {"allowed_amount": 147.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1770646457, 1215024971, 1053585380, 1104288836]}]}, {"allowed_amount": 148.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1215024971, 1891996047]}]}, {"allowed_amount": 158.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1770646457]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 438.0, "npi": [1417994757]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2558.81, "providers": [{"billed_charge": 5686.25, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 616.0, "npi": [1508245424]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 342.0, "npi": [1568953065]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1285016733]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 232.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1881691616]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 142.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 738.0, "npi": [1649764531, 1235578980, 1477754349, 1962834671]}]}, {"allowed_amount": 242.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 738.0, "npi": [1124293568, 1649764531, 1477754349, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1225533433]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material", "billing_code_type": "CPT", "billing_code": "73721", "billing_code_type_version": "2022", "description": "MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 90.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1124.0, "npi": [1225069776]}]}, {"allowed_amount": 97.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1124.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1770532012]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 87.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1053383786, 1225089428]}]}, {"allowed_amount": 118.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1558450023]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1841675642]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1891996047]}]}, {"allowed_amount": 97.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1215024971, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1710179676]}]}, {"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1306135777, 1457334732]}]}, {"allowed_amount": 198.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1306135777, 1457334732, 1710179676]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 87.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1457349458]}]}, {"allowed_amount": 115.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1528333887]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 87.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 454.0, "npi": [1124293568, 1477754349]}]}, {"allowed_amount": 149.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 454.0, "npi": [1124293568, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 90.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1427019728]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)", "billing_code_type": "CPT", "billing_code": "73221", "billing_code_type_version": "2022", "description": "MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1124.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1007.8, "npi": [1447243878]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 88.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1437125077]}]}, {"allowed_amount": 119.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 85.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1215024971]}]}, {"allowed_amount": 90.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1215024971]}]}, {"allowed_amount": 97.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1538588207, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 88.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 457.0, "npi": [1124293568, 1477754349]}]}, {"allowed_amount": 150.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 457.0, "npi": [1124293568, 1477754349]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)", "billing_code_type": "CPT", "billing_code": "70552", "billing_code_type_version": "2022", "description": "MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 117.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1380.0, "npi": [1225069776]}]}, {"allowed_amount": 152.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1380.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 423.0, "npi": [1053383786, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 111.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1215024971]}]}, {"allowed_amount": 117.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1215024971]}]}, {"allowed_amount": 119.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1215024971]}]}, {"allowed_amount": 126.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1215024971, 1538588207]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 592.0, "npi": [1649764531]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.26, "providers": [{"billed_charge": 1931.8, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "010510040"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1235499948]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 52.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 806.7, "npi": [1225069776, 1821175993]}]}, {"allowed_amount": 84.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 806.7, "npi": [1851569701]}]}, {"allowed_amount": 98.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 806.7, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 105.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 806.7, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 127.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 806.7, "npi": [1851569701]}]}, {"allowed_amount": 161.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 806.7, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1534.06, "providers": [{"billed_charge": 5667.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1568824738]}]}, {"allowed_amount": 102.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1962405852]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 117.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 299.0, "npi": [1245491505]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1619950490]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 420.11, "providers": [{"billed_charge": 2424.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1770087272]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 94.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1386694040, 1225089428, 1265457485]}]}, {"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.8, "providers": [{"billed_charge": 1600.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 745.0, "npi": [1831312099]}]}]}, {"tin": {"type": "ein", "value": "410974675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1174977987]}]}]}, {"tin": {"type": "ein", "value": "415046638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 255.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1760200901]}]}]}, {"tin": {"type": "ein", "value": "431664107"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 860.0, "npi": [1003038746]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1447661285]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2703.83, "providers": [{"billed_charge": 3447.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 105.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 816.0, "npi": [1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 181.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 404.0, "npi": [1306166442, 1174086466, 1306330899, 1487821542]}]}]}, {"tin": {"type": "ein", "value": "460552280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1306833405]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1538588207]}]}, {"allowed_amount": 85.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1053585380]}]}, {"allowed_amount": 90.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1053585380]}]}, {"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1053585380, 1013063908, 1851826440, 1891996047, 1538588207, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 94.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1053585380, 1851826440, 1215024971, 1891996047, 1770646457]}]}, {"allowed_amount": 98.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1053585380, 1013063908, 1851826440, 1891996047, 1700315025, 1235517558, 1770646457]}]}, {"allowed_amount": 99.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1013063908, 1851826440, 1538588207, 1891996047, 1235517558]}]}, {"allowed_amount": 105.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1013063908, 1104288836, 1851826440, 1538588207, 1891996047, 1700315025, 1235517558]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 384.62, "providers": [{"billed_charge": 3245.0, "npi": [1992703540]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1912439159]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2354.57, "providers": [{"billed_charge": 5232.38, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 872.0, "npi": [1386798403]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 488.0, "npi": [1861726952, 1215164348, 1710179676]}]}, {"allowed_amount": 214.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 488.0, "npi": [1306135777, 1497190946, 1932182219, 1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1095.0, "npi": [1437265121, 1992150866]}]}, {"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1095.0, "npi": [1306865639]}]}, {"allowed_amount": 161.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1095.0, "npi": [1285637330]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 411.0, "npi": [1831180124, 1811191661]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 78.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1619064623]}]}, {"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1558822890]}]}, {"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1811151996, 1578704342]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1821228396, 1821592999]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1534.06, "providers": [{"billed_charge": 5667.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 214.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 421.0, "npi": [1699805523]}, {"billed_charge": 449.0, "npi": [1346446911]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 372.46, "npi": [1669482725]}]}, {"allowed_amount": 124.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 372.46, "npi": [1316990328]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1942401682, 1619530854]}]}, {"allowed_amount": 124.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1184678369]}]}, {"allowed_amount": 155.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1679637722]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 178.0, "npi": [1124091913]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 152.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1095.0, "npi": [1114243789]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 94.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 651.0, "npi": [1730485277]}]}, {"allowed_amount": 161.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 651.0, "npi": [1457545956]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 14.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 491.0, "npi": [1649764531]}]}, {"allowed_amount": 94.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 491.0, "npi": [1124293568, 1235578980, 1477754349, 1649764531, 1205815289]}]}, {"allowed_amount": 161.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 491.0, "npi": [1124293568, 1235578980, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650378614"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 365.95, "providers": [{"billed_charge": 2404.0, "npi": [1225011281]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.25, "providers": [{"billed_charge": 3570.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1972588556]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1508394941]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 651.0, "npi": [1891080644]}]}]}, {"tin": {"type": "ein", "value": "853059482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1710932918]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1669477980]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1679005441]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1174797286]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1760638118]}]}]}, {"tin": {"type": "ein", "value": "951644600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7434.56, "providers": [{"billed_charge": 13218.73, "npi": [1639172372]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 116.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 428.0, "npi": [1912042276]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 98.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 404.0, "npi": [1770739260]}]}, {"allowed_amount": 105.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 404.0, "npi": [1922661859, 1770739260, 1154312676]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1275616005]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1306158191]}]}]}]}, {"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": "131740130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.72, "providers": [{"billed_charge": 12189.0, "npi": [1447255153]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 81.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1756.0, "npi": [1538196977]}]}, {"allowed_amount": 152.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1756.0, "npi": [1225069776, 1538196977, 1801899042]}]}, {"allowed_amount": 163.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1756.0, "npi": [1225069776, 1780864033, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 410.6, "npi": [1740495654]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1285925347, 1902339948, 1821073677]}]}]}, {"tin": {"type": "ein", "value": "274495916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1558680611]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 382.0, "npi": [1235335324]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 147.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 545.0, "npi": [1558450023, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 199.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 545.0, "npi": [1386694040, 1225089428, 1053383786, 1093748840]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 312.45, "npi": [1659559334]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2880.41, "providers": [{"billed_charge": 3858.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "383380785"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 469.0, "npi": [1538130224]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 894.0, "npi": [1235668401]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 201.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 574.38, "npi": [1952586554]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 152.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1327.0, "npi": [1407387558, 1134377518]}]}, {"allowed_amount": 163.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1327.0, "npi": [1134377518, 1407387558]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 292.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 649.0, "npi": [1174086466, 1487821542, 1306166442, 1306330899, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 453.0, "npi": [1821148743]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 132.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1053585380]}]}, {"allowed_amount": 141.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1053585380]}]}, {"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1851569701, 1053585380, 1538588207, 1891996047]}]}, {"allowed_amount": 152.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1053585380, 1013063908, 1891996047, 1700315025, 1770646457]}]}, {"allowed_amount": 154.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1851826440, 1770646457, 1538588207, 1891996047]}]}, {"allowed_amount": 163.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1851826440, 1538588207, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 397.0, "npi": [1366492977]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1841.0, "npi": [1235352923]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3513.64, "providers": [{"billed_charge": 7808.09, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 333.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 781.0, "npi": [1497190946, 1588610026]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19", "21"], "payments": [{"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1841.0, "npi": [1720270200]}]}, {"allowed_amount": 199.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1841.0, "npi": [1609220300, 1306865639]}]}, {"allowed_amount": 250.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1841.0, "npi": [1285637330]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 638.0, "npi": [1801185897]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1336566330]}, {"billed_charge": 467.0, "npi": [1013910702]}]}, {"allowed_amount": 147.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1578704342]}]}, {"allowed_amount": 199.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1902243009]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 333.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 673.0, "npi": [1255593984]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 604.82, "npi": [1316990328]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1679637722]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 193.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 587.0, "npi": [1780861286]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 454.03, "providers": [{"billed_charge": 4728.0, "npi": [1033112230]}]}]}, {"tin": {"type": "ein", "value": "620803743"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 301.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1629265632]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 301.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 505.0, "npi": [1831651520]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 147.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1008.0, "npi": [1417410507, 1457545956]}]}, {"allowed_amount": 250.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1008.0, "npi": [1457545956]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 147.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 763.0, "npi": [1124293568, 1649764531, 1477754349, 1740210590]}]}, {"allowed_amount": 250.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 763.0, "npi": [1124293568, 1649764531, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 461.58, "npi": [1679551923]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1144276346]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 141.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 631.0, "npi": [1366646416]}]}, {"allowed_amount": 152.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 631.0, "npi": [1922661859]}]}, {"allowed_amount": 163.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 631.0, "npi": [1770739260, 1366429383]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)", "billing_code_type": "CPT", "billing_code": "73718", "billing_code_type_version": "2022", "description": "MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 89.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1124.0, "npi": [1225069776, 1538196977, 1447250618, 1801899042]}]}, {"allowed_amount": 96.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1124.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1538588207]}]}, {"allowed_amount": 78.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1053585380]}]}, {"allowed_amount": 84.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 89.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 90.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1891996047]}]}, {"allowed_amount": 96.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1770646457, 1013063908, 1538588207, 1891996047]}]}, {"allowed_amount": 116.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 308.0, "npi": [1770901530]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 84.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 446.0, "npi": [1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1017.0, "npi": [1962403188]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 86.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 86.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1811151996, 1023052990]}]}, {"allowed_amount": 196.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1619064623]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1821592999]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "21"], "payments": [{"allowed_amount": 86.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1124293568]}]}, {"allowed_amount": 147.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1124293568, 1235578980]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1427019728]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code": "73720", "billing_code_type_version": "2022", "description": "MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1730.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 514.0, "npi": [1053383786]}]}, {"allowed_amount": 188.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 514.0, "npi": [1225089428]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1457619017]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1053585380]}]}, {"allowed_amount": 143.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1053585380]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 726.0, "npi": [1750739454]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1437654654]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 115.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 708.0, "npi": [1710179676]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 138.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 362.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1710230982]}]}, {"allowed_amount": 188.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 335.0, "npi": [1306263751]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 384.0, "npi": [1508826140]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 946.0, "npi": [1255593885]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 138.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 719.0, "npi": [1124293568, 1689622755]}]}, {"allowed_amount": 236.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 719.0, "npi": [1124293568, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 410.0, "npi": [1669477980]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code": "72197", "billing_code_type_version": "2022", "description": "MRI PELVIS W/O & W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "233049652"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 319.0, "npi": [1710266648]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1664.8, "npi": [1851675276]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1437125077]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 276.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 614.0, "npi": [1326343716, 1336347335, 1952593170, 1396852851, 1659767093, 1730384447]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1053585380]}]}, {"allowed_amount": 138.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 147.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 148.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1891996047]}]}, {"allowed_amount": 158.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2687.77, "providers": [{"billed_charge": 5972.82, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 138.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 743.0, "npi": [1447372131, 1932182219]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 142.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 735.0, "npi": [1124293568, 1649764531, 1477754349, 1962834671]}]}, {"allowed_amount": 242.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 735.0, "npi": [1962834671]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material", "billing_code_type": "CPT", "billing_code": "72141", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1073990008]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 85.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1159.0, "npi": [1851569701]}]}, {"allowed_amount": 98.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1159.0, "npi": [1225069776]}]}, {"allowed_amount": 105.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1159.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1740428978]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1770087272]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 129.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1922088392]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 95.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1053383786]}]}, {"allowed_amount": 129.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1386694040, 1053383786, 1225089428]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1447661285]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2703.83, "providers": [{"billed_charge": 3447.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 130.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.92, "npi": [1770680365]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 98.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 792.0, "npi": [1407387558, 1134377518]}]}, {"allowed_amount": 105.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 792.0, "npi": [1407387558, 1134377518]}]}, {"allowed_amount": 272.08, "providers": [{"billed_charge": 792.0, "npi": [1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 128.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 444.0, "npi": [1487821542]}]}, {"allowed_amount": 199.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 444.0, "npi": [1306166442, 1174086466, 1487821542]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 91.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1053585380]}]}, {"allowed_amount": 92.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1770646457, 1053585380, 1013063908]}]}, {"allowed_amount": 98.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1053585380, 1215024971, 1013063908, 1891996047]}]}, {"allowed_amount": 99.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1013063908, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2391.12, "providers": [{"billed_charge": 5313.6, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 3112.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 532.0, "npi": [1215164348]}]}, {"allowed_amount": 215.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 532.0, "npi": [1215164348]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1871168013]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1437378742, 1093827214]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1497072292]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.94, "providers": [{"billed_charge": 970.62, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610679378"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 106.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1851734412]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 95.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 494.0, "npi": [1124293568, 1649764531, 1235578980, 1477754349]}]}, {"allowed_amount": 105.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 494.0, "npi": [1649764531]}]}, {"allowed_amount": 162.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 494.0, "npi": [1124293568, 1235578980, 1477754349, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 104.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 388.0, "npi": [1790502433]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1750624144]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1609188358]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 623.07, "providers": [{"billed_charge": 3256.0, "npi": [1306883228]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.0, "npi": [1982815296]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 428.0, "npi": [1912042276]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1770739260]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material", "billing_code_type": "CPT", "billing_code": "72148", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["19", "23", "21"], "payments": [{"allowed_amount": 98.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1141.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 106.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1141.0, "npi": [1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 128.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1141.0, "npi": [1851569701]}]}, {"allowed_amount": 162.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1141.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1962405852]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.19, "providers": [{"billed_charge": 4353.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221904530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1376836874]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 946.1, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1497725824]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 129.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1922088392]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 95.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 354.0, "npi": [1225089428, 1053383786, 1265457485, 1437125077]}]}, {"allowed_amount": 129.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 354.0, "npi": [1386694040, 1225089428]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 95.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 592.0, "npi": [1104267525, 1689888422]}]}, {"allowed_amount": 169.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 592.0, "npi": [1235736463]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 98.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 794.0, "npi": [1134377518]}]}, {"allowed_amount": 106.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 794.0, "npi": [1407387558, 1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 186.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 414.0, "npi": [1174086466, 1487821542, 1306166442, 1306330899, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 93.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1770646457, 1053585380, 1013063908, 1538588207]}]}, {"allowed_amount": 98.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1891996047, 1770646457, 1215024971, 1538588207]}]}, {"allowed_amount": 100.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1851826440, 1770646457, 1013063908, 1538588207]}]}, {"allowed_amount": 106.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1891996047, 1215024971, 1235517558, 1538588207]}]}]}, {"tin": {"type": "ein", "value": "550526150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1285841916]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2391.12, "providers": [{"billed_charge": 5313.6, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3298.56, "providers": [{"billed_charge": 2085.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.47, "providers": [{"billed_charge": 2921.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 93.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 495.0, "npi": [1932182219, 1215164348]}]}, {"allowed_amount": 216.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 495.0, "npi": [1306135777, 1932182219]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 162.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1147.0, "npi": [1285637330]}]}, {"allowed_amount": 216.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1147.0, "npi": [1033181839]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 93.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 415.0, "npi": [1073710943]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 79.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1619037025]}]}, {"allowed_amount": 129.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1811151996, 1023052990]}]}, {"allowed_amount": 157.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1649443524]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1534.06, "providers": [{"billed_charge": 5667.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 125.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1093827214]}]}, {"allowed_amount": 146.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1467455394]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "21"], "payments": [{"allowed_amount": 95.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 496.0, "npi": [1124293568, 1477754349, 1962834671, 1649764531, 1649242207]}]}, {"allowed_amount": 162.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 496.0, "npi": [1124293568, 1649764531, 1235578980, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.96, "providers": [{"billed_charge": 2085.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 98.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1770739260]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material", "billing_code_type": "CPT", "billing_code": "72146", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 98.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1159.0, "npi": [1225069776]}]}, {"allowed_amount": 105.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1159.0, "npi": [1225069776, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "201072226"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 55.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 227.0, "npi": [1851384416]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 95.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1053383786, 1225089428]}]}, {"allowed_amount": 129.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1386694040]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 105.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 793.0, "npi": [1134377518]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 444.0, "npi": [1306166442, 1174086466, 1306330899]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 92.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1053585380, 1013063908]}]}, {"allowed_amount": 98.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1215024971, 1053585380]}]}, {"allowed_amount": 99.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1013063908, 1891996047]}]}, {"allowed_amount": 105.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1770646457]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 215.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 532.0, "npi": [1215164348]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1023052990]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 362.12, "npi": [1316990328]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "23", "21"], "payments": [{"allowed_amount": 95.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 494.0, "npi": [1124293568, 1649764531]}]}, {"allowed_amount": 105.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 494.0, "npi": [1649764531]}]}, {"allowed_amount": 162.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 494.0, "npi": [1235578980, 1477754349]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical", "billing_code_type": "CPT", "billing_code": "72156", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1788.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 411.68, "npi": [1740495654]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 547.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 710.0, "npi": [1306166442, 1174086466, 1487821542, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 453.0, "npi": [1265432215]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 141.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1053585380]}]}, {"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1538588207]}]}, {"allowed_amount": 152.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1891996047]}]}, {"allowed_amount": 154.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1750678710]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1699298950]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1330.21, "providers": [{"billed_charge": 5206.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 150.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1813.0, "npi": [1225053036]}]}, {"allowed_amount": 160.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1813.0, "npi": [1962480152]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1401.0, "npi": [1386798403]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 251.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1813.0, "npi": [1285637330]}]}, {"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1813.0, "npi": [1033181839]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 640.0, "npi": [1801185897]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1033307137]}]}, {"allowed_amount": 200.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1306263751]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 340.0, "npi": [1851404107]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 455.44, "providers": [{"billed_charge": 4728.0, "npi": [1033112230]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1008.0, "npi": [1457545956]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1124293568, 1649764531, 1477754349]}]}, {"allowed_amount": 251.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1649764531]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1156.0, "npi": [1740206556]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1714.23, "providers": [{"billed_charge": 3873.0, "npi": [1649726738]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar", "billing_code_type": "CPT", "billing_code": "72158", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 152.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1761.0, "npi": [1225069776, 1265428908]}]}, {"allowed_amount": 164.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1761.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 714.0, "npi": [1740485796]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 547.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 916.0, "npi": [1275096760]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 296.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 659.0, "npi": [1306166442, 1174086466]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 453.0, "npi": [1265432215]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1891996047, 1215024971, 1538588207]}]}, {"allowed_amount": 152.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1891996047, 1619497567, 1538588207]}]}, {"allowed_amount": 154.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1215024971, 1891996047]}]}, {"allowed_amount": 164.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1215024971]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1821012253]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1376500512]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 397.0, "npi": [1699298950]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1292.0, "npi": [1386798403]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 789.0, "npi": [1932182219, 1780846204]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1571.0, "npi": [1992150866]}]}, {"allowed_amount": 251.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1571.0, "npi": [1285637330]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1851404107]}]}, {"allowed_amount": 195.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1851404107]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 586.0, "npi": [1225069800]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1184637688]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 455.9, "providers": [{"billed_charge": 4728.0, "npi": [1033112230]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "23", "21"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1124293568, 1649764531, 1477754349]}]}, {"allowed_amount": 251.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1649764531, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 730.0, "npi": [1982643060]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 633.0, "npi": [1770739260]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic", "billing_code_type": "CPT", "billing_code": "72157", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1788.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 175.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 411.68, "npi": [1548231541]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 547.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 916.0, "npi": [1275096760]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 319.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 710.0, "npi": [1306166442, 1174086466, 1487821542, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 453.0, "npi": [1265432215]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 141.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1053585380]}]}, {"allowed_amount": 143.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1538588207]}]}, {"allowed_amount": 152.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1619497567]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1821012253]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 494.0, "npi": [1376500512]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 431.0, "npi": [1699298950]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3865.37, "providers": [{"billed_charge": 8589.72, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1401.0, "npi": [1386798403]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 854.0, "npi": [1932182219, 1780846204]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 186.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1649.0, "npi": [1205498896]}]}, {"allowed_amount": 251.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1649.0, "npi": [1285637330]}]}, {"allowed_amount": 334.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1649.0, "npi": [1033181839]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1306263751]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 340.0, "npi": [1851404107]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.38, "providers": [{"billed_charge": 4728.0, "npi": [1033112230]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 916.0, "npi": [1457545956]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 147.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1124293568, 1477754349]}]}, {"allowed_amount": 251.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 766.0, "npi": [1649764531]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 769.0, "npi": [1982643060]}]}]}]}, {"name": "Magnetic resonance angiography, head; without contrast material(s)", "billing_code_type": "CPT", "billing_code": "70544", "billing_code_type_version": "2022", "description": "MRA HEAD W/O CONTRST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 79.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1100.0, "npi": [1801899042, 1851569701, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 85.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1100.0, "npi": [1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 103.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1100.0, "npi": [1851569701]}]}, {"allowed_amount": 131.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1100.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1568824738]}]}]}, {"tin": {"type": "ein", "value": "363261413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1884.43, "providers": [{"billed_charge": 690.5, "npi": [1760446256]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1306166442]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1821148743]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 75.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1053585380, 1538588207, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 77.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1215024971]}]}, {"allowed_amount": 80.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1851826440, 1770646457, 1013063908]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1679637722]}]}, {"allowed_amount": 126.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1679637722]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1568924975]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "21"], "payments": [{"allowed_amount": 77.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1124293568, 1205815289]}]}, {"allowed_amount": 131.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1649764531]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1366646416]}]}]}]}, {"name": "Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral", "billing_code_type": "CPT", "billing_code": "77049", "billing_code_type_version": "2022", "description": "MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "133375559"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 203.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 640.0, "npi": [1790711679]}]}]}, {"tin": {"type": "ein", "value": "205589716"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 519.83, "providers": [{"billed_charge": 1094.73, "npi": [1205063039]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 200.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 549.0, "npi": [1225089428, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 148.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 164.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 252.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1083693352, 1477754349]}]}]}]}, {"name": "Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen", "billing_code_type": "CPT", "billing_code": "83789", "billing_code_type_version": "2022", "description": "MASS SPECT&TANDEM MASS SPECT NONDRG ANAL NES EA", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.11, "providers": [{"billed_charge": 24.11, "npi": [1518983642]}]}]}]}, {"name": "Mastectomy, simple, complete", "billing_code_type": "CPT", "billing_code": "19303", "billing_code_type_version": "2022", "description": "MASTECTOMY SIMPLE COMPLETE", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.74, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3777.0, "npi": [1588723373]}]}, {"allowed_amount": 194.39, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3777.0, "npi": [1467622258, 1588723373]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 125.41, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 3392.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 78.62, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1313.0, "npi": [1629696786]}]}, {"allowed_amount": 173.74, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1313.0, "npi": [1821704552]}]}, {"allowed_amount": 194.39, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1313.0, "npi": [1629696786]}]}, {"allowed_amount": 260.61, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1313.0, "npi": [1821704552, 1366254575]}]}, {"allowed_amount": 291.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1313.0, "npi": [1821704552, 1215698196]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1187.0, "npi": [1184338238]}]}, {"allowed_amount": 109.35, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1187.0, "npi": [1922458355]}]}, {"allowed_amount": 123.93, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1187.0, "npi": [1992755714]}]}, {"allowed_amount": 194.39, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1187.0, "npi": [1659650620, 1609343821]}]}, {"allowed_amount": 208.28, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1187.0, "npi": [1184338238]}]}, {"allowed_amount": 213.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1187.0, "npi": [1083426530, 1760862510]}]}]}]}, {"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": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2402.0, "providers": [{"billed_charge": 11423.02, "npi": [1285641514]}]}]}, {"tin": {"type": "ein", "value": "204865588"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 947.0, "providers": [{"billed_charge": 2200.0, "npi": [1942471065]}, {"billed_charge": 2205.01, "npi": [1942471065]}, {"billed_charge": 2230.96, "npi": [1942471065]}]}]}, {"tin": {"type": "ein", "value": "205048087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1002.0, "providers": [{"billed_charge": 2034.51, "npi": [1013188937]}]}]}, {"tin": {"type": "ein", "value": "260673397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 855.0, "providers": [{"billed_charge": 3700.0, "npi": [1588850945]}]}, {"allowed_amount": 962.0, "providers": [{"billed_charge": 3700.0, "npi": [1588850945]}]}, {"allowed_amount": 1710.0, "providers": [{"billed_charge": 7400.0, "npi": [1588850945]}]}, {"allowed_amount": 2565.0, "providers": [{"billed_charge": 11100.0, "npi": [1588850945]}]}, {"allowed_amount": 3420.0, "providers": [{"billed_charge": 14800.0, "npi": [1588850945]}]}, {"allowed_amount": 4275.0, "providers": [{"billed_charge": 18500.0, "npi": [1588850945]}]}, {"allowed_amount": 4810.0, "providers": [{"billed_charge": 18500.0, "npi": [1588850945]}]}, {"allowed_amount": 5130.0, "providers": [{"billed_charge": 22200.0, "npi": [1588850945]}]}, {"allowed_amount": 6840.0, "providers": [{"billed_charge": 29600.0, "npi": [1588850945]}]}, {"allowed_amount": 7695.0, "providers": [{"billed_charge": 33300.0, "npi": [1588850945]}]}, {"allowed_amount": 8550.0, "providers": [{"billed_charge": 37000.0, "npi": [1588850945]}]}]}, {"tin": {"type": "ein", "value": "261938381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 910.0, "providers": [{"billed_charge": 2400.0, "npi": [1811336902]}, {"billed_charge": 2403.13, "npi": [1811336902]}, {"billed_charge": 2406.57, "npi": [1811336902]}, {"billed_charge": 4816.0, "npi": [1811336902]}]}, {"allowed_amount": 1248.0, "providers": [{"billed_charge": 2401.36, "npi": [1811336902]}]}]}, {"tin": {"type": "ein", "value": "451343206"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 928.5, "providers": [{"billed_charge": 2400.59, "npi": [1528357357]}]}]}, {"tin": {"type": "ein", "value": "454953696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 938.08, "providers": [{"billed_charge": 2025.0, "npi": [1871934877]}]}]}, {"tin": {"type": "ein", "value": "464661337"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2904.0, "providers": [{"billed_charge": 5188.97, "npi": [1578988572]}]}]}, {"tin": {"type": "ein", "value": "580968382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 918.88, "providers": [{"billed_charge": 18293.89, "npi": [1467420448]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.15, "providers": [{"billed_charge": 13984.42, "npi": [1457396079]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.64, "providers": [{"billed_charge": 8119.33, "npi": [1902857386]}]}, {"allowed_amount": 702.0, "providers": [{"billed_charge": 2602.6, "npi": [1902857386]}, {"billed_charge": 7872.08, "npi": [1902857386]}, {"billed_charge": 8095.76, "npi": [1912964768]}, {"billed_charge": 8194.33, "npi": [1902857386]}, {"billed_charge": 8300.41, "npi": [1912964768]}, {"billed_charge": 8406.2, "npi": [1912964768]}, {"billed_charge": 8436.93, "npi": [1902857386]}, {"billed_charge": 8452.63, "npi": [1902857386]}, {"billed_charge": 9695.32, "npi": [1912964768]}, {"billed_charge": 10677.55, "npi": [1902857386]}, {"billed_charge": 12119.33, "npi": [1902857386]}]}, {"allowed_amount": 1093.92, "providers": [{"billed_charge": 8005.07, "npi": [1902857386]}, {"billed_charge": 8328.87, "npi": [1902857386]}, {"billed_charge": 8412.85, "npi": [1902857386]}, {"billed_charge": 8544.31, "npi": [1902857386]}, {"billed_charge": 8593.34, "npi": [1902857386]}, {"billed_charge": 8596.8, "npi": [1902857386]}, {"billed_charge": 8623.2, "npi": [1902857386]}, {"billed_charge": 8791.01, "npi": [1902857386]}, {"billed_charge": 9153.75, "npi": [1902857386]}, {"billed_charge": 11339.91, "npi": [1902857386]}, {"billed_charge": 11800.8, "npi": [1902857386]}, {"billed_charge": 15309.99, "npi": [1902857386]}, {"billed_charge": 18363.89, "npi": [1902857386]}]}, {"allowed_amount": 1404.0, "providers": [{"billed_charge": 11547.09, "npi": [1912964768]}]}, {"allowed_amount": 1795.92, "providers": [{"billed_charge": 9945.24, "npi": [1912964768]}, {"billed_charge": 10669.17, "npi": [1902857386]}, {"billed_charge": 10693.84, "npi": [1902857386]}, {"billed_charge": 10700.03, "npi": [1902857386]}, {"billed_charge": 11662.23, "npi": [1902857386]}, {"billed_charge": 12310.04, "npi": [1912964768]}, {"billed_charge": 14073.06, "npi": [1902857386]}, {"billed_charge": 15034.2, "npi": [1902857386]}, {"billed_charge": 22190.63, "npi": [1902857386]}]}, {"allowed_amount": 2497.92, "providers": [{"billed_charge": 13838.74, "npi": [1902857386]}, {"billed_charge": 13859.95, "npi": [1912964768]}]}, {"allowed_amount": 4360.77, "providers": [{"billed_charge": 9690.58, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.96, "providers": [{"billed_charge": 10732.98, "npi": [1871540237]}]}, {"allowed_amount": 868.0, "providers": [{"billed_charge": 5307.02, "npi": [1871540237]}, {"billed_charge": 5369.27, "npi": [1871540237]}, {"billed_charge": 5658.68, "npi": [1871540237]}, {"billed_charge": 6483.74, "npi": [1871540237]}, {"billed_charge": 10379.2, "npi": [1871540237]}, {"billed_charge": 10597.6, "npi": [1871540237]}, {"billed_charge": 10877.33, "npi": [1871540237]}, {"billed_charge": 10907.14, "npi": [1871540237]}, {"billed_charge": 11188.75, "npi": [1871540237]}, {"billed_charge": 11335.95, "npi": [1871540237]}, {"billed_charge": 11745.2, "npi": [1871540237]}, {"billed_charge": 15202.0, "npi": [1871540237]}, {"billed_charge": 24724.6, "npi": [1871540237]}]}, {"allowed_amount": 1093.92, "providers": [{"billed_charge": 5966.36, "npi": [1871540237]}, {"billed_charge": 7929.75, "npi": [1871540237]}, {"billed_charge": 10345.73, "npi": [1871540237]}, {"billed_charge": 10355.61, "npi": [1871540237]}, {"billed_charge": 10584.08, "npi": [1871540237]}, {"billed_charge": 10735.27, "npi": [1871540237]}, {"billed_charge": 10763.05, "npi": [1871540237]}, {"billed_charge": 10957.56, "npi": [1871540237]}, {"billed_charge": 12301.9, "npi": [1871540237]}, {"billed_charge": 16054.12, "npi": [1871540237]}]}, {"allowed_amount": 1736.0, "providers": [{"billed_charge": 15897.34, "npi": [1871540237]}, {"billed_charge": 17182.61, "npi": [1871540237]}]}, {"allowed_amount": 1961.92, "providers": [{"billed_charge": 15639.35, "npi": [1871540237]}]}, {"allowed_amount": 3055.84, "providers": [{"billed_charge": 21029.51, "npi": [1871540237]}]}, {"allowed_amount": 3301.71, "providers": [{"billed_charge": 5902.69, "npi": [1871540237]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1046.33, "providers": [{"billed_charge": 7177.95, "npi": [1518674035]}]}, {"allowed_amount": 1158.0, "providers": [{"billed_charge": 7169.04, "npi": [1518674035]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1639.0, "providers": [{"billed_charge": 11626.2, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592301233"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.0, "providers": [{"billed_charge": 1870.0, "npi": [1821033903]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1350.0, "providers": [{"billed_charge": 8703.75, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.48, "providers": [{"billed_charge": 5980.63, "npi": [1568490506]}]}, {"allowed_amount": 546.96, "providers": [{"billed_charge": 6223.01, "npi": [1568490506]}]}, {"allowed_amount": 1093.92, "providers": [{"billed_charge": 5980.58, "npi": [1568490506]}, {"billed_charge": 6095.05, "npi": [1568490506]}, {"billed_charge": 6239.52, "npi": [1578761995]}]}, {"allowed_amount": 1258.46, "providers": [{"billed_charge": 7042.3, "npi": [1285662239]}]}, {"allowed_amount": 1378.0, "providers": [{"billed_charge": 2628.46, "npi": [1568490506]}, {"billed_charge": 2671.83, "npi": [1265460232]}, {"billed_charge": 2739.37, "npi": [1568490506]}, {"billed_charge": 3125.82, "npi": [1285662239]}, {"billed_charge": 3286.12, "npi": [1285662239]}, {"billed_charge": 3297.31, "npi": [1265460232]}, {"billed_charge": 5848.95, "npi": [1265460232]}, {"billed_charge": 5999.92, "npi": [1568490506]}, {"billed_charge": 6184.23, "npi": [1568490506]}, {"billed_charge": 6212.85, "npi": [1568490506]}, {"billed_charge": 6226.73, "npi": [1285662239]}, {"billed_charge": 6347.87, "npi": [1285662239]}, {"billed_charge": 6384.43, "npi": [1285662239]}, {"billed_charge": 6429.2, "npi": [1265460232]}, {"billed_charge": 6753.53, "npi": [1568490506]}, {"billed_charge": 6966.56, "npi": [1285662239]}, {"billed_charge": 7732.45, "npi": [1568490506]}, {"billed_charge": 11210.31, "npi": [1285662239]}]}, {"allowed_amount": 2471.92, "providers": [{"billed_charge": 11135.35, "npi": [1568490506]}]}, {"allowed_amount": 2494.9, "providers": [{"billed_charge": 5130.46, "npi": [1265460232]}]}, {"allowed_amount": 2625.45, "providers": [{"billed_charge": 5035.87, "npi": [1568490506]}]}, {"allowed_amount": 2756.0, "providers": [{"billed_charge": 5021.03, "npi": [1265460232]}, {"billed_charge": 8410.87, "npi": [1568490506]}, {"billed_charge": 11003.97, "npi": [1568490506]}]}]}, {"tin": {"type": "ein", "value": "621692189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4303.78, "providers": [{"billed_charge": 15294.48, "npi": [1518037233]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3122.0, "providers": [{"billed_charge": 7224.52, "npi": [1124443478]}]}]}, {"tin": {"type": "ein", "value": "650729921"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 625.0, "providers": [{"billed_charge": 9805.52, "npi": [1952311243]}]}, {"allowed_amount": 1093.92, "providers": [{"billed_charge": 5976.86, "npi": [1952311243]}, {"billed_charge": 7640.2, "npi": [1952311243]}, {"billed_charge": 7976.0, "npi": [1952311243]}, {"billed_charge": 8131.75, "npi": [1952311243]}, {"billed_charge": 9532.69, "npi": [1952311243]}, {"billed_charge": 9676.11, "npi": [1952311243]}, {"billed_charge": 9718.38, "npi": [1952311243]}, {"billed_charge": 9725.51, "npi": [1952311243]}, {"billed_charge": 9753.89, "npi": [1952311243]}, {"billed_charge": 9763.11, "npi": [1952311243]}, {"billed_charge": 9788.5, "npi": [1952311243]}, {"billed_charge": 9944.43, "npi": [1952311243]}, {"billed_charge": 10031.59, "npi": [1952311243]}, {"billed_charge": 10322.82, "npi": [1952311243]}, {"billed_charge": 10851.74, "npi": [1952311243]}, {"billed_charge": 10857.56, "npi": [1952311243]}, {"billed_charge": 11797.65, "npi": [1952311243]}, {"billed_charge": 12241.87, "npi": [1952311243]}, {"billed_charge": 13166.58, "npi": [1952311243]}, {"billed_charge": 14940.2, "npi": [1952311243]}, {"billed_charge": 15256.07, "npi": [1952311243]}, {"billed_charge": 15346.92, "npi": [1952311243]}, {"billed_charge": 15426.74, "npi": [1952311243]}, {"billed_charge": 15785.12, "npi": [1952311243]}, {"billed_charge": 16021.48, "npi": [1952311243]}, {"billed_charge": 16228.07, "npi": [1952311243]}, {"billed_charge": 16735.77, "npi": [1952311243]}]}, {"allowed_amount": 1250.0, "providers": [{"billed_charge": 5536.0, "npi": [1952311243]}, {"billed_charge": 5557.53, "npi": [1952311243]}, {"billed_charge": 5561.0, "npi": [1952311243]}, {"billed_charge": 5622.0, "npi": [1952311243]}, {"billed_charge": 5694.0, "npi": [1952311243]}, {"billed_charge": 5961.18, "npi": [1952311243]}, {"billed_charge": 6073.0, "npi": [1952311243]}, {"billed_charge": 6095.5, "npi": [1952311243]}, {"billed_charge": 6114.98, "npi": [1952311243]}, {"billed_charge": 6127.86, "npi": [1952311243]}, {"billed_charge": 6272.3, "npi": [1952311243]}, {"billed_charge": 6344.98, "npi": [1952311243]}, {"billed_charge": 6656.64, "npi": [1952311243]}, {"billed_charge": 7691.0, "npi": [1952311243]}, {"billed_charge": 8128.55, "npi": [1952311243]}, {"billed_charge": 8304.88, "npi": [1952311243]}, {"billed_charge": 9182.94, "npi": [1952311243]}, {"billed_charge": 9559.19, "npi": [1952311243]}, {"billed_charge": 9725.5, "npi": [1952311243]}, {"billed_charge": 9788.27, "npi": [1952311243]}, {"billed_charge": 9860.91, "npi": [1952311243]}, {"billed_charge": 10010.19, "npi": [1952311243]}, {"billed_charge": 10061.69, "npi": [1952311243]}, {"billed_charge": 10109.0, "npi": [1952311243]}, {"billed_charge": 10338.37, "npi": [1952311243]}, {"billed_charge": 10517.2, "npi": [1952311243]}, {"billed_charge": 11062.13, "npi": [1952311243]}, {"billed_charge": 11503.18, "npi": [1952311243]}, {"billed_charge": 11536.79, "npi": [1952311243]}, {"billed_charge": 11917.0, "npi": [1952311243]}, {"billed_charge": 12152.43, "npi": [1952311243]}, {"billed_charge": 12874.05, "npi": [1952311243]}, {"billed_charge": 15218.09, "npi": [1952311243]}, {"billed_charge": 15546.9, "npi": [1952311243]}, {"billed_charge": 18660.25, "npi": [1952311243]}, {"billed_charge": 19156.94, "npi": [1952311243]}]}, {"allowed_amount": 2187.84, "providers": [{"billed_charge": 14565.04, "npi": [1952311243]}, {"billed_charge": 15385.5, "npi": [1952311243]}, {"billed_charge": 26430.38, "npi": [1952311243]}]}, {"allowed_amount": 2343.92, "providers": [{"billed_charge": 11857.32, "npi": [1952311243]}, {"billed_charge": 11870.74, "npi": [1952311243]}, {"billed_charge": 20143.61, "npi": [1952311243]}]}, {"allowed_amount": 2500.0, "providers": [{"billed_charge": 14827.76, "npi": [1952311243]}]}, {"allowed_amount": 2878.72, "providers": [{"billed_charge": 6209.22, "npi": [1952311243]}]}, {"allowed_amount": 3243.16, "providers": [{"billed_charge": 8586.0, "npi": [1952311243]}]}, {"allowed_amount": 3437.84, "providers": [{"billed_charge": 15693.93, "npi": [1952311243]}]}, {"allowed_amount": 4128.72, "providers": [{"billed_charge": 15420.8, "npi": [1952311243]}]}]}, {"tin": {"type": "ein", "value": "834686429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1050.0, "providers": [{"billed_charge": 2200.0, "npi": [1285094813]}]}]}, {"tin": {"type": "ein", "value": "880599082"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1094.96, "providers": [{"billed_charge": 2558.12, "npi": [1063258598]}]}]}, {"tin": {"type": "ein", "value": "921331902"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1293.48, "providers": [{"billed_charge": 3212.97, "npi": [1316775372]}]}, {"allowed_amount": 1451.0, "providers": [{"billed_charge": 3212.97, "npi": [1316775372]}]}]}, {"tin": {"type": "ein", "value": "932646788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 980.0, "providers": [{"billed_charge": 1880.45, "npi": [1760230759]}]}]}]}, {"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; each additional 15 minutes intraservice time (List separately in addition to code for primary service)", "billing_code_type": "CPT", "billing_code": "99153", "billing_code_type_version": "2022", "description": "MOD SED SAME PHYS/QHP EACH ADDL 15 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.33, "providers": [{"billed_charge": 50.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "204435929"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 16.31, "providers": [{"billed_charge": 34.0, "npi": [1174513709]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 40.0, "npi": [1700235405, 1245460526, 1528350543, 1558337329, 1851753917, 1972761567]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.31, "providers": [{"billed_charge": 107.0, "npi": [1558757880, 1912249962]}]}]}, {"tin": {"type": "ein", "value": "452655766"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.33, "providers": [{"billed_charge": 29.2, "npi": [1669708509]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.22, "providers": [{"billed_charge": 50.0, "npi": [1508210832]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.27, "providers": [{"billed_charge": 436.16, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.23, "providers": [{"billed_charge": 16.0, "npi": [1427580331, 1023570827]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.32, "providers": [{"billed_charge": 62.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.31, "providers": [{"billed_charge": 36.0, "npi": [1588084073]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 290.92, "providers": [{"billed_charge": 31.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.22, "providers": [{"billed_charge": 77.0, "npi": [1790634343]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.31, "providers": [{"billed_charge": 94.0, "npi": [1962834671]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.31, "providers": [{"billed_charge": 23.0, "npi": [1427554856]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 60.0, "npi": [1023436235, 1861734253, 1417274481, 1619214707, 1225527898]}]}]}]}, {"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": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.09, "providers": [{"billed_charge": 60.0, "npi": [1285652016]}]}, {"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.39, "providers": [{"billed_charge": 320.0, "npi": [1942323944]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.0, "providers": [{"billed_charge": 39.0, "npi": [1215425319]}]}]}, {"tin": {"type": "ein", "value": "204435929"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 18.72, "providers": [{"billed_charge": 30.0, "npi": [1174513709]}]}, {"allowed_amount": 27.26, "providers": [{"billed_charge": 30.0, "npi": [1205891140]}]}, {"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1174513709]}]}]}, {"tin": {"type": "ein", "value": "204595671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.12, "providers": [{"billed_charge": 49.25, "npi": [1093244964]}]}, {"allowed_amount": 49.25, "providers": [{"billed_charge": 49.25, "npi": [1093244964]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 65.99, "providers": [{"billed_charge": 134.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.09, "providers": [{"billed_charge": 77.0, "npi": [1073856241]}]}, {"allowed_amount": 34.45, "providers": [{"billed_charge": 41.0, "npi": [1508044686]}, {"billed_charge": 77.0, "npi": [1881058170]}]}, {"allowed_amount": 68.36, "providers": [{"billed_charge": 77.0, "npi": [1437460409, 1275794885]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.5, "providers": [{"billed_charge": 30.0, "npi": [1700235405, 1245460526, 1528350543, 1558337329, 1851753917, 1972761567]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.61, "providers": [{"billed_charge": 105.0, "npi": [1710062732]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.04, "providers": [{"billed_charge": 34.0, "npi": [1083844278]}]}, {"allowed_amount": 34.0, "providers": [{"billed_charge": 34.0, "npi": [1083844278]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.3, "providers": [{"billed_charge": 103.0, "npi": [1639810377]}]}, {"allowed_amount": 65.99, "providers": [{"billed_charge": 103.0, "npi": [1558757880, 1912249962]}]}]}, {"tin": {"type": "ein", "value": "272182082"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.67, "providers": [{"billed_charge": 21.0, "npi": [1427491364]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.99, "providers": [{"billed_charge": 104.0, "npi": [1235591215]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.21, "providers": [{"billed_charge": 29.0, "npi": [1083666366]}]}, {"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1033141692, 1669696407]}]}]}, {"tin": {"type": "ein", "value": "381973203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.86, "providers": [{"billed_charge": 34.0, "npi": [1194788943]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.75, "providers": [{"billed_charge": 105.0, "npi": [1750743183]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.04, "providers": [{"billed_charge": 100.0, "npi": [1982609467]}]}]}, {"tin": {"type": "ein", "value": "452655766"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 68.36, "providers": [{"billed_charge": 135.63, "npi": [1669708509]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1811903222]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.0, "providers": [{"billed_charge": 52.0, "npi": [1508210832]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.61, "providers": [{"billed_charge": 100.0, "npi": [1871600783]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.67, "providers": [{"billed_charge": 24.0, "npi": [1679969851]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.78, "providers": [{"billed_charge": 278.0, "npi": [1609215771]}]}, {"allowed_amount": 68.36, "providers": [{"billed_charge": 278.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "474347649"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 62.61, "providers": [{"billed_charge": 150.0, "npi": [1598968901]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.87, "providers": [{"billed_charge": 68.0, "npi": [1528251428]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.93, "providers": [{"billed_charge": 564.28, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.84, "providers": [{"billed_charge": 110.0, "npi": [1487064283]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.0, "providers": [{"billed_charge": 52.0, "npi": [1952510729]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 35.95, "providers": [{"billed_charge": 51.0, "npi": [1982832572, 1023570827, 1417158452, 1427580331]}]}, {"allowed_amount": 51.0, "providers": [{"billed_charge": 51.0, "npi": [1023570827, 1982832572, 1427580331]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.61, "providers": [{"billed_charge": 194.0, "npi": [1346714128]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.46, "providers": [{"billed_charge": 69.0, "npi": [1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.26, "providers": [{"billed_charge": 70.0, "npi": [1497929954]}]}, {"allowed_amount": 65.99, "providers": [{"billed_charge": 70.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.69, "providers": [{"billed_charge": 41.0, "npi": [1588084073]}]}, {"allowed_amount": 41.0, "providers": [{"billed_charge": 41.0, "npi": [1588084073]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.46, "providers": [{"billed_charge": 38.0, "npi": [1023468709]}]}, {"allowed_amount": 20.95, "providers": [{"billed_charge": 38.0, "npi": [1811903867]}]}, {"allowed_amount": 23.47, "providers": [{"billed_charge": 38.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.44, "providers": [{"billed_charge": 92.0, "npi": [1386090702]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.75, "providers": [{"billed_charge": 77.94, "npi": [1497288369]}]}, {"allowed_amount": 62.61, "providers": [{"billed_charge": 77.94, "npi": [1912224593]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.21, "providers": [{"billed_charge": 152.0, "npi": [1568283232]}]}, {"allowed_amount": 62.61, "providers": [{"billed_charge": 308.0, "npi": [1790634343]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.75, "providers": [{"billed_charge": 93.22, "npi": [1760794192, 1669534897]}]}, {"allowed_amount": 26.91, "providers": [{"billed_charge": 93.22, "npi": [1740642040]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.04, "providers": [{"billed_charge": 25.0, "npi": [1326011545]}]}, {"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1326011545]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.75, "providers": [{"billed_charge": 29.0, "npi": [1427094168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.21, "providers": [{"billed_charge": 147.0, "npi": [1720423601, 1629292875, 1194771188]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.95, "providers": [{"billed_charge": 477.0, "npi": [1124383237]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.09, "providers": [{"billed_charge": 210.0, "npi": [1376572933]}]}]}, {"tin": {"type": "ein", "value": "630889615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.82, "providers": [{"billed_charge": 42.0, "npi": [1922469147]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.26, "providers": [{"billed_charge": 110.0, "npi": [1578817219, 1053376822]}]}, {"allowed_amount": 65.99, "providers": [{"billed_charge": 110.0, "npi": [1598725954]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.26, "providers": [{"billed_charge": 83.0, "npi": [1205815289, 1780662700, 1962834671]}]}, {"allowed_amount": 65.99, "providers": [{"billed_charge": 83.0, "npi": [1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.52, "providers": [{"billed_charge": 136.0, "npi": [1194083881]}, {"billed_charge": 140.0, "npi": [1336725225]}]}, {"allowed_amount": 59.96, "providers": [{"billed_charge": 147.0, "npi": [1326579566]}, {"billed_charge": 149.0, "npi": [1902866494]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.52, "providers": [{"billed_charge": 138.0, "npi": [1679742027]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.0, "providers": [{"billed_charge": 26.0, "npi": [1427554856]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.2, "providers": [{"billed_charge": 136.0, "npi": [1801594809]}]}, {"allowed_amount": 55.52, "providers": [{"billed_charge": 136.0, "npi": [1811510282, 1619910973, 1326074790]}, {"billed_charge": 139.0, "npi": [1891073524, 1417930678]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.73, "providers": [{"billed_charge": 166.0, "npi": [1457598088]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 75.0, "npi": [1669596201]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.09, "providers": [{"billed_charge": 43.0, "npi": [1972684298]}]}]}, {"tin": {"type": "ein", "value": "812758498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.78, "providers": [{"billed_charge": 135.0, "npi": [1093815508]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.45, "providers": [{"billed_charge": 65.0, "npi": [1386385862]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.45, "providers": [{"billed_charge": 233.0, "npi": [1821733312]}]}]}, {"tin": {"type": "ein", "value": "860593131"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.91, "providers": [{"billed_charge": 105.0, "npi": [1669113429]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 80.0, "npi": [1023436235, 1861734253, 1417274481, 1619214707, 1225527898]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.99, "providers": [{"billed_charge": 132.0, "npi": [1417999285]}]}]}, {"tin": {"type": "ein", "value": "920902509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 79.19, "npi": [1255747507]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.61, "providers": [{"billed_charge": 72.0, "npi": [1730542549]}]}, {"allowed_amount": 68.36, "providers": [{"billed_charge": 72.0, "npi": [1295319440, 1881825461, 1457092710]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.47, "providers": [{"billed_charge": 95.0, "npi": [1003076183]}]}]}, {"tin": {"type": "ein", "value": "954558726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.35, "providers": [{"billed_charge": 292.0, "npi": [1306188727]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.79, "providers": [{"billed_charge": 1418.98, "npi": [1194258350]}]}]}, {"tin": {"type": "ein", "value": "994174677"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.69, "providers": [{"billed_charge": 3200.0, "npi": [1831154301]}]}]}]}, {"name": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure", "billing_code_type": "CPT", "billing_code": "88377", "billing_code_type_version": "2022", "description": "M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 61.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1477966984]}]}, {"allowed_amount": 113.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1477966984]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 53.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1134107857]}]}, {"allowed_amount": 89.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1134107857]}]}, {"allowed_amount": 89.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1134107857]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 389.57, "providers": [{"billed_charge": 552.0, "npi": [1356313548]}]}, {"allowed_amount": 552.0, "providers": [{"billed_charge": 552.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "474903308"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 400.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 400.0, "npi": [1003863580]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1386616779]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 25.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 35.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 48.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 50.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 50.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1396408829]}]}, {"allowed_amount": 61.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1396408829, 1073549663]}]}, {"allowed_amount": 75.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 105.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1740240753]}]}, {"allowed_amount": 105.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 136.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 149.24, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 164.16, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 170.32, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 182.4, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 234.51, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 243.48, "providers": [{"billed_charge": 1126.0, "npi": [1396408829]}]}, {"allowed_amount": 263.58, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1003245317]}]}, {"allowed_amount": 272.5, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 272.51, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 323.34, "providers": [{"billed_charge": 1126.0, "npi": [1396408829]}]}, {"allowed_amount": 328.32, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 603.73, "providers": [{"billed_charge": 1126.0, "npi": [1447437355]}]}, {"allowed_amount": 618.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1447437355]}]}, {"allowed_amount": 724.48, "providers": [{"billed_charge": 1126.0, "npi": [1447437355]}]}, {"allowed_amount": 918.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1256.46, "npi": [1487657573]}]}, {"allowed_amount": 61.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1256.46, "npi": [1487657573]}]}, {"allowed_amount": 216.43, "providers": [{"billed_charge": 1256.46, "npi": [1487657573]}]}, {"allowed_amount": 230.96, "providers": [{"billed_charge": 1256.46, "npi": [1487657573]}]}, {"allowed_amount": 278.26, "providers": [{"billed_charge": 1256.46, "npi": [1487657573]}]}, {"allowed_amount": 323.34, "providers": [{"billed_charge": 1256.46, "npi": [1487657573]}]}, {"allowed_amount": 389.57, "providers": [{"billed_charge": 1256.46, "npi": [1487657573]}]}]}]}, {"name": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure", "billing_code_type": "CPT", "billing_code": "88374", "billing_code_type_version": "2022", "description": "M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 24.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1477966984]}]}, {"allowed_amount": 46.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1750664132]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 10.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 14.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 18.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 20.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 21.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1205063294]}]}, {"allowed_amount": 28.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 31.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 32.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1003245317]}]}, {"allowed_amount": 33.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1073549663]}]}, {"allowed_amount": 33.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1740240753]}]}, {"allowed_amount": 34.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 37.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 39.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1073549663]}]}, {"allowed_amount": 44.79, "providers": [{"billed_charge": 1126.0, "npi": [1396408829]}]}, {"allowed_amount": 67.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1740240753]}]}, {"allowed_amount": 68.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1447437355]}]}, {"allowed_amount": 79.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 86.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 95.45, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 106.06, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 115.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 119.32, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 127.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 136.36, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 139.96, "providers": [{"billed_charge": 1126.0, "npi": [1396408829]}]}, {"allowed_amount": 143.76, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 164.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 190.91, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 191.67, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 223.93, "providers": [{"billed_charge": 1126.0, "npi": [1396408829]}]}, {"allowed_amount": 230.01, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 918.0, "npi": [1396408829]}]}, {"allowed_amount": 269.8, "providers": [{"billed_charge": 1126.0, "npi": [1396408829]}]}]}]}, {"name": "Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual", "billing_code_type": "CPT", "billing_code": "88360", "billing_code_type_version": "2022", "description": "M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1479.0, "npi": [1518047018]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 39.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 39.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1346336674, 1750664132, 1477608628, 1427080951, 1457870719]}]}, {"allowed_amount": 73.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1659337251, 1750664132, 1477966984, 1427080951, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 58.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1134107857, 1023032190]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 82.48, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 147.0, "npi": [1356313548]}]}, {"allowed_amount": 123.24, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 147.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1609193069]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "474903308"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 146.11, "providers": [{"billed_charge": 200.0, "npi": [1740733708]}]}, {"allowed_amount": 200.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 200.0, "npi": [1003863580]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.0, "npi": [1154596468]}]}, {"allowed_amount": 58.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.0, "npi": [1538572128, 1407886757]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1790865467, 1790170819]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["11", "22", "23", "21"], "payments": [{"allowed_amount": 39.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1194797985, 1821258211, 1164402152, 1619920204, 1386964815, 1396044574, 1114999091, 1285969717, 1386140663, 1902096894, 1700994431]}]}, {"allowed_amount": 42.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1164402152]}]}, {"allowed_amount": 51.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1821258211, 1164402152, 1669675153, 1851529945, 1902096894]}]}, {"allowed_amount": 58.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1689646465, 1194797985, 1619920204, 1114999091, 1285969717, 1518900315, 1396044574]}]}, {"allowed_amount": 59.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1164402152, 1821258211]}]}, {"allowed_amount": 59.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1396044574]}]}, {"allowed_amount": 70.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1700850237]}]}, {"allowed_amount": 77.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 32.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1396408829]}]}, {"allowed_amount": 39.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1396408829]}]}, {"allowed_amount": 68.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1447437355, 1386268365]}]}, {"allowed_amount": 68.46, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 223.0, "npi": [1396408829]}]}, {"allowed_amount": 82.48, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 223.0, "npi": [1396408829]}]}, {"allowed_amount": 101.24, "providers": [{"billed_charge": 313.0, "npi": [1396408829]}]}, {"allowed_amount": 121.98, "providers": [{"billed_charge": 313.0, "npi": [1396408829]}]}, {"allowed_amount": 155.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 223.0, "npi": [1447437355]}]}, {"allowed_amount": 223.5, "providers": [{"billed_charge": 313.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 61.86, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 68.46, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}, {"billed_charge": 240.7, "npi": [1487657573]}]}, {"allowed_amount": 70.7, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}]}, {"allowed_amount": 77.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 240.7, "npi": [1487657573]}]}, {"allowed_amount": 82.48, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.2, "npi": [1487657573]}, {"billed_charge": 240.7, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 39.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 58.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 59.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 39.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1538115852]}]}, {"allowed_amount": 58.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1326402371, 1538115852]}]}, {"allowed_amount": 59.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1326402371]}]}]}, {"tin": {"type": "ein", "value": "743126687"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 58.65, "providers": [{"billed_charge": 601.2, "npi": [1013973866]}]}, {"allowed_amount": 117.3, "providers": [{"billed_charge": 601.2, "npi": [1013973866]}]}]}]}, {"name": "Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology", "billing_code_type": "CPT", "billing_code": "88361", "billing_code_type_version": "2022", "description": "M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 40.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1750664132]}]}, {"allowed_amount": 75.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1477966984, 1750664132]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 40.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1386140663]}]}, {"allowed_amount": 59.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1619920204]}]}, {"allowed_amount": 61.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1386140663]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22"], "payments": [{"allowed_amount": 33.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1003245317]}]}, {"allowed_amount": 40.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1396408829]}]}, {"allowed_amount": 62.56, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 209.0, "npi": [1396408829]}]}, {"allowed_amount": 70.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1447437355]}]}, {"allowed_amount": 75.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 209.0, "npi": [1396408829]}]}, {"allowed_amount": 96.43, "providers": [{"billed_charge": 327.0, "npi": [1396408829]}]}, {"allowed_amount": 141.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 209.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 40.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1326402371]}]}, {"allowed_amount": 59.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1689614620, 1538115852]}]}]}]}, {"name": "Mucopolysaccharides, acid, quantitative", "billing_code_type": "CPT", "billing_code": "83864", "billing_code_type_version": "2022", "description": "MUCOPOLYSACCHARIDES ACID QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.5, "providers": [{"billed_charge": 28.5, "npi": [1518983642]}]}]}]}, {"name": "Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection", "billing_code_type": "CPT", "billing_code": "78452", "billing_code_type_version": "2022", "description": "MYOCARDIAL SPECT MULTIPLE STUDIES", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "223316007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 332.0, "npi": [1598938391]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1881890457, 1124343231]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1033141692, 1629118740]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1750743183]}]}, {"allowed_amount": 115.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1750743183]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 186.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 414.0, "npi": [1326343716, 1336347335]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 100.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1679679781]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 93.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1053585380]}]}, {"allowed_amount": 97.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1053585380]}]}, {"allowed_amount": 100.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1851826440]}]}, {"allowed_amount": 105.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1851826440, 1053585380, 1891996047]}]}, {"allowed_amount": 108.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1851826440, 1891996047]}]}, {"allowed_amount": 113.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1851826440, 1891996047]}]}, {"allowed_amount": 117.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1891996047]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3385.58, "providers": [{"billed_charge": 7523.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 620.61, "providers": [{"billed_charge": 19250.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1811151996]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "592577628"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 912.0, "npi": [1992782577]}]}, {"allowed_amount": 121.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 912.0, "npi": [1992782577]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1043524176]}]}, {"allowed_amount": 130.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1548555956]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 713.0, "npi": [1891182879]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 92.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 535.0, "npi": [1841305851]}]}, {"allowed_amount": 103.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 535.0, "npi": [1841305851]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 58.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1407876865]}]}]}]}, {"name": "Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)", "billing_code_type": "CPT", "billing_code": "93356", "billing_code_type_version": "2022", "description": "MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH", "allowed_amounts": [{"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.71, "providers": [{"billed_charge": 177.7, "npi": [1679848766, 1043476807]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.45, "providers": [{"billed_charge": 41.0, "npi": [1033451877, 1639601958, 1831481894, 1538253711, 1619366259, 1386038388, 1952668725, 1174066005, 1598113367, 1710432083]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1134127962]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["19", "21"], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 135.0, "npi": [1902898760, 1235621178]}]}]}, {"tin": {"type": "ein", "value": "331105310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.16, "providers": [{"billed_charge": 35.0, "npi": [1245768886]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 16.35, "providers": [{"billed_charge": 26.0, "npi": [1215157136, 1215399456]}]}]}, {"tin": {"type": "ein", "value": "380833014"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 74.0, "npi": [1801150602]}]}]}, {"tin": {"type": "ein", "value": "431664107"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.02, "providers": [{"billed_charge": 105.0, "npi": [1326488594]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.55, "providers": [{"billed_charge": 30.55, "npi": [1710385414]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 9.77, "providers": [{"billed_charge": 80.0, "npi": [1730506866, 1619382397]}]}, {"allowed_amount": 16.35, "providers": [{"billed_charge": 80.0, "npi": [1679679781, 1588754055]}]}, {"allowed_amount": 50.16, "providers": [{"billed_charge": 80.0, "npi": [1306804687, 1588754055]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.16, "providers": [{"billed_charge": 65.0, "npi": [1679991632]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.16, "providers": [{"billed_charge": 362.0, "npi": [1679733026, 1467566174]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.8, "providers": [{"billed_charge": 35.1, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 47.0, "providers": [{"billed_charge": 47.0, "npi": [1376653881, 1952380594]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.16, "providers": [{"billed_charge": 67.9, "npi": [1700194966]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.93, "providers": [{"billed_charge": 26.0, "npi": [1427094168]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.71, "providers": [{"billed_charge": 132.0, "npi": [1770579427]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.64, "providers": [{"billed_charge": 192.0, "npi": [1578522801, 1962638437]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.71, "providers": [{"billed_charge": 106.0, "npi": [1164710661]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.77, "providers": [{"billed_charge": 90.0, "npi": [1952515116]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.38, "providers": [{"billed_charge": 125.0, "npi": [1780613257]}]}]}, {"tin": {"type": "ein", "value": "800841009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.39, "providers": [{"billed_charge": 41.0, "npi": [1659652816]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.5, "providers": [{"billed_charge": 45.0, "npi": [1417925967]}]}, {"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1881012060]}]}]}]}, {"name": "Natriuretic peptide", "billing_code_type": "CPT", "billing_code": "83880", "billing_code_type_version": "2022", "description": "NATRIURETIC PEPTIDE", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1427080951]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.7, "providers": [{"billed_charge": 314.63, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 350.73, "providers": [{"billed_charge": 376.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.58, "providers": [{"billed_charge": 103.58, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.99, "providers": [{"billed_charge": 255.0, "npi": [1699063750]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.21, "providers": [{"billed_charge": 314.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.37, "providers": [{"billed_charge": 382.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.15, "providers": [{"billed_charge": 398.11, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.0, "providers": [{"billed_charge": 313.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.41, "providers": [{"billed_charge": 181.93, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.5, "providers": [{"billed_charge": 290.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.0, "providers": [{"billed_charge": 192.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.72, "providers": [{"billed_charge": 232.78, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 16.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1211.0, "providers": [{"billed_charge": 3460.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.48, "providers": [{"billed_charge": 39.26, "npi": [1831228709]}]}, {"allowed_amount": 39.26, "providers": [{"billed_charge": 39.26, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.0, "providers": [{"billed_charge": 49.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 808.85, "providers": [{"billed_charge": 2311.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.0, "providers": [{"billed_charge": 261.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.5, "providers": [{"billed_charge": 290.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.41, "providers": [{"billed_charge": 646.89, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.95, "providers": [{"billed_charge": 717.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.0, "providers": [{"billed_charge": 183.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 206.93, "providers": [{"billed_charge": 409.41, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.51, "providers": [{"billed_charge": 161.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 68.71, "providers": [{"billed_charge": 150.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1427055839]}]}]}]}, {"name": "Needle electromyography; 2 extremities with or without related paraspinal areas", "billing_code_type": "CPT", "billing_code": "95861", "billing_code_type_version": "2022", "description": "NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200837806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10200.0, "npi": [1679004006]}]}]}, {"tin": {"type": "ein", "value": "260406521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1144.0, "npi": [1275859183]}]}]}, {"tin": {"type": "ein", "value": "262188574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1780849281, 1780805077]}]}, {"allowed_amount": 104.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1518586569, 1508898669]}]}, {"allowed_amount": 124.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1518586569]}]}]}, {"tin": {"type": "ein", "value": "264645356"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8300.0, "npi": [1700128287]}]}]}, {"tin": {"type": "ein", "value": "364916680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7449.63, "npi": [1528005485, 1457511743]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 107.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 730.0, "npi": [1760402820]}]}]}, {"tin": {"type": "ein", "value": "810934442"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1417059346, 1093133076, 1780612671]}]}, {"allowed_amount": 95.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1518586569, 1417059346]}]}, {"allowed_amount": 104.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1780849281, 1285833186, 1124315411, 1780612671]}]}, {"allowed_amount": 124.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1780612671]}]}, {"allowed_amount": 173.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1508898669]}]}, {"allowed_amount": 408.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1944.0, "npi": [1760465942]}]}]}, {"tin": {"type": "ein", "value": "834381597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.96, "providers": [{"billed_charge": 6704.67, "npi": [1548557796]}]}, {"allowed_amount": 248.36, "providers": [{"billed_charge": 6704.67, "npi": [1346719689]}]}]}, {"tin": {"type": "ein", "value": "862676026"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3724.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5321.0, "npi": [1235447517]}]}]}, {"tin": {"type": "ein", "value": "900793277"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10200.0, "npi": [1154375772]}]}, {"allowed_amount": 105.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 7650.0, "npi": [1588973499]}]}, {"allowed_amount": 107.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10200.0, "npi": [1780686162]}]}]}]}, {"name": "Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters", "billing_code_type": "CPT", "billing_code": "95870", "billing_code_type_version": "2022", "description": "NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI", "allowed_amounts": [{"tin": {"type": "ein", "value": "262188574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1851572937, 1417059346, 1427106012, 1093133076]}]}, {"allowed_amount": 23.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1851572937, 1124315411]}]}, {"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1780849281, 1124315411, 1689795510, 1053574681, 1780612671]}]}, {"allowed_amount": 26.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1780849281]}]}, {"allowed_amount": 27.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1093133076, 1124412085]}]}, {"allowed_amount": 30.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1851572937, 1518586569]}]}, {"allowed_amount": 56.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1760465942]}]}, {"allowed_amount": 276.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1508898669]}]}]}, {"tin": {"type": "ein", "value": "364916680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4500.0, "npi": [1528005485]}]}]}, {"tin": {"type": "ein", "value": "651180239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1518976729]}]}]}, {"tin": {"type": "ein", "value": "810934442"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 6.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1518586569]}]}, {"allowed_amount": 22.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1518586569]}]}, {"allowed_amount": 23.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1124315411, 1780612671]}]}, {"allowed_amount": 24.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1295997740]}]}, {"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1780849281, 1578023180, 1508898669, 1124315411, 1760465942, 1780612671]}]}, {"allowed_amount": 26.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1679773600, 1518586569, 1780849281, 1508898669]}]}, {"allowed_amount": 30.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1780849281, 1851572937, 1518586569, 1093133076, 1700802584, 1780612671]}]}, {"allowed_amount": 30.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1790105658, 1508898669]}]}, {"allowed_amount": 42.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 426.0, "npi": [1508898669]}]}]}, {"tin": {"type": "ein", "value": "834381597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.34, "providers": [{"billed_charge": 4050.0, "npi": [1548557796]}]}]}, {"tin": {"type": "ein", "value": "834572520"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6000.0, "npi": [1649598285]}]}]}, {"tin": {"type": "ein", "value": "873299446"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 84.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6000.0, "npi": [1386753317]}]}]}]}, {"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": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1470.0, "npi": [1275627143]}]}, {"allowed_amount": 281.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1800.0, "npi": [1932507795]}]}, {"allowed_amount": 303.25, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1800.0, "npi": [1982034070]}]}, {"allowed_amount": 524.82, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1800.0, "npi": [1164627592, 1346346582]}]}, {"allowed_amount": 583.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1800.0, "npi": [1306886502]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1800.0, "npi": [1598787236, 1366721789]}]}, {"allowed_amount": 653.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1177.0, "npi": [1629374194]}]}, {"allowed_amount": 1220.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1164627592, 1306886502]}]}, {"allowed_amount": 1800.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1366721789]}]}]}, {"tin": {"type": "ein", "value": "452386871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 543.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2865.0, "npi": [1376520494]}]}]}, {"tin": {"type": "ein", "value": "461070809"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.17, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 1456.0, "npi": [1780049635]}, {"billed_charge": 1470.0, "npi": [1184128167]}]}, {"allowed_amount": 774.18, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1414.4, "npi": [1538586268]}]}, {"allowed_amount": 1070.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1974.0, "npi": [1063711802]}]}, {"allowed_amount": 1286.51, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2350.4, "npi": [1649283268]}]}, {"allowed_amount": 1377.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2516.8, "npi": [1538586268]}]}, {"allowed_amount": 1388.97, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2562.0, "npi": [1497991251]}]}, {"allowed_amount": 1741.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3182.4, "npi": [1588001945]}]}, {"allowed_amount": 1810.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3307.2, "npi": [1366837908]}]}, {"allowed_amount": 1946.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3591.0, "npi": [1760709406]}]}, {"allowed_amount": 1980.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3619.2, "npi": [1093367237]}]}, {"allowed_amount": 2003.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3660.8, "npi": [1538586268]}]}, {"allowed_amount": 2277.0, "billing_code_modifier": ["QZ", "AA"], "providers": [{"billed_charge": 4201.6, "npi": [1760136931]}, {"billed_charge": 4914.0, "npi": [1720014731]}, {"billed_charge": 5137.6, "npi": [1821399494]}, {"billed_charge": 5990.4, "npi": [1649283268]}, {"billed_charge": 6136.0, "npi": [1538586268]}, {"billed_charge": 7176.0, "npi": [1861452518]}, {"billed_charge": 7280.0, "npi": [1639612096, 1760136931, 1821399494, 1942011846, 1932096658, 1588001945]}, {"billed_charge": 7350.0, "npi": [1942502125, 1033984109]}]}, {"allowed_amount": 2390.85, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4971.2, "npi": [1588001945]}]}]}, {"tin": {"type": "ein", "value": "462505521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1502.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2745.6, "npi": [1891999249]}]}, {"allowed_amount": 2277.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 7280.0, "npi": [1356634851]}]}]}, {"tin": {"type": "ein", "value": "464364900"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1874.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 10000.0, "npi": [1033155445]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 295.55, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1530.0, "npi": [1710775655]}]}]}, {"tin": {"type": "ein", "value": "582102532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 368.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2000.0, "npi": [1396709606]}]}, {"allowed_amount": 539.81, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2000.0, "npi": [1629496831]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 228.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1432.0, "npi": [1124477070]}]}, {"allowed_amount": 476.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1472.0, "npi": [1124477070]}]}, {"allowed_amount": 515.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3043.0, "npi": [1124477070]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 7912.0, "npi": [1124477070]}, {"billed_charge": 8280.0, "npi": [1124477070]}, {"billed_charge": 9308.0, "npi": [1194304329]}, {"billed_charge": 9568.0, "npi": [1194304329]}]}, {"allowed_amount": 1220.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 22448.0, "npi": [1124477070]}]}, {"allowed_amount": 1662.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 10120.0, "npi": [1124477070]}]}, {"allowed_amount": 1788.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10856.0, "npi": [1194304329]}]}, {"allowed_amount": 1958.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11776.0, "npi": [1194304329]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.43, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5236.0, "npi": [1467058925]}]}, {"allowed_amount": 267.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5236.0, "npi": [1033155445]}]}, {"allowed_amount": 309.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5236.0, "npi": [1346354925]}]}, {"allowed_amount": 522.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5236.0, "npi": [1033155445]}]}, {"allowed_amount": 562.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5236.0, "npi": [1346354925]}, {"billed_charge": 7875.0, "npi": [1568436079]}, {"billed_charge": 8550.0, "npi": [1053981159]}, {"billed_charge": 10000.0, "npi": [1033155445, 1053981159]}]}, {"allowed_amount": 632.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5236.0, "npi": [1467058925]}]}, {"allowed_amount": 716.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5236.0, "npi": [1568436079]}]}, {"allowed_amount": 844.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6525.0, "npi": [1467058925]}]}, {"allowed_amount": 934.42, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6016.0, "npi": [1467058925]}]}, {"allowed_amount": 939.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 10000.0, "npi": [1467058925]}]}, {"allowed_amount": 996.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6392.0, "npi": [1467058925]}]}, {"allowed_amount": 1041.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 8100.0, "npi": [1467058925]}]}, {"allowed_amount": 1240.05, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 9450.0, "npi": [1467058925]}]}, {"allowed_amount": 1453.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 10000.0, "npi": [1568436079]}]}, {"allowed_amount": 2144.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 10000.0, "npi": [1033155445]}]}, {"allowed_amount": 4276.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 10000.0, "npi": [1033155445]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 461.51, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 6750.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1046.19, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 9300.0, "npi": [1437259009]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 291.75, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 5229.0, "npi": [1841795986, 1104616788]}]}, {"allowed_amount": 340.06, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 5976.0, "npi": [1265427561, 1336543677]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2277.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 8365.0, "npi": [1134626708, 1578915245]}]}]}, {"tin": {"type": "ein", "value": "650930718"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2529.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 10000.0, "npi": [1588252555]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3189.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8758.05, "npi": [1023438405]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 9440.0, "npi": [1093686180]}, {"billed_charge": 9760.0, "npi": [1114598729]}]}, {"allowed_amount": 421.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6800.0, "npi": [1750524450]}]}, {"allowed_amount": 610.36, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 14160.0, "npi": [1053868620]}, {"billed_charge": 14640.0, "npi": [1730683533]}]}, {"allowed_amount": 1492.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 19600.0, "npi": [1598073371]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 366.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 450.0, "npi": [1588642375]}]}, {"allowed_amount": 562.6, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 14280.0, "npi": [1962544601, 1427356526]}]}, {"allowed_amount": 665.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2670.0, "npi": [1083821409]}]}, {"allowed_amount": 696.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7980.0, "npi": [1285977991]}]}, {"allowed_amount": 1220.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8310.0, "npi": [1962031344]}, {"billed_charge": 8910.0, "npi": [1881125953]}, {"billed_charge": 9090.0, "npi": [1710958152]}, {"billed_charge": 9390.0, "npi": [1962031344]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2370.0, "npi": [1588638415]}]}, {"allowed_amount": 179.1, "billing_code_modifier": ["QX,P3", "QK,P3"], "providers": [{"billed_charge": 3081.0, "npi": [1912971664, 1588638415]}]}, {"allowed_amount": 230.68, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 3792.0, "npi": [1932176468, 1770367831]}]}, {"allowed_amount": 258.91, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 4266.0, "npi": [1740258565, 1770367831]}]}, {"allowed_amount": 292.01, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 4740.0, "npi": [1588638415, 1235418831]}]}, {"allowed_amount": 295.9, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 4977.0, "npi": [1356314033, 1528848637]}]}, {"allowed_amount": 378.44, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3555.0, "npi": [1588638415]}]}, {"allowed_amount": 385.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 27255.0, "npi": [1093965287]}]}, {"allowed_amount": 401.02, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 5688.0, "npi": [1912971664, 1982161170]}]}, {"allowed_amount": 459.91, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4266.0, "npi": [1982161170]}]}, {"allowed_amount": 482.78, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 8058.0, "npi": [1033403407]}]}, {"allowed_amount": 517.72, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4740.0, "npi": [1588638415]}]}, {"allowed_amount": 525.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5451.0, "npi": [1588638415]}, {"billed_charge": 8058.0, "npi": [1982161170]}, {"billed_charge": 9717.0, "npi": [1588638415]}, {"billed_charge": 10902.0, "npi": [1588638415]}, {"billed_charge": 12087.0, "npi": [1992246599]}, {"billed_charge": 12561.0, "npi": [1982161170]}, {"billed_charge": 15405.0, "npi": [1114426715]}]}, {"allowed_amount": 537.29, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 8769.0, "npi": [1558964833, 1356314033]}]}, {"allowed_amount": 551.89, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 8058.0, "npi": [1982161170]}, {"billed_charge": 9717.0, "npi": [1114426715]}, {"billed_charge": 9954.0, "npi": [1558964833]}]}, {"allowed_amount": 558.7, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 9243.0, "npi": [1912971664, 1982161170]}]}, {"allowed_amount": 600.56, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 9954.0, "npi": [1982161170, 1932176468]}]}, {"allowed_amount": 625.86, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 10191.0, "npi": [1356314033, 1528848637]}]}, {"allowed_amount": 694.97, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 11376.0, "npi": [1235523705, 1538586268]}]}, {"allowed_amount": 766.22, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3555.0, "npi": [1740258565]}]}, {"allowed_amount": 931.17, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 4266.0, "npi": [1912971664]}]}, {"allowed_amount": 1033.7, "billing_code_modifier": ["QY,P3", "QX,P3"], "providers": [{"billed_charge": 16827.0, "npi": [1669000972, 1558068999]}]}, {"allowed_amount": 1048.23, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 4740.0, "npi": [1427552942]}]}, {"allowed_amount": 1052.19, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 17301.0, "npi": [1669000972, 1528848637]}]}, {"allowed_amount": 1064.2, "billing_code_modifier": ["QY", "QK", "QX"], "providers": [{"billed_charge": 5451.0, "npi": [1669000972]}, {"billed_charge": 7821.0, "npi": [1740258565, 1932176468, 1528848637]}, {"billed_charge": 8058.0, "npi": [1669000972]}, {"billed_charge": 9717.0, "npi": [1932176468]}, {"billed_charge": 10902.0, "npi": [1356314033]}, {"billed_charge": 12087.0, "npi": [1740258565]}, {"billed_charge": 12561.0, "npi": [1932176468]}, {"billed_charge": 14931.0, "npi": [1356314033, 1770367831]}, {"billed_charge": 15405.0, "npi": [1740258565]}, {"billed_charge": 18249.0, "npi": [1033403407]}, {"billed_charge": 23463.0, "npi": [1912971664, 1770367831]}]}, {"allowed_amount": 1117.41, "billing_code_modifier": ["QY,P3", "QK,P3"], "providers": [{"billed_charge": 6399.0, "npi": [1922488568]}, {"billed_charge": 9717.0, "npi": [1912971664]}, {"billed_charge": 9954.0, "npi": [1033403407]}]}, {"allowed_amount": 1147.23, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 27255.0, "npi": [1225201528]}]}, {"allowed_amount": 1236.15, "billing_code_modifier": ["QY", "QX"], "providers": [{"billed_charge": 20145.0, "npi": [1922488568, 1528848637]}]}, {"allowed_amount": 2357.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10191.0, "npi": [1235523705]}]}]}]}, {"name": "Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour", "billing_code_type": "CPT", "billing_code": "96116", "billing_code_type_version": "2022", "description": "NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR", "allowed_amounts": [{"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 77.88, "providers": [{"billed_charge": 140.0, "npi": [1134345903]}]}, {"allowed_amount": 83.09, "providers": [{"billed_charge": 140.0, "npi": [1144044660, 1043548779, 1154547164, 1134345903]}, {"billed_charge": 164.0, "npi": [1144044660, 1134345903]}]}, {"allowed_amount": 123.11, "providers": [{"billed_charge": 140.0, "npi": [1043548779, 1427275148, 1134345903]}]}]}, {"tin": {"type": "ein", "value": "592579938"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 83.09, "providers": [{"billed_charge": 329.0, "npi": [1669321683]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 81.26, "providers": [{"billed_charge": 302.0, "npi": [1740583582]}]}]}, {"tin": {"type": "ein", "value": "650992932"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.09, "providers": [{"billed_charge": 300.0, "npi": [1770507121]}]}]}]}, {"name": "Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method", "billing_code_type": "CPT", "billing_code": "95937", "billing_code_type_version": "2022", "description": "NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH", "allowed_amounts": [{"tin": {"type": "ein", "value": "200837806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6332.5, "npi": [1679004006]}]}]}, {"tin": {"type": "ein", "value": "264645356"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3500.0, "npi": [1700128287]}]}]}, {"tin": {"type": "ein", "value": "352587817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5846.0, "npi": [1437404563]}]}]}, {"tin": {"type": "ein", "value": "364916680"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 38.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5846.0, "npi": [1750373338]}]}, {"allowed_amount": 43.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5846.0, "npi": [1528005485, 1558424846, 1437404563, 1023022357, 1457511743]}]}]}, {"tin": {"type": "ein", "value": "651180239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1518976729]}]}]}, {"tin": {"type": "ein", "value": "834381597"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.9, "providers": [{"billed_charge": 5261.4, "npi": [1346719689, 1548557796]}]}, {"allowed_amount": 163.08, "providers": [{"billed_charge": 5261.4, "npi": [1346719689]}]}]}, {"tin": {"type": "ein", "value": "900793277"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 38.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6332.5, "npi": [1154375772]}]}, {"allowed_amount": 45.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6332.5, "npi": [1780686162]}]}, {"allowed_amount": 47.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6332.5, "npi": [1780686162]}]}, {"allowed_amount": 94.94, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4749.38, "npi": [1588973499]}]}]}]}, {"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 high 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": "99205", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "010790511"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1972864064]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 370.38, "providers": [{"billed_charge": 562.0, "npi": [1629880067]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 297.64, "providers": [{"billed_charge": 714.33, "npi": [1053379347]}]}]}, {"tin": {"type": "ein", "value": "204296528"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 297.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1851394217]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 204.54, "providers": [{"billed_charge": 524.0, "npi": [1144354390]}]}, {"allowed_amount": 206.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1578805248, 1205417474, 1568496909, 1659623601, 1053645457, 1518986132, 1255893657]}]}, {"allowed_amount": 309.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1578805248, 1205417474, 1447629027, 1053645457, 1659566545, 1518986132, 1538144597, 1811483829, 1235796277, 1255893657, 1497920474, 1952822652]}]}, {"allowed_amount": 315.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1437544384, 1952921025, 1023052644, 1639134661, 1225353766, 1245352491, 1235189358, 1104182799, 1598111924, 1730112244, 1033615414, 1265665145, 1952822652, 1417905886]}]}, {"allowed_amount": 324.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1437544384, 1952921025, 1023052644, 1245352491, 1235189358, 1780062414, 1053645457, 1598111924, 1003365461, 1730112244, 1033615414, 1235796277, 1265665145, 1821246133, 1245755958, 1417905886]}]}, {"allowed_amount": 360.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1538139324]}]}, {"allowed_amount": 467.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1538144597]}]}, {"allowed_amount": 491.4, "providers": [{"billed_charge": 524.0, "npi": [1821067943]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1467073254, 1790906154, 1881271310, 1669919155, 1457715096, 1558724377]}]}, {"allowed_amount": 366.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1285780387, 1790906154, 1235796277, 1457715096, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1174586465, 1508137670, 1508108390, 1669919155, 1558724377]}]}, {"allowed_amount": 366.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1174586465, 1508108390, 1508137670, 1558395434, 1043313232, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "providers": [{"billed_charge": 366.0, "npi": [1891725164, 1669919155, 1649538828, 1912961293]}]}, {"allowed_amount": 366.0, "providers": [{"billed_charge": 366.0, "npi": [1285780387, 1649538828, 1669919155, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "providers": [{"billed_charge": 366.0, "npi": [1346206257, 1194822353, 1396774956, 1225353766]}]}, {"allowed_amount": 366.0, "providers": [{"billed_charge": 366.0, "npi": [1528493350, 1790906154, 1396774956, 1043313232, 1194822353, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.2, "providers": [{"billed_charge": 435.0, "npi": [1013470947]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 190.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1417547233, 1407650658, 1720655582]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 189.72, "providers": [{"billed_charge": 389.0, "npi": [1992292106]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "providers": [{"billed_charge": 366.0, "npi": [1669737953, 1710947940, 1710175526, 1689816191]}]}, {"allowed_amount": 366.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1710947940, 1710175526, 1467073254, 1700011335, 1912961293, 1669919155]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 213.67, "providers": [{"billed_charge": 844.0, "npi": [1295710697]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 309.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 649.08, "npi": [1871676668]}, {"billed_charge": 749.08, "npi": [1497419923]}]}, {"allowed_amount": 549.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 549.08, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "320361148"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 446.0, "providers": [{"billed_charge": 446.0, "npi": [1659301109]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 221.59, "providers": [{"billed_charge": 410.0, "npi": [1669730933]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1790906154, 1528022332, 1508108390, 1689816191]}]}, {"allowed_amount": 366.0, "providers": [{"billed_charge": 366.0, "npi": [1225353766, 1912961293, 1669919155, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 500.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 309.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}, {"allowed_amount": 435.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.0, "npi": [1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "454298417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 340.82, "providers": [{"billed_charge": 620.0, "npi": [1487260113]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 512.1, "providers": [{"billed_charge": 957.4, "npi": [1447735030]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 423.16, "providers": [{"billed_charge": 474.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "461503904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 354.32, "providers": [{"billed_charge": 455.0, "npi": [1538574231]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 309.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.08, "npi": [1326017468]}]}, {"allowed_amount": 448.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.08, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462620381"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 297.64, "providers": [{"billed_charge": 413.0, "npi": [1205193349]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 507.92, "providers": [{"billed_charge": 688.56, "npi": [1417401357]}]}]}, {"tin": {"type": "ein", "value": "465562958"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 313.22, "providers": [{"billed_charge": 400.0, "npi": [1992476311]}]}]}, {"tin": {"type": "ein", "value": "471705113"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 317.08, "providers": [{"billed_charge": 379.33, "npi": [1528848025]}]}]}, {"tin": {"type": "ein", "value": "471859521"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 203.4, "providers": [{"billed_charge": 581.0, "npi": [1780229047]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 341.0, "npi": [1679969851, 1801231311]}]}, {"allowed_amount": 309.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 341.0, "npi": [1457526311]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 430.21, "providers": [{"billed_charge": 681.0, "npi": [1699063750]}]}, {"allowed_amount": 504.54, "providers": [{"billed_charge": 681.0, "npi": [1063602332]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 297.64, "providers": [{"billed_charge": 500.0, "npi": [1538515853]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 308.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 688.0, "npi": [1801452693]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 309.91, "providers": [{"billed_charge": 526.0, "npi": [1841968799]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 301.64, "providers": [{"billed_charge": 1500.0, "npi": [1518259126]}]}]}, {"tin": {"type": "ein", "value": "650667458"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 324.53, "providers": [{"billed_charge": 1440.0, "npi": [1316500788]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 586.8, "npi": [1285359414]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 345.26, "providers": [{"billed_charge": 627.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 189.72, "providers": [{"billed_charge": 240.0, "npi": [1194682732, 1720598006]}]}, {"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1386504298, 1194682732, 1275348534]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 301.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 585.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 309.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 585.0, "npi": [1407731177, 1811798275]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 347.72, "providers": [{"billed_charge": 526.0, "npi": [1962837732]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 495.86, "providers": [{"billed_charge": 495.86, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 720.0, "npi": [1700405818, 1871681999]}]}, {"allowed_amount": 301.36, "providers": [{"billed_charge": 720.0, "npi": [1336613603]}]}, {"allowed_amount": 309.91, "providers": [{"billed_charge": 720.0, "npi": [1700405818]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 350.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 309.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1578631925]}]}, {"allowed_amount": 573.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1578631925, 1275707895]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 301.36, "providers": [{"billed_charge": 792.0, "npi": [1922436922]}]}, {"allowed_amount": 309.91, "providers": [{"billed_charge": 792.0, "npi": [1922436922]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 334.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1659187680]}]}, {"allowed_amount": 343.51, "providers": [{"billed_charge": 500.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 297.64, "providers": [{"billed_charge": 316.0, "npi": [1376329110]}]}, {"allowed_amount": 316.0, "providers": [{"billed_charge": 316.0, "npi": [1649028697]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 297.64, "providers": [{"billed_charge": 335.0, "npi": [1932189511]}]}, {"allowed_amount": 335.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 342.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 451.45, "npi": [1619931409, 1154385946]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 297.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 540.0, "npi": [1962482307]}]}]}, {"tin": {"type": "ein", "value": "943223279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 409.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1070.0, "npi": [1306805189]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 309.91, "providers": [{"billed_charge": 449.0, "npi": [1093872392]}]}]}]}, {"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": "010790511"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 340.0, "npi": [1396731824, 1548788227]}]}]}, {"tin": {"type": "ein", "value": "030516222"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 199.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1437246220]}]}]}, {"tin": {"type": "ein", "value": "055803850"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 32.34, "providers": [{"billed_charge": 241.0, "npi": [1154875904]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 135.27, "providers": [{"billed_charge": 362.0, "npi": [1538504667]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1770.0, "npi": [1669578324]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 317.16, "providers": [{"billed_charge": 700.0, "npi": [1598100935]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.16, "providers": [{"billed_charge": 575.0, "npi": [1427347038]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 293.0, "npi": [1275731770]}]}, {"allowed_amount": 183.04, "providers": [{"billed_charge": 293.0, "npi": [1083478713, 1972060101]}]}, {"allowed_amount": 206.04, "providers": [{"billed_charge": 293.0, "npi": [1275731770]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 318.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 330.0, "npi": [1730391343]}]}]}, {"tin": {"type": "ein", "value": "201357375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 229.0, "providers": [{"billed_charge": 229.0, "npi": [1689612699]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.01, "npi": [1407116544, 1952745358, 1659958304, 1013211937, 1093018277, 1750084265, 1881293868, 1043726904, 1659116861, 1568792893, 1396933057, 1992109896, 1417370586, 1144990557, 1629763552, 1972068708, 1477296101, 1568097129, 1245202167]}]}, {"allowed_amount": 111.79, "providers": [{"billed_charge": 353.01, "npi": [1053379347]}]}, {"allowed_amount": 124.02, "providers": [{"billed_charge": 353.01, "npi": [1417476714]}]}, {"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.01, "npi": [1407116544, 1518375435, 1952745358, 1053379347, 1942418579, 1013289370, 1043675168, 1013211937, 1972167716, 1093018277, 1750084265, 1881293868, 1043726904, 1568792893, 1992109896, 1215985882, 1417370586, 1144990557, 1437552734, 1629763552, 1992959712, 1972068708, 1891083622, 1881070951, 1568097129, 1497212401, 1245202167, 1902664568, 1669514105]}]}, {"allowed_amount": 176.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.01, "npi": [1396933057]}]}, {"allowed_amount": 271.05, "providers": [{"billed_charge": 353.01, "npi": [1518375435]}]}, {"allowed_amount": 353.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.01, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "202935692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 248.0, "npi": [1700350444]}]}]}, {"tin": {"type": "ein", "value": "203587332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 226.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 226.0, "npi": [1619670072]}]}]}, {"tin": {"type": "ein", "value": "204004156"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 157.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1386795664]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 227.0, "npi": [1174114680, 1831997873]}]}, {"allowed_amount": 169.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 227.0, "npi": [1780567255]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 83.56, "providers": [{"billed_charge": 240.0, "npi": [1245291426]}]}, {"allowed_amount": 91.15, "providers": [{"billed_charge": 240.0, "npi": [1619190287]}]}, {"allowed_amount": 91.91, "providers": [{"billed_charge": 240.0, "npi": [1578805248, 1639134661, 1467692236, 1568496909, 1659566545, 1255893657, 1164418323, 1518986132, 1235796277, 1811483829, 1659623601, 1053645457, 1265665145, 1952822652, 1649436734]}]}, {"allowed_amount": 96.08, "providers": [{"billed_charge": 240.0, "npi": [1114696176]}]}, {"allowed_amount": 140.3, "providers": [{"billed_charge": 240.0, "npi": [1437544384, 1952921025, 1023052644, 1225353766, 1245352491, 1144595307, 1780062414, 1104182799, 1235189358, 1265993075, 1730112244, 1598111924, 1033615414, 1649436734, 1952822652, 1265665145, 1942457692, 1417905886]}]}, {"allowed_amount": 153.31, "providers": [{"billed_charge": 240.0, "npi": [1437544384, 1578805248, 1205417474, 1245291426, 1467692236, 1659623601, 1053645457, 1659566545, 1518986132, 1811483829, 1144354390, 1538144597, 1255893657, 1497920474, 1952822652]}]}, {"allowed_amount": 160.19, "providers": [{"billed_charge": 240.0, "npi": [1437544384, 1952921025, 1265665145, 1376038497, 1639134661, 1245352491, 1144595307, 1780062414, 1053645457, 1659566545, 1265993075, 1730112244, 1598111924, 1033615414, 1952822652, 1255893657, 1538139324]}]}, {"allowed_amount": 160.34, "providers": [{"billed_charge": 240.0, "npi": [1538139324]}]}, {"allowed_amount": 208.13, "providers": [{"billed_charge": 240.0, "npi": [1982648705, 1538144597]}]}]}, {"tin": {"type": "ein", "value": "205476847"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 117.04, "providers": [{"billed_charge": 235.34, "npi": [1083261473]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1285780387, 1710947940, 1467073254, 1790906154, 1891725164, 1912961293, 1194285486, 1881271310, 1104182799, 1669919155, 1073833653, 1235796277, 1457715096, 1558724377, 1942457692]}]}, {"allowed_amount": 185.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1285780387, 1710947940, 1467073254, 1790906154, 1558395434, 1891725164, 1194285486, 1104182799, 1881271310, 1194822353, 1669919155, 1073833653, 1235796277, 1457715096, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.97, "providers": [{"billed_charge": 185.0, "npi": [1396780649]}]}, {"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1174586465, 1669737953, 1710947940, 1710175526, 1508137670, 1508108390, 1558395434, 1528068715, 1912961293, 1043313232, 1346206257, 1194822353, 1669919155, 1073833653, 1558724377, 1942457692]}]}, {"allowed_amount": 185.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1174586465, 1467073254, 1508108390, 1508137670, 1225353766, 1558395434, 1043313232, 1194822353, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1285780387, 1780632612, 1710947940, 1225353766, 1467073254, 1528493350, 1700011335, 1891725164, 1649538828, 1912961293, 1104182799, 1881271310, 1023645041, 1073833653, 1235796277, 1528022332, 1558724377, 1942457692]}]}, {"allowed_amount": 185.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1669737953, 1285780387, 1710947940, 1528493350, 1225353766, 1700011335, 1790906154, 1891725164, 1912961293, 1649538828, 1043313232, 1023645041, 1669919155, 1497258164, 1699926774, 1942457692, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 253.8, "npi": [1255877288, 1649524455]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 91.44, "providers": [{"billed_charge": 185.0, "npi": [1194822353]}]}, {"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1912961293, 1881271310, 1104182799, 1780632612, 1225353766, 1558395434, 1245352491, 1396774956, 1790906154, 1346206257, 1669919155, 1235796277, 1073833653, 1508137670, 1700011335, 1043313232, 1194822353, 1942457692, 1669737953, 1174586465, 1710947940, 1508108390, 1467073254, 1699926774]}]}, {"allowed_amount": 185.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1710947940, 1780632612, 1225353766, 1528493350, 1467073254, 1508108390, 1558395434, 1245352491, 1396774956, 1790906154, 1043313232, 1194822353, 1669919155, 1073833653, 1699926774, 1235796277, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "223872047"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 139.01, "providers": [{"billed_charge": 400.0, "npi": [1952357626]}]}, {"allowed_amount": 153.31, "providers": [{"billed_charge": 400.0, "npi": [1952357626]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1417547233, 1669422341, 1346087350, 1497707327]}]}, {"allowed_amount": 190.0, "providers": [{"billed_charge": 190.0, "npi": [1821372772, 1821649021]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 213.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 317.54, "npi": [1801321104, 1710333257]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 126.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.82, "npi": [1962787044]}]}]}, {"tin": {"type": "ein", "value": "261807017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1912114141, 1316906142]}]}]}, {"tin": {"type": "ein", "value": "262366542"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 199.41, "providers": [{"billed_charge": 267.53, "npi": [1447802640]}]}]}, {"tin": {"type": "ein", "value": "262415051"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1144858838]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1619511672, 1912750597, 1437956588, 1578252813, 1639994510, 1548938491, 1801762166, 1730893496, 1194298331, 1336841501, 1508872318]}]}, {"allowed_amount": 148.41, "providers": [{"billed_charge": 450.0, "npi": [1336841501]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1982477956, 1912750597, 1003625062, 1336832773, 1578226411, 1437956588, 1578252813, 1588987374, 1548938491, 1639994510, 1629730734, 1942790613, 1356790455, 1730893496, 1477265114, 1194298331, 1336841501, 1770053407]}]}, {"allowed_amount": 169.93, "providers": [{"billed_charge": 450.0, "npi": [1194298331, 1760885420, 1912750597]}]}, {"allowed_amount": 183.98, "providers": [{"billed_charge": 450.0, "npi": [1003625062]}]}, {"allowed_amount": 253.33, "providers": [{"billed_charge": 450.0, "npi": [1942790613, 1164187977, 1578252813, 1639994510]}]}, {"allowed_amount": 272.05, "providers": [{"billed_charge": 450.0, "npi": [1982477956, 1336832773, 1912750597, 1164187977, 1578252813, 1639994510, 1588987374, 1033832688, 1356790455, 1619511672, 1598261497, 1548938491, 1003117847, 1770053407]}]}, {"allowed_amount": 283.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1730893496, 1811391352]}]}, {"allowed_amount": 388.08, "providers": [{"billed_charge": 450.0, "npi": [1730893496, 1578226411, 1811391352]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.65, "providers": [{"billed_charge": 257.0, "npi": [1972000776]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1669737953, 1780632612, 1710947940, 1710175526, 1467073254, 1508108390, 1225353766, 1790906154, 1508137670, 1912961293, 1194822353, 1669919155, 1073833653, 1699926774, 1528022332, 1558724377, 1205086139, 1942457692]}]}, {"allowed_amount": 185.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1669737953, 1710947940, 1467073254, 1710175526, 1790906154, 1891725164, 1649538828, 1912961293, 1669919155, 1235796277, 1699926774, 1528022332, 1558724377, 1942457692, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "263160729"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 143.12, "providers": [{"billed_charge": 335.0, "npi": [1700874914]}]}]}, {"tin": {"type": "ein", "value": "263669825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 353.01, "npi": [1770912495]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 134.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 377.41, "npi": [1760130454]}]}, {"allowed_amount": 148.41, "providers": [{"billed_charge": 277.41, "npi": [1235529116]}, {"billed_charge": 477.41, "npi": [1235529116]}]}, {"allowed_amount": 149.08, "providers": [{"billed_charge": 277.41, "npi": [1982273678]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.41, "npi": [1497419923]}, {"billed_charge": 377.41, "npi": [1235529116, 1871676668]}, {"billed_charge": 477.41, "npi": [1497419923, 1235529116, 1871676668]}]}, {"allowed_amount": 253.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.41, "npi": [1497419923]}, {"billed_charge": 356.0, "npi": [1497419923]}, {"billed_charge": 377.41, "npi": [1497419923]}]}, {"allowed_amount": 277.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.41, "npi": [1871676668]}]}, {"allowed_amount": 336.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 377.41, "npi": [1871676668]}, {"billed_charge": 477.41, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "264687466"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 208.53, "providers": [{"billed_charge": 600.0, "npi": [1437397205]}]}]}, {"tin": {"type": "ein", "value": "264732338"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 170.0, "npi": [1205467677, 1750681540, 1447857719, 1235358607, 1598362006, 1407490519, 1154603389, 1841203262]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1750681540, 1598362006, 1558595223, 1154603389, 1841203262]}]}, {"allowed_amount": 271.05, "providers": [{"billed_charge": 353.01, "npi": [1700288859]}]}]}, {"tin": {"type": "ein", "value": "265875830"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 160.19, "providers": [{"billed_charge": 200.0, "npi": [1013078278]}]}]}, {"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 380.0, "npi": [1184959744, 1447291414]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.65, "providers": [{"billed_charge": 170.0, "npi": [1851344378]}]}, {"allowed_amount": 148.41, "providers": [{"billed_charge": 170.0, "npi": [1851576102, 1497185334]}, {"billed_charge": 353.01, "npi": [1851576102]}]}, {"allowed_amount": 149.08, "providers": [{"billed_charge": 170.0, "npi": [1508002882, 1427486380, 1619070828, 1922534833, 1316156755, 1831765494]}]}, {"allowed_amount": 153.31, "providers": [{"billed_charge": 170.0, "npi": [1881148419, 1639766793, 1134518673, 1851576102, 1730559790, 1922534833, 1497185334, 1083478713, 1780015552, 1508002882, 1316156755, 1326573270, 1912247263, 1780624353, 1376657122, 1619070828, 1770912495, 1831765494, 1275918203]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1780015552, 1780624353, 1881025666, 1639766793, 1730559790, 1922534833, 1134518673, 1851344378, 1326573270, 1699069914, 1275918203, 1912247263]}]}, {"allowed_amount": 253.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.01, "npi": [1134518673, 1326573270]}]}]}, {"tin": {"type": "ein", "value": "270123687"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 199.81, "providers": [{"billed_charge": 317.54, "npi": [1710333257]}]}, {"allowed_amount": 213.16, "providers": [{"billed_charge": 317.54, "npi": [1801321104]}]}]}, {"tin": {"type": "ein", "value": "270628350"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 45.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1346488558]}]}, {"allowed_amount": 91.91, "providers": [{"billed_charge": 140.0, "npi": [1346488558]}]}, {"allowed_amount": 140.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1346488558]}]}]}, {"tin": {"type": "ein", "value": "270642524"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 182.99, "providers": [{"billed_charge": 250.0, "npi": [1841525235]}]}]}, {"tin": {"type": "ein", "value": "271033537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1295818417]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 227.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1730491945]}, {"billed_charge": 318.0, "npi": [1730491945]}]}, {"allowed_amount": 227.89, "providers": [{"billed_charge": 300.0, "npi": [1730491945]}, {"billed_charge": 318.0, "npi": [1730491945]}]}, {"allowed_amount": 232.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1730491945]}, {"billed_charge": 318.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "273054654"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 227.89, "providers": [{"billed_charge": 425.0, "npi": [1235434036]}]}]}, {"tin": {"type": "ein", "value": "273371022"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 189.0, "npi": [1093735425]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 213.16, "providers": [{"billed_charge": 351.0, "npi": [1700960424]}]}]}, {"tin": {"type": "ein", "value": "274026658"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 96.1, "providers": [{"billed_charge": 190.0, "npi": [1245725837]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.02, "providers": [{"billed_charge": 353.0, "npi": [1477444545]}]}, {"allowed_amount": 147.09, "providers": [{"billed_charge": 353.0, "npi": [1477444545, 1790223386]}]}]}, {"tin": {"type": "ein", "value": "300709677"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.58, "providers": [{"billed_charge": 421.2, "npi": [1851991251]}]}, {"allowed_amount": 186.41, "providers": [{"billed_charge": 421.2, "npi": [1073038618]}]}, {"allowed_amount": 211.54, "providers": [{"billed_charge": 421.2, "npi": [1700362233]}]}]}, {"tin": {"type": "ein", "value": "300876536"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.28, "providers": [{"billed_charge": 160.0, "npi": [1174303184]}]}]}, {"tin": {"type": "ein", "value": "331095434"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1356641708, 1659244317]}]}, {"allowed_amount": 190.0, "providers": [{"billed_charge": 190.0, "npi": [1881736528]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1669737953, 1467073254, 1508108390, 1700011335, 1790906154, 1891725164, 1912961293, 1669919155, 1497258164, 1073833653, 1942457692, 1528022332, 1689816191]}]}, {"allowed_amount": 185.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1710947940, 1508137670, 1700011335, 1508108390, 1467073254, 1225353766, 1891725164, 1912961293, 1669919155, 1073833653, 1942457692, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 190.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1457705618]}]}, {"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "332461082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 143.39, "providers": [{"billed_charge": 399.0, "npi": [1033998851]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.06, "providers": [{"billed_charge": 319.0, "npi": [1386643310]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.66, "npi": [1235419060]}, {"billed_charge": 347.0, "npi": [1720292741]}]}]}, {"tin": {"type": "ein", "value": "362739571"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 59.12, "providers": [{"billed_charge": 471.0, "npi": [1780265942]}]}]}, {"tin": {"type": "ein", "value": "363261413"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.06, "providers": [{"billed_charge": 391.0, "npi": [1720835846]}]}]}, {"tin": {"type": "ein", "value": "371829497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 174.5, "providers": [{"billed_charge": 335.0, "npi": [1093251860]}]}, {"allowed_amount": 182.99, "providers": [{"billed_charge": 335.0, "npi": [1093251860]}]}]}, {"tin": {"type": "ein", "value": "381358164"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.75, "providers": [{"billed_charge": 293.0, "npi": [1588618953]}]}]}, {"tin": {"type": "ein", "value": "383878115"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 229.38, "providers": [{"billed_charge": 303.0, "npi": [1477087658]}]}]}, {"tin": {"type": "ein", "value": "391824445"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 180.47, "providers": [{"billed_charge": 388.0, "npi": [1619439403]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 298.0, "npi": [1164803078, 1174007991]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.45, "providers": [{"billed_charge": 401.0, "npi": [1952136764]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 125.72, "providers": [{"billed_charge": 179.0, "npi": [1326053208]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11", "22", "23"], "payments": [{"allowed_amount": 115.65, "providers": [{"billed_charge": 257.0, "npi": [1568802304, 1912943010, 1568695468, 1003098799]}]}, {"allowed_amount": 156.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 348.0, "npi": [1033172978, 1669992046]}]}]}, {"tin": {"type": "ein", "value": "451266764"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 232.36, "providers": [{"billed_charge": 502.36, "npi": [1306137070]}]}]}, {"tin": {"type": "ein", "value": "451566080"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 213.74, "npi": [1780565507]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 202.0, "npi": [1154295913]}]}, {"allowed_amount": 202.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 202.0, "npi": [1164151197]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1417819806]}]}, {"allowed_amount": 230.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "453676951"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 320.0, "npi": [1982480448]}]}]}, {"tin": {"type": "ein", "value": "453966557"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.17, "providers": [{"billed_charge": 250.0, "npi": [1033712526]}]}]}, {"tin": {"type": "ein", "value": "454016164"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 217.86, "providers": [{"billed_charge": 275.0, "npi": [1881939825]}]}]}, {"tin": {"type": "ein", "value": "454081388"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.02, "providers": [{"billed_charge": 274.7, "npi": [1245755883]}]}, {"allowed_amount": 217.86, "providers": [{"billed_charge": 350.0, "npi": [1609842582]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 129.27, "providers": [{"billed_charge": 483.72, "npi": [1013425727]}]}, {"allowed_amount": 135.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 483.72, "npi": [1386334928, 1538051990, 1164803078]}]}, {"allowed_amount": 147.09, "providers": [{"billed_charge": 483.72, "npi": [1891404133]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 483.72, "npi": [1194518241, 1588533509, 1356077317, 1558182824, 1417535881, 1831840396, 1629670286, 1407682255, 1386334928, 1215675988, 1447735030, 1700752599, 1689535064, 1780373209, 1013425727]}]}, {"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 483.72, "npi": [1386334928, 1538051990, 1164803078]}]}, {"allowed_amount": 169.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 483.72, "npi": [1588533509, 1558182824, 1629670286, 1407682255, 1689535064, 1780373209]}]}, {"allowed_amount": 190.78, "providers": [{"billed_charge": 483.72, "npi": [1831840396, 1700752599]}]}, {"allowed_amount": 253.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 483.72, "npi": [1285507392, 1194518241, 1811615297, 1417535881, 1831840396, 1629670286, 1386334928, 1215675988, 1447735030]}]}, {"allowed_amount": 285.65, "providers": [{"billed_charge": 483.72, "npi": [1356077317]}]}]}, {"tin": {"type": "ein", "value": "455054082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 178.28, "providers": [{"billed_charge": 250.0, "npi": [1083810287]}]}]}, {"tin": {"type": "ein", "value": "455101569"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.02, "providers": [{"billed_charge": 240.0, "npi": [1144575739]}]}]}, {"tin": {"type": "ein", "value": "455203604"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.16, "providers": [{"billed_charge": 264.0, "npi": [1467715490]}]}]}, {"tin": {"type": "ein", "value": "460540752"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 207.83, "providers": [{"billed_charge": 262.72, "npi": [1275562837]}]}]}, {"tin": {"type": "ein", "value": "460714837"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.0, "npi": [1184971558]}]}]}, {"tin": {"type": "ein", "value": "461235939"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 172.84, "providers": [{"billed_charge": 202.2, "npi": [1992041370]}]}]}, {"tin": {"type": "ein", "value": "461314303"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 174.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1467988642]}]}]}, {"tin": {"type": "ein", "value": "461470761"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 146.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1689083537]}]}]}, {"tin": {"type": "ein", "value": "461503904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.0, "npi": [1740684893]}]}, {"allowed_amount": 208.53, "providers": [{"billed_charge": 245.0, "npi": [1487609939]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 338.36, "npi": [1326017468]}, {"billed_charge": 378.78, "npi": [1326017468]}, {"billed_charge": 378.87, "npi": [1326017468]}]}, {"allowed_amount": 165.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 378.87, "npi": [1730238965]}]}, {"allowed_amount": 336.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 338.36, "npi": [1326017468]}, {"billed_charge": 378.87, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "461883579"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 232.36, "providers": [{"billed_charge": 500.0, "npi": [1285975797]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 148.39, "providers": [{"billed_charge": 162.65, "npi": [1548692890]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 162.65, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 135.07, "providers": [{"billed_charge": 354.72, "npi": [1508400482]}]}, {"allowed_amount": 160.19, "providers": [{"billed_charge": 354.72, "npi": [1508400482, 1881608651, 1639600414]}]}]}, {"tin": {"type": "ein", "value": "463795853"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 190.0, "npi": [1174333868]}]}, {"allowed_amount": 190.0, "providers": [{"billed_charge": 190.0, "npi": [1174333868]}]}]}, {"tin": {"type": "ein", "value": "465036414"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.58, "providers": [{"billed_charge": 324.0, "npi": [1255801163]}]}]}, {"tin": {"type": "ein", "value": "465425488"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 199.86, "providers": [{"billed_charge": 261.78, "npi": [1023786431]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 210.0, "npi": [1306804687]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 117.78, "providers": [{"billed_charge": 241.0, "npi": [1902141237]}]}]}, {"tin": {"type": "ein", "value": "471122696"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 211.54, "providers": [{"billed_charge": 357.0, "npi": [1194789339]}]}]}, {"tin": {"type": "ein", "value": "471391771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.62, "providers": [{"billed_charge": 227.0, "npi": [1427466564]}]}]}, {"tin": {"type": "ein", "value": "471625673"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 324.52, "providers": [{"billed_charge": 339.0, "npi": [1588980973]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 217.7, "npi": [1669179636, 1164149597, 1386234839]}]}, {"allowed_amount": 217.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 217.7, "npi": [1669179636, 1164149597, 1952279127]}]}]}, {"tin": {"type": "ein", "value": "471758444"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 239.19, "providers": [{"billed_charge": 575.0, "npi": [1831539196]}]}]}, {"tin": {"type": "ein", "value": "472146421"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.27, "providers": [{"billed_charge": 119.27, "npi": [1255316881]}]}]}, {"tin": {"type": "ein", "value": "472516729"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.35, "providers": [{"billed_charge": 395.0, "npi": [1861021735]}]}]}, {"tin": {"type": "ein", "value": "472736221"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 176.51, "providers": [{"billed_charge": 339.0, "npi": [1154163251]}]}]}, {"tin": {"type": "ein", "value": "473019167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 232.36, "providers": [{"billed_charge": 250.14, "npi": [1932590601]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 162.2, "providers": [{"billed_charge": 218.0, "npi": [1669209052]}]}]}, {"tin": {"type": "ein", "value": "473832952"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.2, "providers": [{"billed_charge": 181.0, "npi": [1689667164]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1861685034, 1619289931, 1629665419]}]}, {"allowed_amount": 167.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1861685034]}]}, {"allowed_amount": 183.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1629665419]}]}, {"allowed_amount": 206.04, "providers": [{"billed_charge": 250.0, "npi": [1891727509]}]}]}, {"tin": {"type": "ein", "value": "541669672"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 202.25, "providers": [{"billed_charge": 202.25, "npi": [1659475200, 1588018881, 1548364771, 1649389693, 1104194398]}]}]}, {"tin": {"type": "ein", "value": "560543246"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.84, "providers": [{"billed_charge": 326.0, "npi": [1851405401]}]}]}, {"tin": {"type": "ein", "value": "561463611"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 207.0, "providers": [{"billed_charge": 207.0, "npi": [1770185449]}]}]}, {"tin": {"type": "ein", "value": "562136828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 184.0, "providers": [{"billed_charge": 184.0, "npi": [1285364406]}]}]}, {"tin": {"type": "ein", "value": "569998875"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 102.87, "providers": [{"billed_charge": 222.0, "npi": [1043588312]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 182.29, "providers": [{"billed_charge": 301.0, "npi": [1134458359]}]}]}, {"tin": {"type": "ein", "value": "582380955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 88.81, "providers": [{"billed_charge": 335.0, "npi": [1982793998]}]}, {"allowed_amount": 180.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1144279670]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.84, "providers": [{"billed_charge": 640.0, "npi": [1154962918]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 793.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 793.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 458.95, "npi": [1801231451]}, {"billed_charge": 565.0, "npi": [1184387367]}]}, {"allowed_amount": 167.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 458.95, "npi": [1598198012]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 231.14, "providers": [{"billed_charge": 471.0, "npi": [1790634343]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 216.6, "npi": [1982461414, 1164072393, 1770801359, 1811157969, 1457491839]}]}, {"allowed_amount": 216.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.6, "npi": [1982461414, 1164072393, 1780098095, 1871027185, 1811157969, 1396239547]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 786.0, "npi": [1962852251, 1386633774]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.0, "providers": [{"billed_charge": 590.94, "npi": [1518277946]}]}, {"allowed_amount": 100.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 590.94, "npi": [1265916266, 1629544358, 1710424254]}]}, {"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 590.94, "npi": [1629632096, 1275529539, 1538818216, 1073001673, 1740696954, 1336644400, 1962961938, 1437655925, 1841722360, 1861929721, 1518277946, 1730620188]}]}, {"allowed_amount": 320.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 590.94, "npi": [1073001673, 1528103843, 1770169476]}]}]}, {"tin": {"type": "ein", "value": "592292041"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 100.02, "providers": [{"billed_charge": 353.0, "npi": [1386533214]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 119.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 337.0, "npi": [1689630626]}]}]}, {"tin": {"type": "ein", "value": "593622226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 325.0, "npi": [1740277805, 1376850214]}]}, {"allowed_amount": 272.05, "providers": [{"billed_charge": 325.0, "npi": [1740277805]}]}]}, {"tin": {"type": "ein", "value": "593654283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1760531149]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 452.0, "npi": [1689173155, 1700656071, 1154756393, 1205276201, 1780456475]}]}, {"allowed_amount": 253.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 452.0, "npi": [1154756393, 1689173155, 1205276201]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 156.9, "providers": [{"billed_charge": 347.0, "npi": [1134585920]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 317.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 440.0, "npi": [1932736105]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 271.0, "npi": [1841968799]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 220.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.36, "providers": [{"billed_charge": 374.0, "npi": [1710091426]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1114128568, 1902994908]}]}, {"allowed_amount": 397.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "752510007"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.1, "providers": [{"billed_charge": 330.0, "npi": [1770048704]}]}]}, {"tin": {"type": "ein", "value": "800520229"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.64, "providers": [{"billed_charge": 260.0, "npi": [1508216342]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 135.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.45, "npi": [1285359414]}]}, {"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.45, "npi": [1023759875, 1902912454, 1508115825, 1225176209, 1285359414, 1891735544, 1568500445]}]}, {"allowed_amount": 224.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.45, "npi": [1023759875, 1902912454, 1508115825, 1225176209, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "810898734"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 171.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 294.0, "npi": [1598717571]}]}]}, {"tin": {"type": "ein", "value": "811935319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.7, "providers": [{"billed_charge": 332.0, "npi": [1083077051]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 149.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1942335492]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 323.0, "npi": [1205389905]}]}, {"allowed_amount": 170.62, "providers": [{"billed_charge": 323.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 323.0, "npi": [1447771670]}]}, {"allowed_amount": 170.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 323.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "812824891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 192.36, "providers": [{"billed_charge": 210.0, "npi": [1619080702]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.5, "providers": [{"billed_charge": 241.0, "npi": [1992952766]}]}, {"allowed_amount": 160.46, "providers": [{"billed_charge": 241.0, "npi": [1245969591]}]}, {"allowed_amount": 241.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 241.0, "npi": [1497895387]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 149.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 298.0, "npi": [1114498730, 1225899826, 1811798275]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 298.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 253.33, "providers": [{"billed_charge": 298.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814166532"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.15, "providers": [{"billed_charge": 350.0, "npi": [1932187895]}]}, {"allowed_amount": 184.3, "providers": [{"billed_charge": 350.0, "npi": [1467652537]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 573.0, "npi": [1790384162, 1467721399]}]}, {"allowed_amount": 169.93, "providers": [{"billed_charge": 573.0, "npi": [1619537677, 1184466799]}]}, {"allowed_amount": 190.78, "providers": [{"billed_charge": 573.0, "npi": [1790384162]}]}, {"allowed_amount": 243.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 573.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "814632899"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.93, "providers": [{"billed_charge": 306.0, "npi": [1093248288]}]}]}, {"tin": {"type": "ein", "value": "821933583"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1558874800]}]}]}, {"tin": {"type": "ein", "value": "822423575"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 139.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 327.0, "npi": [1053844365]}]}]}, {"tin": {"type": "ein", "value": "824301751"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 162.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 221.0, "npi": [1740567643]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 126.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 326.0, "npi": [1912482282]}, {"billed_charge": 398.0, "npi": [1912482282]}, {"billed_charge": 400.0, "npi": [1912482282]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 226.0, "npi": [1245813708]}, {"billed_charge": 398.0, "npi": [1245813708]}]}, {"allowed_amount": 177.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 226.0, "npi": [1245813708]}, {"billed_charge": 326.0, "npi": [1245813708]}, {"billed_charge": 398.0, "npi": [1245813708]}, {"billed_charge": 400.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1679677611]}]}, {"allowed_amount": 165.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "832465331"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 220.0, "npi": [1952450637]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 166.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 354.93, "npi": [1912420050]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 458.0, "npi": [1396479010]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 520.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841887834"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 330.0, "npi": [1700472107, 1588380885]}]}]}, {"tin": {"type": "ein", "value": "842069211"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 175.0, "npi": [1760099576]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1902289374]}]}]}, {"tin": {"type": "ein", "value": "843321175"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 173.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1235790767]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 271.0, "npi": [1770710436, 1104252618, 1164804779, 1942376348, 1467515486]}]}, {"allowed_amount": 165.03, "providers": [{"billed_charge": 271.0, "npi": [1558339770, 1164804779, 1770710436, 1508313412]}]}, {"allowed_amount": 172.02, "providers": [{"billed_charge": 271.0, "npi": [1962837732, 1689911687]}]}, {"allowed_amount": 271.0, "providers": [{"billed_charge": 271.0, "npi": [1427070226]}]}, {"allowed_amount": 283.57, "providers": [{"billed_charge": 300.0, "npi": [1063870889]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 148.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.3, "npi": [1942281142]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.3, "npi": [1023650793, 1164973442, 1508489972, 1457057671]}]}, {"allowed_amount": 245.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.3, "npi": [1366828089, 1023650793, 1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 148.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1134101710, 1871681999, 1700405818, 1033303771, 1639600414]}]}, {"allowed_amount": 149.08, "providers": [{"billed_charge": 380.0, "npi": [1336613603, 1255388815]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1205908068, 1811401383, 1629776232, 1093315947, 1093291916, 1659389229, 1134101710, 1922735695, 1871681999, 1578949491, 1386324051, 1700405818, 1659617686, 1396296729, 1366953242, 1639600414]}]}, {"allowed_amount": 183.98, "providers": [{"billed_charge": 380.0, "npi": [1659389229]}]}, {"allowed_amount": 253.33, "providers": [{"billed_charge": 380.0, "npi": [1093315947, 1902253073, 1851799282, 1386324051, 1578949491]}]}]}, {"tin": {"type": "ein", "value": "844261523"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 326.0, "npi": [1861737439]}]}, {"allowed_amount": 183.04, "providers": [{"billed_charge": 326.0, "npi": [1366965519]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 185.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 263.0, "npi": [1548221674]}]}]}, {"tin": {"type": "ein", "value": "853275263"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 202.61, "providers": [{"billed_charge": 275.0, "npi": [1346043080]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 125.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 134.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 147.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1689894149]}]}, {"allowed_amount": 149.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1992043715, 1750072583]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1992043715, 1689646440, 1205061744, 1154054260, 1447303672]}]}, {"allowed_amount": 165.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744, 1689646440, 1710972534]}]}, {"allowed_amount": 169.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1982200705, 1396267373, 1154054260, 1780567255, 1568899961, 1770152415]}]}, {"allowed_amount": 183.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 283.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1275707895, 1992043715, 1528218815]}]}, {"allowed_amount": 287.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1689646440]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 148.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 404.0, "npi": [1205156643]}]}, {"allowed_amount": 149.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 404.0, "npi": [1114696176, 1154480218, 1922436922]}]}, {"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 404.0, "npi": [1114696176, 1922436922, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "854267642"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 204.0, "providers": [{"billed_charge": 204.0, "npi": [1891010476]}]}]}, {"tin": {"type": "ein", "value": "860840912"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 80.86, "providers": [{"billed_charge": 220.0, "npi": [1952308454]}]}]}, {"tin": {"type": "ein", "value": "861429247"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "863655230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 256.31, "npi": [1205663465]}]}]}, {"tin": {"type": "ein", "value": "863675734"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 187.13, "providers": [{"billed_charge": 372.5, "npi": [1770580771]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 200.0, "npi": [1659187680, 1669156121]}]}, {"allowed_amount": 165.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1659187680]}]}, {"allowed_amount": 169.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 256.31, "npi": [1205663465, 1891716908]}]}, {"allowed_amount": 224.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 236.35, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "873048254"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 350.0, "npi": [1033759089]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 148.41, "providers": [{"billed_charge": 298.0, "npi": [1215964291]}]}]}, {"tin": {"type": "ein", "value": "874129160"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.0, "providers": [{"billed_charge": 165.0, "npi": [1528026853]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 170.0, "npi": [1952040552]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1952040552]}]}]}, {"tin": {"type": "ein", "value": "881580452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 135.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1417278516]}]}]}, {"tin": {"type": "ein", "value": "883046892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 228.06, "providers": [{"billed_charge": 300.0, "npi": [1811607724]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 613.27, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 255.0, "providers": [{"billed_charge": 255.0, "npi": [1528671559, 1871370015]}]}]}, {"tin": {"type": "ein", "value": "900815244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 170.0, "npi": [1932678489, 1376657122, 1275032039]}]}, {"allowed_amount": 165.58, "providers": [{"billed_charge": 170.0, "npi": [1376657122]}]}, {"allowed_amount": 169.93, "providers": [{"billed_charge": 170.0, "npi": [1932678489]}]}]}, {"tin": {"type": "ein", "value": "910844563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.38, "providers": [{"billed_charge": 273.0, "npi": [1396756011]}]}]}, {"tin": {"type": "ein", "value": "911641797"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.38, "providers": [{"billed_charge": 223.0, "npi": [1790985083]}]}]}, {"tin": {"type": "ein", "value": "911942315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 182.6, "providers": [{"billed_charge": 405.0, "npi": [1538867882]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 224.26, "providers": [{"billed_charge": 532.0, "npi": [1124024625]}]}, {"allowed_amount": 349.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 532.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 257.0, "npi": [1598185472, 1386487593]}]}, {"allowed_amount": 169.93, "providers": [{"billed_charge": 257.0, "npi": [1386487593, 1306332333]}]}, {"allowed_amount": 257.0, "providers": [{"billed_charge": 257.0, "npi": [1598185472, 1003883299]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 474.0, "npi": [1568038784]}]}]}, {"tin": {"type": "ein", "value": "923818864"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1477068310]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 135.07, "providers": [{"billed_charge": 393.0, "npi": [1962237222]}]}, {"allowed_amount": 160.19, "providers": [{"billed_charge": 393.0, "npi": [1457812273]}]}, {"allowed_amount": 224.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 393.0, "npi": [1457007478]}]}, {"allowed_amount": 349.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 393.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "932161292"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.15, "providers": [{"billed_charge": 323.14, "npi": [1871235986]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 167.7, "npi": [1992825152, 1922506583]}]}, {"allowed_amount": 167.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 167.7, "npi": [1992825152, 1922506583]}]}]}, {"tin": {"type": "ein", "value": "934489868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1811269962]}]}]}, {"tin": {"type": "ein", "value": "934880533"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.81, "providers": [{"billed_charge": 283.0, "npi": [1346821519]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 156.29, "providers": [{"billed_charge": 273.0, "npi": [1770291486]}]}, {"allowed_amount": 183.87, "providers": [{"billed_charge": 273.0, "npi": [1689293300]}]}]}, {"tin": {"type": "ein", "value": "943439188"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 100.85, "providers": [{"billed_charge": 228.0, "npi": [1417342817]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20", "22"], "payments": [{"allowed_amount": 153.31, "providers": [{"billed_charge": 205.0, "npi": [1972202612]}, {"billed_charge": 287.0, "npi": [1740658368, 1659866408, 1902061906, 1407235955, 1730126426]}]}, {"allowed_amount": 172.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 287.0, "npi": [1740658368, 1841402369, 1902531932, 1255809588]}]}, {"allowed_amount": 283.57, "providers": [{"billed_charge": 287.0, "npi": [1356893499, 1578360301]}]}, {"allowed_amount": 287.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 287.0, "npi": [1609130954, 1407235955]}]}]}, {"tin": {"type": "ein", "value": "994277174"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 85.35, "providers": [{"billed_charge": 341.0, "npi": [1386698751]}]}, {"allowed_amount": 154.64, "providers": [{"billed_charge": 341.0, "npi": [1215655402]}]}, {"allowed_amount": 181.93, "providers": [{"billed_charge": 341.0, "npi": [1265161251]}]}]}, {"tin": {"type": "ein", "value": "994492179"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 424.0, "npi": [1184265688]}]}]}]}, {"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": "010965579"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.52, "providers": [{"billed_charge": 295.0, "npi": [1205487261]}]}]}, {"tin": {"type": "ein", "value": "020596679"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 335.0, "npi": [1851684443]}]}]}, {"tin": {"type": "ein", "value": "020701782"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.77, "providers": [{"billed_charge": 360.0, "npi": [1104934348]}]}]}, {"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 300.0, "npi": [1356394936, 1558504423]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 199.09, "providers": [{"billed_charge": 448.0, "npi": [1821501982]}]}, {"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.0, "npi": [1073814786, 1972060101, 1043095243, 1801326608, 1437636503, 1649984089, 1245863356, 1548682941, 1528218815]}]}, {"allowed_amount": 276.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.0, "npi": [1982309795, 1609159813, 1770434078, 1629680814, 1447842356, 1205568094]}]}, {"allowed_amount": 311.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.0, "npi": [1548682941]}]}, {"allowed_amount": 448.0, "providers": [{"billed_charge": 448.0, "npi": [1245863356]}]}]}, {"tin": {"type": "ein", "value": "200277709"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 162.36, "providers": [{"billed_charge": 520.95, "npi": [1013485044]}]}]}, {"tin": {"type": "ein", "value": "200379196"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 302.58, "providers": [{"billed_charge": 399.0, "npi": [1891743407]}]}, {"allowed_amount": 321.38, "providers": [{"billed_charge": 399.0, "npi": [1891743407]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1649603929, 1770717530]}]}, {"allowed_amount": 360.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1023732609, 1659950541]}]}]}, {"tin": {"type": "ein", "value": "200760917"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 325.0, "npi": [1922298454]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 151.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 533.28, "npi": [1407116544, 1972068708, 1093018277, 1245202167, 1144990557]}]}, {"allowed_amount": 168.87, "providers": [{"billed_charge": 533.28, "npi": [1053379347]}]}, {"allowed_amount": 222.2, "providers": [{"billed_charge": 533.28, "npi": [1730631482, 1053379347, 1942418579]}]}, {"allowed_amount": 533.28, "providers": [{"billed_charge": 533.28, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 144.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1902003635]}]}, {"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1902003635]}]}, {"allowed_amount": 366.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203587332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 251.25, "providers": [{"billed_charge": 251.25, "npi": [1033195607]}]}]}, {"tin": {"type": "ein", "value": "203897330"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 184.61, "billing_code_modifier": ["25,SA"], "providers": [{"billed_charge": 240.0, "npi": [1871938647]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 239.0, "npi": [1720035181, 1891727509]}]}, {"allowed_amount": 239.0, "providers": [{"billed_charge": 239.0, "npi": [1033207634, 1720035181]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 341.0, "npi": [1174114680]}]}, {"allowed_amount": 256.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 341.0, "npi": [1801768577]}]}, {"allowed_amount": 341.0, "providers": [{"billed_charge": 341.0, "npi": [1174114680]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 74.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1497920474, 1467692236, 1811483829]}]}, {"allowed_amount": 113.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1437544384, 1952921025, 1023052644, 1225353766, 1124239207, 1235189358, 1053645457, 1730112244, 1033615414, 1265665145, 1952822652]}]}, {"allowed_amount": 136.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1245291426]}]}, {"allowed_amount": 137.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1316571672, 1376038497, 1205208436, 1942456660]}]}, {"allowed_amount": 138.19, "providers": [{"billed_charge": 387.0, "npi": [1467093492]}]}, {"allowed_amount": 148.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1720236003, 1144354390, 1619190287]}]}, {"allowed_amount": 149.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1578805248, 1205417474, 1568496909, 1912961293, 1053645457, 1164418323, 1518986132, 1255893657, 1821284910, 1659623601, 1235796277, 1811483829, 1033615414, 1649436734, 1447488580, 1639134661, 1467692236, 1659566545, 1497920474, 1144595307, 1265665145, 1952822652]}]}, {"allowed_amount": 150.32, "providers": [{"billed_charge": 387.0, "npi": [1760129019, 1447629027]}]}, {"allowed_amount": 155.88, "providers": [{"billed_charge": 387.0, "npi": [1225899826]}]}, {"allowed_amount": 162.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1346206257]}]}, {"allowed_amount": 169.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1538144597]}]}, {"allowed_amount": 227.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1942573316, 1104182799, 1053645457, 1225353766, 1245352491, 1821284910, 1598111924, 1235796277, 1033615414, 1245755958, 1649436734, 1437544384, 1952921025, 1639134661, 1780062414, 1659566545, 1942457692, 1417905886, 1174586465, 1023052644, 1124239207, 1144595307, 1235189358, 1265993075, 1730112244, 1265665145, 1952822652]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1578805248, 1982648705, 1205417474, 1568496909, 1104426766, 1104182799, 1912961293, 1053645457, 1164418323, 1518986132, 1255893657, 1245291426, 1225353766, 1821067943, 1821284910, 1659623601, 1811483829, 1033615414, 1437544384, 1952921025, 1447488580, 1639134661, 1467692236, 1659566545, 1942456660, 1538144597, 1144354390, 1497920474, 1447629027, 1265665145, 1952822652]}]}, {"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1376579714, 1942573316, 1104182799, 1053645457, 1740739986, 1255893657, 1396230173, 1225353766, 1245352491, 1821284910, 1346206257, 1598111924, 1821246133, 1235796277, 1245755958, 1033615414, 1538139324, 1437544384, 1952921025, 1639134661, 1780062414, 1659566545, 1003365461, 1942457692, 1417905886, 1649424094, 1174586465, 1376038497, 1831939297, 1023052644, 1124239207, 1144595307, 1235189358, 1114696176, 1265993075, 1467093492, 1730112244, 1265665145, 1952822652]}]}, {"allowed_amount": 255.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1790545523, 1003365461]}]}, {"allowed_amount": 260.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1538139324]}]}, {"allowed_amount": 289.5, "providers": [{"billed_charge": 387.0, "npi": [1952921025]}]}, {"allowed_amount": 337.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1952921025, 1104182799, 1821246133, 1245755958, 1265665145]}]}, {"allowed_amount": 338.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1982648705, 1376579714, 1538144597]}]}, {"allowed_amount": 355.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1376579714, 1538182340, 1821067943]}]}, {"allowed_amount": 387.0, "providers": [{"billed_charge": 387.0, "npi": [1538139324]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 162.58, "providers": [{"billed_charge": 425.0, "npi": [1285260141, 1447267463]}]}]}, {"tin": {"type": "ein", "value": "205277615"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.18, "providers": [{"billed_charge": 581.0, "npi": [1396541082]}]}]}, {"tin": {"type": "ein", "value": "205777216"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1639113848]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1285780387, 1710947940, 1467073254, 1790906154, 1891725164, 1881271310, 1104182799, 1194285486, 1346206257, 1669919155, 1073833653, 1235796277, 1457715096, 1558724377, 1942457692]}]}, {"allowed_amount": 277.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1285780387, 1710947940, 1467073254, 1790906154, 1891725164, 1194285486, 1881271310, 1669919155, 1073833653, 1235796277, 1942457692, 1457715096, 1558724377, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1669737953, 1174586465, 1710947940, 1508108390, 1508137670, 1558395434, 1174658348, 1912961293, 1043313232, 1346206257, 1669919155, 1558724377, 1942457692]}]}, {"allowed_amount": 277.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1174586465, 1225353766, 1508137670, 1467073254, 1710175526, 1558395434, 1508108390, 1104182799, 1043313232, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1649538828, 1912961293, 1285780387, 1225353766, 1528493350, 1245352491, 1396774956, 1346206257, 1497258164, 1235796277, 1073833653, 1528022332, 1700011335, 1043313232, 1942457692, 1467073254, 1508108390, 1891725164, 1023645041]}]}, {"allowed_amount": 277.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1669737953, 1285780387, 1710947940, 1528493350, 1700011335, 1790906154, 1649538828, 1912961293, 1891725164, 1023645041, 1669919155, 1497258164, 1073833653, 1699926774, 1942457692, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 275.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 388.78, "npi": [1316960578]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1912961293, 1104182799, 1780632612, 1225353766, 1790906154, 1245352491, 1396774956, 1558395434, 1346206257, 1669919155, 1073833653, 1235796277, 1508137670, 1700011335, 1043313232, 1194822353, 1942457692, 1669737953, 1710947940, 1467073254, 1508108390]}]}, {"allowed_amount": 277.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1710947940, 1780632612, 1225353766, 1467073254, 1508108390, 1528493350, 1558395434, 1245352491, 1790906154, 1396774956, 1043313232, 1194822353, 1346206257, 1669919155, 1073833653, 1699926774, 1235796277, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "223487984"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 306.65, "providers": [{"billed_charge": 309.0, "npi": [1568858686]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.05, "providers": [{"billed_charge": 350.0, "npi": [1033572318]}]}]}, {"tin": {"type": "ein", "value": "232664784"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1689963332]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 190.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1407650658, 1821372772, 1427436229, 1669422341, 1952884074, 1699117903, 1346087350, 1033830427, 1821649021, 1720655582, 1497707327]}]}]}, {"tin": {"type": "ein", "value": "259738122"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.0, "providers": [{"billed_charge": 608.0, "npi": [1578120838]}]}]}, {"tin": {"type": "ein", "value": "261155537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1861622060]}]}, {"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1861622060]}]}, {"allowed_amount": 232.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1861622060]}]}]}, {"tin": {"type": "ein", "value": "261266337"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 271.0, "npi": [1386051761]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 302.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 492.02, "npi": [1801321104, 1710333257, 1942520093]}]}, {"allowed_amount": 321.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 492.02, "npi": [1801321104, 1710333257, 1770947004, 1649369422]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 241.25, "providers": [{"billed_charge": 258.0, "npi": [1922660232]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 665.0, "npi": [1912750597, 1194298331, 1578252813, 1639994510, 1801762166, 1730893496, 1548938491, 1336841501]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 665.0, "npi": [1982477956, 1912750597, 1003625062, 1700519915, 1437956588, 1578226411, 1639994510, 1356790455, 1730893496, 1598261497, 1194298331, 1003117847, 1336841501]}]}, {"allowed_amount": 256.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1770053407]}, {"billed_charge": 665.0, "npi": [1760885420, 1912750597, 1639994510, 1770053407]}]}, {"allowed_amount": 276.51, "providers": [{"billed_charge": 665.0, "npi": [1598261497]}]}, {"allowed_amount": 277.37, "providers": [{"billed_charge": 665.0, "npi": [1730893496]}]}, {"allowed_amount": 381.93, "providers": [{"billed_charge": 665.0, "npi": [1578252813, 1639994510, 1033832688, 1942790613, 1194298331, 1770053407]}]}, {"allowed_amount": 410.98, "providers": [{"billed_charge": 665.0, "npi": [1336832773, 1912750597, 1164187977, 1760885420, 1033832688, 1902295538, 1619511672, 1598261497, 1194298331, 1770053407]}]}, {"allowed_amount": 427.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 665.0, "npi": [1811391352, 1730893496]}]}, {"allowed_amount": 586.25, "providers": [{"billed_charge": 665.0, "npi": [1811391352, 1578226411, 1730893496]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 169.16, "providers": [{"billed_charge": 300.0, "npi": [1740483882]}]}, {"allowed_amount": 183.55, "providers": [{"billed_charge": 300.0, "npi": [1023329372]}]}, {"allowed_amount": 222.2, "providers": [{"billed_charge": 300.0, "npi": [1679585764, 1649266982]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["11", "23"], "payments": [{"allowed_amount": 194.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 433.0, "npi": [1326272873]}]}, {"allowed_amount": 241.2, "providers": [{"billed_charge": 536.0, "npi": [1356791776, 1326272873]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1881271310, 1558724377, 1285780387, 1780632612, 1225353766, 1710175526, 1790906154, 1245352491, 1396774956, 1346206257, 1669919155, 1073833653, 1528022332, 1508137670, 1942457692, 1669737953, 1710947940, 1467073254, 1508108390, 1699926774]}]}, {"allowed_amount": 277.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1669737953, 1780632612, 1710947940, 1710175526, 1225353766, 1467073254, 1508108390, 1700011335, 1790906154, 1396774956, 1912961293, 1043313232, 1669919155, 1073833653, 1699926774, 1235796277, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "263083364"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 230.26, "providers": [{"billed_charge": 369.0, "npi": [1740921428]}]}]}, {"tin": {"type": "ein", "value": "264104591"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 230.69, "providers": [{"billed_charge": 326.56, "npi": [1992877138]}]}]}, {"tin": {"type": "ein", "value": "264190328"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 206.53, "providers": [{"billed_charge": 539.88, "npi": [1497771323]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 223.74, "providers": [{"billed_charge": 476.78, "npi": [1235529116]}]}, {"allowed_amount": 224.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.73, "npi": [1982273678]}, {"billed_charge": 515.73, "npi": [1982273678]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.73, "npi": [1497419923, 1235529116, 1982273678]}, {"billed_charge": 515.73, "npi": [1194564443, 1497419923, 1871676668]}]}, {"allowed_amount": 381.93, "providers": [{"billed_charge": 415.73, "npi": [1194564443]}]}, {"allowed_amount": 415.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.73, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 136.04, "providers": [{"billed_charge": 608.91, "npi": [1841252657]}]}, {"allowed_amount": 231.14, "providers": [{"billed_charge": 608.91, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "264732338"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1154603389]}]}]}, {"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 570.0, "npi": [1518969377, 1144637539, 1699782748]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 170.0, "npi": [1780624353, 1851576102, 1619070828, 1730559790, 1922534833, 1134518673, 1831765494, 1326573270, 1497185334, 1851344378, 1275918203]}]}, {"allowed_amount": 223.74, "providers": [{"billed_charge": 533.28, "npi": [1851576102]}]}]}, {"tin": {"type": "ein", "value": "270123687"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 288.98, "providers": [{"billed_charge": 492.02, "npi": [1710333257]}]}, {"allowed_amount": 302.58, "providers": [{"billed_charge": 492.02, "npi": [1649369422]}]}]}, {"tin": {"type": "ein", "value": "270642524"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1841525235]}]}]}, {"tin": {"type": "ein", "value": "270851352"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 270.9, "providers": [{"billed_charge": 395.0, "npi": [1649770769]}]}]}, {"tin": {"type": "ein", "value": "270886268"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1316272685]}]}]}, {"tin": {"type": "ein", "value": "271005450"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 270.74, "providers": [{"billed_charge": 339.0, "npi": [1649345273]}]}]}, {"tin": {"type": "ein", "value": "271467095"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 233.94, "providers": [{"billed_charge": 267.0, "npi": [1205542198]}]}]}, {"tin": {"type": "ein", "value": "271880312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 432.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 741.67, "npi": [1770590168]}]}]}, {"tin": {"type": "ein", "value": "272485819"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 328.0, "npi": [1730220070]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1730491945]}]}, {"allowed_amount": 318.0, "providers": [{"billed_charge": 318.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "272973102"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 265.02, "providers": [{"billed_charge": 433.0, "npi": [1013557925]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 321.38, "providers": [{"billed_charge": 533.0, "npi": [1659378412]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 533.0, "npi": [1790223386]}]}]}, {"tin": {"type": "ein", "value": "275349332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 322.0, "npi": [1053286088, 1346113222]}]}]}, {"tin": {"type": "ein", "value": "300709677"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 291.18, "providers": [{"billed_charge": 453.6, "npi": [1841648649, 1427729516]}]}, {"allowed_amount": 294.01, "providers": [{"billed_charge": 453.6, "npi": [1710876859]}]}, {"allowed_amount": 317.58, "providers": [{"billed_charge": 453.6, "npi": [1891256400]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 330.0, "npi": [1801317219, 1538944772]}]}, {"allowed_amount": 276.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 330.0, "npi": [1801317219]}]}]}, {"tin": {"type": "ein", "value": "331095434"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1912572652]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1669737953, 1467073254, 1700011335, 1508108390, 1790906154, 1891725164, 1912961293, 1881271310, 1669919155, 1497258164, 1073833653, 1528022332, 1942457692, 1689816191]}]}, {"allowed_amount": 277.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1710947940, 1225353766, 1467073254, 1700011335, 1508108390, 1790906154, 1891725164, 1912961293, 1669919155, 1073833653, 1942457692, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1104776962, 1457705618]}]}, {"allowed_amount": 287.63, "providers": [{"billed_charge": 400.0, "npi": [1457705618]}]}, {"allowed_amount": 400.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 227.61, "providers": [{"billed_charge": 350.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 309.68, "providers": [{"billed_charge": 1040.0, "npi": [1417581463]}]}]}, {"tin": {"type": "ein", "value": "352163112"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1659358687]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 190.75, "providers": [{"billed_charge": 300.0, "npi": [1215399456]}]}, {"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1356654339]}]}]}, {"tin": {"type": "ein", "value": "363261413"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 239.75, "providers": [{"billed_charge": 585.9, "npi": [1952017717]}]}]}, {"tin": {"type": "ein", "value": "364223877"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 245.39, "providers": [{"billed_charge": 499.2, "npi": [1952425035]}]}]}, {"tin": {"type": "ein", "value": "371829497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 263.73, "providers": [{"billed_charge": 511.0, "npi": [1093251860]}]}, {"allowed_amount": 276.15, "providers": [{"billed_charge": 511.0, "npi": [1093251860]}]}]}, {"tin": {"type": "ein", "value": "383316559"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 305.95, "providers": [{"billed_charge": 379.0, "npi": [1659871838]}]}]}, {"tin": {"type": "ein", "value": "383878115"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 347.23, "providers": [{"billed_charge": 464.0, "npi": [1477087658]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 263.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 502.0, "npi": [1851844104]}]}, {"allowed_amount": 277.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 502.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "394248979"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 279.85, "providers": [{"billed_charge": 885.0, "npi": [1629390109]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "providers": [{"billed_charge": 442.0, "npi": [1578252813]}]}, {"allowed_amount": 381.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.0, "npi": [1174007991]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11", "22", "23"], "payments": [{"allowed_amount": 166.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 536.0, "npi": [1912580630]}]}, {"allowed_amount": 194.85, "providers": [{"billed_charge": 433.0, "npi": [1851669816, 1568695468, 1124010020]}]}, {"allowed_amount": 241.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 536.0, "npi": [1326449414]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 202.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 202.0, "npi": [1902602212, 1780604934, 1154295913, 1689124554, 1417321969, 1124665971, 1164151197, 1629112735]}]}]}, {"tin": {"type": "ein", "value": "452561835"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1295709756]}]}]}, {"tin": {"type": "ein", "value": "452919679"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 245.88, "providers": [{"billed_charge": 435.0, "npi": [1366819732]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548]}]}, {"allowed_amount": 350.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1376783548, 1306686381, 1417819806, 1184441719]}]}]}, {"tin": {"type": "ein", "value": "453676951"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 223.74, "providers": [{"billed_charge": 520.0, "npi": [1174389027]}]}, {"allowed_amount": 224.76, "providers": [{"billed_charge": 520.0, "npi": [1114040235, 1437956588]}]}, {"allowed_amount": 231.14, "providers": [{"billed_charge": 260.0, "npi": [1982480448, 1497459465, 1417793035, 1598623456]}, {"billed_charge": 384.0, "npi": [1629933049, 1619491859, 1366230468, 1558123182]}, {"billed_charge": 520.0, "npi": [1982480448, 1528943073, 1598623456, 1366230468, 1497459465, 1417793035, 1437956588, 1114040235, 1558123182, 1427044825, 1427836402, 1619491859, 1407533557, 1629933049, 1679266555]}]}, {"allowed_amount": 249.63, "providers": [{"billed_charge": 520.0, "npi": [1174389027]}]}, {"allowed_amount": 256.19, "providers": [{"billed_charge": 384.0, "npi": [1982480448]}, {"billed_charge": 520.0, "npi": [1982480448, 1528943073, 1366230468, 1497459465, 1386504298, 1558123182, 1427836402, 1629933049]}]}, {"allowed_amount": 260.0, "providers": [{"billed_charge": 260.0, "npi": [1629933049, 1386504298, 1114040235, 1497459465]}]}, {"allowed_amount": 277.37, "providers": [{"billed_charge": 520.0, "npi": [1629933049, 1679266555, 1427044825, 1114040235]}]}, {"allowed_amount": 381.93, "providers": [{"billed_charge": 384.0, "npi": [1386504298]}, {"billed_charge": 520.0, "npi": [1982480448, 1528943073, 1366230468, 1497459465, 1386504298, 1417793035, 1558123182, 1629933049]}]}, {"allowed_amount": 384.0, "providers": [{"billed_charge": 384.0, "npi": [1407533557]}]}, {"allowed_amount": 427.51, "providers": [{"billed_charge": 520.0, "npi": [1114040235, 1437956588, 1407533557]}]}, {"allowed_amount": 506.65, "providers": [{"billed_charge": 520.0, "npi": [1427044825]}]}]}, {"tin": {"type": "ein", "value": "454298417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.2, "providers": [{"billed_charge": 575.0, "npi": [1376191718]}]}, {"allowed_amount": 295.81, "providers": [{"billed_charge": 575.0, "npi": [1598021537]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 724.2, "npi": [1013425727]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 724.2, "npi": [1558182824, 1417535881, 1780373209]}]}, {"allowed_amount": 256.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 724.2, "npi": [1558182824]}]}, {"allowed_amount": 287.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 724.2, "npi": [1073398285]}]}, {"allowed_amount": 381.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 724.2, "npi": [1417535881, 1215675988]}]}]}, {"tin": {"type": "ein", "value": "454846207"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 213.87, "providers": [{"billed_charge": 570.0, "npi": [1982433199]}]}]}, {"tin": {"type": "ein", "value": "455101569"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 137.6, "providers": [{"billed_charge": 240.0, "npi": [1144575739]}]}]}, {"tin": {"type": "ein", "value": "460535304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 257.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1568575843]}]}]}, {"tin": {"type": "ein", "value": "460540752"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 312.55, "providers": [{"billed_charge": 395.12, "npi": [1316945140, 1275562837]}]}]}, {"tin": {"type": "ein", "value": "460570398"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 502.0, "npi": [1225990575]}]}]}, {"tin": {"type": "ein", "value": "460688274"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 143.07, "providers": [{"billed_charge": 250.0, "npi": [1891758645]}]}]}, {"tin": {"type": "ein", "value": "460714837"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1184971558]}]}]}, {"tin": {"type": "ein", "value": "460793976"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 319.13, "providers": [{"billed_charge": 575.0, "npi": [1205652054]}]}]}, {"tin": {"type": "ein", "value": "460933667"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1205375623]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.52, "providers": [{"billed_charge": 311.0, "npi": [1619394376, 1578179156]}]}, {"allowed_amount": 294.73, "providers": [{"billed_charge": 311.0, "npi": [1548248883]}]}]}, {"tin": {"type": "ein", "value": "461235939"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 262.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 309.8, "npi": [1992041370]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 270.0, "npi": [1164407417]}]}]}, {"tin": {"type": "ein", "value": "461503904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.2, "providers": [{"billed_charge": 365.0, "npi": [1104544097, 1144841172]}]}, {"allowed_amount": 310.68, "providers": [{"billed_charge": 365.0, "npi": [1396936738]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.52, "npi": [1326017468]}]}, {"allowed_amount": 435.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 435.52, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 223.66, "providers": [{"billed_charge": 246.09, "npi": [1548692890]}]}, {"allowed_amount": 226.51, "providers": [{"billed_charge": 246.09, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "463562590"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 264.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 309.8, "npi": [1023447943]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.42, "providers": [{"billed_charge": 544.92, "npi": [1508400482]}]}, {"allowed_amount": 241.25, "providers": [{"billed_charge": 544.92, "npi": [1508400482]}]}]}, {"tin": {"type": "ein", "value": "463795853"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 190.0, "providers": [{"billed_charge": 190.0, "npi": [1174333868]}]}]}, {"tin": {"type": "ein", "value": "464217793"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 247.5, "providers": [{"billed_charge": 630.49, "npi": [1790414696]}]}]}, {"tin": {"type": "ein", "value": "464626165"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 305.95, "providers": [{"billed_charge": 370.0, "npi": [1780353862]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.34, "providers": [{"billed_charge": 253.0, "npi": [1821741216]}]}]}, {"tin": {"type": "ein", "value": "464755237"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 212.3, "providers": [{"billed_charge": 495.0, "npi": [1669683751]}]}]}, {"tin": {"type": "ein", "value": "465218437"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 180.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1982030649]}]}]}, {"tin": {"type": "ein", "value": "465562958"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 234.41, "providers": [{"billed_charge": 350.0, "npi": [1245908094]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 113.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1730506866]}]}, {"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1104277888, 1679679781]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 188.52, "providers": [{"billed_charge": 315.0, "npi": [1063064129, 1124884515, 1508578972]}]}, {"allowed_amount": 190.93, "providers": [{"billed_charge": 315.0, "npi": [1215813548]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 331.74, "npi": [1689354433]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1669179636]}]}, {"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 331.74, "npi": [1740652106, 1265167217, 1669179636, 1164149597, 1972182046]}]}, {"allowed_amount": 331.74, "providers": [{"billed_charge": 331.74, "npi": [1740652106, 1245822378, 1376382259, 1669179636, 1164149597]}]}]}, {"tin": {"type": "ein", "value": "471758444"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 275.69, "providers": [{"billed_charge": 600.0, "npi": [1487419230]}]}, {"allowed_amount": 337.65, "providers": [{"billed_charge": 600.0, "npi": [1306088406]}]}]}, {"tin": {"type": "ein", "value": "472146421"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.76, "providers": [{"billed_charge": 181.76, "npi": [1255316881]}]}]}, {"tin": {"type": "ein", "value": "472615759"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.08, "providers": [{"billed_charge": 325.0, "npi": [1336627769]}]}]}, {"tin": {"type": "ein", "value": "472736221"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 199.09, "providers": [{"billed_charge": 508.0, "npi": [1154163251]}]}, {"allowed_amount": 222.2, "providers": [{"billed_charge": 508.0, "npi": [1154163251]}]}, {"allowed_amount": 276.51, "providers": [{"billed_charge": 508.0, "npi": [1811409402]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.0, "npi": [1689244063]}]}, {"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.0, "npi": [1164225827, 1497586630, 1932602406, 1689548711, 1376300467, 1639868664]}]}, {"allowed_amount": 225.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.0, "npi": [1942186648]}]}, {"allowed_amount": 245.64, "providers": [{"billed_charge": 332.0, "npi": [1861200750]}]}, {"allowed_amount": 332.0, "providers": [{"billed_charge": 332.0, "npi": [1114617560, 1891536298]}]}]}, {"tin": {"type": "ein", "value": "473660763"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 231.14, "providers": [{"billed_charge": 500.0, "npi": [1174830178]}]}]}, {"tin": {"type": "ein", "value": "474189075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 162.36, "providers": [{"billed_charge": 270.0, "npi": [1871981951]}]}]}, {"tin": {"type": "ein", "value": "474782014"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 225.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 270.67, "npi": [1568229664]}]}]}, {"tin": {"type": "ein", "value": "541456064"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 284.0, "providers": [{"billed_charge": 284.0, "npi": [1932589959]}]}]}, {"tin": {"type": "ein", "value": "541669672"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 202.25, "providers": [{"billed_charge": 202.25, "npi": [1548364771]}]}]}, {"tin": {"type": "ein", "value": "541973284"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 320.18, "providers": [{"billed_charge": 352.0, "npi": [1952980245]}]}]}, {"tin": {"type": "ein", "value": "581466368"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 273.68, "providers": [{"billed_charge": 484.0, "npi": [1841385531]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 212.05, "providers": [{"billed_charge": 649.0, "npi": [1538393921]}]}]}, {"tin": {"type": "ein", "value": "582147112"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 489.29, "providers": [{"billed_charge": 704.12, "npi": [1649405499]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["20", "23"], "payments": [{"allowed_amount": 231.14, "providers": [{"billed_charge": 1040.0, "npi": [1154962918]}, {"billed_charge": 1076.0, "npi": [1518952571]}]}, {"allowed_amount": 268.12, "providers": [{"billed_charge": 1040.0, "npi": [1154962918]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 736.55, "npi": [1568402485]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.08, "providers": [{"billed_charge": 1295.0, "npi": [1144813536]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 190.75, "providers": [{"billed_charge": 464.0, "npi": [1659788545]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 325.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 325.38, "npi": [1871027185]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 142.22, "providers": [{"billed_charge": 1286.0, "npi": [1952313173]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 721.04, "npi": [1275529539, 1205363686, 1265916266, 1053831032, 1518277946]}]}, {"allowed_amount": 483.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 721.04, "npi": [1053831032, 1770169476]}]}]}, {"tin": {"type": "ein", "value": "592411629"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 148.4, "providers": [{"billed_charge": 350.0, "npi": [1932162682]}]}]}, {"tin": {"type": "ein", "value": "593209688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 498.0, "npi": [1518677640]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 485.0, "npi": [1598750648, 1275627622]}]}, {"allowed_amount": 311.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 485.0, "npi": [1598750648]}]}, {"allowed_amount": 485.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 485.0, "npi": [1275627622]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 332.0, "npi": [1235338047]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.55, "providers": [{"billed_charge": 665.0, "npi": [1487826038]}]}]}, {"tin": {"type": "ein", "value": "593622226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 485.0, "npi": [1366611899]}]}]}, {"tin": {"type": "ein", "value": "593636166"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1699240812, 1811537855]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 381.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 677.0, "npi": [1689173155]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 255.44, "providers": [{"billed_charge": 535.0, "npi": [1861942443]}]}, {"allowed_amount": 300.52, "providers": [{"billed_charge": 535.0, "npi": [1891336079]}]}]}, {"tin": {"type": "ein", "value": "611355320"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1659384865]}]}]}, {"tin": {"type": "ein", "value": "611630276"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 270.9, "providers": [{"billed_charge": 272.0, "npi": [1013939354]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 416.0, "npi": [1518635564]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 416.0, "npi": [1487322335, 1841968799]}]}, {"allowed_amount": 416.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 416.0, "npi": [1841968799, 1518635564, 1487322335]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 179.29, "providers": [{"billed_charge": 330.0, "npi": [1205877537, 1033606454]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "providers": [{"billed_charge": 1258.0, "npi": [1477552917]}]}]}, {"tin": {"type": "ein", "value": "650310039"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 227.61, "providers": [{"billed_charge": 375.0, "npi": [1972569341]}]}]}, {"tin": {"type": "ein", "value": "650532318"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 188.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 345.0, "npi": [1063434371]}]}, {"allowed_amount": 241.25, "providers": [{"billed_charge": 345.0, "npi": [1063434371]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 520.0, "npi": [1134853914]}]}]}, {"tin": {"type": "ein", "value": "650667458"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 241.25, "providers": [{"billed_charge": 1040.48, "npi": [1316500788]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.96, "providers": [{"billed_charge": 615.0, "npi": [1184886459]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1902994908]}]}, {"allowed_amount": 450.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.42, "providers": [{"billed_charge": 442.3, "npi": [1285359414]}]}, {"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.3, "npi": [1023759875, 1902912454, 1508115825, 1194060756, 1285359414, 1891735544, 1568500445]}]}, {"allowed_amount": 337.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.3, "npi": [1023759875, 1508115825, 1225176209, 1194060756, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "811162003"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.35, "providers": [{"billed_charge": 306.0, "npi": [1336539857]}]}]}, {"tin": {"type": "ein", "value": "811935319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 294.73, "providers": [{"billed_charge": 507.0, "npi": [1083077051]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 224.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1942335492]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812381044"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 322.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 322.0, "npi": [1790825008]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 496.0, "npi": [1205389905]}]}, {"allowed_amount": 257.75, "providers": [{"billed_charge": 496.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 496.0, "npi": [1447771670]}]}, {"allowed_amount": 257.75, "providers": [{"billed_charge": 496.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "812704779"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 354.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 497.0, "npi": [1548702616]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 263.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 483.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "812824891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 291.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1063526705]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 246.88, "providers": [{"billed_charge": 315.0, "npi": [1366319394, 1568337533]}]}, {"allowed_amount": 275.69, "providers": [{"billed_charge": 315.0, "npi": [1306566096]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.08, "providers": [{"billed_charge": 161.87, "npi": [1497555098, 1902633134, 1235937046]}]}, {"allowed_amount": 155.88, "providers": [{"billed_charge": 161.87, "npi": [1497427322]}]}, {"allowed_amount": 161.87, "providers": [{"billed_charge": 161.87, "npi": [1386504298, 1699630939, 1497427322, 1720598006]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 224.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.0, "npi": [1114498730, 1225899826, 1811798275]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 381.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 325.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 325.0, "npi": [1255499943]}]}]}, {"tin": {"type": "ein", "value": "814072521"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 215.1, "providers": [{"billed_charge": 490.0, "npi": [1255883682]}]}, {"allowed_amount": 223.78, "providers": [{"billed_charge": 490.0, "npi": [1255883682]}]}]}, {"tin": {"type": "ein", "value": "814073032"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 325.0, "npi": [1780541151]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 256.19, "providers": [{"billed_charge": 868.0, "npi": [1619537677, 1184466799]}]}, {"allowed_amount": 287.63, "providers": [{"billed_charge": 868.0, "npi": [1184466799]}]}, {"allowed_amount": 367.79, "providers": [{"billed_charge": 868.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 321.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "822659330"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 332.76, "npi": [1629484373]}]}]}, {"tin": {"type": "ein", "value": "824301751"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 233.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1710858071]}]}, {"allowed_amount": 245.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1407481492]}]}]}, {"tin": {"type": "ein", "value": "824778299"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1801033675]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1245813708]}, {"billed_charge": 450.0, "npi": [1245813708]}]}, {"allowed_amount": 268.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1245813708]}, {"billed_charge": 400.0, "npi": [1245813708]}, {"billed_charge": 450.0, "npi": [1245813708]}]}, {"allowed_amount": 277.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "830230892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1942648365]}]}]}, {"tin": {"type": "ein", "value": "830705469"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1659721975]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 210.24, "providers": [{"billed_charge": 570.0, "npi": [1093555849]}]}]}, {"tin": {"type": "ein", "value": "831838152"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 190.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1215498290]}]}]}, {"tin": {"type": "ein", "value": "833011825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 236.28, "providers": [{"billed_charge": 350.0, "npi": [1588286579]}]}]}, {"tin": {"type": "ein", "value": "841074070"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.52, "providers": [{"billed_charge": 300.0, "npi": [1518336056]}]}]}, {"tin": {"type": "ein", "value": "843253147"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1891303293]}]}]}, {"tin": {"type": "ein", "value": "843321175"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 261.31, "providers": [{"billed_charge": 375.0, "npi": [1104258268]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 416.0, "npi": [1942376348, 1467515486]}]}, {"allowed_amount": 249.31, "providers": [{"billed_charge": 416.0, "npi": [1164804779]}]}, {"allowed_amount": 259.34, "providers": [{"billed_charge": 416.0, "npi": [1558474114]}]}, {"allowed_amount": 266.64, "providers": [{"billed_charge": 416.0, "npi": [1942376348]}]}, {"allowed_amount": 450.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 450.0, "npi": [1942376348]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 369.82, "npi": [1023650793, 1164973442]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 223.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 570.0, "npi": [1134101710, 1871681999, 1700405818, 1033303771, 1639600414]}]}, {"allowed_amount": 224.76, "providers": [{"billed_charge": 570.0, "npi": [1336613603, 1255388815]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 570.0, "npi": [1205908068, 1811401383, 1407079817, 1093315947, 1093291916, 1659389229, 1134101710, 1871681999, 1255388815, 1851799282, 1386324051, 1659617686, 1700405818, 1639600414]}]}, {"allowed_amount": 277.37, "providers": [{"billed_charge": 570.0, "npi": [1659389229, 1871681999]}]}, {"allowed_amount": 381.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 570.0, "npi": [1811401383, 1093315947, 1902253073, 1386324051, 1578949491]}]}]}, {"tin": {"type": "ein", "value": "844061485"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 242.34, "providers": [{"billed_charge": 593.0, "npi": [1164440392]}]}]}, {"tin": {"type": "ein", "value": "844261523"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 498.0, "npi": [1891386314]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 279.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 289.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1770084022]}]}, {"allowed_amount": 350.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 269.95, "providers": [{"billed_charge": 575.0, "npi": [1629627872]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 645.0, "npi": [1891724704, 1659653954, 1053580191]}]}, {"allowed_amount": 415.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 645.0, "npi": [1891724704, 1659653954]}]}]}, {"tin": {"type": "ein", "value": "852898101"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 432.22, "providers": [{"billed_charge": 512.4, "npi": [1639687569]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 188.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 203.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744, 1275669780, 1154054260, 1578631925, 1275707895, 1568899961, 1780567255]}]}, {"allowed_amount": 249.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 256.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1568899961, 1780567255]}]}, {"allowed_amount": 276.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1235261900]}]}, {"allowed_amount": 381.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1275669780]}]}, {"allowed_amount": 427.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "853821606"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 161.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1255855995]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 223.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 599.0, "npi": [1205156643]}]}, {"allowed_amount": 224.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 599.0, "npi": [1154480218, 1013740489, 1265259790, 1114696176, 1619753498, 1922436922]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 599.0, "npi": [1922436922, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.3, "providers": [{"billed_charge": 495.0, "npi": [1114423704]}]}]}, {"tin": {"type": "ein", "value": "862126493"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 428.0, "npi": [1184465643]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1659187680, 1669156121]}]}, {"allowed_amount": 249.63, "providers": [{"billed_charge": 400.0, "npi": [1659187680]}]}, {"allowed_amount": 256.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 668.0, "npi": [1093670945, 1568031219, 1740036516]}]}, {"allowed_amount": 256.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 668.0, "npi": [1568031219, 1194609198]}]}, {"allowed_amount": 427.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 668.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "872012542"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1730890310]}]}]}, {"tin": {"type": "ein", "value": "872135838"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 177.26, "providers": [{"billed_charge": 200.0, "npi": [1023634003]}]}, {"allowed_amount": 177.76, "providers": [{"billed_charge": 200.0, "npi": [1023634003]}]}]}, {"tin": {"type": "ein", "value": "872431644"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 338.16, "npi": [1558321364]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.85, "npi": [1891716908]}]}, {"allowed_amount": 337.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.85, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "873048254"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1033759089]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 223.74, "providers": [{"billed_charge": 442.0, "npi": [1215964291]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.0, "npi": [1659466100]}]}]}, {"tin": {"type": "ein", "value": "874199649"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 241.25, "providers": [{"billed_charge": 587.0, "npi": [1760564793]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1952040552, 1649028697, 1376329110]}]}, {"allowed_amount": 250.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1952040552, 1649028697, 1720963028, 1376329110]}]}]}, {"tin": {"type": "ein", "value": "881580452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 197.79, "providers": [{"billed_charge": 300.0, "npi": [1598068108]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 253.0, "npi": [1932189511]}]}, {"allowed_amount": 253.0, "providers": [{"billed_charge": 253.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "882114016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.2, "providers": [{"billed_charge": 900.0, "npi": [1730954520]}]}]}, {"tin": {"type": "ein", "value": "883046892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1760208839]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 847.02, "npi": [1619931409, 1154385946]}]}, {"allowed_amount": 255.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 847.02, "npi": [1619931409, 1154385946]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 222.2, "providers": [{"billed_charge": 395.0, "npi": [1528671559, 1124701487]}]}]}, {"tin": {"type": "ein", "value": "900815244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1932678489]}]}]}, {"tin": {"type": "ein", "value": "911641797"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 249.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 344.0, "npi": [1437302247]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 796.0, "npi": [1740932318]}]}, {"allowed_amount": 241.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 796.0, "npi": [1174729446, 1740932318]}]}, {"allowed_amount": 526.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 796.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 386.0, "npi": [1386487593]}]}, {"allowed_amount": 256.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 386.0, "npi": [1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 386.0, "providers": [{"billed_charge": 386.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.08, "providers": [{"billed_charge": 766.0, "npi": [1710742812]}]}, {"allowed_amount": 227.61, "providers": [{"billed_charge": 766.0, "npi": [1063916690]}]}, {"allowed_amount": 241.25, "providers": [{"billed_charge": 766.0, "npi": [1063916690, 1710742812]}]}, {"allowed_amount": 355.06, "providers": [{"billed_charge": 766.0, "npi": [1063916690]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.25, "providers": [{"billed_charge": 495.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 495.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 495.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 251.13, "providers": [{"billed_charge": 251.13, "npi": [1922506583]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 151.9, "providers": [{"billed_charge": 624.0, "npi": [1811936123]}]}]}, {"tin": {"type": "ein", "value": "991776839"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 313.18, "providers": [{"billed_charge": 538.0, "npi": [1609133776]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.4, "providers": [{"billed_charge": 423.0, "npi": [1134432545]}]}, {"allowed_amount": 231.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 423.0, "npi": [1841402369, 1366869299, 1528704038]}]}]}, {"tin": {"type": "ein", "value": "994277174"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 233.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 484.0, "npi": [1053967760]}]}, {"allowed_amount": 275.22, "providers": [{"billed_charge": 484.0, "npi": [1417977190, 1386698751]}]}]}]}, {"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 straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99202", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.75, "providers": [{"billed_charge": 350.0, "npi": [1457748436]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 51.68, "providers": [{"billed_charge": 140.0, "npi": [1144354390, 1619190287]}]}, {"allowed_amount": 52.11, "providers": [{"billed_charge": 140.0, "npi": [1578805248, 1639134661, 1053645457, 1659566545, 1811483829]}]}, {"allowed_amount": 78.7, "providers": [{"billed_charge": 140.0, "npi": [1437544384, 1952921025, 1023052644, 1124239207, 1245352491, 1780062414, 1104182799, 1265993075, 1730112244, 1598111924, 1265665145, 1417905886]}]}, {"allowed_amount": 96.98, "providers": [{"billed_charge": 140.0, "npi": [1245291426, 1205417474, 1053645457, 1659566545, 1164418323, 1518986132, 1811483829, 1144354390, 1255893657, 1497920474]}]}, {"allowed_amount": 100.55, "providers": [{"billed_charge": 140.0, "npi": [1437544384, 1952921025, 1023052644, 1124239207, 1245352491, 1780062414, 1235189358, 1538139324, 1265993075, 1730112244, 1598111924, 1033615414, 1255893657, 1952822652, 1265665145, 1942457692, 1417905886]}]}, {"allowed_amount": 118.01, "providers": [{"billed_charge": 140.0, "npi": [1538144597]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 120.0, "npi": [1710947940, 1508137670, 1881271310, 1669919155, 1457715096, 1558724377]}]}, {"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1285780387, 1891725164, 1669919155, 1457715096, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 120.0, "npi": [1174586465, 1508137670, 1508108390, 1043313232, 1669919155]}]}, {"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1558724377, 1508137670, 1174586465]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 120.0, "npi": [1528022332, 1881271310]}]}, {"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1710947940, 1891725164, 1649538828]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.55, "providers": [{"billed_charge": 120.0, "npi": [1700011335, 1396774956, 1043313232, 1194822353, 1346206257]}]}, {"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1508108390, 1558395434, 1245352491, 1396774956, 1790906154, 1194822353, 1669919155, 1073833653, 1235796277]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1821372772]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.55, "providers": [{"billed_charge": 120.0, "npi": [1669737953]}]}, {"allowed_amount": 120.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 120.0, "npi": [1710175526, 1467073254, 1790906154, 1649538828, 1073833653, 1699926774]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 77.58, "providers": [{"billed_charge": 170.0, "npi": [1851344378]}]}, {"allowed_amount": 94.3, "providers": [{"billed_charge": 170.0, "npi": [1619070828]}]}, {"allowed_amount": 96.98, "providers": [{"billed_charge": 170.0, "npi": [1780624353, 1619070828]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 144.96, "providers": [{"billed_charge": 318.0, "npi": [1730491945]}]}, {"allowed_amount": 145.81, "providers": [{"billed_charge": 318.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.55, "providers": [{"billed_charge": 120.0, "npi": [1790906154, 1508108390, 1467073254, 1689816191]}]}, {"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1508108390, 1790906154, 1891725164, 1528022332, 1942457692, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.41, "providers": [{"billed_charge": 140.0, "npi": [1083315741]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 96.98, "providers": [{"billed_charge": 309.08, "npi": [1194518241, 1629670286, 1407682255]}]}, {"allowed_amount": 116.37, "providers": [{"billed_charge": 309.08, "npi": [1194518241]}]}, {"allowed_amount": 160.24, "providers": [{"billed_charge": 309.08, "npi": [1285507392, 1417535881, 1679237754]}]}]}, {"tin": {"type": "ein", "value": "460793976"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 241.0, "npi": [1629591763]}]}]}, {"tin": {"type": "ein", "value": "471625673"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 135.96, "providers": [{"billed_charge": 249.0, "npi": [1336535814]}]}]}, {"tin": {"type": "ein", "value": "474734363"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 125.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.0, "npi": [1447622402]}]}]}, {"tin": {"type": "ein", "value": "582380955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 115.85, "providers": [{"billed_charge": 310.0, "npi": [1144279670]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.11, "providers": [{"billed_charge": 137.34, "npi": [1619015955, 1326789751]}]}]}, {"tin": {"type": "ein", "value": "800690174"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 93.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 105.0, "npi": [1265492656]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.7, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 96.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.68, "providers": [{"billed_charge": 394.0, "npi": [1790384162]}]}]}, {"tin": {"type": "ein", "value": "825131052"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 85.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 197.0, "npi": [1164433256]}]}]}, {"tin": {"type": "ein", "value": "833126409"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.36, "providers": [{"billed_charge": 155.0, "npi": [1922276153]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 212.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 104.47, "providers": [{"billed_charge": 191.0, "npi": [1063870889]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.87, "providers": [{"billed_charge": 155.16, "npi": [1942281142]}]}, {"allowed_amount": 96.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.16, "npi": [1366828089, 1164973442, 1508489972, 1457057671]}]}, {"allowed_amount": 155.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.16, "npi": [1366828089, 1023650793, 1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 116.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "852898101"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 191.83, "providers": [{"billed_charge": 220.5, "npi": [1548048069]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.13, "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 96.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744, 1992043715, 1710972534]}]}, {"allowed_amount": 104.73, "providers": [{"billed_charge": 500.0, "npi": [1710972534]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 94.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 272.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.11, "providers": [{"billed_charge": 170.0, "npi": [1427033869]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 78.7, "providers": [{"billed_charge": 278.0, "npi": [1063916690]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 219.6, "providers": [{"billed_charge": 317.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 96.98, "providers": [{"billed_charge": 201.0, "npi": [1114620705]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99215", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "061744704"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 160.5, "providers": [{"billed_charge": 462.0, "npi": [1720313901]}]}]}, {"tin": {"type": "ein", "value": "134228484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.06, "providers": [{"billed_charge": 700.0, "npi": [1437205796]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 182.29, "providers": [{"billed_charge": 575.64, "npi": [1053379347]}]}, {"allowed_amount": 239.85, "providers": [{"billed_charge": 575.64, "npi": [1477296101]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 159.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.0, "npi": [1578805248, 1053645457, 1659623601, 1164418323, 1235796277]}]}, {"allowed_amount": 240.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.0, "npi": [1437544384, 1023052644, 1245352491, 1821284910, 1235189358, 1265993075, 1730112244, 1598111924, 1245755958, 1033615414, 1265665145, 1649436734]}]}, {"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.0, "npi": [1578805248, 1245291426, 1639134661, 1568496909, 1104182799, 1053645457, 1659623601, 1811483829, 1033615414, 1255893657]}]}, {"allowed_amount": 258.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.0, "npi": [1437544384, 1952921025, 1023052644, 1124239207, 1245352491, 1235189358, 1053645457, 1265993075, 1598111924, 1235796277, 1730112244, 1033615414, 1265665145, 1841368669, 1417905886]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 258.6, "providers": [{"billed_charge": 295.0, "npi": [1467073254, 1891725164, 1194285486, 1558724377, 1942457692]}]}, {"allowed_amount": 295.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1285780387, 1790906154, 1891725164, 1194285486, 1073833653, 1457715096, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 258.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1174586465, 1669737953, 1508137670, 1508108390, 1346206257, 1669919155]}]}, {"allowed_amount": 295.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1174586465, 1508137670, 1508108390, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 258.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1700011335, 1245352491, 1891725164, 1649538828, 1881271310, 1528022332]}]}, {"allowed_amount": 295.0, "providers": [{"billed_charge": 295.0, "npi": [1790906154, 1649538828, 1225353766, 1700011335]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 258.6, "providers": [{"billed_charge": 295.0, "npi": [1508137670, 1558395434, 1396774956, 1194822353, 1699926774, 1942457692]}]}, {"allowed_amount": 295.0, "providers": [{"billed_charge": 295.0, "npi": [1528493350, 1225353766, 1558395434, 1396774956, 1043313232, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1427436229, 1346087350, 1497707327]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 239.85, "providers": [{"billed_charge": 715.0, "npi": [1982477956]}]}, {"allowed_amount": 443.63, "providers": [{"billed_charge": 715.0, "npi": [1164187977]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 258.6, "providers": [{"billed_charge": 295.0, "npi": [1225353766, 1508108390, 1710175526, 1467073254, 1790906154]}]}, {"allowed_amount": 295.0, "providers": [{"billed_charge": 295.0, "npi": [1710175526, 1508108390, 1790906154, 1073833653, 1558724377]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 204.3, "providers": [{"billed_charge": 454.0, "npi": [1528350543]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 446.45, "npi": [1871676668]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 210.0, "providers": [{"billed_charge": 210.0, "npi": [1164539136]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 348.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 406.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "310068640"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.04, "providers": [{"billed_charge": 330.0, "npi": [1912439316]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 258.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 295.0, "npi": [1790906154, 1497258164, 1073833653, 1528022332, 1689816191]}]}, {"allowed_amount": 295.0, "providers": [{"billed_charge": 295.0, "npi": [1790906154, 1912961293, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "392851054"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 160.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.01, "npi": [1487642617]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 212.23, "providers": [{"billed_charge": 534.0, "npi": [1578050142]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 202.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 202.0, "npi": [1417321969]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}, {"allowed_amount": 320.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 545.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 585.52, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 371.0, "npi": [1093700346]}]}, {"allowed_amount": 348.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 371.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "471859521"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.19, "providers": [{"billed_charge": 450.0, "npi": [1386631562]}]}, {"allowed_amount": 258.6, "providers": [{"billed_charge": 450.0, "npi": [1386631562]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 118.42, "providers": [{"billed_charge": 263.0, "npi": [1679969851]}]}, {"allowed_amount": 177.63, "providers": [{"billed_charge": 263.0, "npi": [1457526311]}]}]}, {"tin": {"type": "ein", "value": "541669672"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 202.25, "providers": [{"billed_charge": 202.25, "npi": [1659475200]}]}]}, {"tin": {"type": "ein", "value": "591083502"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 199.25, "providers": [{"billed_charge": 399.0, "npi": [1720046238]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.76, "providers": [{"billed_charge": 1320.0, "npi": [1144813536]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.89, "providers": [{"billed_charge": 558.0, "npi": [1235362344]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 172.81, "providers": [{"billed_charge": 446.0, "npi": [1750359956]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 348.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 348.24, "npi": [1407634298]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 249.06, "providers": [{"billed_charge": 458.0, "npi": [1073901179, 1861942443]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 239.85, "providers": [{"billed_charge": 438.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.76, "providers": [{"billed_charge": 174.1, "npi": [1194682732]}]}, {"allowed_amount": 174.1, "providers": [{"billed_charge": 174.1, "npi": [1497427322, 1194682732]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 242.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 474.0, "npi": [1225899826]}]}, {"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 474.0, "npi": [1407731177, 1811798275]}]}, {"allowed_amount": 411.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 474.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "822446908"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 299.8, "providers": [{"billed_charge": 474.0, "npi": [1487473781]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 239.85, "providers": [{"billed_charge": 367.0, "npi": [1942376348]}]}, {"allowed_amount": 269.11, "providers": [{"billed_charge": 367.0, "npi": [1508313412]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.5, "npi": [1023650793]}]}, {"allowed_amount": 398.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.5, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.09, "providers": [{"billed_charge": 510.0, "npi": [1700405818]}]}, {"allowed_amount": 242.19, "providers": [{"billed_charge": 510.0, "npi": [1255388815]}]}, {"allowed_amount": 249.06, "providers": [{"billed_charge": 510.0, "npi": [1255388815, 1811401383]}]}, {"allowed_amount": 411.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 510.0, "npi": [1386324051]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 299.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 253.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 340.0, "npi": [1467097352]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1205061744]}]}, {"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 600.0, "npi": [1578631925]}]}, {"allowed_amount": 460.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1578631925]}, {"billed_charge": 600.0, "npi": [1578631925, 1275707895]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 249.06, "providers": [{"billed_charge": 643.0, "npi": [1922436922]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1720963028]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 239.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1932189511]}]}, {"allowed_amount": 335.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 239.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 909.79, "npi": [1619931409]}]}, {"allowed_amount": 276.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.85, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "900815244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1932678489]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20", "22"], "payments": [{"allowed_amount": 249.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 294.0, "npi": [1093872392]}, {"billed_charge": 383.0, "npi": [1962745224]}]}]}]}, {"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": "030181058"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 128.36, "providers": [{"billed_charge": 207.0, "npi": [1104811959]}]}]}, {"tin": {"type": "ein", "value": "141628237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.32, "providers": [{"billed_charge": 228.0, "npi": [1700267697]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 105.91, "providers": [{"billed_charge": 196.0, "npi": [1326152190]}]}, {"allowed_amount": 118.2, "providers": [{"billed_charge": 196.0, "npi": [1811237258, 1275731770, 1770434078, 1497371538]}]}, {"allowed_amount": 147.09, "providers": [{"billed_charge": 196.0, "npi": [1205568094]}]}, {"allowed_amount": 165.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 196.0, "npi": [1134832926]}]}]}, {"tin": {"type": "ein", "value": "155904059"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 281.0, "npi": [1851987432]}]}]}, {"tin": {"type": "ein", "value": "160743209"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.5, "providers": [{"billed_charge": 435.0, "npi": [1346285657]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 66.95, "providers": [{"billed_charge": 176.18, "npi": [1851903215]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 218.62, "providers": [{"billed_charge": 305.0, "npi": [1891923793, 1548703515]}]}]}, {"tin": {"type": "ein", "value": "201357375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 196.43, "providers": [{"billed_charge": 197.0, "npi": [1861162943]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.38, "providers": [{"billed_charge": 283.68, "npi": [1407116544, 1629763552, 1013211937, 1093018277, 1992109896, 1568097129, 1528460425, 1750084265, 1144990557, 1134593742, 1952745358, 1013289370, 1730631482, 1659116861]}]}, {"allowed_amount": 89.83, "providers": [{"billed_charge": 283.68, "npi": [1053379347, 1942418579]}]}, {"allowed_amount": 99.67, "providers": [{"billed_charge": 283.68, "npi": [1417476714]}]}, {"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 283.68, "npi": [1952745358, 1942418579, 1053379347, 1740610203, 1225095326, 1659958304, 1013211937, 1972167716, 1093018277, 1730632100, 1750084265, 1730631482, 1659116861, 1568792893, 1396933057, 1992109896, 1215985882, 1629763552, 1972068708, 1407342181, 1568097129, 1245202167]}]}, {"allowed_amount": 257.2, "providers": [{"billed_charge": 283.68, "npi": [1225095326]}]}, {"allowed_amount": 283.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 283.68, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.19, "providers": [{"billed_charge": 200.0, "npi": [1992797385]}]}]}, {"tin": {"type": "ein", "value": "202500900"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1255627006]}]}]}, {"tin": {"type": "ein", "value": "203571096"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 138.43, "providers": [{"billed_charge": 250.0, "npi": [1235327883]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 91.3, "providers": [{"billed_charge": 277.2, "npi": [1447745864]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 130.0, "npi": [1720035181]}]}, {"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1780604934]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 184.0, "providers": [{"billed_charge": 184.0, "npi": [1972380210]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 190.0, "npi": [1780062414]}]}, {"allowed_amount": 65.88, "providers": [{"billed_charge": 190.0, "npi": [1558987792]}]}, {"allowed_amount": 66.02, "providers": [{"billed_charge": 190.0, "npi": [1245291426]}]}, {"allowed_amount": 72.02, "providers": [{"billed_charge": 190.0, "npi": [1144354390]}]}, {"allowed_amount": 72.62, "providers": [{"billed_charge": 190.0, "npi": [1205417474, 1467692236, 1568496909, 1821284910, 1659623601, 1255893657, 1659566545, 1518986132, 1811483829, 1164418323, 1265665145, 1497920474, 1952822652]}]}, {"allowed_amount": 78.13, "providers": [{"billed_charge": 190.0, "npi": [1346206257]}]}, {"allowed_amount": 109.38, "providers": [{"billed_charge": 190.0, "npi": [1437544384, 1174586465, 1952921025, 1023052644, 1942573316, 1144595307, 1245352491, 1780062414, 1235189358, 1053645457, 1265993075, 1730112244, 1598111924, 1245755958, 1265665145, 1952822652, 1417905886]}]}, {"allowed_amount": 122.0, "providers": [{"billed_charge": 190.0, "npi": [1225899826]}]}, {"allowed_amount": 122.83, "providers": [{"billed_charge": 190.0, "npi": [1578805248, 1205417474, 1245291426, 1639134661, 1467692236, 1821284910, 1659623601, 1659566545, 1053645457, 1518986132, 1811483829, 1144354390, 1255893657, 1497920474, 1952822652]}]}, {"allowed_amount": 123.97, "providers": [{"billed_charge": 190.0, "npi": [1003365461]}]}, {"allowed_amount": 125.0, "providers": [{"billed_charge": 190.0, "npi": [1538139324]}]}, {"allowed_amount": 127.24, "providers": [{"billed_charge": 190.0, "npi": [1376579714, 1104182799, 1245352491, 1821284910, 1598111924, 1821246133, 1245755958, 1033615414, 1538139324, 1437544384, 1952921025, 1780062414, 1659566545, 1942457692, 1417905886, 1023052644, 1144595307, 1235189358, 1265993075, 1730112244, 1265665145]}]}, {"allowed_amount": 164.45, "providers": [{"billed_charge": 190.0, "npi": [1376579714]}]}, {"allowed_amount": 178.13, "providers": [{"billed_charge": 190.0, "npi": [1104182799]}]}]}, {"tin": {"type": "ein", "value": "204990275"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 112.34, "providers": [{"billed_charge": 151.0, "npi": [1760014385]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1285780387, 1710947940, 1508137670, 1467073254, 1396780649, 1790906154, 1891725164, 1912961293, 1194285486, 1881271310, 1104182799, 1346206257, 1669919155, 1235796277, 1073833653, 1457715096, 1558724377, 1942457692]}]}, {"allowed_amount": 149.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1669737953, 1285780387, 1710947940, 1467073254, 1790906154, 1891725164, 1194285486, 1104182799, 1043313232, 1881271310, 1669919155, 1073833653, 1235796277, 1528022332, 1457715096, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1174586465, 1669737953, 1710947940, 1508137670, 1508108390, 1558395434, 1912961293, 1346206257, 1669919155, 1073833653, 1558724377, 1942457692]}]}, {"allowed_amount": 149.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1174586465, 1508137670, 1508108390, 1467073254, 1225353766, 1558395434, 1104182799, 1043313232, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1285780387, 1780632612, 1528493350, 1700011335, 1790906154, 1891725164, 1649538828, 1881271310, 1104182799, 1912961293, 1023645041, 1346206257, 1497258164, 1073833653, 1235796277, 1528022332]}]}, {"allowed_amount": 149.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1285780387, 1710947940, 1528493350, 1790906154, 1649538828, 1891725164, 1023645041, 1669919155, 1073833653, 1942457692, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1912961293, 1104182799, 1780632612, 1225353766, 1558395434, 1790906154, 1396774956, 1245352491, 1174658348, 1346206257, 1669919155, 1235796277, 1073833653, 1508137670, 1700011335, 1043313232, 1194822353, 1942457692, 1669737953, 1508108390, 1467073254, 1699926774]}]}, {"allowed_amount": 149.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1710947940, 1780632612, 1528493350, 1508108390, 1467073254, 1225353766, 1790906154, 1558395434, 1396774956, 1245352491, 1043313232, 1194822353, 1669919155, 1073833653, 1699926774, 1235796277, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1417547233, 1972555811, 1427436229, 1669422341, 1952884074, 1821649021]}]}, {"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1417547233, 1952884074, 1033830427, 1669422341]}]}]}, {"tin": {"type": "ein", "value": "260002031"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.88, "providers": [{"billed_charge": 117.0, "npi": [1104824739]}]}]}, {"tin": {"type": "ein", "value": "261155537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 360.0, "npi": [1861622060]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 161.09, "providers": [{"billed_charge": 216.29, "npi": [1801321104]}]}, {"allowed_amount": 172.14, "providers": [{"billed_charge": 216.29, "npi": [1871785006]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 360.0, "npi": [1982477956, 1336832773, 1912750597, 1578252813, 1639994510, 1336841501, 1760885420, 1629730734, 1356790455, 1730893496, 1194298331, 1578226411, 1437956588, 1033832688, 1902295538, 1801762166, 1619511672, 1548938491, 1508872318]}, {"billed_charge": 500.0, "npi": [1578252813]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 352.0, "npi": [1508872318]}, {"billed_charge": 360.0, "npi": [1982477956, 1336832773, 1639994510, 1003117847, 1336841501, 1770053407, 1760885420, 1730893496, 1164187977, 1942790613, 1194298331, 1003625062, 1578226411, 1437956588, 1588987374, 1033832688, 1902295538, 1801762166, 1598261497, 1548938491, 1508872318]}, {"billed_charge": 450.0, "npi": [1578226411]}, {"billed_charge": 500.0, "npi": [1912750597]}]}, {"allowed_amount": 136.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1912750597, 1639994510, 1588987374, 1801762166, 1619511672, 1548938491, 1770053407]}]}, {"allowed_amount": 147.39, "providers": [{"billed_charge": 360.0, "npi": [1730893496]}]}, {"allowed_amount": 165.48, "providers": [{"billed_charge": 360.0, "npi": [1336841501]}]}, {"allowed_amount": 202.96, "providers": [{"billed_charge": 360.0, "npi": [1194298331, 1578252813, 1639994510]}]}, {"allowed_amount": 204.38, "providers": [{"billed_charge": 360.0, "npi": [1508872318]}]}, {"allowed_amount": 218.62, "providers": [{"billed_charge": 360.0, "npi": [1982477956, 1336832773, 1912750597, 1578252813, 1639994510, 1003117847, 1770053407, 1760885420, 1629730734, 1356790455, 1164187977, 1942790613, 1215489752, 1194298331, 1588987374, 1033832688, 1619511672, 1598261497, 1548938491]}, {"billed_charge": 500.0, "npi": [1619511672, 1982477956]}, {"billed_charge": 550.0, "npi": [1164187977]}]}, {"allowed_amount": 227.18, "providers": [{"billed_charge": 360.0, "npi": [1730893496, 1811391352]}, {"billed_charge": 505.0, "npi": [1811391352]}]}, {"allowed_amount": 311.86, "providers": [{"billed_charge": 360.0, "npi": [1730893496, 1578226411, 1811391352]}, {"billed_charge": 510.0, "npi": [1578226411]}]}]}, {"tin": {"type": "ein", "value": "262737113"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 330.0, "npi": [1982982161]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["11", "02"], "payments": [{"allowed_amount": 74.25, "providers": [{"billed_charge": 165.0, "npi": [1962701599]}]}, {"allowed_amount": 102.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 228.0, "npi": [1316391105, 1447494901, 1578191599]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1669737953, 1780632612, 1710947940, 1508137670, 1225353766, 1710175526, 1508108390, 1790906154, 1467073254, 1396774956, 1912961293, 1881271310, 1346206257, 1669919155, 1073833653, 1699926774, 1942457692, 1528022332]}]}, {"allowed_amount": 149.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1649538828, 1912961293, 1558724377, 1285780387, 1780632612, 1710175526, 1225353766, 1790906154, 1669919155, 1073833653, 1235796277, 1043313232, 1942457692, 1669737953, 1174586465, 1710947940, 1508108390, 1467073254, 1891725164, 1699926774]}]}]}, {"tin": {"type": "ein", "value": "263669825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 283.68, "npi": [1417511197]}]}, {"allowed_amount": 142.48, "providers": [{"billed_charge": 283.68, "npi": [1689812109]}]}, {"allowed_amount": 227.18, "providers": [{"billed_charge": 283.68, "npi": [1932132644, 1770912495]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.38, "providers": [{"billed_charge": 351.0, "npi": [1497621338]}, {"billed_charge": 378.0, "npi": [1497621338]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 108.09, "providers": [{"billed_charge": 300.0, "npi": [1760130454]}]}, {"allowed_amount": 118.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1235529116]}]}, {"allowed_amount": 119.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 224.2, "npi": [1982273678]}, {"billed_charge": 324.2, "npi": [1982273678]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1497419923, 1871676668]}, {"billed_charge": 324.2, "npi": [1194564443, 1497419923, 1871676668, 1760130454]}, {"billed_charge": 424.2, "npi": [1497419923]}]}, {"allowed_amount": 202.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 224.2, "npi": [1497419923]}, {"billed_charge": 300.0, "npi": [1194564443, 1497419923]}]}, {"allowed_amount": 224.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 224.2, "npi": [1871676668]}]}, {"allowed_amount": 269.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "264732338"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 170.0, "npi": [1407490519, 1750681540, 1356770887, 1326577578, 1598362006, 1447857719, 1295361913, 1205467677, 1841203262]}]}, {"allowed_amount": 137.11, "providers": [{"billed_charge": 170.0, "npi": [1558595223]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1407490519, 1750681540, 1356770887, 1154603389, 1447857719, 1205467677, 1841203262]}]}]}, {"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.38, "providers": [{"billed_charge": 260.0, "npi": [1962802017]}]}, {"allowed_amount": 130.49, "providers": [{"billed_charge": 260.0, "npi": [1699782748]}]}, {"allowed_amount": 147.09, "providers": [{"billed_charge": 260.0, "npi": [1043624000]}]}, {"allowed_amount": 152.84, "providers": [{"billed_charge": 260.0, "npi": [1336753094]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 98.26, "providers": [{"billed_charge": 170.0, "npi": [1851344378]}]}, {"allowed_amount": 118.89, "providers": [{"billed_charge": 170.0, "npi": [1497185334, 1851576102]}]}, {"allowed_amount": 119.44, "providers": [{"billed_charge": 170.0, "npi": [1508002882, 1619070828, 1922534833, 1316156755, 1831765494]}, {"billed_charge": 283.68, "npi": [1508002882, 1316156755]}]}, {"allowed_amount": 122.83, "providers": [{"billed_charge": 170.0, "npi": [1780624353, 1164973442, 1376657122, 1508002882, 1851576102, 1639766793, 1619070828, 1730559790, 1922534833, 1134518673, 1316156755, 1326573270, 1831765494, 1497185334, 1275918203, 1912247263]}, {"billed_charge": 283.68, "npi": [1134518673, 1851576102]}]}, {"allowed_amount": 147.39, "providers": [{"billed_charge": 170.0, "npi": [1851576102, 1912247263]}]}, {"allowed_amount": 152.84, "providers": [{"billed_charge": 170.0, "npi": [1730559790]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1780015552, 1780624353, 1639766793, 1134518673, 1326573270, 1275918203, 1912247263]}]}, {"allowed_amount": 202.96, "providers": [{"billed_charge": 283.68, "npi": [1780624353]}]}]}, {"tin": {"type": "ein", "value": "270628350"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 95.0, "npi": [1346488558]}]}, {"allowed_amount": 95.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 95.0, "npi": [1346488558]}]}]}, {"tin": {"type": "ein", "value": "271033537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 124.07, "providers": [{"billed_charge": 130.0, "npi": [1295818417]}]}]}, {"tin": {"type": "ein", "value": "271119304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 111.23, "providers": [{"billed_charge": 330.0, "npi": [1063898823]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 121.9, "providers": [{"billed_charge": 400.0, "npi": [1881634731]}]}]}, {"tin": {"type": "ein", "value": "271552947"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 77.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 122.49, "npi": [1497759138]}]}]}, {"tin": {"type": "ein", "value": "272817197"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.25, "providers": [{"billed_charge": 275.0, "npi": [1144524786]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 300.0, "npi": [1730491945]}, {"billed_charge": 318.0, "npi": [1730491945]}]}, {"allowed_amount": 183.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1730491945]}, {"billed_charge": 318.0, "npi": [1730491945]}]}, {"allowed_amount": 186.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1730491945]}, {"billed_charge": 318.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "273371022"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 126.0, "npi": [1699124784]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 172.14, "providers": [{"billed_charge": 209.0, "npi": [1326427642]}]}, {"allowed_amount": 176.74, "providers": [{"billed_charge": 209.0, "npi": [1386292712]}]}, {"allowed_amount": 209.0, "providers": [{"billed_charge": 209.0, "npi": [1932305323]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.38, "providers": [{"billed_charge": 284.0, "npi": [1477444545]}]}, {"allowed_amount": 118.2, "providers": [{"billed_charge": 284.0, "npi": [1477444545]}]}]}, {"tin": {"type": "ein", "value": "300993315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 162.73, "providers": [{"billed_charge": 350.0, "npi": [1902251937]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.09, "providers": [{"billed_charge": 182.0, "npi": [1003780651]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 137.99, "providers": [{"billed_charge": 319.0, "npi": [1790422111]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1669737953, 1467073254, 1508108390, 1790906154, 1891725164, 1912961293, 1497258164, 1073833653, 1528022332, 1942457692, 1689816191]}]}, {"allowed_amount": 149.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1710947940, 1467073254, 1225353766, 1508108390, 1790906154, 1891725164, 1912961293, 1669919155, 1073833653, 1942457692, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 130.77, "providers": [{"billed_charge": 180.0, "npi": [1891070991]}]}]}, {"tin": {"type": "ein", "value": "331963014"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 115.6, "providers": [{"billed_charge": 182.0, "npi": [1801050661]}]}]}, {"tin": {"type": "ein", "value": "332461082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.5, "providers": [{"billed_charge": 325.0, "npi": [1568954022]}]}, {"allowed_amount": 136.55, "providers": [{"billed_charge": 325.0, "npi": [1487068789]}]}]}, {"tin": {"type": "ein", "value": "371704041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.15, "providers": [{"billed_charge": 179.0, "npi": [1649284340]}]}]}, {"tin": {"type": "ein", "value": "383165248"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 123.31, "providers": [{"billed_charge": 185.0, "npi": [1457309569]}]}]}, {"tin": {"type": "ein", "value": "383584702"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 120.0, "npi": [1215021472]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 141.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "390816818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.0, "providers": [{"billed_charge": 380.0, "npi": [1407803638]}]}]}, {"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 408.0, "providers": [{"billed_charge": 411.0, "npi": [1316696552]}]}]}, {"tin": {"type": "ein", "value": "391824445"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.52, "providers": [{"billed_charge": 269.0, "npi": [1992804793]}]}]}, {"tin": {"type": "ein", "value": "392851054"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.1, "providers": [{"billed_charge": 73.1, "npi": [1487642617]}]}]}, {"tin": {"type": "ein", "value": "410834920"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 325.0, "npi": [1508223074]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.76, "providers": [{"billed_charge": 67.0, "npi": [1508885633]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 130.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 199.66, "npi": [1962067793]}]}]}, {"tin": {"type": "ein", "value": "416011702"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 90.15, "providers": [{"billed_charge": 256.0, "npi": [1053948117]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 172.03, "providers": [{"billed_charge": 215.93, "npi": [1891078499]}]}]}, {"tin": {"type": "ein", "value": "450666163"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 138.32, "providers": [{"billed_charge": 220.0, "npi": [1619419256, 1225780653]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11", "02", "22"], "payments": [{"allowed_amount": 74.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 165.0, "npi": [1588766521, 1174024194, 1003098799]}]}, {"allowed_amount": 102.6, "providers": [{"billed_charge": 228.0, "npi": [1366893976, 1720607849, 1558399659]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 202.0, "npi": [1164151197]}]}, {"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1164151197]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1255203873, 1386460756, 1184441719, 1376783548, 1417819806]}]}, {"allowed_amount": 160.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "454081388"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 155.8, "providers": [{"billed_charge": 250.0, "npi": [1609842582]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 103.57, "providers": [{"billed_charge": 388.24, "npi": [1013425727]}]}, {"allowed_amount": 107.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 388.24, "npi": [1538051990, 1164803078]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 388.24, "npi": [1194518241, 1588533509, 1356077317, 1558182824, 1417535881, 1831840396, 1629670286, 1407682255, 1386334928, 1215675988, 1447735030, 1700752599, 1689535064, 1780373209, 1013425727]}]}, {"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 388.24, "npi": [1386334928, 1538051990, 1164803078]}]}, {"allowed_amount": 136.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 388.24, "npi": [1558182824, 1780373209, 1588533509, 1407682255]}]}, {"allowed_amount": 139.53, "providers": [{"billed_charge": 388.24, "npi": [1285604322]}]}, {"allowed_amount": 152.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 388.24, "npi": [1831840396, 1700752599]}]}, {"allowed_amount": 202.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 388.24, "npi": [1285507392, 1194518241, 1417535881, 1831840396, 1629670286, 1386334928, 1215675988, 1447735030, 1679237754]}]}, {"allowed_amount": 228.85, "providers": [{"billed_charge": 388.24, "npi": [1356077317]}]}]}, {"tin": {"type": "ein", "value": "460540752"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.43, "providers": [{"billed_charge": 212.92, "npi": [1275562837]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 135.19, "providers": [{"billed_charge": 177.0, "npi": [1982057485]}]}]}, {"tin": {"type": "ein", "value": "461503904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.76, "providers": [{"billed_charge": 170.0, "npi": [1588901532]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 299.0, "npi": [1326017468, 1730238965]}]}, {"allowed_amount": 132.65, "providers": [{"billed_charge": 299.0, "npi": [1730238965]}]}, {"allowed_amount": 269.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 299.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.96, "providers": [{"billed_charge": 130.0, "npi": [1548692890]}]}, {"allowed_amount": 119.56, "providers": [{"billed_charge": 130.0, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.29, "providers": [{"billed_charge": 245.28, "npi": [1508400482]}]}, {"allowed_amount": 122.83, "providers": [{"billed_charge": 245.28, "npi": [1205480209]}]}, {"allowed_amount": 127.24, "providers": [{"billed_charge": 245.28, "npi": [1508400482, 1639600414]}]}]}, {"tin": {"type": "ein", "value": "464217793"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 133.32, "providers": [{"billed_charge": 344.96, "npi": [1871986422]}]}]}, {"tin": {"type": "ein", "value": "465482183"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 126.96, "providers": [{"billed_charge": 275.0, "npi": [1588229215]}]}]}, {"tin": {"type": "ein", "value": "470964762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 169.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 572.95, "npi": [1982651915]}]}]}, {"tin": {"type": "ein", "value": "471391771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 200.0, "npi": [1649460833]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.11, "providers": [{"billed_charge": 145.58, "npi": [1528843992]}]}, {"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.58, "npi": [1669179636, 1164149597]}]}, {"allowed_amount": 145.58, "providers": [{"billed_charge": 145.58, "npi": [1962058891, 1669179636, 1164149597]}]}]}, {"tin": {"type": "ein", "value": "471758444"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 155.8, "providers": [{"billed_charge": 585.0, "npi": [1437427564]}]}]}, {"tin": {"type": "ein", "value": "472146421"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.24, "providers": [{"billed_charge": 79.24, "npi": [1255316881, 1528823234]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 146.0, "npi": [1467169540, 1992672646, 1366254575, 1215698196, 1922862325, 1336941046, 1669027967]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 146.0, "npi": [1467169540, 1992672646, 1366254575, 1215698196, 1922862325, 1336941046, 1669027967]}]}]}, {"tin": {"type": "ein", "value": "473019167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 167.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 167.68, "npi": [1932590601]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 146.0, "npi": [1629931597]}]}, {"allowed_amount": 146.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 146.0, "npi": [1528858784]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1891727509]}]}]}, {"tin": {"type": "ein", "value": "474734363"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.25, "providers": [{"billed_charge": 281.0, "npi": [1447622402]}]}]}, {"tin": {"type": "ein", "value": "561463611"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 148.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 169.0, "npi": [1659043685]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.48, "providers": [{"billed_charge": 207.0, "npi": [1922117027]}]}]}, {"tin": {"type": "ein", "value": "562136828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1083246029, 1285364406]}]}]}, {"tin": {"type": "ein", "value": "581466368"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.16, "providers": [{"billed_charge": 221.0, "npi": [1427006865]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 364.7, "npi": [1396267753]}]}]}, {"tin": {"type": "ein", "value": "591198552"}, "billing_class": "professional", "service_codes": ["11", "02"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 223.0, "npi": [1982792065]}]}, {"allowed_amount": 127.24, "providers": [{"billed_charge": 223.0, "npi": [1497809024]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["20", "22"], "payments": [{"allowed_amount": 85.38, "providers": [{"billed_charge": 177.0, "npi": [1750735866]}]}, {"allowed_amount": 177.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 177.0, "npi": [1750353132]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.68, "npi": [1710745120, 1265406185, 1164072393, 1396239547, 1770801359, 1811157969, 1871027185, 1619015955, 1326789751, 1821729914, 1780251546, 1457491839]}]}, {"allowed_amount": 175.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.68, "npi": [1710745120, 1992741664, 1982461414, 1821729914, 1265406185, 1164072393, 1780098095, 1871027185, 1811157969, 1619015955, 1326789751, 1043962426, 1407634298]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 69.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 637.0, "npi": [1952313173]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 471.87, "npi": [1710319843, 1275529539, 1023715273, 1518457357, 1396014189, 1396338877]}]}, {"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 471.87, "npi": [1770169476, 1821674474, 1942567375, 1538663760, 1689916090, 1396338877]}]}, {"allowed_amount": 257.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 471.87, "npi": [1114377728, 1073001673, 1417533902, 1942567375, 1053831032, 1427286715]}]}]}, {"tin": {"type": "ein", "value": "593622226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 260.0, "npi": [1740277805]}]}, {"allowed_amount": 218.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1649895715]}]}]}, {"tin": {"type": "ein", "value": "593636166"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.89, "providers": [{"billed_charge": 170.0, "npi": [1811537855]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1780456475, 1205276201, 1689173155, 1700656071]}]}, {"allowed_amount": 202.96, "providers": [{"billed_charge": 366.0, "npi": [1205276201, 1154756393, 1700656071]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["02", "22"], "payments": [{"allowed_amount": 78.03, "providers": [{"billed_charge": 230.0, "npi": [1053692335]}]}, {"allowed_amount": 123.97, "providers": [{"billed_charge": 230.0, "npi": [1134585920]}]}]}, {"tin": {"type": "ein", "value": "611459826"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 90.84, "providers": [{"billed_charge": 188.0, "npi": [1962815308]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 188.0, "npi": [1841968799, 1487322335]}]}, {"allowed_amount": 188.0, "providers": [{"billed_charge": 188.0, "npi": [1649983628, 1841968799]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 708.0, "npi": [1649290784]}]}]}, {"tin": {"type": "ein", "value": "650310039"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 109.38, "providers": [{"billed_charge": 175.0, "npi": [1972569341]}]}]}, {"tin": {"type": "ein", "value": "650563102"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 81.03, "providers": [{"billed_charge": 295.0, "npi": [1265404826]}]}]}, {"tin": {"type": "ein", "value": "650574492"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 204.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1508872318]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 296.0, "npi": [1710091426]}]}]}, {"tin": {"type": "ein", "value": "650921826"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1811026354]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 111.97, "providers": [{"billed_charge": 196.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651067532"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 65.88, "providers": [{"billed_charge": 105.0, "npi": [1891526679]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1902994908]}]}, {"allowed_amount": 318.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "752510007"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 145.29, "providers": [{"billed_charge": 230.0, "npi": [1770048704]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 237.45, "npi": [1023759875, 1902912454, 1225176209, 1508115825, 1194060756, 1285359414, 1891735544, 1568500445]}]}, {"allowed_amount": 178.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 237.45, "npi": [1023759875, 1902912454, 1225176209, 1508115825, 1194060756, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "811953854"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 143.16, "providers": [{"billed_charge": 250.0, "npi": [1821779406]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1942335492]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 225.0, "npi": [1205389905]}]}, {"allowed_amount": 137.11, "providers": [{"billed_charge": 225.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 137.11, "providers": [{"billed_charge": 225.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 80.26, "providers": [{"billed_charge": 80.26, "npi": [1386504298, 1699630939, 1720598006]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 119.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1225899826]}, {"billed_charge": 238.0, "npi": [1114498730, 1811798275, 1225899826]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 238.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 202.96, "providers": [{"billed_charge": 238.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 383.0, "npi": [1790384162, 1265400709, 1619537677, 1467721399]}]}, {"allowed_amount": 136.14, "providers": [{"billed_charge": 383.0, "npi": [1184466799]}]}, {"allowed_amount": 152.84, "providers": [{"billed_charge": 383.0, "npi": [1790384162, 1184466799]}]}, {"allowed_amount": 195.44, "providers": [{"billed_charge": 383.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "815409916"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.38, "providers": [{"billed_charge": 159.1, "npi": [1538520812]}]}]}, {"tin": {"type": "ein", "value": "822146009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 165.0, "npi": [1164614079]}]}]}, {"tin": {"type": "ein", "value": "822659330"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.46, "providers": [{"billed_charge": 150.46, "npi": [1629484373]}]}]}, {"tin": {"type": "ein", "value": "824301751"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 130.77, "providers": [{"billed_charge": 200.0, "npi": [1285237230]}]}]}, {"tin": {"type": "ein", "value": "825131052"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 192.0, "npi": [1164433256]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 182.0, "npi": [1245813708]}, {"billed_charge": 318.0, "npi": [1245813708]}, {"billed_charge": 319.0, "npi": [1245813708]}, {"billed_charge": 398.0, "npi": [1245813708]}]}, {"allowed_amount": 142.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 182.0, "npi": [1245813708]}, {"billed_charge": 319.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 200.0, "npi": [1679677611]}]}, {"allowed_amount": 132.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "833011825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 126.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1568827582]}]}]}, {"tin": {"type": "ein", "value": "842640890"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 109.38, "providers": [{"billed_charge": 179.48, "npi": [1831529932]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 188.0, "npi": [1063870889]}]}, {"allowed_amount": 132.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 188.0, "npi": [1063870889, 1164804779]}]}, {"allowed_amount": 137.81, "providers": [{"billed_charge": 188.0, "npi": [1962837732]}]}, {"allowed_amount": 227.18, "providers": [{"billed_charge": 250.0, "npi": [1801030739]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 196.52, "npi": [1164973442, 1457057671, 1023650793, 1508489972, 1366828089]}]}, {"allowed_amount": 147.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 196.52, "npi": [1457057671]}]}, {"allowed_amount": 196.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 196.52, "npi": [1457057671, 1023650793, 1578252813, 1629277686, 1366828089]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1134101710, 1871681999, 1700405818, 1033303771, 1639600414]}]}, {"allowed_amount": 119.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1336613603, 1205908068, 1255388815]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1407079817, 1093291916, 1255388815, 1902253073, 1659617686, 1396296729, 1366953242, 1639600414, 1811401383, 1548772775, 1659389229, 1700405818, 1134101710, 1922735695, 1871681999, 1386324051, 1336613603, 1205908068, 1093315947, 1851799282, 1578949491]}]}, {"allowed_amount": 125.28, "providers": [{"billed_charge": 260.0, "npi": [1922735695]}]}, {"allowed_amount": 147.39, "providers": [{"billed_charge": 260.0, "npi": [1659389229]}]}, {"allowed_amount": 202.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.0, "npi": [1902253073, 1386324051, 1093315947, 1578949491]}]}, {"allowed_amount": 238.77, "providers": [{"billed_charge": 260.0, "npi": [1366953242]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 147.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 165.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1386954055]}]}, {"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 83.16, "providers": [{"billed_charge": 490.0, "npi": [1811605108, 1649801101]}]}, {"allowed_amount": 122.83, "providers": [{"billed_charge": 490.0, "npi": [1811605108, 1649801101, 1033972286]}]}, {"allowed_amount": 138.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 490.0, "npi": [1740246016]}]}, {"allowed_amount": 249.98, "providers": [{"billed_charge": 490.0, "npi": [1740246016]}]}]}, {"tin": {"type": "ein", "value": "853571611"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 141.39, "providers": [{"billed_charge": 185.0, "npi": [1740880392]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 108.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 119.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1992043715]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1689894149, 1750072583, 1477284743, 1083254940, 1215961131, 1366849069, 1750387254, 1992043715, 1821248840, 1417108812, 1780567255, 1770152415, 1205061744, 1154054260, 1578631925, 1720009590, 1275707895, 1710972534, 1497212799]}]}, {"allowed_amount": 132.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1881220846, 1205061744, 1558970129, 1033492434, 1710972534]}]}, {"allowed_amount": 136.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1982200705, 1477284743, 1366849069, 1396267373, 1154054260, 1497212799, 1568899961, 1770152415]}]}, {"allowed_amount": 147.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1154054260, 1750072583]}]}, {"allowed_amount": 227.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1750905568, 1992043715, 1750072583, 1821248840, 1417108812, 1801351093, 1750387254, 1275707895, 1083254940, 1528218815]}]}, {"allowed_amount": 269.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1841317989]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.89, "providers": [{"billed_charge": 324.0, "npi": [1205156643]}]}, {"allowed_amount": 119.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 324.0, "npi": [1114696176, 1922436922, 1538795075, 1154480218]}]}, {"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 324.0, "npi": [1114696176, 1922436922, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "860840912"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.17, "providers": [{"billed_charge": 180.0, "npi": [1316944721]}]}]}, {"tin": {"type": "ein", "value": "861917131"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 128.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1669582417]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 136.8, "providers": [{"billed_charge": 304.0, "npi": [1538424007]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 160.0, "npi": [1659187680, 1669156121]}]}, {"allowed_amount": 132.65, "providers": [{"billed_charge": 160.0, "npi": [1659187680]}]}]}, {"tin": {"type": "ein", "value": "873284841"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 90.47, "npi": [1770569196]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "providers": [{"billed_charge": 160.0, "npi": [1376329110]}]}, {"allowed_amount": 160.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1952040552]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.57, "providers": [{"billed_charge": 169.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 118.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 195.0, "npi": [1699259333]}]}, {"allowed_amount": 195.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 195.0, "npi": [1134628498, 1568290492, 1720686116]}]}]}, {"tin": {"type": "ein", "value": "900815244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 170.0, "npi": [1932678489, 1376657122, 1275032039]}]}, {"allowed_amount": 132.65, "providers": [{"billed_charge": 170.0, "npi": [1376657122]}]}, {"allowed_amount": 136.14, "providers": [{"billed_charge": 170.0, "npi": [1932678489]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 134.42, "providers": [{"billed_charge": 315.0, "npi": [1528615796]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 427.0, "npi": [1740932318]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1598185472, 1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 136.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 147.39, "providers": [{"billed_charge": 225.0, "npi": [1598185472, 1306332333]}]}, {"allowed_amount": 225.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 349.0, "npi": [1457812273, 1457007478, 1962237222]}]}, {"allowed_amount": 178.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 349.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 145.71, "npi": [1992825152, 1407039522, 1922506583]}]}, {"allowed_amount": 145.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.71, "npi": [1992825152]}]}]}, {"tin": {"type": "ein", "value": "941156581"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 190.48, "providers": [{"billed_charge": 277.0, "npi": [1689615254]}]}]}, {"tin": {"type": "ein", "value": "954112121"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 118.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 266.34, "npi": [1528022431]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.83, "providers": [{"billed_charge": 195.0, "npi": [1245691641, 1942709217]}]}, {"allowed_amount": 137.81, "providers": [{"billed_charge": 195.0, "npi": [1962433516]}]}]}, {"tin": {"type": "ein", "value": "994277174"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 147.48, "providers": [{"billed_charge": 195.0, "npi": [1659501799]}]}]}]}, {"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": "010965579"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 192.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1205487261]}]}]}, {"tin": {"type": "ein", "value": "061744704"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 108.13, "providers": [{"billed_charge": 325.0, "npi": [1720313901]}]}]}, {"tin": {"type": "ein", "value": "134228484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.07, "providers": [{"billed_charge": 300.0, "npi": [1437205796]}]}, {"allowed_amount": 175.31, "providers": [{"billed_charge": 300.0, "npi": [1437205796]}]}]}, {"tin": {"type": "ein", "value": "141628237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 320.0, "providers": [{"billed_charge": 320.0, "npi": [1447541271]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.17, "providers": [{"billed_charge": 289.0, "npi": [1710187786]}]}, {"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 289.0, "npi": [1982309795, 1972060101, 1679357701, 1750773255, 1871335208, 1770434078, 1811237258, 1710187786, 1033926035, 1447842356, 1205568094]}]}, {"allowed_amount": 210.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 289.0, "npi": [1609159813, 1801608138, 1629680814, 1962234898, 1033926035, 1447842356]}]}, {"allowed_amount": 236.42, "providers": [{"billed_charge": 289.0, "npi": [1629386248]}]}]}, {"tin": {"type": "ein", "value": "200196360"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.34, "providers": [{"billed_charge": 225.88, "npi": [1871571158]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1609036649]}]}, {"allowed_amount": 335.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1497079255, 1730391343]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 114.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.06, "npi": [1407116544, 1396933057, 1750084265, 1568097129, 1730631482]}]}, {"allowed_amount": 128.27, "providers": [{"billed_charge": 405.06, "npi": [1053379347]}]}, {"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.06, "npi": [1629763552, 1013211937, 1972068708, 1477296101, 1992109896, 1568097129, 1053379347, 1730631482]}]}, {"allowed_amount": 405.06, "providers": [{"billed_charge": 405.06, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "202098546"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 151.65, "providers": [{"billed_charge": 337.0, "npi": [1568429322, 1023548005]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 232.0, "npi": [1902003635]}]}, {"allowed_amount": 232.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 232.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203273724"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.31, "providers": [{"billed_charge": 250.0, "npi": [1962450346]}]}]}, {"tin": {"type": "ein", "value": "203587332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 209.68, "providers": [{"billed_charge": 257.0, "npi": [1952600801]}]}]}, {"tin": {"type": "ein", "value": "203897330"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 141.1, "billing_code_modifier": ["25,SA"], "providers": [{"billed_charge": 160.0, "npi": [1871938647]}]}]}, {"tin": {"type": "ein", "value": "204296528"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 250.0, "npi": [1851394217]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1851394217]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 178.23, "npi": [1811740657, 1720035181, 1891727509]}]}, {"allowed_amount": 178.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 178.23, "npi": [1811740657, 1033207634, 1720035181]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.56, "providers": [{"billed_charge": 346.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 175.31, "providers": [{"billed_charge": 346.0, "npi": [1588723373, 1467622258, 1497024053, 1477066389, 1659641595]}]}, {"allowed_amount": 182.78, "providers": [{"billed_charge": 346.0, "npi": [1659641595, 1477066389]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 259.0, "npi": [1801768577]}]}, {"allowed_amount": 259.0, "providers": [{"billed_charge": 259.0, "npi": [1619946597]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 53.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1578805248, 1205417474, 1568496909, 1518986132, 1497920474, 1952822652]}]}, {"allowed_amount": 57.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1346206257]}]}, {"allowed_amount": 80.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1437544384, 1952921025, 1023052644, 1265993075, 1033615414, 1649436734, 1417905886]}]}, {"allowed_amount": 97.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1558987792, 1376038497, 1316571672, 1003365461]}]}, {"allowed_amount": 97.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1245291426]}]}, {"allowed_amount": 98.07, "providers": [{"billed_charge": 278.0, "npi": [1467093492]}]}, {"allowed_amount": 106.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1720236003, 1144354390, 1619190287]}]}, {"allowed_amount": 107.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1578805248, 1205417474, 1568496909, 1912961293, 1104182799, 1053645457, 1164418323, 1518986132, 1255893657, 1821284910, 1659623601, 1811483829, 1033615414, 1235796277, 1649436734, 1447488580, 1639134661, 1467692236, 1659566545, 1497920474, 1144595307, 1265665145, 1952822652]}]}, {"allowed_amount": 107.56, "providers": [{"billed_charge": 278.0, "npi": [1700505955, 1760129019]}]}, {"allowed_amount": 115.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1346206257]}]}, {"allowed_amount": 161.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1942573316, 1912961293, 1104182799, 1053645457, 1225353766, 1245352491, 1821284910, 1235370289, 1598111924, 1235796277, 1033615414, 1245755958, 1649436734, 1437544384, 1952921025, 1639134661, 1780062414, 1659566545, 1942457692, 1417905886, 1174586465, 1023052644, 1124239207, 1144595307, 1235189358, 1265993075, 1730112244, 1265665145, 1952822652]}]}, {"allowed_amount": 169.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1649436734]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1578805248, 1982648705, 1205417474, 1649379595, 1568496909, 1912961293, 1104182799, 1053645457, 1164418323, 1518986132, 1255893657, 1730406943, 1245291426, 1225353766, 1821067943, 1821284910, 1346206257, 1659623601, 1346360369, 1811483829, 1033615414, 1235796277, 1437544384, 1952921025, 1447488580, 1639134661, 1356987721, 1467692236, 1659566545, 1942456660, 1538144597, 1144354390, 1366812885, 1003365461, 1497920474, 1447629027, 1114696176, 1265665145, 1952822652]}]}, {"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1376579714, 1942573316, 1104182799, 1558987792, 1053645457, 1255893657, 1396230173, 1225353766, 1245352491, 1821284910, 1235370289, 1346206257, 1598111924, 1235796277, 1033615414, 1821246133, 1245755958, 1538139324, 1437544384, 1952921025, 1639134661, 1780062414, 1700681038, 1659566545, 1003365461, 1942457692, 1841368669, 1417905886, 1649424094, 1376038497, 1174586465, 1023052644, 1124239207, 1144595307, 1235189358, 1114696176, 1265993075, 1730112244, 1467093492, 1265665145, 1952822652]}]}, {"allowed_amount": 182.78, "providers": [{"billed_charge": 278.0, "npi": [1992508691, 1649379595, 1003365461, 1649424094]}]}, {"allowed_amount": 184.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1538139324]}]}, {"allowed_amount": 218.25, "providers": [{"billed_charge": 278.0, "npi": [1952921025]}]}, {"allowed_amount": 242.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1982648705, 1376579714, 1538144597]}]}, {"allowed_amount": 251.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1376579714, 1538182340, 1821067943]}]}, {"allowed_amount": 254.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1235189358, 1104182799, 1598111924, 1235796277, 1821246133, 1245755958, 1942457692]}]}, {"allowed_amount": 278.0, "providers": [{"billed_charge": 278.0, "npi": [1821067943]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 115.38, "providers": [{"billed_charge": 305.0, "npi": [1447267463]}]}]}, {"tin": {"type": "ein", "value": "205456726"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 157.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 157.0, "npi": [1801825401]}]}]}, {"tin": {"type": "ein", "value": "205708226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 225.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1275125262]}]}]}, {"tin": {"type": "ein", "value": "205778734"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 142.31, "providers": [{"billed_charge": 180.0, "npi": [1922007541]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 18.46, "providers": [{"billed_charge": 155.0, "npi": [1235796277]}]}, {"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1285780387, 1710947940, 1508137670, 1467073254, 1790906154, 1891725164, 1912961293, 1881271310, 1104182799, 1194285486, 1346206257, 1669919155, 1073833653, 1235796277, 1457715096, 1558724377, 1942457692]}]}, {"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1669737953, 1285780387, 1710947940, 1467073254, 1790906154, 1396774956, 1891725164, 1881271310, 1194285486, 1043313232, 1104182799, 1669919155, 1235796277, 1073833653, 1942457692, 1457715096, 1558724377, 1528022332]}]}, {"allowed_amount": 254.63, "providers": [{"billed_charge": 277.0, "npi": [1457715096]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1669737953, 1174586465, 1710947940, 1508108390, 1508137670, 1710175526, 1558395434, 1912961293, 1043313232, 1346206257, 1669919155, 1073833653, 1558724377, 1942457692]}]}, {"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1174586465, 1174732705, 1285780387, 1710175526, 1508137670, 1467073254, 1225353766, 1558395434, 1508108390, 1104182799, 1043313232, 1194822353, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1649538828, 1912961293, 1881271310, 1558724377, 1285780387, 1780632612, 1225353766, 1528493350, 1790906154, 1346206257, 1669919155, 1073833653, 1235796277, 1528022332, 1508137670, 1700011335, 1043313232, 1942457692, 1710947940, 1467073254, 1508108390, 1891725164, 1023645041]}]}, {"allowed_amount": 210.98, "providers": [{"billed_charge": 211.0, "npi": [1528068715]}]}, {"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1669737953, 1285780387, 1710947940, 1225353766, 1700011335, 1528493350, 1790906154, 1891725164, 1649538828, 1912961293, 1043313232, 1023645041, 1669919155, 1497258164, 1073833653, 1699926774, 1528022332, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 178.78, "providers": [{"billed_charge": 257.0, "npi": [1023715398]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1912961293, 1104182799, 1780632612, 1225353766, 1558395434, 1790906154, 1396774956, 1346206257, 1669919155, 1073833653, 1508137670, 1700011335, 1043313232, 1194822353, 1942457692, 1669737953, 1710947940, 1467073254, 1508108390]}]}, {"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1710947940, 1780632612, 1467073254, 1225353766, 1508108390, 1528493350, 1790906154, 1558395434, 1396774956, 1245352491, 1043313232, 1194822353, 1669919155, 1073833653, 1699926774, 1235796277, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "222703314"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 225.54, "providers": [{"billed_charge": 428.0, "npi": [1629118302]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1417547233, 1407650658, 1972555811, 1427436229, 1669422341, 1952884074, 1699117903, 1346087350, 1033830427, 1821649021, 1720655582, 1497707327]}]}]}, {"tin": {"type": "ein", "value": "261155537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1861622060]}, {"billed_charge": 450.0, "npi": [1861622060]}]}]}, {"tin": {"type": "ein", "value": "261266337"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.0, "providers": [{"billed_charge": 205.0, "npi": [1386051761]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 230.14, "providers": [{"billed_charge": 321.9, "npi": [1851492672]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 309.51, "providers": [{"billed_charge": 318.0, "npi": [1710687686]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 107.0, "providers": [{"billed_charge": 107.0, "npi": [1922660232]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["02", "20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 510.0, "npi": [1912750597, 1194298331, 1336832773, 1003625062, 1578226411, 1437956588, 1578252813, 1730893496, 1639994510, 1033832688, 1811391352, 1801762166, 1356790455, 1619511672, 1598261497, 1548938491]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 510.0, "npi": [1912750597, 1003625062, 1194298331, 1164187977, 1578226411, 1437956588, 1588987374, 1639994510, 1033832688, 1730893496, 1942790613, 1801762166, 1619511672, 1598261497, 1548938491, 1336841501]}]}, {"allowed_amount": 194.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 510.0, "npi": [1912750597, 1194298331, 1639994510, 1942790613, 1619511672, 1598261497, 1548938491, 1770053407]}]}, {"allowed_amount": 210.02, "providers": [{"billed_charge": 510.0, "npi": [1164187977]}]}, {"allowed_amount": 289.69, "providers": [{"billed_charge": 510.0, "npi": [1770053407]}]}, {"allowed_amount": 291.72, "providers": [{"billed_charge": 510.0, "npi": [1508872318]}]}, {"allowed_amount": 312.17, "providers": [{"billed_charge": 510.0, "npi": [1982477956, 1336832773, 1912750597, 1194298331, 1003117847, 1164187977, 1760885420, 1578252813, 1639994510, 1033832688, 1902295538, 1801762166, 1356790455, 1619511672, 1598261497, 1548938491, 1003576604, 1770053407]}, {"billed_charge": 550.0, "npi": [1619511672, 1578252813]}]}, {"allowed_amount": 324.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 510.0, "npi": [1811391352, 1578226411]}]}, {"allowed_amount": 445.3, "providers": [{"billed_charge": 510.0, "npi": [1730893496, 1578226411, 1811391352]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.84, "providers": [{"billed_charge": 216.0, "npi": [1023329372]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 151.65, "providers": [{"billed_charge": 337.0, "npi": [1851013304, 1972000776, 1578503538]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1669737953, 1710947940, 1780632612, 1710175526, 1467073254, 1225353766, 1508137670, 1790906154, 1508108390, 1649538828, 1881271310, 1346206257, 1669919155, 1073833653, 1699926774, 1528022332, 1942457692, 1689816191]}]}, {"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1669737953, 1710947940, 1780632612, 1710175526, 1508108390, 1700011335, 1467073254, 1790906154, 1225353766, 1396774956, 1912961293, 1669919155, 1235796277, 1699926774, 1073833653, 1457715096, 1558724377, 1942457692]}]}, {"allowed_amount": 254.63, "providers": [{"billed_charge": 277.0, "npi": [1467073254]}]}]}, {"tin": {"type": "ein", "value": "263160729"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.21, "providers": [{"billed_charge": 350.0, "npi": [1720096043]}]}]}, {"tin": {"type": "ein", "value": "263717616"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 219.79, "providers": [{"billed_charge": 400.0, "npi": [1871740993]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 151.65, "providers": [{"billed_charge": 337.0, "npi": [1932159043, 1730611294]}]}]}, {"tin": {"type": "ein", "value": "264190328"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.78, "providers": [{"billed_charge": 389.96, "npi": [1497771323]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 316.11, "npi": [1982273678]}, {"billed_charge": 416.11, "npi": [1982273678]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 316.11, "npi": [1871676668]}, {"billed_charge": 400.0, "npi": [1871676668]}, {"billed_charge": 416.11, "npi": [1235529116, 1194564443, 1497419923, 1871676668]}]}, {"allowed_amount": 289.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 316.11, "npi": [1194564443]}, {"billed_charge": 416.11, "npi": [1497419923]}]}, {"allowed_amount": 316.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 316.11, "npi": [1871676668]}]}, {"allowed_amount": 384.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.34, "providers": [{"billed_charge": 376.91, "npi": [1841252657]}]}, {"allowed_amount": 175.31, "providers": [{"billed_charge": 376.91, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "264732338"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 170.0, "npi": [1417262569, 1750681540]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1154603389, 1598362006, 1407490519]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.25, "providers": [{"billed_charge": 170.0, "npi": [1851344378]}]}, {"allowed_amount": 169.7, "providers": [{"billed_charge": 170.0, "npi": [1851576102]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1780624353, 1508002882, 1851576102, 1639766793, 1619070828, 1427486380, 1922534833, 1134518673, 1326573270, 1497185334, 1831765494, 1275918203]}]}, {"allowed_amount": 289.69, "providers": [{"billed_charge": 405.06, "npi": [1780624353]}]}]}, {"tin": {"type": "ein", "value": "270628350"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1346488558]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 247.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1740026731]}]}]}, {"tin": {"type": "ein", "value": "271463219"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 287.0, "npi": [1497853048]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 300.0, "npi": [1730491945]}]}, {"allowed_amount": 260.56, "providers": [{"billed_charge": 318.0, "npi": [1730491945]}]}, {"allowed_amount": 265.78, "providers": [{"billed_charge": 300.0, "npi": [1730491945]}, {"billed_charge": 318.0, "npi": [1730491945, 1720327372]}]}]}, {"tin": {"type": "ein", "value": "273255459"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 172.44, "providers": [{"billed_charge": 186.0, "npi": [1588022784]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 245.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 311.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "275349332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 176.57, "providers": [{"billed_charge": 212.0, "npi": [1518566785]}]}]}, {"tin": {"type": "ein", "value": "320361148"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 256.0, "npi": [1659301109]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 257.0, "npi": [1801317219, 1538944772, 1770330599]}]}, {"allowed_amount": 210.02, "providers": [{"billed_charge": 257.0, "npi": [1003780651]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1669737953, 1467073254, 1508108390, 1700011335, 1790906154, 1891725164, 1912961293, 1669919155, 1497258164, 1073833653, 1942457692, 1528022332, 1689816191]}]}, {"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1710947940, 1225353766, 1700011335, 1508137670, 1467073254, 1790906154, 1508108390, 1891725164, 1912961293, 1669919155, 1073833653, 1528022332, 1699926774, 1942457692, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331638973"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 194.32, "providers": [{"billed_charge": 250.0, "npi": [1457211047]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1104776962, 1457705618]}]}, {"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "331963014"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 164.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 256.0, "npi": [1801050661]}]}]}, {"tin": {"type": "ein", "value": "332294109"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 249.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.0, "npi": [1376762377]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1770104986]}]}, {"allowed_amount": 181.88, "providers": [{"billed_charge": 250.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.78, "providers": [{"billed_charge": 184.05, "npi": [1235419060]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.0, "npi": [1508253600]}]}]}, {"tin": {"type": "ein", "value": "364780075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 510.0, "npi": [1730893496]}]}]}, {"tin": {"type": "ein", "value": "381358164"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 221.68, "providers": [{"billed_charge": 294.0, "npi": [1417662792, 1770114266]}]}]}, {"tin": {"type": "ein", "value": "383878115"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.18, "providers": [{"billed_charge": 307.0, "npi": [1477087658]}]}]}, {"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 178.42, "providers": [{"billed_charge": 546.0, "npi": [1316696552]}]}, {"allowed_amount": 209.9, "providers": [{"billed_charge": 546.0, "npi": [1275501041]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 334.0, "npi": [1164803078]}]}]}, {"tin": {"type": "ein", "value": "412947125"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 172.16, "providers": [{"billed_charge": 250.0, "npi": [1174588628]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 143.02, "providers": [{"billed_charge": 403.0, "npi": [1578050142]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1649991803]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11", "22", "23"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 337.0, "npi": [1336540699]}]}, {"allowed_amount": 25.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 337.0, "npi": [1316187917]}]}, {"allowed_amount": 50.0, "providers": [{"billed_charge": 337.0, "npi": [1558781625, 1356574651]}]}, {"allowed_amount": 113.4, "providers": [{"billed_charge": 252.0, "npi": [1093197931, 1972591683, 1568695468, 1215224126]}]}, {"allowed_amount": 145.5, "providers": [{"billed_charge": 337.0, "npi": [1639732191]}]}, {"allowed_amount": 151.65, "providers": [{"billed_charge": 337.0, "npi": [1881956944]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 202.0, "npi": [1154295913, 1417321969, 1689124554, 1124665971]}]}, {"allowed_amount": 200.84, "providers": [{"billed_charge": 202.0, "npi": [1124665971]}]}, {"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1154295913, 1417321969]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "providers": [{"billed_charge": 235.0, "npi": [1255203873, 1306686381, 1386460756, 1376783548, 1417819806]}]}, {"allowed_amount": 235.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 235.0, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "453676951"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 143.06, "providers": [{"billed_charge": 384.0, "npi": [1982480448]}]}, {"allowed_amount": 169.7, "providers": [{"billed_charge": 384.0, "npi": [1174389027]}]}, {"allowed_amount": 170.47, "providers": [{"billed_charge": 384.0, "npi": [1114040235, 1437956588, 1407533557]}]}, {"allowed_amount": 175.31, "providers": [{"billed_charge": 260.0, "npi": [1427836402]}, {"billed_charge": 384.0, "npi": [1598623456, 1982480448, 1528943073, 1366230468, 1497459465, 1417793035, 1437956588, 1427044825, 1558123182, 1114040235, 1427836402, 1619491859, 1407533557, 1881970168, 1629933049, 1679266555]}]}, {"allowed_amount": 189.34, "providers": [{"billed_charge": 384.0, "npi": [1174389027]}]}, {"allowed_amount": 194.32, "providers": [{"billed_charge": 260.0, "npi": [1982480448, 1528943073, 1497459465]}, {"billed_charge": 384.0, "npi": [1982480448, 1528943073, 1497459465, 1558123182, 1427836402, 1629933049]}]}, {"allowed_amount": 203.36, "providers": [{"billed_charge": 384.0, "npi": [1881970168]}]}, {"allowed_amount": 210.38, "providers": [{"billed_charge": 384.0, "npi": [1598623456, 1497459465, 1114040235, 1629933049, 1427044825]}]}, {"allowed_amount": 260.0, "providers": [{"billed_charge": 260.0, "npi": [1366230468]}]}, {"allowed_amount": 289.69, "providers": [{"billed_charge": 384.0, "npi": [1982480448, 1528943073, 1366230468, 1497459465, 1386504298, 1417793035, 1558123182, 1427836402, 1629933049]}]}, {"allowed_amount": 324.26, "providers": [{"billed_charge": 384.0, "npi": [1114040235, 1437956588, 1407533557]}]}, {"allowed_amount": 384.0, "providers": [{"billed_charge": 384.0, "npi": [1427044825]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.36, "providers": [{"billed_charge": 547.04, "npi": [1538051990]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 547.04, "npi": [1558182824, 1417535881, 1215675988, 1447735030, 1780373209]}]}, {"allowed_amount": 194.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 547.04, "npi": [1558182824, 1780373209, 1588533509]}]}, {"allowed_amount": 289.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 547.04, "npi": [1194518241, 1417535881, 1215675988, 1447735030]}]}]}, {"tin": {"type": "ein", "value": "454846207"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.72, "providers": [{"billed_charge": 380.0, "npi": [1164718995]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 204.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 204.0, "npi": [1245123587, 1609684430, 1124713383]}]}]}, {"tin": {"type": "ein", "value": "460793976"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 145.2, "providers": [{"billed_charge": 415.0, "npi": [1437675097]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 436.0, "npi": [1326017468]}]}, {"allowed_amount": 189.34, "providers": [{"billed_charge": 436.0, "npi": [1730238965]}]}, {"allowed_amount": 384.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 436.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "463164188"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 218.52, "providers": [{"billed_charge": 334.0, "npi": [1134546575]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.03, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.36, "providers": [{"billed_charge": 354.42, "npi": [1508400482]}]}, {"allowed_amount": 181.88, "providers": [{"billed_charge": 354.42, "npi": [1508400482]}]}, {"allowed_amount": 210.38, "providers": [{"billed_charge": 354.42, "npi": [1508400482]}]}]}, {"tin": {"type": "ein", "value": "464217793"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 182.63, "providers": [{"billed_charge": 486.43, "npi": [1902358476]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 153.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 153.0, "npi": [1912102104]}]}]}, {"tin": {"type": "ein", "value": "464828405"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 157.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 157.99, "npi": [1356358402]}]}]}, {"tin": {"type": "ein", "value": "471604779"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1174781751]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1164149597]}]}, {"allowed_amount": 168.78, "providers": [{"billed_charge": 214.58, "npi": [1528843992, 1760258081, 1669179636, 1164149597]}]}, {"allowed_amount": 189.37, "providers": [{"billed_charge": 214.58, "npi": [1528843992, 1962261636, 1386234839]}]}, {"allowed_amount": 214.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 214.58, "npi": [1164149597, 1750095253, 1699666479]}]}, {"allowed_amount": 312.17, "providers": [{"billed_charge": 331.74, "npi": [1669179636]}]}]}, {"tin": {"type": "ein", "value": "471859521"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 104.3, "providers": [{"billed_charge": 305.0, "npi": [1386631562]}]}, {"allowed_amount": 181.88, "providers": [{"billed_charge": 305.0, "npi": [1386631562]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.0, "npi": [1467169540, 1336941046, 1992672646]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.0, "npi": [1336941046, 1215698196, 1467169540, 1992672646]}]}]}, {"tin": {"type": "ein", "value": "472615759"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.28, "providers": [{"billed_charge": 231.0, "npi": [1609683275]}]}]}, {"tin": {"type": "ein", "value": "472736221"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 390.0, "npi": [1154163251]}]}]}, {"tin": {"type": "ein", "value": "473019167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 245.9, "providers": [{"billed_charge": 245.9, "npi": [1932590601]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 216.0, "npi": [1639868664]}]}, {"allowed_amount": 216.0, "providers": [{"billed_charge": 216.0, "npi": [1528858784]}]}]}, {"tin": {"type": "ein", "value": "560642846"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 77.28, "providers": [{"billed_charge": 251.0, "npi": [1629181706]}]}]}, {"tin": {"type": "ein", "value": "581466368"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 209.69, "providers": [{"billed_charge": 322.0, "npi": [1679594105]}]}]}, {"tin": {"type": "ein", "value": "582380955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 209.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1144279670]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.28, "providers": [{"billed_charge": 926.0, "npi": [1144813536]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 311.02, "providers": [{"billed_charge": 496.0, "npi": [1205174257]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.88, "providers": [{"billed_charge": 387.0, "npi": [1750791281]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 81.86, "providers": [{"billed_charge": 275.0, "npi": [1699119321]}]}, {"allowed_amount": 133.56, "providers": [{"billed_charge": 275.0, "npi": [1497195614]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 124.95, "providers": [{"billed_charge": 278.0, "npi": [1093780603]}]}, {"allowed_amount": 137.01, "providers": [{"billed_charge": 278.0, "npi": [1952284796, 1891006300]}]}, {"allowed_amount": 278.0, "providers": [{"billed_charge": 278.0, "npi": [1902461981]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 247.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 247.9, "npi": [1780098095, 1871027185, 1619015955, 1497586614, 1457491839]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 133.56, "providers": [{"billed_charge": 225.0, "npi": [1679919724]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 101.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 939.0, "npi": [1629262126]}]}, {"allowed_amount": 175.31, "providers": [{"billed_charge": 939.0, "npi": [1285684597]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20", "22"], "payments": [{"allowed_amount": 81.86, "providers": [{"billed_charge": 285.99, "npi": [1386812253]}]}, {"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 566.69, "npi": [1073001673, 1275529539, 1730620188, 1942567375]}]}, {"allowed_amount": 367.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 566.69, "npi": [1396106183, 1255868279, 1861929721, 1427286715, 1992209852]}]}]}, {"tin": {"type": "ein", "value": "592319380"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 118.05, "providers": [{"billed_charge": 383.91, "npi": [1033278296, 1073610515]}]}]}, {"tin": {"type": "ein", "value": "593209688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 210.02, "providers": [{"billed_charge": 322.0, "npi": [1558134692, 1871875351]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1598750648]}]}, {"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1598750648, 1275627622]}]}, {"allowed_amount": 236.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1598750648]}]}, {"allowed_amount": 310.0, "providers": [{"billed_charge": 310.0, "npi": [1275627622]}]}]}, {"tin": {"type": "ein", "value": "593534656"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 153.0, "providers": [{"billed_charge": 153.0, "npi": [1245347004]}]}]}, {"tin": {"type": "ein", "value": "593591435"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 128.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1568782662]}]}]}, {"tin": {"type": "ein", "value": "593622226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 370.0, "npi": [1356425037]}]}]}, {"tin": {"type": "ein", "value": "593636166"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1811537855]}]}]}, {"tin": {"type": "ein", "value": "593730470"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 86.17, "providers": [{"billed_charge": 321.0, "npi": [1760472799]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "providers": [{"billed_charge": 516.0, "npi": [1205276201, 1700656071]}]}, {"allowed_amount": 289.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 516.0, "npi": [1689173155]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 106.19, "providers": [{"billed_charge": 400.55, "npi": [1437323219]}]}, {"allowed_amount": 182.78, "providers": [{"billed_charge": 292.0, "npi": [1790055598]}, {"billed_charge": 340.0, "npi": [1861942443]}]}, {"allowed_amount": 215.03, "providers": [{"billed_charge": 340.0, "npi": [1891336079]}]}]}, {"tin": {"type": "ein", "value": "611276316"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.98, "providers": [{"billed_charge": 326.0, "npi": [1790063592]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.16, "providers": [{"billed_charge": 269.0, "npi": [1508321621]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 273.0, "npi": [1992746879]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 273.0, "npi": [1487322335, 1841968799]}]}, {"allowed_amount": 273.0, "providers": [{"billed_charge": 273.0, "npi": [1841968799, 1588332530, 1649983628, 1487322335]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 182.78, "providers": [{"billed_charge": 768.0, "npi": [1487135786]}]}]}, {"tin": {"type": "ein", "value": "650563102"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 119.46, "providers": [{"billed_charge": 421.0, "npi": [1265404826]}]}]}, {"tin": {"type": "ein", "value": "650673931"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 104.27, "providers": [{"billed_charge": 244.06, "npi": [1962594283]}]}]}, {"tin": {"type": "ein", "value": "650721674"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 167.33, "providers": [{"billed_charge": 480.0, "npi": [1104869064]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.64, "providers": [{"billed_charge": 414.0, "npi": [1710091426]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1902994908]}]}, {"allowed_amount": 400.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "752510007"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 206.01, "providers": [{"billed_charge": 334.0, "npi": [1770048704]}]}, {"allowed_amount": 206.93, "providers": [{"billed_charge": 334.0, "npi": [1770048704]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.08, "npi": [1285359414]}]}, {"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.08, "npi": [1023759875, 1508115825, 1225176209, 1194060756, 1285359414, 1891735544, 1568500445]}]}, {"allowed_amount": 254.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.08, "npi": [1023759875, 1508115825, 1225176209, 1194060756, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "810799828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 192.27, "providers": [{"billed_charge": 230.0, "npi": [1659982221]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1942335492]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812117336"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 213.0, "providers": [{"billed_charge": 213.0, "npi": [1346118015]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 326.0, "npi": [1205389905]}]}, {"allowed_amount": 195.78, "providers": [{"billed_charge": 326.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 326.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.58, "providers": [{"billed_charge": 320.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "812824891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 208.0, "providers": [{"billed_charge": 208.0, "npi": [1235205386]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.28, "providers": [{"billed_charge": 118.59, "npi": [1902633134, 1720598006]}]}, {"allowed_amount": 118.59, "providers": [{"billed_charge": 118.59, "npi": [1699630939, 1194682732, 1720598006]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["11", "20"], "payments": [{"allowed_amount": 170.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 334.0, "npi": [1114498730, 1811798275, 1225899826]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 334.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 289.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 334.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814072521"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 164.94, "providers": [{"billed_charge": 324.0, "npi": [1255883682]}]}]}, {"tin": {"type": "ein", "value": "814073032"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 114.77, "providers": [{"billed_charge": 240.0, "npi": [1992416853]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 563.0, "npi": [1184466799, 1619537677, 1467721399]}]}, {"allowed_amount": 278.96, "providers": [{"billed_charge": 563.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "815409916"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.32, "providers": [{"billed_charge": 226.86, "npi": [1740362037]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 245.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "822673107"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1134846876]}]}]}, {"tin": {"type": "ein", "value": "825131052"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.28, "providers": [{"billed_charge": 281.0, "npi": [1164433256]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 257.0, "npi": [1912482282]}, {"billed_charge": 400.0, "npi": [1245813708]}, {"billed_charge": 450.0, "npi": [1245813708]}]}, {"allowed_amount": 203.36, "providers": [{"billed_charge": 257.0, "npi": [1245813708]}, {"billed_charge": 400.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "830705469"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1467961581]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1679677611]}]}, {"allowed_amount": 189.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "833011825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.98, "providers": [{"billed_charge": 280.0, "npi": [1669713442]}]}]}, {"tin": {"type": "ein", "value": "842504013"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 184.45, "providers": [{"billed_charge": 273.0, "npi": [1821671157]}]}]}, {"tin": {"type": "ein", "value": "842640890"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 161.53, "providers": [{"billed_charge": 254.12, "npi": [1912503582]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 273.0, "npi": [1770710436]}]}, {"allowed_amount": 189.37, "providers": [{"billed_charge": 273.0, "npi": [1770710436]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 169.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 280.5, "npi": [1942281142]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 280.5, "npi": [1164973442, 1457057671, 1023650793, 1508489972, 1366828089]}, {"billed_charge": 1122.0, "npi": [1023650793]}]}, {"allowed_amount": 280.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 280.5, "npi": [1366828089, 1023650793, 1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1033303771]}]}, {"allowed_amount": 169.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1639600414, 1700405818, 1134101710, 1871681999]}]}, {"allowed_amount": 170.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1336613603, 1205908068, 1255388815]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1407079817, 1093291916, 1255388815, 1902253073, 1659617686, 1366953242, 1639600414, 1548772775, 1659389229, 1700405818, 1134101710, 1871681999, 1922735695, 1386324051, 1336613603, 1205908068, 1629776232, 1093315947, 1851799282, 1578949491]}]}, {"allowed_amount": 178.82, "providers": [{"billed_charge": 380.0, "npi": [1922735695]}]}, {"allowed_amount": 210.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1659389229]}]}, {"allowed_amount": 289.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1093315947, 1902253073, 1851799282, 1578949491, 1386324051]}]}]}, {"tin": {"type": "ein", "value": "844061485"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 218.13, "providers": [{"billed_charge": 400.0, "npi": [1760506240]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 210.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 218.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1770084022]}]}, {"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 315.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 490.0, "npi": [1659653954]}]}]}, {"tin": {"type": "ein", "value": "853571611"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1740880392]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 143.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 154.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 169.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1992043715, 1689646440, 1205061744, 1275669780, 1578631925, 1154054260, 1275707895]}]}, {"allowed_amount": 189.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1689646440]}]}, {"allowed_amount": 194.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1154054260, 1568899961, 1275669780, 1396267373]}]}, {"allowed_amount": 210.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1780567255]}]}, {"allowed_amount": 289.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1275669780]}]}, {"allowed_amount": 324.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1073676235, 1578631925]}]}, {"allowed_amount": 328.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1689646440]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 169.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 459.0, "npi": [1205156643]}]}, {"allowed_amount": 170.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 459.0, "npi": [1154480218, 1013740489, 1114696176, 1619753498, 1922436922]}]}, {"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 459.0, "npi": [1114696176, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "860840912"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 95.84, "providers": [{"billed_charge": 252.0, "npi": [1316944721]}]}]}, {"tin": {"type": "ein", "value": "861917131"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 183.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1669582417]}]}]}, {"tin": {"type": "ein", "value": "863499113"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.84, "providers": [{"billed_charge": 310.0, "npi": [1851371587]}]}, {"allowed_amount": 161.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1053808113]}]}]}, {"tin": {"type": "ein", "value": "863566062"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 211.25, "providers": [{"billed_charge": 216.0, "npi": [1790342335]}]}]}, {"tin": {"type": "ein", "value": "863655230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 174.38, "providers": [{"billed_charge": 290.99, "npi": [1205663465]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1659187680, 1669156121]}]}, {"allowed_amount": 189.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1659187680]}]}, {"allowed_amount": 194.32, "providers": [{"billed_charge": 200.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 512.0, "npi": [1568031219, 1740036516]}]}, {"allowed_amount": 194.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 512.0, "npi": [1194609198, 1568031219, 1619848942]}]}, {"allowed_amount": 324.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 512.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 169.7, "providers": [{"billed_charge": 334.0, "npi": [1215964291]}]}, {"allowed_amount": 175.31, "providers": [{"billed_charge": 334.0, "npi": [1215964291]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 170.0, "npi": [1720963028]}]}, {"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1952040552, 1376329110]}]}]}, {"tin": {"type": "ein", "value": "881578910"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 32.51, "providers": [{"billed_charge": 402.75, "npi": [1679064851]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "providers": [{"billed_charge": 253.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "882114016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 850.0, "npi": [1730954520]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 649.74, "npi": [1619931409]}]}, {"allowed_amount": 194.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 649.74, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.0, "npi": [1134628498, 1124701487]}]}, {"allowed_amount": 285.0, "providers": [{"billed_charge": 285.0, "npi": [1164808283]}]}]}, {"tin": {"type": "ein", "value": "900815244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1932678489]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 603.0, "npi": [1740932318, 1174729446]}]}, {"allowed_amount": 397.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 603.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 194.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 386.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 386.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 191.24, "npi": [1922506583]}]}]}, {"tin": {"type": "ein", "value": "934863018"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 115.88, "providers": [{"billed_charge": 235.0, "npi": [1851561203]}]}]}, {"tin": {"type": "ein", "value": "991776839"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 241.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 416.0, "npi": [1609133776]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 224.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 322.0, "npi": [1962745224]}]}]}, {"tin": {"type": "ein", "value": "994046031"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 187.0, "providers": [{"billed_charge": 187.0, "npi": [1730991779]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99212", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1366721789]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.12, "providers": [{"billed_charge": 176.88, "npi": [1730632100]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 39.64, "providers": [{"billed_charge": 104.0, "npi": [1578805248, 1447488580, 1144595307, 1659623601, 1053645457, 1033615414, 1255893657, 1497920474, 1952822652, 1649436734]}]}, {"allowed_amount": 60.13, "providers": [{"billed_charge": 104.0, "npi": [1104182799, 1225353766, 1245352491, 1821284910, 1598111924, 1235796277, 1033615414, 1245755958, 1437544384, 1952921025, 1639134661, 1780062414, 1942457692, 1417905886, 1023052644, 1235189358, 1265993075, 1730112244, 1265665145]}]}, {"allowed_amount": 67.67, "providers": [{"billed_charge": 104.0, "npi": [1982290003]}]}, {"allowed_amount": 68.72, "providers": [{"billed_charge": 104.0, "npi": [1538139324]}]}, {"allowed_amount": 76.9, "providers": [{"billed_charge": 104.0, "npi": [1982648705, 1205417474, 1568496909, 1053645457, 1518986132, 1245291426, 1821067943, 1821284910, 1659623601, 1811483829, 1033615414, 1437544384, 1447488580, 1639134661, 1467692236, 1659566545, 1144354390, 1497920474, 1952822652]}]}, {"allowed_amount": 79.89, "providers": [{"billed_charge": 104.0, "npi": [1376579714, 1104182799, 1558987792, 1053645457, 1255893657, 1245352491, 1598111924, 1235796277, 1245755958, 1033615414, 1538139324, 1437544384, 1952921025, 1780062414, 1417905886, 1023052644, 1235189358, 1265993075, 1730112244, 1265665145]}]}, {"allowed_amount": 89.76, "providers": [{"billed_charge": 104.0, "npi": [1982648705]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1194285486, 1881271310, 1669919155, 1457715096, 1558724377]}]}, {"allowed_amount": 91.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1285780387, 1467073254, 1891725164, 1043313232, 1669919155, 1235796277, 1457715096, 1558724377]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1669737953, 1174586465, 1710947940, 1508137670, 1508108390, 1912961293, 1346206257, 1669919155, 1073833653]}]}, {"allowed_amount": 91.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1174586465, 1508108390, 1508137670, 1225353766, 1467073254, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.89, "providers": [{"billed_charge": 91.0, "npi": [1508108390, 1700011335, 1508137670, 1649538828, 1891725164, 1912961293, 1881271310, 1023645041, 1073833653, 1235796277, 1528022332]}]}, {"allowed_amount": 91.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1710947940, 1528493350, 1700011335, 1891725164, 1649538828, 1346206257, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1285780387, 1710947940, 1467073254, 1508137670, 1700011335, 1790906154, 1396774956, 1912961293, 1043313232, 1194822353, 1346206257, 1942457692]}]}, {"allowed_amount": 91.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1780632612, 1508108390, 1790906154, 1558395434, 1396774956, 1245352491, 1043313232, 1194822353, 1669919155, 1235796277, 1073833653]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.23, "providers": [{"billed_charge": 225.0, "npi": [1730893496]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1508108390, 1710175526, 1225353766, 1467073254, 1790906154, 1508137670, 1669919155, 1073833653, 1699926774, 1942457692]}]}, {"allowed_amount": 91.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1669737953, 1710947940, 1780632612, 1710175526, 1700011335, 1225353766, 1467073254, 1790906154, 1043313232, 1669919155, 1235796277, 1073833653, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 76.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 439.45, "npi": [1235529116]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.52, "providers": [{"billed_charge": 170.0, "npi": [1851344378]}]}, {"allowed_amount": 74.78, "providers": [{"billed_charge": 170.0, "npi": [1619070828]}]}, {"allowed_amount": 76.9, "providers": [{"billed_charge": 170.0, "npi": [1851576102, 1639766793, 1619070828, 1326573270]}]}, {"allowed_amount": 92.28, "providers": [{"billed_charge": 170.0, "npi": [1851576102]}]}, {"allowed_amount": 127.07, "providers": [{"billed_charge": 170.0, "npi": [1780624353]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 114.99, "providers": [{"billed_charge": 318.0, "npi": [1730491945]}]}, {"allowed_amount": 117.49, "providers": [{"billed_charge": 318.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.89, "providers": [{"billed_charge": 91.0, "npi": [1508108390, 1700011335, 1497258164, 1073833653, 1528022332, 1689816191]}]}, {"allowed_amount": 91.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 91.0, "npi": [1508108390, 1467073254, 1790906154, 1669919155, 1073833653, 1942457692, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "351910757"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.98, "providers": [{"billed_charge": 80.0, "npi": [1629301932]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 80.0, "npi": [1689874166]}]}]}, {"tin": {"type": "ein", "value": "390816818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 340.0, "npi": [1407803638]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["02", "22"], "payments": [{"allowed_amount": 36.61, "providers": [{"billed_charge": 85.0, "npi": [1558781625]}]}, {"allowed_amount": 38.25, "providers": [{"billed_charge": 85.0, "npi": [1568802304]}]}]}, {"tin": {"type": "ein", "value": "452919679"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 150.0, "npi": [1437990272]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 241.72, "npi": [1164803078]}]}, {"allowed_amount": 76.9, "providers": [{"billed_charge": 241.72, "npi": [1629670286]}]}, {"allowed_amount": 85.24, "providers": [{"billed_charge": 241.72, "npi": [1124831110]}]}, {"allowed_amount": 127.07, "providers": [{"billed_charge": 241.72, "npi": [1679237754]}]}]}, {"tin": {"type": "ein", "value": "460796114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.5, "providers": [{"billed_charge": 313.0, "npi": [1144397134]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1871273326]}]}]}, {"tin": {"type": "ein", "value": "471859521"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.22, "providers": [{"billed_charge": 110.0, "npi": [1275088700]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 79.0, "npi": [1467169540]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.7, "providers": [{"billed_charge": 196.7, "npi": [1396841623]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.8, "providers": [{"billed_charge": 107.8, "npi": [1497586614]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.9, "providers": [{"billed_charge": 346.0, "npi": [1649275249]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.37, "providers": [{"billed_charge": 413.44, "npi": [1336644400]}]}]}, {"tin": {"type": "ein", "value": "650310039"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.13, "providers": [{"billed_charge": 125.0, "npi": [1972569341]}]}]}, {"tin": {"type": "ein", "value": "650811588"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 76.9, "providers": [{"billed_charge": 85.0, "npi": [1548252612]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 199.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 76.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "820871721"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 115.0, "npi": [1902866270]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 76.9, "providers": [{"billed_charge": 123.04, "npi": [1508489972, 1457057671]}]}, {"allowed_amount": 92.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 123.04, "npi": [1508489972]}]}, {"allowed_amount": 123.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 123.04, "npi": [1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1770084022]}]}, {"allowed_amount": 92.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 62.75, "providers": [{"billed_charge": 500.0, "npi": [1205061744]}]}, {"allowed_amount": 76.9, "providers": [{"billed_charge": 500.0, "npi": [1205061744, 1982200705]}]}, {"allowed_amount": 83.05, "providers": [{"billed_charge": 500.0, "npi": [1205061744, 1710972534]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.78, "providers": [{"billed_charge": 203.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "900815244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 85.24, "providers": [{"billed_charge": 170.0, "npi": [1932678489]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 174.47, "providers": [{"billed_charge": 317.0, "npi": [1457812273]}]}]}]}, {"name": "Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen", "billing_code_type": "CPT", "billing_code": "Q0162", "billing_code_type_version": "2022", "description": "Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.27, "providers": [{"billed_charge": 13.93, "npi": [1912964768]}, {"billed_charge": 13.94, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.13, "providers": [{"billed_charge": 5.0, "npi": [1245520386]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.3, "providers": [{"billed_charge": 20.23, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 50.0, "npi": [1902912454]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 50.0, "npi": [1902912454]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 10.0, "npi": [1093315947, 1366953242, 1659389229, 1255388815, 1386324051, 1659617686, 1700405818]}]}, {"allowed_amount": 0.02, "providers": [{"billed_charge": 10.0, "npi": [1336613603, 1659389229, 1134101710, 1255388815, 1871681999, 1700405818, 1639600414]}]}, {"allowed_amount": 0.04, "providers": [{"billed_charge": 10.0, "npi": [1902253073, 1386324051, 1093315947]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.89, "providers": [{"billed_charge": 4.89, "npi": [1023010113]}]}]}]}, {"name": "Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code": "27829", "billing_code_type_version": "2022", "description": "OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 61.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2420.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "260886056"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 76.99, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 3133.0, "npi": [1982224929]}]}, {"allowed_amount": 86.23, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 3133.0, "npi": [1982224929]}]}, {"allowed_amount": 153.98, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 3133.0, "npi": [1982224929]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 116.74, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 8100.0, "npi": [1710348024]}]}, {"allowed_amount": 147.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 8100.0, "npi": [1942809959]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.0, "billing_code_modifier": ["82"], "providers": [{"billed_charge": 400.0, "npi": [1528591815]}]}, {"allowed_amount": 1125.0, "providers": [{"billed_charge": 2500.0, "npi": [1356574651]}]}]}, {"tin": {"type": "ein", "value": "453725269"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 504.93, "providers": [{"billed_charge": 3151.0, "npi": [1114010279]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 61.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 939.0, "npi": [1467169540]}]}, {"allowed_amount": 68.67, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 939.0, "npi": [1417111717]}]}, {"allowed_amount": 111.08, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 939.0, "npi": [1417111717]}]}]}, {"tin": {"type": "ein", "value": "473808924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.29, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3255.0, "npi": [1770248668]}]}, {"allowed_amount": 480.06, "providers": [{"billed_charge": 3829.0, "npi": [1649614082]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9450.0, "providers": [{"billed_charge": 21000.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "650327403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 901.66, "providers": [{"billed_charge": 4063.95, "npi": [1912498874]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.67, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1927.4, "npi": [1043587405]}]}, {"allowed_amount": 137.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1927.4, "npi": [1942240262]}]}, {"allowed_amount": 504.93, "providers": [{"billed_charge": 9637.0, "npi": [1801835418]}]}, {"allowed_amount": 1009.86, "providers": [{"billed_charge": 9637.0, "npi": [1033159355]}]}]}, {"tin": {"type": "ein", "value": "651061342"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.79, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 756.97, "npi": [1730119181]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 59.28, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 856.0, "npi": [1992500441]}]}, {"allowed_amount": 113.6, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 856.0, "npi": [1447792387]}]}, {"allowed_amount": 146.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 856.0, "npi": [1114516689]}]}]}, {"tin": {"type": "ein", "value": "933947445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 504.93, "providers": [{"billed_charge": 1891.0, "npi": [1366442618]}]}]}]}, {"name": "Parathormone (parathyroid hormone)", "billing_code_type": "CPT", "billing_code": "83970", "billing_code_type_version": "2022", "description": "ASSAY OF PARATHORMONE", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.11, "providers": [{"billed_charge": 240.24, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 41.28, "providers": [{"billed_charge": 927.41, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.87, "providers": [{"billed_charge": 496.0, "npi": [1982606992]}]}]}]}, {"name": "Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix", "billing_code_type": "CPT", "billing_code": "B4189", "billing_code_type_version": "2022", "description": "Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix", "allowed_amounts": [{"tin": {"type": "ein", "value": "844672543"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 63.89, "providers": [{"billed_charge": 345.83, "npi": [1245866383]}]}, {"allowed_amount": 345.83, "providers": [{"billed_charge": 345.83, "npi": [1245866383]}]}, {"allowed_amount": 447.2, "providers": [{"billed_charge": 2420.81, "npi": [1245866383]}]}]}]}, {"name": "Pathology consultation during surgery;", "billing_code_type": "CPT", "billing_code": "88329", "billing_code_type_version": "2022", "description": "PATHOLOGY CONSULTATION DURING SURGERY", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 54.31, "providers": [{"billed_charge": 137.0, "npi": [1477966984, 1659337251]}]}]}, {"tin": {"type": "ein", "value": "203139459"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 53.56, "providers": [{"billed_charge": 180.0, "npi": [1437382173]}]}]}, {"tin": {"type": "ein", "value": "333691586"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.96, "providers": [{"billed_charge": 275.0, "npi": [1548258833]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.96, "providers": [{"billed_charge": 227.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.34, "providers": [{"billed_charge": 216.0, "npi": [1407886757]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.5, "providers": [{"billed_charge": 105.0, "npi": [1245207885]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 37.96, "providers": [{"billed_charge": 300.0, "npi": [1164402152, 1902096894]}]}, {"allowed_amount": 43.94, "providers": [{"billed_charge": 300.0, "npi": [1518900315]}]}, {"allowed_amount": 53.56, "providers": [{"billed_charge": 300.0, "npi": [1669675153, 1821258211, 1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.96, "providers": [{"billed_charge": 230.0, "npi": [1457333817]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 53.56, "providers": [{"billed_charge": 323.0, "npi": [1689614620]}]}]}]}, {"name": "Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "88332", "billing_code_type_version": "2022", "description": "PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 43.43, "providers": [{"billed_charge": 252.0, "npi": [1477608628, 1326270125]}]}, {"allowed_amount": 54.78, "providers": [{"billed_charge": 252.0, "npi": [1760454516]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 29.45, "providers": [{"billed_charge": 115.0, "npi": [1750664132]}]}, {"allowed_amount": 54.78, "providers": [{"billed_charge": 115.0, "npi": [1457870719]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 29.45, "providers": [{"billed_charge": 215.0, "npi": [1114999091, 1619920204, 1396044574, 1386964815]}]}, {"allowed_amount": 38.28, "providers": [{"billed_charge": 215.0, "npi": [1821258211]}]}, {"allowed_amount": 38.29, "providers": [{"billed_charge": 215.0, "npi": [1164402152]}]}, {"allowed_amount": 43.43, "providers": [{"billed_charge": 215.0, "npi": [1518900315, 1619920204, 1396044574]}]}, {"allowed_amount": 44.18, "providers": [{"billed_charge": 215.0, "npi": [1386964815]}]}, {"allowed_amount": 52.41, "providers": [{"billed_charge": 215.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.5, "providers": [{"billed_charge": 21.5, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 29.45, "providers": [{"billed_charge": 203.0, "npi": [1215909536]}]}, {"allowed_amount": 43.43, "providers": [{"billed_charge": 203.0, "npi": [1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.43, "providers": [{"billed_charge": 226.0, "npi": [1689614620]}]}]}]}, {"name": "Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen", "billing_code_type": "CPT", "billing_code": "88331", "billing_code_type_version": "2022", "description": "PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 624.0, "npi": [1477608628, 1326270125]}]}, {"allowed_amount": 108.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 624.0, "npi": [1760454516]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 58.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1346336674, 1659337251, 1750664132, 1457870719]}]}, {"allowed_amount": 108.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1477966984, 1457870719, 1750664132, 1427080951]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1356313548]}]}, {"allowed_amount": 87.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 384.0, "npi": [1609193069]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 392.0, "npi": [1568615078]}]}, {"allowed_amount": 76.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 392.0, "npi": [1568615078]}]}, {"allowed_amount": 87.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 392.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.91, "providers": [{"billed_charge": 853.14, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 59.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 373.0, "npi": [1215902143, 1154596468, 1982920823]}]}, {"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 373.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 58.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1689646465, 1821258211, 1609161892, 1619920204, 1386964815, 1669675153, 1114999091, 1285969717, 1396044574, 1700994431]}]}, {"allowed_amount": 67.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1700994431]}]}, {"allowed_amount": 76.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1164402152, 1821258211]}]}, {"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1689646465, 1467617506, 1619920204, 1285969717, 1518900315, 1396044574]}]}, {"allowed_amount": 87.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1285969717, 1396044574, 1386964815]}]}, {"allowed_amount": 104.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 58.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1144205188, 1225291495]}]}, {"allowed_amount": 76.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1457333817]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 33.36, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 59.0, "npi": [1487657573]}]}, {"allowed_amount": 37.86, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 59.0, "npi": [1487657573]}]}, {"allowed_amount": 40.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 59.0, "npi": [1487657573]}, {"billed_charge": 178.8, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 58.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 376.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 376.0, "npi": [1215909536, 1770734337, 1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 58.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1326402371, 1689614620]}]}, {"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1326402371, 1689614620, 1538115852]}]}, {"allowed_amount": 87.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1326402371]}]}]}]}, {"name": "Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch", "billing_code_type": "CPT", "billing_code": "92928", "billing_code_type_version": "2022", "description": "PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH", "allowed_amounts": [{"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 817.49, "providers": [{"billed_charge": 2950.0, "npi": [1285652016]}]}, {"allowed_amount": 1021.86, "providers": [{"billed_charge": 2950.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 737.53, "providers": [{"billed_charge": 1731.0, "npi": [1215425319]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 737.53, "providers": [{"billed_charge": 1685.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1030.05, "providers": [{"billed_charge": 2289.0, "npi": [1700235405, 1245460526, 1528350543, 1851753917, 1972761567]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 699.83, "providers": [{"billed_charge": 1290.0, "npi": [1710062732]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 579.49, "providers": [{"billed_charge": 1500.0, "npi": [1083844278]}]}, {"allowed_amount": 737.53, "providers": [{"billed_charge": 1500.0, "npi": [1083844278]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 874.79, "providers": [{"billed_charge": 1292.0, "npi": [1982609467]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 729.9, "providers": [{"billed_charge": 1469.0, "npi": [1609215771]}]}, {"allowed_amount": 817.49, "providers": [{"billed_charge": 1469.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "474347649"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 349.92, "providers": [{"billed_charge": 12000.0, "npi": [1598968901]}]}, {"allowed_amount": 699.83, "providers": [{"billed_charge": 12000.0, "npi": [1598968901]}]}]}, {"tin": {"type": "ein", "value": "475142345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 752.34, "providers": [{"billed_charge": 1659.75, "npi": [1659711554]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 579.49, "providers": [{"billed_charge": 1500.0, "npi": [1326011545]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 794.81, "providers": [{"billed_charge": 1833.0, "npi": [1720423601]}]}]}, {"tin": {"type": "ein", "value": "600099763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 408.74, "providers": [{"billed_charge": 1500.0, "npi": [1710990908]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 960.76, "providers": [{"billed_charge": 2610.0, "npi": [1376572933]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 368.77, "providers": [{"billed_charge": 1400.0, "npi": [1427554856]}]}, {"allowed_amount": 737.53, "providers": [{"billed_charge": 1400.0, "npi": [1427554856]}]}]}, {"tin": {"type": "ein", "value": "920902509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 711.19, "providers": [{"billed_charge": 790.21, "npi": [1255747507]}]}]}]}, {"name": "Phosphatase, alkaline;", "billing_code_type": "CPT", "billing_code": "84075", "billing_code_type_version": "2022", "description": "ASSAY OF PHOSPHATASE ALKALINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.89, "providers": [{"billed_charge": 146.43, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 116.25, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 9.07, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 63.0, "npi": [1982606992]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628]}]}, {"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "464163620"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.89, "providers": [{"billed_charge": 15.0, "npi": [1265854855]}]}]}, {"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.05, "providers": [{"billed_charge": 6.05, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.87, "providers": [{"billed_charge": 5.87, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.72, "providers": [{"billed_charge": 152.72, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.0, "providers": [{"billed_charge": 86.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.1, "providers": [{"billed_charge": 1031.18, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1437126612, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.28, "providers": [{"billed_charge": 86.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.74, "providers": [{"billed_charge": 106.51, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.35, "providers": [{"billed_charge": 10.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1265489090, 1689614620]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.31, "providers": [{"billed_charge": 218.02, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.68, "providers": [{"billed_charge": 15.0, "npi": [1083931489, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.3, "providers": [{"billed_charge": 158.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.68, "providers": [{"billed_charge": 16.5, "npi": [1952362949]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.68, "providers": [{"billed_charge": 57.0, "npi": [1982606992]}]}]}]}, {"name": "Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.", "billing_code_type": "CPT", "billing_code": "97161", "billing_code_type_version": "2022", "description": "PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.49, "providers": [{"billed_charge": 140.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.46, "providers": [{"billed_charge": 220.0, "npi": [1568481984]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.46, "providers": [{"billed_charge": 306.0, "npi": [1962572396]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.79, "providers": [{"billed_charge": 321.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.15, "providers": [{"billed_charge": 605.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582504530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.8, "providers": [{"billed_charge": 366.0, "npi": [1730123175]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 301.55, "providers": [{"billed_charge": 670.1, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.38, "providers": [{"billed_charge": 756.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.28, "providers": [{"billed_charge": 225.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 350.4, "providers": [{"billed_charge": 364.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.99, "providers": [{"billed_charge": 559.36, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.84, "providers": [{"billed_charge": 204.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.65, "providers": [{"billed_charge": 756.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 613.11, "providers": [{"billed_charge": 584.0, "npi": [1427806025]}]}]}]}, {"name": "Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.", "billing_code_type": "CPT", "billing_code": "97162", "billing_code_type_version": "2022", "description": "PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.5, "providers": [{"billed_charge": 338.1, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.55, "providers": [{"billed_charge": 1097.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.87, "providers": [{"billed_charge": 245.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.66, "providers": [{"billed_charge": 632.0, "npi": [1417432840]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.18, "providers": [{"billed_charge": 562.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 361.86, "providers": [{"billed_charge": 804.13, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.28, "providers": [{"billed_charge": 270.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 350.4, "providers": [{"billed_charge": 566.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.0, "providers": [{"billed_charge": 488.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 483.8, "providers": [{"billed_charge": 1151.91, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 159.98, "providers": [{"billed_charge": 591.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 323.99, "providers": [{"billed_charge": 524.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.99, "providers": [{"billed_charge": 559.36, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.98, "providers": [{"billed_charge": 611.86, "npi": [1497798847]}]}]}, {"tin": {"type": "ein", "value": "611293786"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.57, "providers": [{"billed_charge": 405.1, "npi": [1861554438]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.68, "providers": [{"billed_charge": 356.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 507.15, "providers": [{"billed_charge": 1449.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "810789250"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.5, "providers": [{"billed_charge": 54.5, "npi": [1891574067]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 468.17, "providers": [{"billed_charge": 584.0, "npi": [1780429076]}]}]}]}, {"name": "Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session", "billing_code_type": "CPT", "billing_code": "99183", "billing_code_type_version": "2022", "description": "PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX/SESSION", "allowed_amounts": [{"tin": {"type": "ein", "value": "593730470"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 112.51, "providers": [{"billed_charge": 450.0, "npi": [1992759419, 1760472799]}]}]}, {"tin": {"type": "ein", "value": "651157989"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 140.39, "providers": [{"billed_charge": 481.0, "npi": [1396753992]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.32, "providers": [{"billed_charge": 364.88, "npi": [1033277876]}]}]}, {"tin": {"type": "ein", "value": "813879435"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.37, "providers": [{"billed_charge": 570.0, "npi": [1972745438]}]}]}, {"tin": {"type": "ein", "value": "834299346"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.37, "providers": [{"billed_charge": 570.0, "npi": [1215279625]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.24, "providers": [{"billed_charge": 584.94, "npi": [1174886386]}]}, {"allowed_amount": 195.37, "providers": [{"billed_charge": 584.94, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.19, "providers": [{"billed_charge": 608.0, "npi": [1588145932]}]}, {"allowed_amount": 338.93, "providers": [{"billed_charge": 608.0, "npi": [1205220324]}]}]}, {"tin": {"type": "ein", "value": "943439188"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 140.64, "providers": [{"billed_charge": 232.0, "npi": [1417342817]}]}, {"allowed_amount": 154.14, "providers": [{"billed_charge": 232.0, "npi": [1417342817]}]}]}, {"tin": {"type": "ein", "value": "991437415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.37, "providers": [{"billed_charge": 351.0, "npi": [1225520901]}]}]}]}, {"name": "Platelet, aggregation (in vitro), each agent", "billing_code_type": "CPT", "billing_code": "85576", "billing_code_type_version": "2022", "description": "PLATELET AGGREGATION IN VITRO EACH AGENT", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1326270125]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1457870719, 1346336674, 1427080951]}]}, {"allowed_amount": 27.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1346336674]}]}, {"allowed_amount": 33.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1346336674, 1659337251]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1154393221]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.3, "providers": [{"billed_charge": 140.66, "npi": [1912964768]}]}, {"allowed_amount": 151.87, "providers": [{"billed_charge": 337.48, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591228604"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1619060787]}]}]}, {"tin": {"type": "ein", "value": "591263616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1316963671]}]}]}, {"tin": {"type": "ein", "value": "591278497"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 17.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1619170552]}]}, {"allowed_amount": 25.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1619170552]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1437126612, 1497727895]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1538196944]}, {"billed_charge": 108.0, "npi": [1659475275]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1265489090]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1265489090]}]}, {"allowed_amount": 26.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1265489090]}]}, {"allowed_amount": 27.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1265489090]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1144292855]}]}]}]}, {"name": "Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh", "billing_code_type": "CPT", "billing_code": "78815", "billing_code_type_version": "2022", "description": "PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH", "allowed_amounts": [{"tin": {"type": "ein", "value": "107626481"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 202.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1043203003]}]}]}, {"tin": {"type": "ein", "value": "522201971"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5000.0, "providers": [{"billed_charge": 5000.0, "npi": [1811966567]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 136.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 792.0, "npi": [1841305851]}]}, {"allowed_amount": 152.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 792.0, "npi": [1841305851, 1780662700]}]}, {"allowed_amount": 260.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 792.0, "npi": [1780662700, 1962834671]}]}]}]}, {"name": "Potassium; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code": "84132", "billing_code_type_version": "2022", "description": "POTASSIUM SERUM PLASMA/WHOLE BLOOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 101.82, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.76, "providers": [{"billed_charge": 103.23, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.71, "providers": [{"billed_charge": 58.0, "npi": [1982606992]}]}]}]}, {"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": "020701782"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 1.0, "npi": [1104934348]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.4, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "250969492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.05, "npi": [1639579212]}]}]}, {"tin": {"type": "ein", "value": "481253246"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 0.16, "npi": [1568401206]}]}]}, {"tin": {"type": "ein", "value": "541547408"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.14, "providers": [{"billed_charge": 0.03, "npi": [1336109107]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.35, "npi": [1912964768]}]}, {"allowed_amount": 0.06, "providers": [{"billed_charge": 0.14, "npi": [1912964768]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 0.35, "npi": [1912964768]}]}, {"allowed_amount": 0.32, "providers": [{"billed_charge": 0.7, "npi": [1912964768]}]}, {"allowed_amount": 0.63, "providers": [{"billed_charge": 1.4, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.21, "providers": [{"billed_charge": 0.49, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 0.52, "npi": [1184709057]}]}, {"allowed_amount": 0.47, "providers": [{"billed_charge": 1.74, "npi": [1184709057]}]}, {"allowed_amount": 2.33, "providers": [{"billed_charge": 8.6, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.39, "providers": [{"billed_charge": 1.45, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 0.43, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 0.13, "npi": [1518960814]}]}]}]}, {"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": 209.15, "providers": [{"billed_charge": 480.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.85, "providers": [{"billed_charge": 49.0, "npi": [1548682941]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.21, "providers": [{"billed_charge": 25.44, "npi": [1992109896]}]}, {"allowed_amount": 10.6, "providers": [{"billed_charge": 25.44, "npi": [1629763552]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.93, "providers": [{"billed_charge": 52.0, "npi": [1902003635]}]}, {"allowed_amount": 26.04, "providers": [{"billed_charge": 52.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 60.0, "npi": [1407650658]}]}, {"allowed_amount": 19.61, "providers": [{"billed_charge": 60.0, "npi": [1427436229]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.55, "providers": [{"billed_charge": 100.0, "npi": [1548938491]}]}, {"allowed_amount": 20.95, "providers": [{"billed_charge": 35.0, "npi": [1811391352]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.71, "providers": [{"billed_charge": 75.0, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "275349332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.83, "providers": [{"billed_charge": 34.0, "npi": [1346113222]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.2, "providers": [{"billed_charge": 25.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "332294109"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.44, "providers": [{"billed_charge": 61.0, "npi": [1376762377]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 125.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.32, "providers": [{"billed_charge": 65.0, "npi": [1376783548, 1386460756]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.06, "providers": [{"billed_charge": 79.0, "npi": [1538051990, 1164803078]}]}, {"allowed_amount": 11.33, "providers": [{"billed_charge": 79.0, "npi": [1588533509]}]}, {"allowed_amount": 11.93, "providers": [{"billed_charge": 79.0, "npi": [1538051990, 1164803078]}]}, {"allowed_amount": 12.55, "providers": [{"billed_charge": 79.0, "npi": [1558182824, 1588533509, 1407682255]}]}, {"allowed_amount": 18.71, "providers": [{"billed_charge": 79.0, "npi": [1831840396, 1447735030]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.25, "providers": [{"billed_charge": 325.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 48.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "473019167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.94, "providers": [{"billed_charge": 46.66, "npi": [1932590601]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.45, "providers": [{"billed_charge": 60.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.62, "providers": [{"billed_charge": 328.05, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 297.23, "providers": [{"billed_charge": 1098.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 14.94, "npi": [1164072393]}]}, {"allowed_amount": 14.94, "providers": [{"billed_charge": 14.94, "npi": [1710745120, 1871027185, 1407634298]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.21, "providers": [{"billed_charge": 440.42, "npi": [1710319843]}]}, {"allowed_amount": 23.07, "providers": [{"billed_charge": 440.42, "npi": [1053831032]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.28, "providers": [{"billed_charge": 446.76, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 32.0, "npi": [1205276201, 1689173155]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 506.45, "providers": [{"billed_charge": 1447.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 100.0, "npi": [1487322335, 1841968799]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.89, "providers": [{"billed_charge": 1073.98, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 80.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 297.23, "providers": [{"billed_charge": 1098.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 62.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831838152"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.27, "providers": [{"billed_charge": 40.0, "npi": [1215498290]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.6, "providers": [{"billed_charge": 96.6, "npi": [1912420050]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.96, "providers": [{"billed_charge": 70.0, "npi": [1700405818, 1134101710, 1871681999]}]}, {"allowed_amount": 11.01, "providers": [{"billed_charge": 70.0, "npi": [1336613603, 1255388815]}]}, {"allowed_amount": 11.33, "providers": [{"billed_charge": 70.0, "npi": [1629776232, 1407079817, 1093315947, 1093291916, 1255388815, 1871681999, 1386324051, 1700405818]}]}, {"allowed_amount": 18.71, "providers": [{"billed_charge": 70.0, "npi": [1386324051, 1093315947, 1578949491]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.93, "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 13.83, "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 30.0, "npi": [1659653954]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.02, "providers": [{"billed_charge": 95.0, "npi": [1467097352]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.01, "providers": [{"billed_charge": 619.0, "npi": [1154480218]}]}, {"allowed_amount": 11.33, "providers": [{"billed_charge": 619.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.23, "providers": [{"billed_charge": 25.0, "npi": [1659187680]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 26.0, "npi": [1376329110]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.6, "providers": [{"billed_charge": 102.0, "npi": [1699259333]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.93, "providers": [{"billed_charge": 38.0, "npi": [1740932318]}]}, {"allowed_amount": 26.04, "providers": [{"billed_charge": 38.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 47.0, "npi": [1386487593]}]}, {"allowed_amount": 12.55, "providers": [{"billed_charge": 47.0, "npi": [1386487593]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.58, "providers": [{"billed_charge": 66.0, "npi": [1851561203]}]}]}, {"tin": {"type": "ein", "value": "953527031"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.0, "providers": [{"billed_charge": 460.0, "npi": [1962442012]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.34, "providers": [{"billed_charge": 491.0, "npi": [1780429076]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.33, "providers": [{"billed_charge": 67.0, "npi": [1841402369]}]}, {"allowed_amount": 12.71, "providers": [{"billed_charge": 67.0, "npi": [1841402369]}]}]}]}, {"name": "Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)", "billing_code_type": "CPT", "billing_code": "G0316", "billing_code_type_version": "2022", "description": "Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)", "allowed_amounts": [{"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.05, "providers": [{"billed_charge": 189.6, "npi": [1780754358]}]}]}, {"tin": {"type": "ein", "value": "460829877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.27, "providers": [{"billed_charge": 60.0, "npi": [1366936866, 1598262115]}]}, {"allowed_amount": 48.94, "providers": [{"billed_charge": 60.0, "npi": [1366936866]}]}]}, {"tin": {"type": "ein", "value": "462650464"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.45, "providers": [{"billed_charge": 70.04, "npi": [1366084899]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.04, "providers": [{"billed_charge": 136.0, "npi": [1770299687]}]}]}, {"tin": {"type": "ein", "value": "591940256"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.06, "providers": [{"billed_charge": 45.53, "npi": [1831883974]}]}]}, {"tin": {"type": "ein", "value": "592313481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.22, "providers": [{"billed_charge": 89.0, "npi": [1093938573]}]}, {"allowed_amount": 66.81, "providers": [{"billed_charge": 89.0, "npi": [1184851073]}]}]}, {"tin": {"type": "ein", "value": "883946897"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.94, "providers": [{"billed_charge": 91.05, "npi": [1316457914]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.7, "providers": [{"billed_charge": 78.9, "npi": [1245905173]}]}, {"allowed_amount": 67.39, "providers": [{"billed_charge": 78.9, "npi": [1245905173]}]}]}]}, {"name": "Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the inpatient and observation Evaluation and Management service)", "billing_code_type": "CPT", "billing_code": "99418", "billing_code_type_version": "2022", "description": "PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "010238552"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 55.19, "providers": [{"billed_charge": 68.0, "npi": [1104203504]}]}, {"allowed_amount": 55.2, "providers": [{"billed_charge": 68.0, "npi": [1801932884]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.68, "providers": [{"billed_charge": 229.0, "npi": [1780754358, 1760988455]}]}, {"allowed_amount": 52.56, "providers": [{"billed_charge": 229.0, "npi": [1780754358]}]}, {"allowed_amount": 56.1, "providers": [{"billed_charge": 229.0, "npi": [1780754358]}]}, {"allowed_amount": 65.69, "providers": [{"billed_charge": 229.0, "npi": [1780754358]}]}, {"allowed_amount": 65.7, "providers": [{"billed_charge": 229.0, "npi": [1427632538, 1780754358]}]}, {"allowed_amount": 70.12, "providers": [{"billed_charge": 229.0, "npi": [1316113798, 1346560653, 1619400405, 1780754358, 1427632538]}]}, {"allowed_amount": 70.13, "providers": [{"billed_charge": 229.0, "npi": [1316113798, 1780754358]}]}, {"allowed_amount": 100.98, "providers": [{"billed_charge": 229.0, "npi": [1760988455]}]}, {"allowed_amount": 107.79, "providers": [{"billed_charge": 229.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "205438009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.67, "providers": [{"billed_charge": 75.0, "npi": [1033436696]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.04, "providers": [{"billed_charge": 100.0, "npi": [1669351201]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 59.37, "providers": [{"billed_charge": 95.0, "npi": [1326659483]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.76, "providers": [{"billed_charge": 136.0, "npi": [1467092072]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.7, "providers": [{"billed_charge": 55.0, "npi": [1447859723]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.85, "providers": [{"billed_charge": 86.0, "npi": [1992155600]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.33, "providers": [{"billed_charge": 81.0, "npi": [1891991998]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.02, "providers": [{"billed_charge": 167.0, "npi": [1194447730]}]}]}, {"tin": {"type": "ein", "value": "550891794"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 39.78, "providers": [{"billed_charge": 100.0, "npi": [1518992106]}]}, {"allowed_amount": 41.29, "providers": [{"billed_charge": 100.0, "npi": [1518992106]}]}, {"allowed_amount": 44.08, "providers": [{"billed_charge": 100.0, "npi": [1518992106]}]}, {"allowed_amount": 50.68, "providers": [{"billed_charge": 100.0, "npi": [1518992106]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.42, "providers": [{"billed_charge": 87.0, "npi": [1588748495]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.73, "providers": [{"billed_charge": 203.0, "npi": [1720078652]}]}]}, {"tin": {"type": "ein", "value": "651105106"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.82, "providers": [{"billed_charge": 100.0, "npi": [1568411676]}]}]}, {"tin": {"type": "ein", "value": "841958549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.12, "providers": [{"billed_charge": 105.0, "npi": [1730112715]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.75, "providers": [{"billed_charge": 145.0, "npi": [1548413024]}]}, {"allowed_amount": 46.97, "providers": [{"billed_charge": 192.0, "npi": [1477085744, 1801116231]}]}, {"allowed_amount": 48.82, "providers": [{"billed_charge": 145.0, "npi": [1356636971, 1508506163, 1295115012]}]}, {"allowed_amount": 52.41, "providers": [{"billed_charge": 192.0, "npi": [1942485289, 1033640743, 1801116231, 1619471935]}]}, {"allowed_amount": 80.75, "providers": [{"billed_charge": 192.0, "npi": [1821157504]}]}, {"allowed_amount": 81.91, "providers": [{"billed_charge": 192.0, "npi": [1013180843]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.05, "providers": [{"billed_charge": 91.0, "npi": [1679353189]}]}]}]}, {"name": "Protein, total, except by refractometry; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code": "84155", "billing_code_type_version": "2022", "description": "PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.98, "providers": [{"billed_charge": 95.52, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.67, "providers": [{"billed_charge": 82.36, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.67, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 6.42, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.95, "providers": [{"billed_charge": 45.0, "npi": [1982606992]}]}]}]}, {"name": "Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)", "billing_code_type": "CPT", "billing_code": "84166", "billing_code_type_version": "2022", "description": "PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1750664132]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1356313548]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1386964815, 1114999091, 1396044574, 1497727895]}]}, {"allowed_amount": 20.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1700994431]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1215909536]}]}]}]}, {"name": "Protein; electrophoretic fractionation and quantitation, serum", "billing_code_type": "CPT", "billing_code": "84165", "billing_code_type_version": "2022", "description": "PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1659337251, 1427080951, 1477608628, 1457870719]}]}, {"allowed_amount": 33.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1346336674, 1659337251]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1356313548]}]}]}, {"tin": {"type": "ein", "value": "582325457"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1811962194, 1154596468]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1386964815, 1194797985, 1396044574, 1497727895]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1396044574, 1497727895]}]}, {"allowed_amount": 27.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1497727895]}]}, {"allowed_amount": 32.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1386964815]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 17.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1700850237]}]}, {"allowed_amount": 35.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1801112289]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1215909536]}]}, {"allowed_amount": 26.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1215909536]}]}]}]}, {"name": "Prothrombin time;", "billing_code_type": "CPT", "billing_code": "85610", "billing_code_type_version": "2022", "description": "PROTHROMBIN TIME", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.86, "providers": [{"billed_charge": 175.86, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.59, "providers": [{"billed_charge": 93.54, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.2, "providers": [{"billed_charge": 64.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.29, "providers": [{"billed_charge": 18.0, "npi": [1588533509]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.49, "providers": [{"billed_charge": 23.49, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.14, "providers": [{"billed_charge": 86.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.43, "providers": [{"billed_charge": 216.51, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 388.26, "providers": [{"billed_charge": 924.43, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.79, "providers": [{"billed_charge": 147.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.29, "providers": [{"billed_charge": 88.16, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.01, "providers": [{"billed_charge": 43.26, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.65, "providers": [{"billed_charge": 11.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.75, "providers": [{"billed_charge": 685.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.68, "providers": [{"billed_charge": 21.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.29, "providers": [{"billed_charge": 4.29, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.85, "providers": [{"billed_charge": 271.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.95, "providers": [{"billed_charge": 15.0, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.79, "providers": [{"billed_charge": 147.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.95, "providers": [{"billed_charge": 124.95, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.0, "providers": [{"billed_charge": 80.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.77, "providers": [{"billed_charge": 142.02, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.72, "providers": [{"billed_charge": 15.3, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.95, "providers": [{"billed_charge": 14.0, "npi": [1053372912, 1982804340, 1952362949, 1467679399]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.56, "providers": [{"billed_charge": 22.24, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.95, "providers": [{"billed_charge": 52.0, "npi": [1982606992]}]}]}]}, {"name": "Psychiatric diagnostic evaluation", "billing_code_type": "CPT", "billing_code": "90791", "billing_code_type_version": "2022", "description": "PSYCHIATRIC DIAGNOSTIC EVALUATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1574.01, "providers": [{"billed_charge": 3406.0, "npi": [1801803903]}]}]}, {"tin": {"type": "ein", "value": "260800286"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1275567026]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.47, "providers": [{"billed_charge": 264.0, "npi": [1316375710]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 151.35, "providers": [{"billed_charge": 457.95, "npi": [1447641378]}]}, {"allowed_amount": 201.03, "providers": [{"billed_charge": 457.95, "npi": [1518635754]}]}, {"allowed_amount": 220.24, "providers": [{"billed_charge": 457.95, "npi": [1518635754]}]}, {"allowed_amount": 264.29, "providers": [{"billed_charge": 457.95, "npi": [1518635754]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.67, "providers": [{"billed_charge": 306.0, "npi": [1508264920]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.47, "providers": [{"billed_charge": 530.0, "npi": [1821714866]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 426.31, "providers": [{"billed_charge": 320.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "831918740"}, "billing_class": "professional", "service_codes": ["56", "55"], "payments": [{"allowed_amount": 268.94, "providers": [{"billed_charge": 400.0, "npi": [1043299456]}]}, {"allowed_amount": 347.99, "providers": [{"billed_charge": 400.0, "npi": [1043299456]}]}]}]}, {"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": "050389801"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 262.16, "providers": [{"billed_charge": 561.0, "npi": [1407167497]}]}]}, {"tin": {"type": "ein", "value": "104940194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.3, "providers": [{"billed_charge": 2360.0, "npi": [1588938518]}]}]}, {"tin": {"type": "ein", "value": "141942527"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 495.62, "providers": [{"billed_charge": 575.0, "npi": [1376767988]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 266.85, "providers": [{"billed_charge": 615.0, "npi": [1992285639]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.31, "providers": [{"billed_charge": 642.0, "npi": [1538505425]}]}, {"allowed_amount": 642.0, "providers": [{"billed_charge": 642.0, "npi": [1538505425]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 422.14, "providers": [{"billed_charge": 659.0, "npi": [1609612381]}]}]}, {"tin": {"type": "ein", "value": "320530876"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1861253676]}]}]}, {"tin": {"type": "ein", "value": "381561624"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.6, "providers": [{"billed_charge": 389.0, "npi": [1417994906]}]}]}, {"tin": {"type": "ein", "value": "454370919"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.99, "providers": [{"billed_charge": 404.0, "npi": [1679526784]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 298.96, "providers": [{"billed_charge": 804.0, "npi": [1437618097]}]}]}, {"tin": {"type": "ein", "value": "464629700"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 404.0, "providers": [{"billed_charge": 404.0, "npi": [1639212913]}]}]}, {"tin": {"type": "ein", "value": "581791069"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1477658268]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.0, "providers": [{"billed_charge": 374.92, "npi": [1992998009]}]}, {"allowed_amount": 359.13, "providers": [{"billed_charge": 374.92, "npi": [1033311238]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 371.52, "providers": [{"billed_charge": 494.0, "npi": [1417340506]}]}]}, {"tin": {"type": "ein", "value": "650199979"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.16, "providers": [{"billed_charge": 300.0, "npi": [1801281696]}]}, {"allowed_amount": 160.82, "providers": [{"billed_charge": 300.0, "npi": [1801281696, 1760010789]}]}]}, {"tin": {"type": "ein", "value": "831032622"}, "billing_class": "professional", "service_codes": ["51", "55"], "payments": [{"allowed_amount": 403.0, "providers": [{"billed_charge": 403.0, "npi": [1841699659]}]}, {"allowed_amount": 410.0, "providers": [{"billed_charge": 410.0, "npi": [1841699659]}]}]}, {"tin": {"type": "ein", "value": "831918740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1043299456]}]}]}, {"tin": {"type": "ein", "value": "861989885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.26, "providers": [{"billed_charge": 400.0, "npi": [1750572079]}]}, {"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1154958163]}]}]}]}, {"name": "Rabies vaccine, for intramuscular use", "billing_code_type": "CPT", "billing_code": "90675", "billing_code_type_version": "2022", "description": "RABIES VACCINE INTRAMUSCULAR", "allowed_amounts": [{"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1467073254, 1891725164, 1669919155, 1073833653, 1235796277, 1558724377]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1942457692, 1710175526]}]}]}, {"tin": {"type": "ein", "value": "264051248"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 816.42, "providers": [{"billed_charge": 2194.79, "npi": [1205176062]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1508108390]}]}]}, {"tin": {"type": "ein", "value": "521272129"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 668.27, "providers": [{"billed_charge": 1295.62, "npi": [1548378235]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 586.72, "providers": [{"billed_charge": 1303.83, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 335.74, "providers": [{"billed_charge": 356.05, "npi": [1922020726]}]}]}]}, {"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": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1720053788]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.31, "npi": [1861460701]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1952712176, 1295700466]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["19", "23", "21"], "payments": [{"allowed_amount": 10.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1851569701]}]}, {"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 16.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1851569701]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "201357375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 43.0, "npi": [1861162943]}]}]}, {"tin": {"type": "ein", "value": "202999870"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1649443524]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1346235801, 1003868522, 1770532012, 1962451237]}]}, {"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1508186131]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1558822536, 1295153146, 1558346304, 1790775146]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1114360872, 1174054191]}]}, {"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1114360872]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1417547233]}]}, {"allowed_amount": 46.93, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 100.0, "npi": [1669422341]}]}, {"allowed_amount": 67.16, "providers": [{"billed_charge": 100.0, "npi": [1699117903]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.2, "npi": [1851675276, 1982650842, 1578756524]}]}, {"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.2, "npi": [1578756524]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1477663490]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.69, "providers": [{"billed_charge": 80.0, "npi": [1477444545]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1508819970, 1619268182]}]}, {"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1396770111]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1013969294]}]}, {"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1558450023, 1053383786, 1265457485, 1013969294, 1225089428, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1356305387]}]}, {"allowed_amount": 21.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1538130265, 1366601619, 1649286469, 1740780535]}]}]}, {"tin": {"type": "ein", "value": "351153879"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1912908351]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.0, "providers": [{"billed_charge": 174.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1194387225]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1659387470]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 22.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1326343716, 1093122277, 1336347335, 1578079562, 1437326956, 1043474190, 1952593170, 1396852851, 1841675642, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1477015956]}]}]}, {"tin": {"type": "ein", "value": "470548630"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1275587487]}]}]}, {"tin": {"type": "ein", "value": "470587199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1265845192]}]}, {"allowed_amount": 19.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1245551274]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 11.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380, 1104288836, 1215024971, 1538588207, 1700315025, 1619497567]}]}, {"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380, 1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 13.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1891996047]}]}, {"allowed_amount": 16.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "521136675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1922369024]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1427130152, 1265859193, 1619258530, 1619935152]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1740819812, 1972896231]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1598147001, 1700831187, 1649296039]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1366692717]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1144297326]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.2, "providers": [{"billed_charge": 711.57, "npi": [1912964768]}]}, {"allowed_amount": 320.21, "providers": [{"billed_charge": 711.57, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1972824969]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1215164348, 1750516720, 1497131734, 1033608922, 1780846204]}]}, {"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1861726952, 1023570827, 1982832572, 1932182219]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1255580627, 1780900365]}]}, {"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1609220300, 1043287311]}]}, {"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1093782070, 1750801031]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1750801031]}]}, {"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1609220300]}]}, {"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1205498896]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1679956817, 1285923292, 1356393086, 1457342727]}]}, {"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1023542677]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1497049563, 1962504621]}]}, {"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1700010923, 1326014572, 1285610923]}]}, {"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1447815089, 1023052990, 1306263751]}]}, {"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1568953065, 1447815089]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1487151536, 1295729689]}]}, {"allowed_amount": 16.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1811903867]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1730985995]}]}, {"allowed_amount": 16.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1669001509]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1720430010, 1528597580]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1396770111]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1013904192, 1558571794, 1578560223]}]}, {"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1912084955]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1104145275]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1396761748]}]}, {"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1427437961]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.13, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 119.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "611121623"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1558314534]}]}]}, {"tin": {"type": "ein", "value": "611336534"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1568844512]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 24.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1396066577]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1043265937]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1770890147]}]}, {"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1770890147, 1437671062]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1457579559, 1235394990, 1184112468, 1750319893, 1275530198, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1205815289]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1124293568, 1235578980, 1780662700, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "721367427"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.28, "npi": [1629364369]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.78, "providers": [{"billed_charge": 76.73, "npi": [1891735544]}]}, {"allowed_amount": 55.46, "providers": [{"billed_charge": 76.73, "npi": [1891735544, 1023759875]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1609997121, 1316108731, 1508204348, 1619938743]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1417916602, 1417190323, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1205036316]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.27, "providers": [{"billed_charge": 61.0, "npi": [1245813708]}, {"billed_charge": 81.0, "npi": [1245813708]}, {"billed_charge": 91.0, "npi": [1245813708]}]}, {"allowed_amount": 44.33, "providers": [{"billed_charge": 91.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.14, "providers": [{"billed_charge": 61.14, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.99, "providers": [{"billed_charge": 110.0, "npi": [1134101710]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1942255062]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1689671828, 1356339188, 1407836935]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1891053864]}]}]}, {"tin": {"type": "ein", "value": "870737749"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.4, "npi": [1073574885]}]}]}, {"tin": {"type": "ein", "value": "871439061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1285840819]}]}]}, {"tin": {"type": "ein", "value": "880307447"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1790179927]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1356737688]}]}]}]}, {"name": "Radiologic examination, abdomen; 2 views", "billing_code_type": "CPT", "billing_code": "74019", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM ABDOMEN 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1205056082]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1851569701]}]}, {"allowed_amount": 15.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776, 1801899042]}]}, {"allowed_amount": 16.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.95, "npi": [1497762801]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1437125077]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.92, "providers": [{"billed_charge": 139.0, "npi": [1194518241]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.0, "providers": [{"billed_charge": 273.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380, 1619497567, 1891996047]}]}, {"allowed_amount": 15.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1851826440]}]}, {"allowed_amount": 15.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1235517558, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1265635056]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1902888969]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1043287311]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1285923292]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1558789115]}]}, {"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1568953065]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1386635464]}]}, {"allowed_amount": 33.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1386635464]}]}]}, {"tin": {"type": "ein", "value": "621237566"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1033191986]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1124293568, 1205815289]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1124293568, 1205815289, 1780662700]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.92, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1043483175]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.96, "providers": [{"billed_charge": 73.96, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "871439061"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1285840819]}]}]}]}, {"name": "Radiologic examination, ankle; 2 views", "billing_code_type": "CPT", "billing_code": "73600", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION ANKLE 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1316292139]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977, 1851569701]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1780864033]}]}, {"allowed_amount": 15.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1659413805]}]}]}, {"tin": {"type": "ein", "value": "250969492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.0, "providers": [{"billed_charge": 484.0, "npi": [1639579212]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.95, "npi": [1659323368]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.93, "providers": [{"billed_charge": 278.64, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "300868541"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1558755843]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1053383786]}]}, {"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1013969294]}]}, {"allowed_amount": 30.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1225089428]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1497771786]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 20.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1770646457, 1215024971, 1053585380, 1891996047]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1104288836, 1851569701, 1215024971, 1700315025, 1770646457]}]}, {"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1235517558]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851826440]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.54, "providers": [{"billed_charge": 592.31, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1083807408]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1427580331]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1437126216]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.71, "providers": [{"billed_charge": 771.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1801047683]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568, 1205815289, 1083693352, 1780662700]}]}, {"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1639374374]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 311.64, "providers": [{"billed_charge": 890.41, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1720049273]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1467496331]}]}]}]}, {"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": "030179423"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.42, "providers": [{"billed_charge": 459.0, "npi": [1568414365]}]}]}, {"tin": {"type": "ein", "value": "042911067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1548522790]}]}]}, {"tin": {"type": "ein", "value": "061111525"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1104270909]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1750608030]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1780642702]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.62, "providers": [{"billed_charge": 396.06, "npi": [1669578324]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770921132]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 63.14, "providers": [{"billed_charge": 85.0, "npi": [1629386248]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1881987238]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1780864033, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1851569701]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 25.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1598913980]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.01, "providers": [{"billed_charge": 108.18, "npi": [1417476714]}]}, {"allowed_amount": 108.18, "providers": [{"billed_charge": 108.18, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.14, "providers": [{"billed_charge": 115.0, "npi": [1902003635]}]}, {"allowed_amount": 107.45, "providers": [{"billed_charge": 115.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1568663680, 1003868522]}]}, {"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1003868522, 1962451237]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1609300078]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1477720092, 1871957308]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 35.0, "npi": [1720655582, 1699117903, 1497707327]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.9, "npi": [1659323368]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.9, "npi": [1851734354, 1225318827]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 104.15, "providers": [{"billed_charge": 189.04, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1831505494]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1376800342]}]}]}, {"tin": {"type": "ein", "value": "332461082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.57, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 130.0, "npi": [1487068789]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1558450023, 1053383786, 1265457485, 1013969294, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1740780535]}]}]}, {"tin": {"type": "ein", "value": "341029988"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1144213513]}]}]}, {"tin": {"type": "ein", "value": "386005601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1518157478]}]}]}, {"tin": {"type": "ein", "value": "450480099"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1134168735]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.0, "providers": [{"billed_charge": 120.0, "npi": [1689070906]}]}]}, {"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.35, "npi": [1033202536]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.68, "providers": [{"billed_charge": 87.0, "npi": [1164151197]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.31, "providers": [{"billed_charge": 193.02, "npi": [1386460756]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 20.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1255364378, 1043474190, 1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.49, "providers": [{"billed_charge": 132.0, "npi": [1538051990]}]}, {"allowed_amount": 51.31, "providers": [{"billed_charge": 132.0, "npi": [1558182824, 1194518241]}]}, {"allowed_amount": 78.51, "providers": [{"billed_charge": 132.0, "npi": [1386334928, 1215675988]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 83.0, "npi": [1326017468]}, {"billed_charge": 85.63, "npi": [1326017468]}]}, {"allowed_amount": 51.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 83.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1396108023]}]}, {"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1396108023]}, {"billed_charge": 34.0, "npi": [1821335407]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1669708715, 1003084971, 1760694285]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.94, "npi": [1508942319]}]}]}, {"tin": {"type": "ein", "value": "473394746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1497148456]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 10.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1235767062, 1619497567]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1619497567]}]}, {"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380, 1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1013063908, 1851826440, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1073017174, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1750678710]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1467913442]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.55, "providers": [{"billed_charge": 265.55, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "540519577"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.08, "providers": [{"billed_charge": 556.0, "npi": [1942288527]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1174522528]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.88, "providers": [{"billed_charge": 391.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1275996316]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1992782155]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1730441593]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1003056755]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1841264496]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 495.27, "providers": [{"billed_charge": 507.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 406.82, "providers": [{"billed_charge": 904.05, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1023212214]}]}, {"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1932182219, 1710179676]}]}, {"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1457334732, 1932182219, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1437126216, 1669521803]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1609220300]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1750801031]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1598266017]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1457342727]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1629277249, 1124217021]}, {"billed_charge": 38.0, "npi": [1982137816]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1902243009, 1558789115]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1376705665]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.13, "providers": [{"billed_charge": 924.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 5.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1235172529]}]}, {"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1477085504, 1720430010]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20", "23"], "payments": [{"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.62, "npi": [1780868166]}]}, {"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.62, "npi": [1245712835]}]}, {"allowed_amount": 65.63, "providers": [{"billed_charge": 67.62, "npi": [1437139540]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.65, "providers": [{"billed_charge": 828.46, "npi": [1629544358]}]}, {"allowed_amount": 48.68, "providers": [{"billed_charge": 828.46, "npi": [1770169476, 1396338877]}, {"billed_charge": 1656.92, "npi": [1073001673]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1215317888, 1396731113, 1538180963, 1396032033]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.13, "providers": [{"billed_charge": 924.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.42, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 351.23, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 143.0, "npi": [1205276201]}]}, {"allowed_amount": 51.31, "providers": [{"billed_charge": 143.0, "npi": [1205276201]}]}, {"allowed_amount": 60.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 143.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 832.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1518937770]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.31, "providers": [{"billed_charge": 100.0, "npi": [1841968799]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1487322335]}]}]}, {"tin": {"type": "ein", "value": "630572355"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1184831471]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1093796781]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1306334404, 1235394990]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1528070521]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1962834671, 1205815289]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568, 1235578980, 1083693352, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1244.44, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1497722342]}]}]}, {"tin": {"type": "ein", "value": "720692720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1508066911]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1376530444]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.31, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1801920350]}]}]}, {"tin": {"type": "ein", "value": "800756169"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1225075450, 1881680791]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.14, "providers": [{"billed_charge": 92.53, "npi": [1891735544]}]}, {"allowed_amount": 68.88, "providers": [{"billed_charge": 92.53, "npi": [1891735544, 1902912454]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1427019728]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1225533433]}]}, {"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.2, "providers": [{"billed_charge": 75.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.2, "providers": [{"billed_charge": 97.0, "npi": [1225899826]}]}, {"allowed_amount": 51.31, "providers": [{"billed_charge": 97.0, "npi": [1225899826, 1811798275]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.62, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 132.62, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1508204348, 1871024943]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "824301751"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.96, "providers": [{"billed_charge": 144.0, "npi": [1407481492]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.11, "providers": [{"billed_charge": 76.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.31, "providers": [{"billed_charge": 76.02, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.99, "providers": [{"billed_charge": 120.0, "npi": [1700405818, 1639600414]}]}, {"allowed_amount": 46.2, "providers": [{"billed_charge": 120.0, "npi": [1336613603]}]}, {"allowed_amount": 51.31, "providers": [{"billed_charge": 120.0, "npi": [1336613603, 1811401383, 1093291916, 1659389229, 1851799282, 1700405818]}]}, {"allowed_amount": 78.51, "providers": [{"billed_charge": 120.0, "npi": [1386324051, 1093315947]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1992787121]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.14, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 57.07, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.31, "providers": [{"billed_charge": 140.0, "npi": [1053580191]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.31, "providers": [{"billed_charge": 190.0, "npi": [1205061744, 1568899961, 1154054260]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.2, "providers": [{"billed_charge": 266.0, "npi": [1154480218]}]}, {"allowed_amount": 51.31, "providers": [{"billed_charge": 266.0, "npi": [1114696176, 1922436922]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.66, "providers": [{"billed_charge": 250.0, "npi": [1568031219]}]}, {"allowed_amount": 87.88, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "874362493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1932630647]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1346284106]}]}]}, {"tin": {"type": "ein", "value": "900950252"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1982101234]}]}]}, {"tin": {"type": "ein", "value": "910858298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1881154516]}]}]}, {"tin": {"type": "ein", "value": "920037993"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.44, "npi": [1104149715]}]}]}, {"tin": {"type": "ein", "value": "941668344"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.41, "providers": [{"billed_charge": 333.41, "npi": [1942298153]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1366646416]}]}, {"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1255775581]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1841852894]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1811966823]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.66, "providers": [{"billed_charge": 465.1, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "010510040"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1609948256]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.55, "providers": [{"billed_charge": 546.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020260334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.99, "providers": [{"billed_charge": 581.0, "npi": [1033118104]}]}]}, {"tin": {"type": "ein", "value": "020316134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1982838942]}]}]}, {"tin": {"type": "ein", "value": "042103604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.09, "providers": [{"billed_charge": 234.0, "npi": [1174618953]}]}]}, {"tin": {"type": "ein", "value": "042312909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.09, "providers": [{"billed_charge": 472.0, "npi": [1790717650]}]}]}, {"tin": {"type": "ein", "value": "042769210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.09, "providers": [{"billed_charge": 400.0, "npi": [1134227606]}]}]}, {"tin": {"type": "ein", "value": "042807148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1558867960, 1215927579, 1255010021]}]}]}, {"tin": {"type": "ein", "value": "043148388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.79, "npi": [1659404267, 1659891323]}]}]}, {"tin": {"type": "ein", "value": "043236175"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1720379910]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.09, "providers": [{"billed_charge": 320.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "050258954"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.44, "providers": [{"billed_charge": 238.0, "npi": [1588659528]}]}]}, {"tin": {"type": "ein", "value": "050318025"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1295149565]}]}]}, {"tin": {"type": "ein", "value": "060646844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.18, "providers": [{"billed_charge": 414.0, "npi": [1760426969]}]}]}, {"tin": {"type": "ein", "value": "060914379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1952419095]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.18, "providers": [{"billed_charge": 374.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "075800032"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1639448020]}]}]}, {"tin": {"type": "ein", "value": "094748398"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1689678559]}]}]}, {"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 399.76, "providers": [{"billed_charge": 683.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1417119124]}]}]}, {"tin": {"type": "ein", "value": "128842519"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1427210095]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1447563168, 1205056082, 1235241514, 1922022565]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 233.83, "npi": [1427063270]}, {"billed_charge": 331.18, "npi": [1073535027]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1841759966]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 841.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.58, "providers": [{"billed_charge": 244.52, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1427210095]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1801485388]}]}]}, {"tin": {"type": "ein", "value": "141338373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1164628467]}]}, {"allowed_amount": 2.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1669509014]}]}]}, {"tin": {"type": "ein", "value": "141338428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 459.0, "npi": [1487644993]}]}]}, {"tin": {"type": "ein", "value": "141338428"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1215161666]}]}]}, {"tin": {"type": "ein", "value": "141338547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 644.0, "npi": [1073569331]}]}]}, {"tin": {"type": "ein", "value": "141348692"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 550.0, "npi": [1497701106]}]}]}, {"tin": {"type": "ein", "value": "141825546"}, "billing_class": "professional", "service_codes": ["20", "23"], "payments": [{"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1932533700, 1639448020]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.59, "providers": [{"billed_charge": 80.0, "npi": [1528218815]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 405.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "160988763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1124010038]}]}]}, {"tin": {"type": "ein", "value": "161533232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 311.0, "npi": [1639209596]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1992930390]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.59, "providers": [{"billed_charge": 1185.0, "npi": [1609036649]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 14.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776, 1538196977, 1447250618, 1801899042]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 18.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1851569701]}]}, {"allowed_amount": 23.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.45, "providers": [{"billed_charge": 96.87, "npi": [1730631482]}]}, {"allowed_amount": 43.59, "providers": [{"billed_charge": 96.87, "npi": [1407116544, 1942418579, 1659116861]}]}]}, {"tin": {"type": "ein", "value": "203728202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1093246738]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1659321248, 1346235801, 1003868522, 1770532012]}]}, {"allowed_amount": 31.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1568663680, 1508186131]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 67.0, "npi": [1174114680]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 516.0, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "208251783"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1548597537]}]}]}, {"tin": {"type": "ein", "value": "210634549"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.48, "providers": [{"billed_charge": 495.0, "npi": [1013919315]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.78, "providers": [{"billed_charge": 497.0, "npi": [1457456279]}]}]}, {"tin": {"type": "ein", "value": "221773439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.34, "providers": [{"billed_charge": 776.0, "npi": [1386746592]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1699750653]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1235372392, 1073796603, 1407831415]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.34, "providers": [{"billed_charge": 510.0, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "223849199"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1184935983]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.25, "providers": [{"billed_charge": 511.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "231996150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.26, "providers": [{"billed_charge": 748.0, "npi": [1174822068]}]}, {"allowed_amount": 145.24, "providers": [{"billed_charge": 748.0, "npi": [1275620585]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1942354964]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 2118.0, "npi": [1417947490, 1770150914]}]}]}, {"tin": {"type": "ein", "value": "236291113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1912403890, 1295995926]}]}]}, {"tin": {"type": "ein", "value": "251002937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 255.0, "npi": [1548263973]}]}]}, {"tin": {"type": "ein", "value": "251792806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1699793604]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 100.0, "npi": [1669422341]}]}, {"allowed_amount": 43.59, "providers": [{"billed_charge": 100.0, "npi": [1952884074]}]}, {"allowed_amount": 74.65, "providers": [{"billed_charge": 100.0, "npi": [1821649021, 1427436229]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.86, "providers": [{"billed_charge": 151.0, "npi": [1770947004]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.45, "providers": [{"billed_charge": 213.18, "npi": [1710687686]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 787.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.85, "npi": [1982650842, 1851675276]}]}]}, {"tin": {"type": "ein", "value": "264036315"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1326451642, 1235545807]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 81.86, "providers": [{"billed_charge": 81.86, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "270123687"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.77, "providers": [{"billed_charge": 151.0, "npi": [1710333257]}]}]}, {"tin": {"type": "ein", "value": "271880312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.42, "providers": [{"billed_charge": 283.0, "npi": [1770590168]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1477663490]}]}]}, {"tin": {"type": "ein", "value": "300811171"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.61, "providers": [{"billed_charge": 807.65, "npi": [1023435898]}]}]}, {"tin": {"type": "ein", "value": "310745303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1326346503]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1134373731]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1154321867]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 79.42, "providers": [{"billed_charge": 145.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1093748840, 1053383786, 1912984238, 1013969294, 1437125077]}]}, {"allowed_amount": 18.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.94, "npi": [1508153685]}, {"billed_charge": 30.0, "npi": [1518175637]}]}]}, {"tin": {"type": "ein", "value": "340505560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.83, "providers": [{"billed_charge": 744.0, "npi": [1790868982]}]}]}, {"tin": {"type": "ein", "value": "340714478"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.83, "providers": [{"billed_charge": 608.0, "npi": [1821035940]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1790312130, 1649286469]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.83, "providers": [{"billed_charge": 608.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1275578221]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 295.36, "providers": [{"billed_charge": 247.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.19, "providers": [{"billed_charge": 373.93, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.56, "providers": [{"billed_charge": 453.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1679528251]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.56, "providers": [{"billed_charge": 563.0, "npi": [1376521575]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1801992888]}]}]}, {"tin": {"type": "ein", "value": "381693395"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1619461233, 1518196062]}]}]}, {"tin": {"type": "ein", "value": "383176536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.99, "providers": [{"billed_charge": 366.0, "npi": [1053356352]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1831122761]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1285614909]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 454.0, "providers": [{"billed_charge": 454.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 193.24, "providers": [{"billed_charge": 258.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1376571257]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1952157380]}]}]}, {"tin": {"type": "ein", "value": "450503121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.93, "providers": [{"billed_charge": 1731.58, "npi": [1942247044]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 78.47, "providers": [{"billed_charge": 120.0, "npi": [1306686381, 1184441719]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1548269848]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1336347335]}]}, {"allowed_amount": 27.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1326343716, 1093122277, 1336347335, 1578079562, 1437326956, 1043474190, 1952593170, 1659767093, 1376032607, 1841675642, 1255364378, 1730384447]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 128.0, "npi": [1588533509]}]}, {"allowed_amount": 37.03, "providers": [{"billed_charge": 128.0, "npi": [1538051990, 1164803078]}]}, {"allowed_amount": 45.82, "providers": [{"billed_charge": 128.0, "npi": [1588533509, 1558182824, 1417535881, 1629670286, 1407682255, 1447735030, 1780373209]}]}, {"allowed_amount": 47.02, "providers": [{"billed_charge": 128.0, "npi": [1588533509, 1407682255]}]}, {"allowed_amount": 47.43, "providers": [{"billed_charge": 128.0, "npi": [1164803078]}]}, {"allowed_amount": 70.1, "providers": [{"billed_charge": 128.0, "npi": [1194518241, 1215675988]}]}]}, {"tin": {"type": "ein", "value": "460796114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.62, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 669.0, "npi": [1144397134]}]}]}, {"tin": {"type": "ein", "value": "461177336"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1649262817]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1427219252]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.16, "npi": [1326017468]}]}, {"allowed_amount": 28.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.16, "npi": [1326017468]}]}, {"allowed_amount": 31.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 68.16, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1386904704]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1265432215, 1386646438, 1639161847]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.3, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "464626165"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.49, "providers": [{"billed_charge": 61.92, "npi": [1780353862]}]}]}, {"tin": {"type": "ein", "value": "470028772"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1528223526]}]}]}, {"tin": {"type": "ein", "value": "470527459"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1487617403]}]}]}, {"tin": {"type": "ein", "value": "470785575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.5, "npi": [1730198151]}]}]}, {"tin": {"type": "ein", "value": "470810924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 28.67, "providers": [{"billed_charge": 75.0, "npi": [1114901642]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.59, "providers": [{"billed_charge": 80.0, "npi": [1669179636]}]}, {"allowed_amount": 74.65, "providers": [{"billed_charge": 80.0, "npi": [1669179636]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.59, "providers": [{"billed_charge": 103.0, "npi": [1932602406]}]}]}, {"tin": {"type": "ein", "value": "474131755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.22, "providers": [{"billed_charge": 1339.0, "npi": [1265818488]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 2.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2.66, "npi": [1053585380]}]}, {"allowed_amount": 12.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1053585380]}]}, {"allowed_amount": 13.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1053585380]}]}, {"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1053585380, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1073017174, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1770646457, 1053585380, 1235517558, 1619497567]}]}, {"allowed_amount": 14.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1104288836, 1053585380, 1013063908, 1851569701, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 15.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1053585380]}]}, {"allowed_amount": 18.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1053724005]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1871936518]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1265635056]}]}]}, {"tin": {"type": "ein", "value": "510603966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.09, "providers": [{"billed_charge": 462.0, "npi": [1699819003]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.47, "providers": [{"billed_charge": 186.47, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520608007"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.31, "providers": [{"billed_charge": 186.31, "npi": [1184712085]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.3, "providers": [{"billed_charge": 174.3, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "521902711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1275505356]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.78, "providers": [{"billed_charge": 484.0, "npi": [1417432840]}]}]}, {"tin": {"type": "ein", "value": "560552787"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.82, "providers": [{"billed_charge": 457.0, "npi": [1144211301]}]}]}, {"tin": {"type": "ein", "value": "560845796"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.22, "providers": [{"billed_charge": 327.0, "npi": [1639172869]}]}]}, {"tin": {"type": "ein", "value": "560845796"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.03, "npi": [1558366138]}]}, {"allowed_amount": 14.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.03, "npi": [1447253075]}]}]}, {"tin": {"type": "ein", "value": "560941927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1679794796]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1588647051, 1407198484]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1013179266]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1568881316, 1700204484, 1649640343]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.12, "providers": [{"billed_charge": 218.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 60.0, "npi": [1699063750]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.28, "providers": [{"billed_charge": 345.0, "npi": [1992703540]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.28, "providers": [{"billed_charge": 724.0, "npi": [1144247982]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1801002324, 1669458246]}]}, {"allowed_amount": 15.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1801002324]}]}, {"allowed_amount": 18.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1245687540]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1821479593, 1942733894]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 289.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.38, "providers": [{"billed_charge": 516.0, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "581075840"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1255511267, 1841604980]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1063497006]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1194212852]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1275996316, 1134689268, 1801857909, 1437208246]}]}]}, {"tin": {"type": "ein", "value": "581581103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.73, "providers": [{"billed_charge": 397.84, "npi": [1588665566]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.5, "providers": [{"billed_charge": 334.0, "npi": [1477591055]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1720035033]}]}, {"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1548247729, 1548766066, 1194091132, 1902088941]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.71, "providers": [{"billed_charge": 528.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1285951632]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.11, "providers": [{"billed_charge": 843.0, "npi": [1376574277]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 231.0, "npi": [1093716979]}, {"billed_charge": 289.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1235379017, 1336528017, 1801857909, 1003253238]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 754.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582144788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.73, "providers": [{"billed_charge": 754.0, "npi": [1437135902]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 516.0, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 516.0, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1386633238, 1407099039]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1861455271]}]}, {"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1821222894]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 516.0, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 562.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.99, "providers": [{"billed_charge": 791.08, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.02, "providers": [{"billed_charge": 882.0, "npi": [1376529743]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 545.28, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.13, "providers": [{"billed_charge": 1079.85, "npi": [1598657298, 1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.28, "providers": [{"billed_charge": 1185.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.71, "providers": [{"billed_charge": 360.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 507.92, "providers": [{"billed_charge": 393.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.71, "providers": [{"billed_charge": 274.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.71, "providers": [{"billed_charge": 825.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.76, "providers": [{"billed_charge": 882.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1710179676]}]}, {"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1861726952, 1588610026, 1932182219, 1457334732, 1033608922, 1679006555, 1710179676]}]}, {"allowed_amount": 31.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1306135777, 1982832572, 1023570827, 1750516720, 1497131734, 1033608922, 1710179676]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1790734762]}]}, {"allowed_amount": 18.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1790734762]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["20", "22", "23", "21"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1437126216, 1669521803, 1265488035, 1366909830]}]}, {"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1609220300, 1093782070, 1043287311]}]}, {"allowed_amount": 14.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1750801031]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1750801031]}]}, {"allowed_amount": 17.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1205498896]}]}, {"allowed_amount": 18.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1609220300]}]}, {"allowed_amount": 23.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1316135429, 1184940330, 1679956817, 1841713138, 1285923292, 1831180124, 1356393086]}]}, {"allowed_amount": 18.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1184940330]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 23.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1770800062]}]}, {"allowed_amount": 11.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1629357207]}]}, {"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1174567697, 1396756474]}, {"billed_charge": 44.0, "npi": [1982828752]}]}, {"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1376705665, 1558789115, 1568953065]}]}, {"allowed_amount": 15.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1447815089]}]}, {"allowed_amount": 18.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1376705665, 1568953065, 1659341139, 1558789115, 1811151996]}]}, {"allowed_amount": 31.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1003056755, 1083970909]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1417941832, 1295729689, 1821592999]}]}, {"allowed_amount": 18.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1811903867]}]}, {"allowed_amount": 20.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1487151536]}]}, {"allowed_amount": 23.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1285016733]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1346201647]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 47.43, "providers": [{"billed_charge": 578.0, "npi": [1194754689, 1316197668, 1154332120, 1588283352, 1194969659]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.94, "providers": [{"billed_charge": 746.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1558332809]}]}, {"allowed_amount": 31.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1598442048, 1477085504, 1457553034, 1013476878, 1235172529, 1548717846]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.05, "providers": [{"billed_charge": 805.81, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20", "23", "21"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.96, "npi": [1598010910, 1124281175]}]}, {"allowed_amount": 18.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.96, "npi": [1598010910]}]}, {"allowed_amount": 30.0, "billing_code_modifier": ["TC", "TC,26"], "providers": [{"billed_charge": 62.96, "npi": [1164072393, 1982461414]}]}, {"allowed_amount": 31.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.96, "npi": [1164614095]}]}, {"allowed_amount": 43.59, "providers": [{"billed_charge": 62.96, "npi": [1437139540]}]}, {"allowed_amount": 62.96, "providers": [{"billed_charge": 62.96, "npi": [1245712835]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.08, "providers": [{"billed_charge": 360.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.71, "providers": [{"billed_charge": 834.83, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.45, "providers": [{"billed_charge": 889.96, "npi": [1710319843]}]}, {"allowed_amount": 43.59, "providers": [{"billed_charge": 889.96, "npi": [1730620188]}]}, {"allowed_amount": 87.83, "providers": [{"billed_charge": 889.96, "npi": [1053831032, 1396106183]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1235194168, 1437378742]}]}, {"allowed_amount": 22.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1215317888, 1851529275, 1891094041, 1386616761, 1376787036]}]}, {"allowed_amount": 18.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1992141295]}]}, {"allowed_amount": 22.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1083175061]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1518385954, 1578524716]}]}, {"allowed_amount": 15.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1245269059]}]}, {"allowed_amount": 31.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1619984861, 1659714350, 1730151903]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.43, "providers": [{"billed_charge": 360.5, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20", "23"], "payments": [{"allowed_amount": 6.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1265417695]}]}, {"allowed_amount": 31.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 133.0, "npi": [1205276201, 1700656071]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.8, "providers": [{"billed_charge": 353.56, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610461767"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1154321867]}]}]}, {"tin": {"type": "ein", "value": "610679378"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1154303253]}]}]}, {"tin": {"type": "ein", "value": "612342400"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1700270006]}]}]}, {"tin": {"type": "ein", "value": "620475842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.9, "providers": [{"billed_charge": 385.9, "npi": [1164590386]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.26, "providers": [{"billed_charge": 464.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1396066577]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1467567875]}]}]}, {"tin": {"type": "ein", "value": "620817096"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1538144563]}]}]}, {"tin": {"type": "ein", "value": "620842484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1710932793]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1033143714]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.0, "providers": [{"billed_charge": 1360.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 100.0, "npi": [1841968799]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1487322335]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1003075433]}]}]}, {"tin": {"type": "ein", "value": "630581077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1811019359]}]}]}, {"tin": {"type": "ein", "value": "630891904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.03, "providers": [{"billed_charge": 438.22, "npi": [1447303227]}]}]}, {"tin": {"type": "ein", "value": "631034703"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1063776532]}]}]}, {"tin": {"type": "ein", "value": "636001820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 165.47, "providers": [{"billed_charge": 295.0, "npi": [1043262488]}]}]}, {"tin": {"type": "ein", "value": "640682111"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.94, "providers": [{"billed_charge": 476.0, "npi": [1194789818]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1306334404, 1275530198, 1457579559]}]}, {"allowed_amount": 23.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1306882873, 1417410507, 1275530198, 1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 15.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1780662700]}]}, {"allowed_amount": 23.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.13, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1427019728, 1538243555, 1275587388, 1639564479]}]}, {"allowed_amount": 15.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1740549245, 1417239765, 1386164671]}]}]}, {"tin": {"type": "ein", "value": "660677706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.01, "providers": [{"billed_charge": 88.06, "npi": [1467417865]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.1, "providers": [{"billed_charge": 65.1, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "660853861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.75, "npi": [1134169378]}]}]}, {"tin": {"type": "ein", "value": "661068496"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.65, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 68.16, "npi": [1538917877]}]}]}, {"tin": {"type": "ein", "value": "680273974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1467646026]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1508394941]}]}]}, {"tin": {"type": "ein", "value": "730725208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.14, "providers": [{"billed_charge": 468.0, "npi": [1144205360]}]}]}, {"tin": {"type": "ein", "value": "732074807"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1366739245]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 799.75, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 365.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1609403997]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1275537979]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1417175829]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}, {"billed_charge": 95.0, "npi": [1902994908]}, {"billed_charge": 105.0, "npi": [1902994908]}]}, {"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "743230935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.19, "providers": [{"billed_charge": 314.0, "npi": [1619163854]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 792.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1790788115]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1699574350, 1881898831]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 679.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 20.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1548458185]}]}]}, {"tin": {"type": "ein", "value": "800719005"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1790730448]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.94, "providers": [{"billed_charge": 746.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "800886397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1942543889]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.43, "providers": [{"billed_charge": 85.78, "npi": [1023759875, 1902912454, 1225176209, 1508115825, 1285359414, 1891735544, 1568500445]}]}, {"allowed_amount": 61.48, "providers": [{"billed_charge": 85.78, "npi": [1023759875, 1902912454, 1508115825, 1225176209, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1225533433]}]}, {"allowed_amount": 21.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.72, "providers": [{"billed_charge": 483.0, "npi": [1982150009]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 75.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 89.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 45.82, "providers": [{"billed_charge": 89.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 70.1, "providers": [{"billed_charge": 89.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821159794"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1407110026]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1194847038, 1700229523, 1508204348, 1326179995]}]}, {"allowed_amount": 23.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1043483175]}]}, {"allowed_amount": 24.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1043483175]}]}]}, {"tin": {"type": "ein", "value": "821885403"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.62, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 731.0, "npi": [1891294518]}]}]}, {"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": "822659330"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.51, "providers": [{"billed_charge": 64.32, "npi": [1629484373]}]}]}, {"tin": {"type": "ein", "value": "823166379"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.92, "providers": [{"billed_charge": 291.0, "npi": [1407367030]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1184646929]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 34.91, "providers": [{"billed_charge": 69.0, "npi": [1912482282]}]}, {"allowed_amount": 45.82, "providers": [{"billed_charge": 69.0, "npi": [1245813708]}, {"billed_charge": 89.0, "npi": [1245813708]}]}, {"allowed_amount": 49.21, "providers": [{"billed_charge": 69.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.69, "providers": [{"billed_charge": 152.9, "npi": [1912420050]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.81, "providers": [{"billed_charge": 718.04, "npi": [1043915523]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1396793923]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 67.88, "npi": [1164973442, 1457057671, 1023650793, 1508489972, 1366828089]}]}, {"allowed_amount": 67.88, "providers": [{"billed_charge": 67.88, "npi": [1023650793, 1366828089, 1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.07, "providers": [{"billed_charge": 120.0, "npi": [1700405818]}]}, {"allowed_amount": 41.25, "providers": [{"billed_charge": 120.0, "npi": [1336613603]}]}, {"allowed_amount": 45.82, "providers": [{"billed_charge": 120.0, "npi": [1386324051, 1093315947, 1134101710]}]}]}, {"tin": {"type": "ein", "value": "843873030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1962817064]}]}]}, {"tin": {"type": "ein", "value": "850812156"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 644.0, "npi": [1730787615]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.43, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 50.94, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 75.56, "providers": [{"billed_charge": 120.0, "npi": [1659653954]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 34.62, "providers": [{"billed_charge": 210.0, "npi": [1205061744]}]}, {"allowed_amount": 37.33, "providers": [{"billed_charge": 210.0, "npi": [1205061744]}]}, {"allowed_amount": 41.25, "providers": [{"billed_charge": 210.0, "npi": [1992043715]}]}, {"allowed_amount": 45.82, "providers": [{"billed_charge": 210.0, "npi": [1205061744, 1578631925, 1275707895]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 119.0, "npi": [1114696176, 1922436922]}]}]}, {"tin": {"type": "ein", "value": "854092192"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1891993325]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.11, "providers": [{"billed_charge": 567.27, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1972732907]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1366417826]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1083147466, 1740635812]}]}]}, {"tin": {"type": "ein", "value": "861917131"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.62, "providers": [{"billed_charge": 150.0, "npi": [1669582417]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["20", "23"], "payments": [{"allowed_amount": 14.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1770556763]}]}, {"allowed_amount": 18.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1740806389]}]}]}, {"tin": {"type": "ein", "value": "870565773"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1588102164]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 86.26, "npi": [1659187680]}]}, {"allowed_amount": 47.02, "providers": [{"billed_charge": 86.26, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.02, "providers": [{"billed_charge": 250.0, "npi": [1194609198]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.59, "providers": [{"billed_charge": 48.0, "npi": [1376329110]}]}, {"allowed_amount": 48.0, "providers": [{"billed_charge": 48.0, "npi": [1649028697]}]}]}, {"tin": {"type": "ein", "value": "882472117"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.35, "providers": [{"billed_charge": 326.0, "npi": [1255066460]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 341.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1609257781]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 55.0, "npi": [1962482307]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1528223526]}]}]}, {"tin": {"type": "ein", "value": "910979582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1801879168]}]}]}, {"tin": {"type": "ein", "value": "911828806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1881742898]}]}]}, {"tin": {"type": "ein", "value": "911858433"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.95, "providers": [{"billed_charge": 260.0, "npi": [1356307581]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 95.9, "providers": [{"billed_charge": 699.18, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921281848"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1689659047]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.8, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 855.32, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.43, "providers": [{"billed_charge": 240.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 205.07, "providers": [{"billed_charge": 256.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "930604377"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1164634770]}]}]}, {"tin": {"type": "ein", "value": "932759167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 3024.0, "npi": [1396600151]}]}]}, {"tin": {"type": "ein", "value": "933380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1396815700]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.81, "providers": [{"billed_charge": 485.19, "npi": [1194749580]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.5, "npi": [1447204672]}]}]}, {"tin": {"type": "ein", "value": "952592769"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1144237405]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1518995141]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1228.99, "providers": [{"billed_charge": 420.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 18.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1255775581]}]}, {"allowed_amount": 18.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1154312676]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1346219144, 1033153986]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 564.36, "providers": [{"billed_charge": 930.0, "npi": [1427806025, 1780429076]}]}, {"allowed_amount": 930.0, "providers": [{"billed_charge": 930.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 116.0, "npi": [1841402369]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1182.98, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "993694300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1336109818]}]}]}, {"tin": {"type": "ein", "value": "994230642"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.09, "providers": [{"billed_charge": 344.0, "npi": [1265267991]}]}]}]}, {"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": "008481773"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1851615405]}]}]}, {"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "010594994"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1790720779]}]}]}, {"tin": {"type": "ein", "value": "020222215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.55, "providers": [{"billed_charge": 441.0, "npi": [1093787384]}]}]}, {"tin": {"type": "ein", "value": "020316134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1871565630]}]}]}, {"tin": {"type": "ein", "value": "055709758"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1679736706]}]}]}, {"tin": {"type": "ein", "value": "058862647"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1285614909]}]}]}, {"tin": {"type": "ein", "value": "060646844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.18, "providers": [{"billed_charge": 368.0, "npi": [1760426969]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1316928385, 1770931362, 1417515297, 1366447302, 1871913673, 1477708881, 1720433501]}]}]}, {"tin": {"type": "ein", "value": "060775886"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1699709758, 1427054766]}]}]}, {"tin": {"type": "ein", "value": "060931385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1841673712]}]}]}, {"tin": {"type": "ein", "value": "061393708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1477537991]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.18, "providers": [{"billed_charge": 374.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "066481868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1942272562]}]}]}, {"tin": {"type": "ein", "value": "111631746"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 146.0, "npi": [1487724712]}]}]}, {"tin": {"type": "ein", "value": "111631781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 210.0, "npi": [1154461622]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 210.0, "npi": [1245370717]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 15.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1700804713, 1699745315, 1376563254]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 255.99, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "112868878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 319.0, "npi": [1407877137]}]}]}, {"tin": {"type": "ein", "value": "131624070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 645.0, "npi": [1477616571]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1528151784]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 931.0, "npi": [1194832477]}]}]}, {"tin": {"type": "ein", "value": "133964321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 1099.0, "npi": [1932280666]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1902065311]}]}, {"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1447419056]}]}]}, {"tin": {"type": "ein", "value": "141338467"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 656.0, "npi": [1124072715]}]}]}, {"tin": {"type": "ein", "value": "144766603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1891959466]}]}]}, {"tin": {"type": "ein", "value": "145908399"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1285842096]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 255.0, "npi": [1518998699]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1730384512, 1194783761, 1861460701]}]}]}, {"tin": {"type": "ein", "value": "191624657"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1629352083]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1578738852]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1881122216, 1407482409, 1558389981, 1285849646]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 555.0, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1851569701]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1225069776]}]}, {"allowed_amount": 12.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1538196977]}, {"billed_charge": 60.0, "npi": [1780864033, 1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 12.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 13.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1225069776, 1851569701]}]}, {"allowed_amount": 15.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1851569701]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 36.68, "providers": [{"billed_charge": 60.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "201202088"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1396021648]}]}]}, {"tin": {"type": "ein", "value": "201209403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1821215005]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1147.7, "providers": [{"billed_charge": 1147.7, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "202028539"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.43, "providers": [{"billed_charge": 470.0, "npi": [1154419737]}]}]}, {"tin": {"type": "ein", "value": "202319275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1134194905]}]}]}, {"tin": {"type": "ein", "value": "202552772"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1790773612]}]}]}, {"tin": {"type": "ein", "value": "203728202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1730684358]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.68, "providers": [{"billed_charge": 649.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1659321248, 1568663680, 1962451237, 1376746438, 1932150760, 1003868522, 1770532012, 1912980079, 1972575280, 1881643153, 1508186131, 1477991156, 1346235801]}]}, {"allowed_amount": 12.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1972575280, 1376746438]}]}, {"allowed_amount": 26.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1568663680, 1659321248, 1568824738, 1962451237, 1376746438, 1003868522, 1770532012, 1821417296, 1144756214]}]}]}, {"tin": {"type": "ein", "value": "204356115"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.6, "npi": [1962688366]}]}]}, {"tin": {"type": "ein", "value": "204360799"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1225569700]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 564.36, "providers": [{"billed_charge": 737.16, "npi": [1215003348, 1316992134]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1740488527]}]}, {"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1801201090]}]}, {"allowed_amount": 14.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1912969130, 1306466412, 1245491505, 1326274291, 1841463452]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 412.8, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "205672300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1356488605]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 1134.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1639268956]}]}, {"allowed_amount": 11.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1952341760]}]}]}, {"tin": {"type": "ein", "value": "208112143"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1073522843]}]}]}, {"tin": {"type": "ein", "value": "208489105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.85, "providers": [{"billed_charge": 265.0, "npi": [1982720249]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.34, "providers": [{"billed_charge": 1067.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.78, "providers": [{"billed_charge": 375.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221487243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 359.33, "providers": [{"billed_charge": 426.0, "npi": [1003236878]}]}]}, {"tin": {"type": "ein", "value": "221487307"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.78, "providers": [{"billed_charge": 431.0, "npi": [1013912633]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.21, "providers": [{"billed_charge": 429.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.85, "providers": [{"billed_charge": 494.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.85, "providers": [{"billed_charge": 341.7, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1558346304, 1295153146, 1679736706, 1699751172, 1790781094, 1558822536, 1790775146, 1609300078, 1205832185, 1619950490]}]}]}, {"tin": {"type": "ein", "value": "221904530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1104881374]}]}]}, {"tin": {"type": "ein", "value": "221928145"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1609020791]}]}]}, {"tin": {"type": "ein", "value": "221968836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1487656997, 1982973046]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1891959466]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.78, "providers": [{"billed_charge": 494.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223849199"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1699933366]}]}]}, {"tin": {"type": "ein", "value": "224150771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1952496424]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.17, "providers": [{"billed_charge": 171.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 1213.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "232664784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1023260502]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1659413805]}]}]}, {"tin": {"type": "ein", "value": "232919472"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1003122698]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 1569.0, "npi": [1417947490, 1770150914]}]}]}, {"tin": {"type": "ein", "value": "233001904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 1065.0, "npi": [1396731105]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1730150392]}]}]}, {"tin": {"type": "ein", "value": "237218917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1669488342]}]}]}, {"tin": {"type": "ein", "value": "240795508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.26, "providers": [{"billed_charge": 292.0, "npi": [1609801976]}]}]}, {"tin": {"type": "ein", "value": "240795682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.73, "providers": [{"billed_charge": 373.0, "npi": [1730173154]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1902072341]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1174574222, 1396940342]}]}, {"allowed_amount": 12.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "260799572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1902897200, 1407061708]}]}]}, {"tin": {"type": "ein", "value": "261512163"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 2108.37, "npi": [1740450121]}]}]}, {"tin": {"type": "ein", "value": "261871008"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 205.83, "providers": [{"billed_charge": 309.0, "npi": [1083888515]}]}]}, {"tin": {"type": "ein", "value": "261956698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1255328316]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.85, "npi": [1447243878, 1710182407, 1225318827, 1578756524, 1982650842, 1447216924, 1124462783]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.85, "npi": [1447243878, 1659323368, 1578756524, 1427360593, 1497762801, 1851734354, 1710211701, 1982650842, 1124462783]}]}]}, {"tin": {"type": "ein", "value": "263513000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1861682643]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 431.0, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "264036315"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 0.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1891029625]}]}]}, {"tin": {"type": "ein", "value": "264709927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1124461827]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.22, "providers": [{"billed_charge": 272.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "270444414"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1942272562]}]}]}, {"tin": {"type": "ein", "value": "270712680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.49, "providers": [{"billed_charge": 417.0, "npi": [1760764849]}]}]}, {"tin": {"type": "ein", "value": "272844632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.99, "providers": [{"billed_charge": 391.0, "npi": [1760794044]}]}]}, {"tin": {"type": "ein", "value": "272844767"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.99, "providers": [{"billed_charge": 370.0, "npi": [1427360700]}]}]}, {"tin": {"type": "ein", "value": "273143717"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1629450994]}]}]}, {"tin": {"type": "ein", "value": "273335876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.18, "providers": [{"billed_charge": 418.0, "npi": [1225450588]}]}]}, {"tin": {"type": "ein", "value": "273645560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1003871823]}]}, {"allowed_amount": 13.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1144206806]}]}]}, {"tin": {"type": "ein", "value": "273815440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 310.6, "npi": [1851632616]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1962056192, 1477663490, 1154385193, 1225487903, 1609830751]}]}]}, {"tin": {"type": "ein", "value": "274005511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 328.0, "npi": [1477857332]}]}]}, {"tin": {"type": "ein", "value": "274206597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1194085290, 1437289147]}]}]}, {"tin": {"type": "ein", "value": "274495916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1093094005, 1124345566]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1124234430]}]}]}, {"tin": {"type": "ein", "value": "300754305"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 598.0, "npi": [1407191984]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 412.8, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "310537504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.07, "providers": [{"billed_charge": 765.0, "npi": [1073688354]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1881921062]}]}]}, {"tin": {"type": "ein", "value": "310745303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1083148126]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1972592236]}]}]}, {"tin": {"type": "ein", "value": "310874388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1649566829]}]}, {"allowed_amount": 13.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1346702750]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1154347276]}]}, {"allowed_amount": 20.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1184911265]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 146.85, "providers": [{"billed_charge": 328.73, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.35, "providers": [{"billed_charge": 254.5, "npi": [1538164090]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.45, "providers": [{"billed_charge": 263.0, "npi": [1801937008, 1255377149]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.78, "providers": [{"billed_charge": 976.5, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1790737328, 1710354352, 1558386706, 1932170131, 1639150741]}]}, {"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1508988775]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1922088392, 1508819970, 1598750747, 1619268182]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1508819970, 1922088392, 1598750747, 1235335324, 1396770111]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1013969294, 1558450023]}]}, {"allowed_amount": 1.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053383786]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.08, "npi": [1619266632, 1821082421]}]}]}, {"tin": {"type": "ein", "value": "340505560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.83, "providers": [{"billed_charge": 328.0, "npi": [1790868982]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.89, "providers": [{"billed_charge": 608.0, "npi": [1679525919]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 2.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1447213558]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1356502538]}]}, {"allowed_amount": 20.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1396918017, 1790312130, 1548436132, 1649286469, 1790993707, 1215017199, 1073813812, 1013900117, 1740780535, 1538130265, 1700011582]}]}]}, {"tin": {"type": "ein", "value": "341996544"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1508024217]}]}]}, {"tin": {"type": "ein", "value": "351088640"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.19, "providers": [{"billed_charge": 326.0, "npi": [1235109778]}]}]}, {"tin": {"type": "ein", "value": "351151208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.19, "providers": [{"billed_charge": 618.45, "npi": [1699757401]}]}]}, {"tin": {"type": "ein", "value": "351153879"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1831148261, 1912908351]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1962780551, 1881675510, 1346701687]}]}]}, {"tin": {"type": "ein", "value": "351276175"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1881779700]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 295.36, "providers": [{"billed_charge": 247.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.85, "providers": [{"billed_charge": 452.0, "npi": [1396882205]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1023046901]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1174750152]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1821653916]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.56, "providers": [{"billed_charge": 511.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1861805871]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1114411584]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1134560030]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1043259252]}]}]}, {"tin": {"type": "ein", "value": "372543054"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1295706307]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.99, "providers": [{"billed_charge": 213.7, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "381877512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1902007644]}]}]}, {"tin": {"type": "ein", "value": "381894009"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1033501010]}]}]}, {"tin": {"type": "ein", "value": "381976271"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.99, "providers": [{"billed_charge": 123.6, "npi": [1528031226]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.28, "providers": [{"billed_charge": 112.5, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.22, "providers": [{"billed_charge": 613.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384105653"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.45, "providers": [{"billed_charge": 447.0, "npi": [1326020447]}]}]}, {"tin": {"type": "ein", "value": "390816857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.76, "providers": [{"billed_charge": 218.0, "npi": [1427007384]}]}]}, {"tin": {"type": "ein", "value": "392249320"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.3, "npi": [1487890117]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1831122761, 1205937547, 1376527382, 1831312099]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1831312099, 1972739100, 1376527382]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1851877112]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1386976207]}]}, {"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1851394944]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1245529536]}]}]}, {"tin": {"type": "ein", "value": "415046638"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1366646416]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1770739260, 1760200901]}]}]}, {"tin": {"type": "ein", "value": "421629846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1518142124]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1497771786]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.17, "providers": [{"billed_charge": 252.0, "npi": [1962572396]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.68, "providers": [{"billed_charge": 31.0, "npi": [1548526825]}]}]}, {"tin": {"type": "ein", "value": "431664107"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1801967138]}]}]}, {"tin": {"type": "ein", "value": "432032442"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1992814842]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.76, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 191.0, "npi": [1831115641]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1922054659]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.56, "providers": [{"billed_charge": 200.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1881673374]}]}]}, {"tin": {"type": "ein", "value": "450480099"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1134168735]}]}]}, {"tin": {"type": "ein", "value": "451649781"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1003064999, 1912468687, 1336593581, 1730674367]}]}]}, {"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.83, "npi": [1801864970]}]}]}, {"tin": {"type": "ein", "value": "452654166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1699816587]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1407930092]}]}, {"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1871555839]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.95, "providers": [{"billed_charge": 723.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 22.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1326343716, 1093122277, 1336347335, 1578079562, 1437326956, 1043474190, 1952593170, 1396852851, 1376032607, 1841675642, 1255364378, 1730384447]}]}]}, {"tin": {"type": "ein", "value": "454395947"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1417905092]}]}]}, {"tin": {"type": "ein", "value": "455241476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.3, "npi": [1679671861]}]}]}, {"tin": {"type": "ein", "value": "460226963"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1952964348]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.61, "providers": [{"billed_charge": 437.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "460552280"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1306833405]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1386904704, 1942273230, 1992761746, 1992294938, 1689724346]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1982665055]}, {"billed_charge": 36.0, "npi": [1396784658]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1972767556, 1720177207, 1518971415, 1821148743, 1457619017, 1669708715, 1760694285, 1205079506, 1063578995, 1477015956, 1265432215, 1548435290, 1073595740]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1831107754, 1871501791]}]}]}, {"tin": {"type": "ein", "value": "463487442"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.85, "providers": [{"billed_charge": 406.68, "npi": [1568825545]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "465285330"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1194933911]}]}]}, {"tin": {"type": "ein", "value": "470527459"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1487617403]}]}]}, {"tin": {"type": "ein", "value": "470587199"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1578707113]}]}]}, {"tin": {"type": "ein", "value": "470796875"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.28, "providers": [{"billed_charge": 351.0, "npi": [1285676544]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1912931163]}]}]}, {"tin": {"type": "ein", "value": "474196634"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.17, "providers": [{"billed_charge": 359.0, "npi": [1942685920]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1619497567]}]}, {"allowed_amount": 2.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2.24, "npi": [1851826440]}]}, {"allowed_amount": 2.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1215024971]}]}, {"allowed_amount": 4.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1215024971, 1235517558]}]}, {"allowed_amount": 7.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1891996047]}]}, {"allowed_amount": 7.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.15, "npi": [1215024971]}]}, {"allowed_amount": 8.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1891996047]}]}, {"allowed_amount": 9.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851826440]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1104288836, 1013063908, 1053585380, 1851569701, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1235767062, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380, 1851569701, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1104288836, 1851569701, 1013063908, 1053585380, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1073017174, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 12.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1073017174, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 12.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1235517558]}]}, {"allowed_amount": 12.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1073017174, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 13.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1215024971, 1538588207, 1891996047]}]}, {"allowed_amount": 14.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851569701]}]}, {"allowed_amount": 15.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851569701]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851826440, 1215024971, 1104288836]}]}]}, {"tin": {"type": "ein", "value": "475387418"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.4, "providers": [{"billed_charge": 722.0, "npi": [1558734095]}]}]}, {"tin": {"type": "ein", "value": "475419443"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.04, "npi": [1164410916]}]}]}, {"tin": {"type": "ein", "value": "475546608"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1528236486]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1275614612]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 459.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.18, "providers": [{"billed_charge": 803.0, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "510426500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1124161872]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1881014421]}]}, {"allowed_amount": 16.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1629352083]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 100.63, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521136675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1922369024]}]}]}, {"tin": {"type": "ein", "value": "521272129"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.96, "providers": [{"billed_charge": 635.53, "npi": [1548378235]}]}]}, {"tin": {"type": "ein", "value": "521958352"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.85, "providers": [{"billed_charge": 555.0, "npi": [1740254143]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.03, "providers": [{"billed_charge": 494.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "540846558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1679912588]}]}]}, {"tin": {"type": "ein", "value": "540888075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.2, "npi": [1144395187]}]}]}, {"tin": {"type": "ein", "value": "541671658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1154312940]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.65, "providers": [{"billed_charge": 842.0, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "560258479"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1083610943]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.78, "providers": [{"billed_charge": 390.0, "npi": [1487866315, 1346297892]}]}]}, {"tin": {"type": "ein", "value": "560529976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.53, "providers": [{"billed_charge": 446.0, "npi": [1700860491]}]}]}, {"tin": {"type": "ein", "value": "560552787"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.82, "providers": [{"billed_charge": 370.0, "npi": [1144211301]}]}]}, {"tin": {"type": "ein", "value": "560619359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.78, "providers": [{"billed_charge": 387.0, "npi": [1013918960]}]}]}, {"tin": {"type": "ein", "value": "560942865"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1053372516, 1720174238]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1184801441, 1528083011, 1417994757, 1811282056, 1669934410, 1073510863]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1285845289, 1033573407]}]}]}, {"tin": {"type": "ein", "value": "560988142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1083829378]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1487660171, 1487516357]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.78, "providers": [{"billed_charge": 365.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "562143518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 260.51, "providers": [{"billed_charge": 463.4, "npi": [1881688976]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1801002324, 1669458246]}]}, {"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "562669185"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1477719474]}]}]}, {"tin": {"type": "ein", "value": "570341194"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.59, "providers": [{"billed_charge": 295.0, "npi": [1982604021]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1932562683, 1366079204, 1891891347]}]}]}, {"tin": {"type": "ein", "value": "570963518"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1679919260]}]}]}, {"tin": {"type": "ein", "value": "571049603"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1326035072, 1205893187, 1629455134]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.29, "providers": [{"billed_charge": 414.0, "npi": [1437622933]}]}]}, {"tin": {"type": "ein", "value": "579027574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1053517516]}]}]}, {"tin": {"type": "ein", "value": "580568702"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.4, "providers": [{"billed_charge": 563.0, "npi": [1063406684]}]}]}, {"tin": {"type": "ein", "value": "581093931"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1215137385]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1710481783]}]}, {"allowed_amount": 14.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1831495696, 1568442887]}]}, {"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1942238084]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1720265861]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1316978968]}]}, {"allowed_amount": 22.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1952379000]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.24, "providers": [{"billed_charge": 503.0, "npi": [1528056066]}, {"billed_charge": 528.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1275851636, 1922033745, 1881987972, 1356787840]}]}]}, {"tin": {"type": "ein", "value": "581685139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.63, "providers": [{"billed_charge": 318.27, "npi": [1255401519]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.95, "providers": [{"billed_charge": 463.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1871740332]}]}, {"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1891717666, 1386960243, 1992264212, 1194091132, 1023506557, 1134489438]}]}]}, {"tin": {"type": "ein", "value": "581790149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 348.0, "npi": [1801883780]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 247.8, "npi": [1194744326]}, {"billed_charge": 260.0, "npi": [1194744326]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.71, "providers": [{"billed_charge": 433.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1154731388]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 664.0, "npi": [1952340994]}]}, {"allowed_amount": 197.11, "providers": [{"billed_charge": 664.0, "npi": [1376574277]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1770601882, 1275851636]}]}, {"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1033572425, 1437105707, 1487281341]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1558822890, 1669664603, 1164410916]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.66, "providers": [{"billed_charge": 515.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 412.8, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 146.08, "providers": [{"billed_charge": 626.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 412.8, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.54, "providers": [{"billed_charge": 271.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1578820593]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1760598924]}]}, {"allowed_amount": 11.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1396751426, 1306865639, 1255316873, 1386976207, 1396021648, 1770534869]}]}, {"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1760598924, 1164672556]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1093707457]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.53, "providers": [{"billed_charge": 431.0, "npi": [1295702728]}]}, {"allowed_amount": 192.67, "providers": [{"billed_charge": 431.0, "npi": [1295702728, 1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.36, "providers": [{"billed_charge": 694.13, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590624462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.76, "providers": [{"billed_charge": 722.0, "npi": [1437135811]}]}, {"allowed_amount": 229.02, "providers": [{"billed_charge": 722.0, "npi": [1376529743]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1417948811]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 545.28, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.13, "providers": [{"billed_charge": 650.73, "npi": [1598657298, 1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.28, "providers": [{"billed_charge": 731.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.71, "providers": [{"billed_charge": 297.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 507.92, "providers": [{"billed_charge": 565.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590724462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.4, "providers": [{"billed_charge": 722.0, "npi": [1477599975]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.71, "providers": [{"billed_charge": 298.0, "npi": [1578620449]}]}, {"allowed_amount": 917.05, "providers": [{"billed_charge": 298.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.76, "providers": [{"billed_charge": 722.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.85, "providers": [{"billed_charge": 297.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1215164348, 1457334732, 1982832572, 1497131734]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1306135777, 1497190946, 1861726952, 1588610026, 1932182219, 1457334732, 1215164348, 1427580331, 1023570827, 1750516720, 1982832572, 1811525108, 1497131734, 1710179676, 1033608922, 1679006555, 1780846204]}]}, {"allowed_amount": 19.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1033608922]}]}, {"allowed_amount": 26.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1780846204, 1306135777, 1497190946, 1861726952, 1982832572, 1023570827, 1457334732, 1932182219, 1588610026, 1427580331, 1750516720, 1497131734, 1710179676, 1033608922, 1679006555, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 342.6, "providers": [{"billed_charge": 448.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1316500937]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1356318133]}]}, {"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1538200969]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1841723434]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1437265121, 1265488035, 1083796387, 1366909830, 1437126216, 1720024680, 1275186280, 1669521803, 1780900365, 1952612046, 1033181839, 1003296146, 1255580627, 1477086718]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1962021774, 1609220300, 1093782070, 1043287311]}]}, {"allowed_amount": 12.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1093782070, 1750801031]}]}, {"allowed_amount": 12.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1265488035, 1750801031]}]}, {"allowed_amount": 14.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1205498896]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1306865639, 1154372423, 1417035817, 1609220300, 1962021774]}]}, {"allowed_amount": 19.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1205498896]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1962021774, 1043287311]}]}, {"allowed_amount": 23.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1093782070]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1740271121]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1316135429, 1457342727, 1427345032, 1184940330, 1457649709, 1508245424, 1053512889, 1851315519, 1801026893, 1649245903, 1093109969, 1679956817, 1831180124, 1285923292, 1881647592, 1801185897, 1811191661, 1356393086, 1477966463]}]}, {"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1184940330, 1295178630]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1891159992, 1295178630]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1497929954]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1497929954]}, {"billed_charge": 87.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1619037025, 1083656706, 1578507588, 1003905290, 1316981996]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1083656706, 1710230982, 1114960200, 1295872240, 1457886046]}, {"billed_charge": 37.0, "npi": [1083602817, 1225010564, 1750730149, 1104350537, 1285610923, 1013910702, 1619064623, 1275840720, 1285051441, 1437248853, 1063861045, 1578551321, 1497049563]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1033307137, 1114187457, 1306263751, 1568953065, 1447815089, 1164490769, 1659341139, 1578704342, 1558789115, 1811151996, 1023052990]}]}, {"allowed_amount": 12.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1255890323]}]}, {"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1235109729]}]}, {"allowed_amount": 14.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1437441250]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1235109729, 1902243009, 1508319815, 1306263751, 1568953065, 1447815089, 1659341139, 1578704342, 1558789115, 1811151996, 1023052990]}]}, {"allowed_amount": 19.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1295872240]}]}, {"allowed_amount": 26.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1346312931]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1023468709, 1821592999, 1417941832, 1851404107, 1821228396, 1184690893, 1487151536, 1003027376, 1295729689, 1427317882, 1811903867, 1285016733, 1174539134]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1851404107, 1811903867]}]}, {"allowed_amount": 17.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1487151536]}]}, {"allowed_amount": 19.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1134509284]}]}, {"allowed_amount": 19.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1285016733]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1457770232, 1568994457, 1871098699, 1184184533]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 295.36, "providers": [{"billed_charge": 702.0, "npi": [1396992475]}]}, {"allowed_amount": 702.0, "providers": [{"billed_charge": 702.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 591.4, "providers": [{"billed_charge": 1408.1, "npi": [1841237930]}]}, {"allowed_amount": 638.72, "providers": [{"billed_charge": 1520.75, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1033857792]}]}, {"allowed_amount": 12.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1144615352]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1922637784, 1053382507]}]}, {"allowed_amount": 26.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1033857792, 1396164513, 1467214536, 1487600649, 1467835769, 1528632122, 1558795005]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.14, "providers": [{"billed_charge": 649.0, "npi": [1184709057]}]}, {"allowed_amount": 175.68, "providers": [{"billed_charge": 649.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1235104969, 1942260005]}]}, {"allowed_amount": 19.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1891857611]}]}, {"allowed_amount": 26.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1598442048, 1477085504, 1497981989, 1912972092, 1184736647, 1235104969, 1457553034, 1013476878, 1235172529, 1154395218, 1922068956, 1609187517, 1346446911]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.05, "providers": [{"billed_charge": 657.73, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.82, "npi": [1265886626, 1245712835, 1922149988, 1851581540, 1619396934, 1487889267, 1710060595, 1124281175, 1114239001, 1598010910]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.07, "providers": [{"billed_charge": 297.0, "npi": [1699874248]}]}, {"allowed_amount": 328.08, "providers": [{"billed_charge": 297.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592043026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.02, "providers": [{"billed_charge": 722.0, "npi": [1427024942]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.71, "providers": [{"billed_charge": 585.71, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.62, "providers": [{"billed_charge": 632.02, "npi": [1730620188]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 431.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 545.28, "providers": [{"billed_charge": 760.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.4, "providers": [{"billed_charge": 691.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1225491889]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1013177120, 1093827214, 1457349458, 1437378742, 1235194168, 1528333887]}]}, {"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1093827214, 1528333887]}]}, {"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1235194168, 1457349458]}]}]}, {"tin": {"type": "ein", "value": "593202547"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.25, "providers": [{"billed_charge": 398.0, "npi": [1104926401]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1730298837]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1659571412]}, {"billed_charge": 40.0, "npi": [1548477060, 1750519815, 1063854354, 1558571794, 1497072292, 1750778536, 1659665016, 1588079917, 1649478702, 1255999033, 1447813308, 1659494334, 1982690624, 1013904192, 1013335876, 1164552014, 1669679569, 1912084955, 1720375900, 1396946653, 1578560223, 1184678369, 1538180963, 1619530854, 1093888489, 1396731113, 1376961904, 1548796535, 1184637688]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1124080668]}]}, {"allowed_amount": 11.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1366978876]}, {"billed_charge": 40.0, "npi": [1366978876, 1730298837]}]}, {"allowed_amount": 12.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1063854354, 1093212771]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1083175061]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1013335876, 1619530854, 1750519815, 1427220235, 1164552014, 1578856662, 1912084955, 1336410844, 1396946653, 1578560223]}, {"billed_charge": 40.0, "npi": [1982690624, 1659801504, 1184678369, 1881691616, 1922495399, 1093888489, 1508183088, 1184637688, 1912084955, 1033395165, 1659494334]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1225358096, 1578524716, 1649599630]}]}, {"allowed_amount": 26.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1033313465, 1578524716, 1619984861]}]}]}, {"tin": {"type": "ein", "value": "593527036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.85, "providers": [{"billed_charge": 297.0, "npi": [1740276518]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.02, "providers": [{"billed_charge": 675.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.0, "providers": [{"billed_charge": 269.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.74, "providers": [{"billed_charge": 263.68, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 546.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "596031176"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1366431702]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.97, "providers": [{"billed_charge": 482.59, "npi": [1689282147]}]}, {"allowed_amount": 195.19, "providers": [{"billed_charge": 482.59, "npi": [1497798847]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.91, "providers": [{"billed_charge": 453.0, "npi": [1447388335]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.27, "providers": [{"billed_charge": 675.06, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "610945743"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1598984254]}]}]}, {"tin": {"type": "ein", "value": "611229242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1700884137]}]}]}, {"tin": {"type": "ein", "value": "611336534"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1568844512]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.26, "providers": [{"billed_charge": 464.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1275950925]}]}]}, {"tin": {"type": "ein", "value": "620803743"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1194762393]}]}, {"allowed_amount": 23.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1386954584, 1407894603]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1083617971]}]}, {"allowed_amount": 23.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1851317309]}]}]}, {"tin": {"type": "ein", "value": "621017562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1487648861]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.9, "providers": [{"billed_charge": 446.8, "npi": [1992776405]}, {"billed_charge": 736.64, "npi": [1720032345]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1649807702, 1831352814]}]}]}, {"tin": {"type": "ein", "value": "621619857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1632.32, "npi": [1811942238]}]}]}, {"tin": {"type": "ein", "value": "621682198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 753.42, "npi": [1689628984]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 283.85, "providers": [{"billed_charge": 811.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 558.25, "providers": [{"billed_charge": 1595.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.8, "providers": [{"billed_charge": 248.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.03, "providers": [{"billed_charge": 1767.74, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1912984758]}]}, {"allowed_amount": 18.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1750410452]}]}]}, {"tin": {"type": "ein", "value": "630288856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.03, "providers": [{"billed_charge": 435.04, "npi": [1558364802]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1730316118]}]}]}, {"tin": {"type": "ein", "value": "630587021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1508818444]}]}]}, {"tin": {"type": "ein", "value": "630639615"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1407201916, 1740337542]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1447316195, 1801877543]}]}]}, {"tin": {"type": "ein", "value": "631041806"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1154393841, 1952549644]}]}]}, {"tin": {"type": "ein", "value": "631133855"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1275511370]}]}]}, {"tin": {"type": "ein", "value": "636000090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.78, "providers": [{"billed_charge": 403.88, "npi": [1003996000]}]}]}, {"tin": {"type": "ein", "value": "640303091"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.21, "providers": [{"billed_charge": 345.0, "npi": [1306876065]}]}]}, {"tin": {"type": "ein", "value": "640548144"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1851770622]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1255593885]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1710449376, 1063533412, 1457579559, 1265722888, 1528070521, 1417410507, 1962444620, 1972634541, 1235394990, 1265438287, 1184112468, 1750319893, 1275530198, 1942760343, 1437671062, 1306882873, 1043419351, 1417507740]}]}, {"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1255593885]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1255593885, 1932188174]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1710449376, 1063533412, 1306334404, 1457579559, 1265722888, 1417507740, 1962444620, 1972634541, 1255593885, 1265438287, 1306882873, 1750319893, 1437671062, 1043419351, 1275530198, 1528070521, 1164461372, 1730485277]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 12.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1780662700]}]}, {"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568]}]}, {"allowed_amount": 14.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1780662700]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568, 1235578980, 1083751366, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1598761165]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.38, "providers": [{"billed_charge": 317.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.13, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 287.12, "providers": [{"billed_charge": 778.05, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1184864100]}]}, {"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1275587388, 1124202916, 1356391908, 1811996382]}, {"billed_charge": 35.0, "npi": [1881984425]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1891796082]}]}]}, {"tin": {"type": "ein", "value": "680273974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1326453861]}]}]}, {"tin": {"type": "ein", "value": "710411459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.8, "providers": [{"billed_charge": 215.0, "npi": [1710943881]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1780891150]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.18, "providers": [{"billed_charge": 151.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "720891412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1699821298]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1154950343]}]}]}, {"tin": {"type": "ein", "value": "721367427"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.28, "npi": [1629364369, 1104238575]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 1890.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.22, "providers": [{"billed_charge": 563.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "731034824"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.16, "providers": [{"billed_charge": 479.0, "npi": [1831103654]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.16, "providers": [{"billed_charge": 403.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 1021.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1012.25, "npi": [1932152337, 1730132234, 1295843787, 1740233782]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.16, "providers": [{"billed_charge": 422.7, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1568412518]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1568412518]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1376510685]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1730490467]}]}, {"allowed_amount": 9.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1548589674]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1831333582, 1326242983]}]}, {"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1750623914, 1467440941, 1831333582, 1710968359]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1699006304, 1619995628, 1275988719, 1962623447, 1982693693]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1083312094]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 407.4, "providers": [{"billed_charge": 1164.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 396.64, "providers": [{"billed_charge": 1133.27, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 759.15, "providers": [{"billed_charge": 2169.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1517.34, "providers": [{"billed_charge": 672.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1821397084, 1942734629]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 601.0, "npi": [1528027786]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.24, "providers": [{"billed_charge": 854.12, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1285890079]}]}, {"allowed_amount": 1.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1043449028, 1891292934]}]}, {"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.33, "npi": [1396011771]}, {"billed_charge": 36.0, "npi": [1396011771, 1689963357]}]}, {"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1851556617, 1730189572]}]}, {"allowed_amount": 9.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1972698793]}]}, {"allowed_amount": 16.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1700839511]}]}]}, {"tin": {"type": "ein", "value": "751292603"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1427039304, 1699958157]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1467897793, 1578853438]}]}, {"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1982023461, 1982662623]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 664.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1467139436, 1518901461]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 1540.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 188.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1154556306]}]}]}, {"tin": {"type": "ein", "value": "800023773"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1306822192]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.68, "providers": [{"billed_charge": 649.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810790569"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1609806918]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 648.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.21, "providers": [{"billed_charge": 648.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 1988.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1427019728, 1225533433]}, {"billed_charge": 25.0, "npi": [1427019728]}]}, {"allowed_amount": 12.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1225533433]}]}, {"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1740229137]}]}]}, {"tin": {"type": "ein", "value": "812857619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 541.4, "npi": [1710491253]}]}]}, {"tin": {"type": "ein", "value": "813080216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1407815525]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1053330787, 1407815525]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.05, "providers": [{"billed_charge": 69.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1114258191, 1548496912, 1700229523, 1528597655, 1043483175, 1871024943, 1417190323, 1619938743, 1316366776, 1659509305, 1417916602, 1508204348, 1194847038, 1699939520, 1609997121, 1306307525, 1669529558, 1093742694, 1386665719]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1205026374, 1518279660, 1548496912, 1386665719, 1316366776, 1659509305, 1194847038]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1457589699, 1043483175, 1518279660, 1093957037, 1932465010, 1700229523, 1669529558, 1316366776, 1508204348, 1558893693, 1194847038]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.35, "providers": [{"billed_charge": 701.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1396169694]}]}, {"allowed_amount": 13.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1821258849]}]}]}, {"tin": {"type": "ein", "value": "823167668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1669675658]}]}]}, {"tin": {"type": "ein", "value": "823914925"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.25, "providers": [{"billed_charge": 164.0, "npi": [1841701562]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1477782969]}]}, {"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1447785480, 1982048948]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1821358698]}]}]}, {"tin": {"type": "ein", "value": "830516935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.3, "providers": [{"billed_charge": 262.0, "npi": [1548750417]}]}]}, {"tin": {"type": "ein", "value": "830535258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1639448020]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1518300052]}]}]}, {"tin": {"type": "ein", "value": "831683025"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 146.06, "providers": [{"billed_charge": 323.6, "npi": [1972071991]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.28, "providers": [{"billed_charge": 556.62, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.33, "providers": [{"billed_charge": 556.62, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "833180104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1679736284]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1730445339]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.62, "providers": [{"billed_charge": 1062.85, "npi": [1912249590]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1407344906, 1861451411]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1265499826, 1457538498, 1982850111]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.62, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 903.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "842569909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.02, "providers": [{"billed_charge": 675.0, "npi": [1003465097]}]}]}, {"tin": {"type": "ein", "value": "843038369"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1518946649]}]}]}, {"tin": {"type": "ein", "value": "843178470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.1, "providers": [{"billed_charge": 450.0, "npi": [1588290993]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1336261403]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.98, "providers": [{"billed_charge": 284.0, "npi": [1376175687]}]}]}, {"tin": {"type": "ein", "value": "844693833"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1801139522]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1902096704, 1487641650]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1558350314]}]}]}, {"tin": {"type": "ein", "value": "851762276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1588253058]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1861712531]}]}, {"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1295706307]}]}]}, {"tin": {"type": "ein", "value": "853059482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1538149943]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.69, "providers": [{"billed_charge": 200.0, "npi": [1205061744]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1215017827, 1861517013, 1003045022]}]}]}, {"tin": {"type": "ein", "value": "854092192"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1528056280]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 187.7, "providers": [{"billed_charge": 237.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 6.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1386805109]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1053474080, 1104273549, 1306126222, 1396307344, 1417416371, 1356339188, 1942255062, 1003406711, 1598782492]}, {"billed_charge": 60.0, "npi": [1952402273]}, {"billed_charge": 125.0, "npi": [1265457485]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1316102080]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1053474080, 1689671828, 1356339188]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1740642883, 1659514727]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.13, "providers": [{"billed_charge": 238.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880119638"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1720066921, 1801017074, 1407834435, 1194767012]}]}]}, {"tin": {"type": "ein", "value": "880279310"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1790990141]}]}]}, {"tin": {"type": "ein", "value": "880307447"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1629234323, 1164818175]}]}]}, {"tin": {"type": "ein", "value": "880455713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 1561.0, "npi": [1770626426]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.68, "providers": [{"billed_charge": 23.0, "npi": [1841210275, 1457779332, 1790219335, 1164251864, 1184644510]}]}, {"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1558336834, 1841210275, 1457779332, 1346284106, 1184644510]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 495.0, "npi": [1679299408]}]}]}, {"tin": {"type": "ein", "value": "884128022"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1508860438]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 341.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "900065118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.22, "providers": [{"billed_charge": 272.0, "npi": [1275566200]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 590.0, "providers": [{"billed_charge": 590.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 6.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1063523587, 1821039025, 1114033875, 1912525254]}]}]}, {"tin": {"type": "ein", "value": "910567732"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.19, "providers": [{"billed_charge": 455.0, "npi": [1346250594]}]}]}, {"tin": {"type": "ein", "value": "910568304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.18, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 604.0, "npi": [1154378859]}]}]}, {"tin": {"type": "ein", "value": "910568304"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1871931667]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1245218171]}]}]}, {"tin": {"type": "ein", "value": "921056696"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1487647905]}]}]}, {"tin": {"type": "ein", "value": "930593725"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1558484238, 1346277399]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1881815017]}]}]}, {"tin": {"type": "ein", "value": "934027365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1710478847]}]}]}, {"tin": {"type": "ein", "value": "934163254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.8, "npi": [1568634509]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.59, "providers": [{"billed_charge": 972.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "934627934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1346289220]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 738.0, "providers": [{"billed_charge": 738.0, "npi": [1366896300]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.81, "providers": [{"billed_charge": 410.45, "npi": [1043220650]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1548614050, 1932135746, 1962908137, 1962943563, 1467485334, 1326059551]}]}]}, {"tin": {"type": "ein", "value": "942966546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1013336072]}]}]}, {"tin": {"type": "ein", "value": "943159355"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1851917348]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 903.0, "providers": [{"billed_charge": 903.0, "npi": [1407813660]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1228.99, "providers": [{"billed_charge": 1009.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 633.0, "providers": [{"billed_charge": 633.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1205396751]}]}]}, {"tin": {"type": "ein", "value": "952598917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1619298965]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1780138289]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.29, "providers": [{"billed_charge": 671.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1255593604]}]}, {"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1164051017]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1942427463]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 360.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.35, "providers": [{"billed_charge": 686.35, "npi": [1811099674]}]}]}, {"tin": {"type": "ein", "value": "954747393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1558342139]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1366646416]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1770739260]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1770739260]}]}, {"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1023022399]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1255527115]}]}, {"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1134652753, 1245206887, 1487090213, 1437268695]}, {"billed_charge": 47.0, "npi": [1316990328, 1578573606, 1720280530, 1053386136, 1619409372, 1033153663]}]}, {"allowed_amount": 15.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1578500401]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1053386136]}]}]}, {"tin": {"type": "ein", "value": "991380793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1548766066, 1558657643]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1356737688]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.5, "npi": [1174905632]}]}, {"allowed_amount": 11.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.5, "npi": [1851567788]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 564.36, "providers": [{"billed_charge": 718.0, "npi": [1427806025, 1780429076, 1366281750]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1831312099]}]}]}]}, {"name": "Radiologic examination, elbow; 2 views", "billing_code_type": "CPT", "billing_code": "73070", "billing_code_type_version": "2022", "description": "RADEX ELBOW 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.87, "providers": [{"billed_charge": 345.35, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770921132]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "330449527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 674.0, "providers": [{"billed_charge": 674.0, "npi": [1528041811]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1639150741]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1538130265]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1235517558, 1538588207]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1851569701, 1013063908, 1891996047, 1619497567]}]}, {"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1013063908, 1104288836, 1215024971, 1538588207, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1376047050]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1699747170]}]}]}, {"tin": {"type": "ein", "value": "562136828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.23, "providers": [{"billed_charge": 66.92, "npi": [1285364406]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1265752182]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1992264212]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1083807408]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 791.93, "providers": [{"billed_charge": 765.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1477966463]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1659341139, 1306263751]}]}, {"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1508319815]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1285016733]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1972575835, 1346201647]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.41, "providers": [{"billed_charge": 696.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1720430010]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1366978876]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1235578980]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1083693352, 1780662700, 1235578980]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1972698793]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1669835005]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.9, "providers": [{"billed_charge": 75.13, "npi": [1891735544, 1902912454]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.82, "providers": [{"billed_charge": 60.48, "npi": [1366828089, 1457057671]}]}, {"allowed_amount": 60.48, "providers": [{"billed_charge": 60.48, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.82, "providers": [{"billed_charge": 100.0, "npi": [1255388815]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1518062413]}]}]}, {"tin": {"type": "ein", "value": "952639291"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1306342084]}]}]}]}, {"name": "Radiologic examination, elbow; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code": "73080", "billing_code_type_version": "2022", "description": "RADEX ELBOW COMPLETE MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 15.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1700804713, 1417119124, 1346211877]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1780864033, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1851569701]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1225069776]}]}, {"allowed_amount": 31.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.17, "providers": [{"billed_charge": 769.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1659321248]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 32.14, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 100.0, "npi": [1497707327]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1508819970]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1386694040, 1093748840]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053383786, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.0, "providers": [{"billed_charge": 173.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "362646425"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1346439015]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1376527382]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1831312099]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.83, "providers": [{"billed_charge": 137.66, "npi": [1376783548]}]}, {"allowed_amount": 78.49, "providers": [{"billed_charge": 137.66, "npi": [1386460756]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 20.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 37.08, "providers": [{"billed_charge": 132.0, "npi": [1164803078]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 82.0, "providers": [{"billed_charge": 82.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1982665055]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1972767556]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.93, "providers": [{"billed_charge": 46.82, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.94, "npi": [1508942319]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851826440, 1215024971, 1851569701]}]}, {"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380, 1104288836, 1215024971, 1891996047, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 12.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1013063908]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.61, "providers": [{"billed_charge": 404.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1801002324]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 399.42, "providers": [{"billed_charge": 1141.21, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1720035033]}]}]}, {"tin": {"type": "ein", "value": "581839412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1801044714]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 322.4, "providers": [{"billed_charge": 716.44, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1972361756]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1485.4, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1861726952, 1588610026, 1710179676]}]}, {"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1861726952]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1043287311]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1861463069]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1497929954]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1629277249]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1033307137, 1811151996]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1477907640, 1871098699]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.17, "providers": [{"billed_charge": 769.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 5.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1295601854]}]}, {"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1558332809]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 485.19, "providers": [{"billed_charge": 436.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1548477060, 1649478702]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1497072292]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1730134313]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.83, "providers": [{"billed_charge": 100.0, "npi": [1487322335]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1114218112]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1184112468, 1942760343]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568, 1205815289, 1962834671]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568, 1235578980, 1083693352, 1477754349, 1962834671, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1639564479]}]}]}, {"tin": {"type": "ein", "value": "770251480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1780882910]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.57, "providers": [{"billed_charge": 83.4, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1427019728]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.27, "providers": [{"billed_charge": 86.0, "npi": [1225899826]}]}, {"allowed_amount": 45.83, "providers": [{"billed_charge": 86.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 70.12, "providers": [{"billed_charge": 86.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.83, "providers": [{"billed_charge": 163.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1316108731, 1750577078]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1194847038]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.83, "providers": [{"billed_charge": 67.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1992071385]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 902.0, "providers": [{"billed_charge": 902.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "840760359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1770585721]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.83, "providers": [{"billed_charge": 67.9, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.83, "providers": [{"billed_charge": 110.0, "npi": [1093315947, 1871681999]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.49, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}, {"allowed_amount": 51.01, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.83, "providers": [{"billed_charge": 266.0, "npi": [1114696176, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1598782492]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.49, "providers": [{"billed_charge": 150.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1316990328]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.1, "npi": [1124243282]}]}]}]}, {"name": "Radiologic examination, femur; 1 view", "billing_code_type": "CPT", "billing_code": "73551", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION FEMUR 1 VIEW", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1780864033]}]}, {"allowed_amount": 15.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1235517558, 1891996047]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851826440, 1053585380, 1891996047]}]}, {"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851826440]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851826440, 1700315025, 1235517558, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1386080604]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}]}]}, {"name": "Radiologic examination, femur; minimum 2 views", "billing_code_type": "CPT", "billing_code": "73552", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1427031095]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1225069776, 1780864033, 1598913980]}]}, {"allowed_amount": 16.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1346235801]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1841255759]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 174.65, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1558450023]}]}, {"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1053383786, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 21.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1548436132, 1770878654]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 25.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.0, "providers": [{"billed_charge": 138.0, "npi": [1538051990]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.33, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1851826440, 1770646457, 1053585380]}]}, {"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380, 1851569701, 1013063908, 1215024971, 1619497567]}]}, {"allowed_amount": 12.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1215024971]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1104288836, 1013063908, 1215024971, 1235517558, 1073017174, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1568442887]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 479.93, "providers": [{"billed_charge": 1066.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1679006555, 1427580331]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1497929954]}, {"billed_charge": 76.0, "npi": [1497929954]}]}, {"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1083656706, 1073557518, 1629357207]}]}, {"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1326014572]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1003027376, 1427317882]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1426.66, "providers": [{"billed_charge": 3396.82, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1346201647]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.17, "providers": [{"billed_charge": 769.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1477085504]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.44, "npi": [1437139540]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1750840682]}]}, {"allowed_amount": 19.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1558571794]}, {"billed_charge": 42.0, "npi": [1922495399]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 19.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1467455394, 1588838718]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1306334404]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1205815289, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1273.11, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.23, "providers": [{"billed_charge": 90.85, "npi": [1891735544, 1285359414]}]}, {"allowed_amount": 66.41, "providers": [{"billed_charge": 90.85, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1225533433]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1225533433]}]}, {"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.49, "providers": [{"billed_charge": 120.0, "npi": [1700405818]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.23, "providers": [{"billed_charge": 100.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1780673483]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.49, "providers": [{"billed_charge": 75.0, "npi": [1659187680]}]}]}]}, {"name": "Radiologic examination, finger(s), minimum of 2 views", "billing_code_type": "CPT", "billing_code": "73140", "billing_code_type_version": "2022", "description": "RADEX FINGR MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776, 1801899042]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1851569701]}]}, {"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.11, "providers": [{"billed_charge": 92.99, "npi": [1982273678]}]}, {"allowed_amount": 54.54, "providers": [{"billed_charge": 292.99, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1134373731]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1053383786, 1558450023]}]}, {"allowed_amount": 12.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1225089428, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "383380785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1740219278]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 17.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 135.0, "npi": [1447735030]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1972767556]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 8.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1053585380]}]}, {"allowed_amount": 9.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1053585380]}]}, {"allowed_amount": 9.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1104288836, 1053585380, 1891996047]}]}, {"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1053585380]}]}, {"allowed_amount": 9.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1235517558, 1619497567]}]}, {"allowed_amount": 9.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1053585380, 1104288836, 1013063908, 1538588207, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 10.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1013063908, 1104288836, 1215024971, 1891996047, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "521514497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1215315551]}]}]}, {"tin": {"type": "ein", "value": "540846558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1396915237]}]}]}, {"tin": {"type": "ein", "value": "561342388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1750388211]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.13, "providers": [{"billed_charge": 386.96, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1063654531]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 722.0, "providers": [{"billed_charge": 722.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1750730149]}]}, {"allowed_amount": 12.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1447815089]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1811903867]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1346201647]}]}, {"allowed_amount": 21.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1346201647]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.62, "providers": [{"billed_charge": 649.59, "npi": [1518277946]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1508418443]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 69.03, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 151.0, "npi": [1205276201, 1689173155]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1275530198]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1124293568, 1235578980, 1780662700, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1124293568, 1205815289, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 944.98, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.38, "providers": [{"billed_charge": 622.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.22, "providers": [{"billed_charge": 97.6, "npi": [1023759875, 1902912454]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 99.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 83.45, "providers": [{"billed_charge": 99.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1548496912, 1194847038, 1386665719]}]}, {"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.55, "providers": [{"billed_charge": 78.0, "npi": [1912482282]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1396192118]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.6, "providers": [{"billed_charge": 80.8, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.88, "providers": [{"billed_charge": 130.0, "npi": [1639600414, 1871681999]}]}, {"allowed_amount": 49.11, "providers": [{"billed_charge": 130.0, "npi": [1336613603]}]}, {"allowed_amount": 54.54, "providers": [{"billed_charge": 130.0, "npi": [1336613603, 1093291916, 1659617686, 1871681999]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.48, "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 60.67, "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 70.57, "providers": [{"billed_charge": 300.0, "npi": [1386954055]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1083610943]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 135.0, "npi": [1205061744]}]}, {"allowed_amount": 93.4, "providers": [{"billed_charge": 135.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.51, "providers": [{"billed_charge": 35.51, "npi": [1659187680]}]}]}, {"tin": {"type": "ein", "value": "883046892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 66.98, "providers": [{"billed_charge": 97.0, "npi": [1760208839]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.42, "npi": [1639175144]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1740212372]}]}]}]}, {"name": "Radiologic examination, foot; 2 views", "billing_code_type": "CPT", "billing_code": "73620", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION FOOT 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["19", "23"], "payments": [{"allowed_amount": 9.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1851569701]}]}, {"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 12.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1225069776, 1780864033, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.2, "npi": [1982650842]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1386694040]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1013063908]}]}, {"allowed_amount": 9.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380]}]}, {"allowed_amount": 10.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380]}]}, {"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1619497567]}]}, {"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380, 1619497567, 1538588207]}]}, {"allowed_amount": 11.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1104288836, 1851826440, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 12.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1700315025, 1235767062, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1245687540]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1972155505]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 295.88, "providers": [{"billed_charge": 657.52, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1083807408]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1932182219]}]}, {"allowed_amount": 48.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1811525108]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1558789115]}]}, {"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1659341139]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1720430010]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1578573606]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1528333887]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1205815289, 1649764531, 1235578980]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}, {"allowed_amount": 12.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}, {"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.93, "providers": [{"billed_charge": 75.0, "npi": [1942335492]}]}, {"allowed_amount": 39.91, "providers": [{"billed_charge": 75.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.12, "providers": [{"billed_charge": 59.12, "npi": [1366828089]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.77, "providers": [{"billed_charge": 100.0, "npi": [1871681999]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.91, "providers": [{"billed_charge": 85.0, "npi": [1568899961]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.96, "providers": [{"billed_charge": 250.0, "npi": [1568031219]}]}]}]}, {"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": "020701782"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.04, "providers": [{"billed_charge": 77.0, "npi": [1104934348]}]}]}, {"tin": {"type": "ein", "value": "042911067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1538367289]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1780642702]}]}, {"allowed_amount": 30.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.5, "npi": [1851341739]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.81, "providers": [{"billed_charge": 83.0, "npi": [1972060101, 1750773255]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1881987238]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1801899042, 1851569701, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1225069776, 1538196977, 1598913980]}]}, {"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1851569701]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1225069776]}]}, {"allowed_amount": 24.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1225069776, 1447250618, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "201209403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1912343435]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.21, "providers": [{"billed_charge": 99.57, "npi": [1407116544]}]}, {"allowed_amount": 44.81, "providers": [{"billed_charge": 99.57, "npi": [1730631482]}]}, {"allowed_amount": 99.57, "providers": [{"billed_charge": 99.57, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 98.91, "providers": [{"billed_charge": 110.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1003868522]}]}, {"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1962451237]}]}]}, {"tin": {"type": "ein", "value": "204296528"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.81, "providers": [{"billed_charge": 65.0, "npi": [1851394217]}]}]}, {"tin": {"type": "ein", "value": "204722218"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1306005806]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1376805044]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1881644359]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "237134386"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.1, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 445.0, "npi": [1508823741]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1720655582]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.6, "npi": [1659323368, 1225318827, 1710211701]}]}]}, {"tin": {"type": "ein", "value": "263933920"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1477753218]}]}]}, {"tin": {"type": "ein", "value": "263954726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1780765297]}]}]}, {"tin": {"type": "ein", "value": "264626264"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.81, "providers": [{"billed_charge": 214.0, "npi": [1437482817]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.21, "providers": [{"billed_charge": 99.57, "npi": [1851576102]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1255161022, 1609830751]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1790199107]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1376800342]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1922088392]}]}]}, {"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1376527382]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 15.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077]}]}, {"allowed_amount": 30.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1053383786, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1538130265, 1548436132, 1194017749, 1740780535]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1801992888]}]}]}, {"tin": {"type": "ein", "value": "390867579"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1174818967]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 50.4, "providers": [{"billed_charge": 112.0, "npi": [1689070906]}]}]}, {"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.48, "npi": [1619913639]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.21, "providers": [{"billed_charge": 90.0, "npi": [1376783548, 1386460756, 1306686381, 1184441719]}]}, {"allowed_amount": 80.85, "providers": [{"billed_charge": 90.0, "npi": [1306686381]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 20.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.94, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 123.0, "npi": [1407682255]}]}, {"allowed_amount": 38.19, "providers": [{"billed_charge": 123.0, "npi": [1538051990]}]}, {"allowed_amount": 47.21, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 123.0, "npi": [1215675988, 1447735030]}]}, {"allowed_amount": 48.45, "providers": [{"billed_charge": 123.0, "npi": [1558182824]}]}, {"allowed_amount": 72.23, "providers": [{"billed_charge": 123.0, "npi": [1386334928, 1194518241]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.99, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 76.0, "npi": [1326017468]}]}, {"allowed_amount": 47.21, "providers": [{"billed_charge": 76.0, "npi": [1730238965]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1003084971, 1770743908, 1669708715]}]}, {"allowed_amount": 14.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1831107754]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.12, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.04, "npi": [1508942319]}]}]}, {"tin": {"type": "ein", "value": "465104391"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1689659039]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 1.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1770646457, 1053585380, 1619497567, 1891996047]}]}, {"allowed_amount": 11.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1104288836, 1013063908, 1851569701, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 11.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851826440, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1235517558, 1235767062, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 12.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1235517558]}]}, {"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.13, "providers": [{"billed_charge": 175.0, "npi": [1861685034]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1629352083]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1467913442]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.55, "providers": [{"billed_charge": 265.55, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1174522528]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 384.47, "providers": [{"billed_charge": 426.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1134307705, 1942733597, 1295172351]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1194091132, 1366491813]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1730441593]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1982839593]}]}, {"allowed_amount": 12.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1841264496]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.91, "providers": [{"billed_charge": 775.35, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.8, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.67, "providers": [{"billed_charge": 965.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1215164348, 1023212214]}]}, {"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1982832572, 1457334732, 1710179676, 1932182219]}, {"billed_charge": 114.0, "npi": [1710179676]}]}, {"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1750516720, 1215164348, 1457334732]}]}, {"allowed_amount": 50.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1932182219]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1669521803, 1780900365]}]}, {"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1609220300, 1043287311]}]}, {"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1750801031]}]}, {"allowed_amount": 19.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1205498896]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1962021774, 1043287311]}]}, {"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1669521803]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1164466744, 1093931313, 1184940330, 1356393086]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1982137816, 1225026073, 1316366818, 1154522738]}, {"billed_charge": 35.0, "npi": [1629277249, 1124217021]}]}, {"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1902243009, 1376705665, 1306263751, 1447815089, 1558789115, 1023052990]}]}, {"allowed_amount": 15.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1376705665, 1558789115, 1568953065]}]}, {"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1275840720]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1417941832, 1811903867]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 431.31, "providers": [{"billed_charge": 532.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1346201647]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 666.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1477085504, 1295601854]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.36, "npi": [1992294938]}]}, {"allowed_amount": 33.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 63.36, "npi": [1164072393]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.81, "providers": [{"billed_charge": 1026.87, "npi": [1629632096, 1518277946]}]}]}, {"tin": {"type": "ein", "value": "593208445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 23.89, "npi": [1962468389]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1801047683]}]}, {"allowed_amount": 18.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1215317888]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 666.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.75, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 353.29, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.99, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 134.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1821060526]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.21, "providers": [{"billed_charge": 100.0, "npi": [1841968799]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1841968799]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1306334404, 1235394990]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1528070521, 1750319893, 1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1366646424, 1275587388]}]}, {"allowed_amount": 12.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1528591781]}]}]}, {"tin": {"type": "ein", "value": "660434472"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1205199668]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.83, "providers": [{"billed_charge": 334.94, "npi": [1487699047]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1952651325]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.21, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}, {"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800756169"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1225075450]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.91, "providers": [{"billed_charge": 86.73, "npi": [1891735544, 1285359414, 1023759875, 1902912454]}]}, {"allowed_amount": 63.4, "providers": [{"billed_charge": 86.73, "npi": [1225176209, 1508115825]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}, {"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.51, "providers": [{"billed_charge": 91.0, "npi": [1114498730, 1225899826, 1811798275]}]}, {"allowed_amount": 47.21, "providers": [{"billed_charge": 91.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 72.23, "providers": [{"billed_charge": 91.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.62, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 132.62, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1518279660, 1508204348, 1619938743]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1386677680, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.71, "providers": [{"billed_charge": 70.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "826041596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1063469500]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.21, "providers": [{"billed_charge": 69.94, "npi": [1366828089]}]}, {"allowed_amount": 69.94, "providers": [{"billed_charge": 69.94, "npi": [1366828089, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.31, "providers": [{"billed_charge": 120.0, "npi": [1700405818, 1871681999]}]}, {"allowed_amount": 42.51, "providers": [{"billed_charge": 120.0, "npi": [1336613603]}]}, {"allowed_amount": 47.21, "providers": [{"billed_charge": 120.0, "npi": [1700405818, 1093315947, 1659389229]}]}, {"allowed_amount": 52.46, "providers": [{"billed_charge": 120.0, "npi": [1659389229]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.91, "providers": [{"billed_charge": 400.0, "npi": [1770084022]}]}, {"allowed_amount": 52.53, "providers": [{"billed_charge": 400.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1780673483]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.67, "providers": [{"billed_charge": 250.0, "npi": [1205061744]}]}, {"allowed_amount": 47.21, "providers": [{"billed_charge": 250.0, "npi": [1205061744, 1992043715]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.51, "providers": [{"billed_charge": 266.0, "npi": [1114696176, 1154480218, 1922436922]}]}, {"allowed_amount": 47.21, "providers": [{"billed_charge": 266.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1003137787, 1942255062]}]}]}, {"tin": {"type": "ein", "value": "863087969"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1720460827]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.92, "providers": [{"billed_charge": 18.0, "npi": [1841210275]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.0, "providers": [{"billed_charge": 48.0, "npi": [1952040552]}]}]}, {"tin": {"type": "ein", "value": "900950252"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1982101234]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.2, "npi": [1295878221]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 98.91, "providers": [{"billed_charge": 156.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "942728480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1174083596]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.44, "npi": [1033405485]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1366646416, 1770739260]}]}, {"allowed_amount": 14.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1730138793]}, {"billed_charge": 45.0, "npi": [1821044553, 1033168422]}]}]}]}, {"name": "Radiologic examination, hand; 2 views", "billing_code_type": "CPT", "billing_code": "73120", "billing_code_type_version": "2022", "description": "RADEX HAND 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1851569701]}]}, {"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1225069776]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1225069776, 1538196977, 1801899042]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1447250618]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.22, "providers": [{"billed_charge": 77.05, "npi": [1982273678]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1770646457, 1053585380, 1235517558]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1013063908, 1215024971, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1891996047]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851826440, 1215024971, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 15.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.48, "providers": [{"billed_charge": 175.0, "npi": [1861685034]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1710481783]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.42, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 599.0, "npi": [1801231451]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1295729689]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1972575835]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1720430010]}]}]}, {"tin": {"type": "ein", "value": "592319288"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.72, "npi": [1528180338]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1306993282, 1609041847]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1205815289]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1033179130]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1093911166]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}, {"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.56, "providers": [{"billed_charge": 75.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1053386136]}]}]}]}, {"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": "061522306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.7, "npi": [1043508617]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1750609855]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.46, "providers": [{"billed_charge": 83.0, "npi": [1326152190]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 16.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1851569701]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1538196977]}]}, {"allowed_amount": 26.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.98, "providers": [{"billed_charge": 112.02, "npi": [1659116861]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 114.0, "npi": [1902003635]}]}, {"allowed_amount": 110.29, "providers": [{"billed_charge": 114.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1881643153]}]}, {"allowed_amount": 27.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1568663680, 1568824738]}]}]}, {"tin": {"type": "ein", "value": "205383005"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1275979437]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1265415897]}]}]}, {"tin": {"type": "ein", "value": "221917247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1023189214]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1083900575]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1578534533]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.75, "npi": [1447243878]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.75, "npi": [1447243878]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1114974706]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1598750747]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1508819970]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1922088392]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1558450023, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1548436132]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.0, "providers": [{"billed_charge": 173.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "385700800"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1326036559]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1891726436]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1497771786]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 53.55, "providers": [{"billed_charge": 119.0, "npi": [1902366644]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.24, "providers": [{"billed_charge": 134.66, "npi": [1184441719]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 20.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1255364378, 1043474190, 1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.58, "providers": [{"billed_charge": 134.0, "npi": [1538051990, 1164803078]}]}, {"allowed_amount": 52.69, "providers": [{"billed_charge": 134.0, "npi": [1700752599]}]}, {"allowed_amount": 54.54, "providers": [{"billed_charge": 134.0, "npi": [1164803078]}]}, {"allowed_amount": 83.24, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 134.0, "npi": [1780373209]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1457619017, 1073595740]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.97, "providers": [{"billed_charge": 62.0, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.94, "providers": [{"billed_charge": 130.0, "npi": [1124884515]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1770646457]}]}, {"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 11.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1013063908, 1053585380, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457]}]}, {"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1215024971, 1053585380, 1619497567, 1891996047]}]}, {"allowed_amount": 12.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380, 1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1235767062, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1235517558, 1770646457]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 13.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 16.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1851569701]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1104288836]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1811282056, 1124550496]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1285810515]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1477711919]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1235379017, 1730441593]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1982107744]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.4, "providers": [{"billed_charge": 823.11, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.59, "providers": [{"billed_charge": 835.0, "npi": [1154962918]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1033608922]}, {"billed_charge": 114.0, "npi": [1710179676]}]}, {"allowed_amount": 27.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1861726952, 1457334732, 1497131734, 1033608922, 1679006555]}]}, {"allowed_amount": 54.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1932182219]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 15.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1205498896]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1306865639]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1801185897, 1811191661]}]}, {"allowed_amount": 15.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1790244697]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497929954]}, {"billed_charge": 84.0, "npi": [1497929954]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1083602817, 1629277249, 1588079917, 1982137816, 1225026073]}]}, {"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1902243009, 1447815089, 1023052990, 1033307137]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1659341139, 1578704342, 1023052990]}]}, {"allowed_amount": 27.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1346312931, 1164410916, 1114458973]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1487151536, 1023468709]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1477907640]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 501.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1134218944]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.85, "providers": [{"billed_charge": 1104.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1558332809]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.46, "npi": [1487889267]}]}, {"allowed_amount": 20.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.46, "npi": [1114239001]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.98, "providers": [{"billed_charge": 898.98, "npi": [1205363686]}]}, {"allowed_amount": 100.69, "providers": [{"billed_charge": 898.98, "npi": [1073001673, 1942567375]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1497072292, 1164552014]}]}, {"allowed_amount": 19.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1952537052]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 147.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1184883092]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.69, "providers": [{"billed_charge": 85.0, "npi": [1487322335]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1962444620, 1275530198, 1457579559]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1942760343, 1750319893, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1124293568, 1083693352, 1780662700, 1962834671, 1205815289]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2124.1, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1629333810]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 275.0, "providers": [{"billed_charge": 135.0, "npi": [1477549756]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1952894776]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1073952412]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.61, "providers": [{"billed_charge": 118.75, "npi": [1184886459]}]}, {"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1972698793]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.85, "providers": [{"billed_charge": 1104.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 95.03, "npi": [1891735544, 1023759875, 1902912454]}]}, {"allowed_amount": 70.7, "providers": [{"billed_charge": 95.03, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.44, "providers": [{"billed_charge": 96.0, "npi": [1114498730, 1225899826, 1811798275]}]}, {"allowed_amount": 52.69, "providers": [{"billed_charge": 96.0, "npi": [1407731177]}]}, {"allowed_amount": 80.62, "providers": [{"billed_charge": 96.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1316108731, 1033228036]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1194847038]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1093710832]}]}, {"allowed_amount": 19.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1356389597]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1548553522]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.0, "providers": [{"billed_charge": 307.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1326536954]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1881818029]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 200.0, "npi": [1770084022]}]}, {"allowed_amount": 58.58, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.81, "providers": [{"billed_charge": 190.0, "npi": [1205061744]}]}, {"allowed_amount": 52.69, "providers": [{"billed_charge": 190.0, "npi": [1578631925]}]}, {"allowed_amount": 91.33, "providers": [{"billed_charge": 190.0, "npi": [1689646440]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.23, "providers": [{"billed_charge": 266.0, "npi": [1205156643]}]}, {"allowed_amount": 47.44, "providers": [{"billed_charge": 266.0, "npi": [1154480218]}]}, {"allowed_amount": 52.69, "providers": [{"billed_charge": 266.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053474080]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 108.15, "providers": [{"billed_charge": 250.0, "npi": [1194609198]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.54, "providers": [{"billed_charge": 171.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 110.29, "providers": [{"billed_charge": 195.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.72, "npi": [1073596573]}]}]}, {"tin": {"type": "ein", "value": "943223279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1306805189]}]}]}, {"tin": {"type": "ein", "value": "953839531"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1972965531]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1366646416, 1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1962409953, 1437268695]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.59, "providers": [{"billed_charge": 1385.0, "npi": [1780429076]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.69, "providers": [{"billed_charge": 122.0, "npi": [1730126426]}]}, {"allowed_amount": 91.72, "providers": [{"billed_charge": 122.0, "npi": [1609130954]}]}]}]}, {"name": "Radiologic examination, hip, unilateral, with pelvis when performed; 1 view", "billing_code_type": "CPT", "billing_code": "73501", "billing_code_type_version": "2022", "description": "RADEX HIP UNILATERAL WITH PELVIS 1 VIEW", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1780864033]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1003868522]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1891996047, 1053585380, 1104288836]}]}, {"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1851826440, 1104288836, 1235517558]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1346201647]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.2, "npi": [1851581540]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1205815289, 1649764531, 1780662700]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1205815289, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.86, "providers": [{"billed_charge": 148.0, "npi": [1184886459]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1225533433]}]}]}]}, {"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": "060914379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1578587788]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1851569701]}]}, {"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776, 1538196977, 1851569701]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776, 1780864033, 1598913980, 1538196977]}]}, {"allowed_amount": 19.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1851569701]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1225069776, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.65, "npi": [1982650842]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 115.36, "providers": [{"billed_charge": 115.36, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "264709927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1821439514]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1790737328]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1558450023, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1386694040, 1053383786, 1437125077, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 26.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1548436132, 1770878654]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1205223765]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 67.95, "providers": [{"billed_charge": 151.0, "npi": [1528591815]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 33.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1255364378, 1043474190, 1841675642, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.25, "providers": [{"billed_charge": 173.0, "npi": [1538051990]}]}, {"allowed_amount": 67.28, "providers": [{"billed_charge": 173.0, "npi": [1447735030]}]}, {"allowed_amount": 102.94, "providers": [{"billed_charge": 173.0, "npi": [1215675988]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1689724346]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1477015956]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380]}]}, {"allowed_amount": 14.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380]}]}, {"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380, 1538588207, 1891996047, 1700315025, 1235517558]}]}, {"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380, 1851826440, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 15.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1851826440, 1215024971, 1104288836, 1891996047]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.0, "providers": [{"billed_charge": 61.0, "npi": [1861685034]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1245685759]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1275996316]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1154522738]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 414.8, "providers": [{"billed_charge": 921.78, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 425.2, "providers": [{"billed_charge": 2126.01, "npi": [1275511651]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1679006555]}]}, {"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1457334732, 1780846204]}]}, {"allowed_amount": 33.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1780900365]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1295178630]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1497929954]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1710230982]}]}, {"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1326014572]}]}, {"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1588084073, 1902243009, 1023052990]}]}, {"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1578704342, 1023052990, 1508319815]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1851404107]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 33.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1295601854]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 63.84, "providers": [{"billed_charge": 866.15, "npi": [1053831032, 1265916266]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1235194168]}]}, {"allowed_amount": 19.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1528333887]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1013904192]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1942760343, 1043419351, 1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1124293568, 1083693352, 1780662700, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1124293568, 1083693352, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 18.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1508354861]}]}, {"allowed_amount": 67.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1831124825]}]}]}, {"tin": {"type": "ein", "value": "650378614"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 67.28, "providers": [{"billed_charge": 182.0, "npi": [1780099267]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.8, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1669764676]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 69.48, "providers": [{"billed_charge": 120.68, "npi": [1902912454]}]}, {"allowed_amount": 90.07, "providers": [{"billed_charge": 120.68, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1225533433]}]}, {"allowed_amount": 23.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.28, "providers": [{"billed_charge": 123.0, "npi": [1407731177, 1225899826]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.28, "providers": [{"billed_charge": 99.68, "npi": [1023650793]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 69.48, "providers": [{"billed_charge": 100.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1780673483]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.58, "providers": [{"billed_charge": 167.0, "npi": [1922436922]}]}, {"allowed_amount": 67.28, "providers": [{"billed_charge": 167.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "870281028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1821483389]}]}]}, {"tin": {"type": "ein", "value": "910979582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1306937198]}]}]}]}, {"name": "Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views", "billing_code_type": "CPT", "billing_code": "73523", "billing_code_type_version": "2022", "description": "RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1053585380]}]}, {"allowed_amount": 19.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1053585380]}]}, {"allowed_amount": 20.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1053585380]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1851826440, 1215024971, 1053585380, 1891996047]}]}, {"allowed_amount": 21.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1215024971]}]}, {"allowed_amount": 23.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1770646457, 1215024971, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1560.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 20.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1306135777, 1457334732, 1710179676]}]}, {"allowed_amount": 46.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1932182219, 1982832572]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1962444620]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 20.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1124293568]}]}, {"allowed_amount": 35.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1962834671]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1326179995]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 27.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1992787121]}]}]}]}, {"name": "Radiologic examination, knee; 1 or 2 views", "billing_code_type": "CPT", "billing_code": "73560", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "043705083"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.14, "npi": [1992760037]}]}, {"allowed_amount": 49.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.14, "npi": [1992760037]}]}]}, {"tin": {"type": "ein", "value": "200760917"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.21, "providers": [{"billed_charge": 79.92, "npi": [1922298454]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1851569701]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776, 1538196977, 1447250618, 1851569701]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1780864033, 1447250618, 1538196977]}]}, {"allowed_amount": 15.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1851569701]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776, 1447250618]}]}, {"allowed_amount": 25.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.47, "providers": [{"billed_charge": 100.47, "npi": [1972068708]}]}, {"allowed_amount": 45.21, "providers": [{"billed_charge": 100.47, "npi": [1659116861, 1881070951]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.4, "providers": [{"billed_charge": 108.0, "npi": [1902003635]}]}, {"allowed_amount": 99.89, "providers": [{"billed_charge": 108.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1346235801, 1770532012]}]}]}, {"tin": {"type": "ein", "value": "204560540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.58, "providers": [{"billed_charge": 244.5, "npi": [1952409765]}]}]}, {"tin": {"type": "ein", "value": "204560540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.3, "npi": [1215920368]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "254615754"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1205246741]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.67, "providers": [{"billed_charge": 183.45, "npi": [1871676668]}, {"billed_charge": 293.45, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "264709927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1821439514]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.67, "providers": [{"billed_charge": 100.47, "npi": [1851576102]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1487001582]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1386930139]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1407835580]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1790737328]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1437125077, 1265457485, 1013969294]}]}, {"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1093748840, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1831122761]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1376571257, 1497771786]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.67, "providers": [{"billed_charge": 110.0, "npi": [1376783548]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 72.93, "providers": [{"billed_charge": 131.0, "npi": [1417535881]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.5, "npi": [1003881350]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1003084971, 1760694285]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1619497567]}]}, {"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1619497567]}]}, {"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1215024971, 1053585380]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1013063908, 1104288836, 1053585380, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1891996047]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1013063908, 1851826440, 1215024971, 1891996047, 1700315025, 1073017174, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1275996316, 1881987972]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.18, "providers": [{"billed_charge": 593.74, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1033608922]}]}, {"allowed_amount": 25.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1326014572, 1407022940]}]}, {"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1558789115]}]}, {"allowed_amount": 18.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1548688708]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1851404107]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1972575835, 1346201647]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.34, "npi": [1265886626]}]}]}, {"tin": {"type": "ein", "value": "610981548"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1497960314]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1255593885]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568, 1205815289, 1780662700]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568, 1205815289, 1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}, {"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.92, "providers": [{"billed_charge": 80.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1619938743]}]}]}, {"tin": {"type": "ein", "value": "822446908"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 123.24, "providers": [{"billed_charge": 90.0, "npi": [1700397304]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.73, "providers": [{"billed_charge": 70.62, "npi": [1942281142]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.73, "providers": [{"billed_charge": 120.0, "npi": [1639600414]}]}, {"allowed_amount": 72.93, "providers": [{"billed_charge": 120.0, "npi": [1386324051, 1093315947]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.67, "providers": [{"billed_charge": 250.0, "npi": [1093670945]}]}]}]}, {"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": "043218267"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.5, "npi": [1225012396]}]}]}, {"tin": {"type": "ein", "value": "060914379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1578587788]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1750608030]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.5, "npi": [1851341739]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 5.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1538196977]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1780864033, 1801899042, 1851569701, 1225069776, 1538196977]}]}, {"allowed_amount": 14.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 17.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1851569701]}]}, {"allowed_amount": 28.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 34.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.64, "providers": [{"billed_charge": 804.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1659321248, 1881643153, 1528098555]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.16, "providers": [{"billed_charge": 81.0, "npi": [1780567255]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1376805044]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.59, "providers": [{"billed_charge": 100.0, "npi": [1821649021, 1720655582]}]}, {"allowed_amount": 95.21, "providers": [{"billed_charge": 100.0, "npi": [1033830427, 1699117903]}]}]}, {"tin": {"type": "ein", "value": "271033537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.37, "providers": [{"billed_charge": 143.0, "npi": [1295818417]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1790199107]}]}]}, {"tin": {"type": "ein", "value": "310874388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1649566829]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1447613005]}]}, {"allowed_amount": 35.48, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 110.0, "npi": [1407824832]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1558450023, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077]}]}, {"allowed_amount": 35.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1558450023]}]}]}, {"tin": {"type": "ein", "value": "381693395"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1659398519]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1831312099]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1255364378, 1841675642, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.34, "providers": [{"billed_charge": 150.0, "npi": [1538051990]}]}, {"allowed_amount": 58.62, "providers": [{"billed_charge": 150.0, "npi": [1417535881]}]}, {"allowed_amount": 60.16, "providers": [{"billed_charge": 150.0, "npi": [1558182824, 1588533509]}]}, {"allowed_amount": 89.68, "providers": [{"billed_charge": 150.0, "npi": [1215675988]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 94.0, "providers": [{"billed_charge": 94.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1497985469]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1003084971, 1477015956, 1972767556]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.76, "npi": [1508942319]}]}]}, {"tin": {"type": "ein", "value": "465218437"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.01, "providers": [{"billed_charge": 90.0, "npi": [1982030649]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 5.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1770646457]}]}, {"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.0, "npi": [1770646457]}]}, {"allowed_amount": 11.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 12.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1013063908, 1053585380, 1851569701, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1073017174, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 13.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 14.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 14.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1073017174, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.37, "providers": [{"billed_charge": 386.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "571049603"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1205893187]}]}]}, {"tin": {"type": "ein", "value": "581075840"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1730365156]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1023506557]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1841219508, 1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.75, "providers": [{"billed_charge": 686.12, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1427580331]}]}, {"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1780846204, 1861726952, 1982832572, 1932182219, 1710179676, 1215164348]}]}, {"allowed_amount": 29.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1861726952, 1023570827, 1932182219, 1750516720, 1710179676]}]}, {"allowed_amount": 58.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1427580331, 1932182219]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1841723434]}]}, {"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1811191661, 1649245903]}]}, {"allowed_amount": 17.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1790244697]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1629277249]}]}, {"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1588084073]}]}, {"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1114187457]}]}, {"allowed_amount": 29.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1316366818]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 1010.0, "npi": [1588283352, 1851671564]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.64, "providers": [{"billed_charge": 804.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1720430010]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.59, "providers": [{"billed_charge": 910.44, "npi": [1275529539]}, {"billed_charge": 1820.88, "npi": [1629632096]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 899.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1437378742, 1528333887]}]}, {"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1013904192, 1053721985, 1649478702, 1508183088, 1558571794, 1184637688]}]}, {"allowed_amount": 14.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1942401682]}]}, {"allowed_amount": 21.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1558571794, 1497072292]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 256.1, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 395.52, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620842484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1083881502]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1518937770]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1588838718]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 541.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.62, "providers": [{"billed_charge": 100.0, "npi": [1487322335]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1962834671, 1205815289]}]}, {"allowed_amount": 22.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1962834671, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1508354861]}]}]}, {"tin": {"type": "ein", "value": "680273974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1023262714]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1093779704]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.62, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.64, "providers": [{"billed_charge": 804.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 78.59, "providers": [{"billed_charge": 103.3, "npi": [1891735544, 1023759875, 1194060756, 1902912454]}]}]}, {"tin": {"type": "ein", "value": "810889110"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1578548822]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1427019728]}]}, {"allowed_amount": 20.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "812824891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 66.98, "providers": [{"billed_charge": 85.0, "npi": [1235205386]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.78, "providers": [{"billed_charge": 108.0, "npi": [1114498730, 1811798275]}]}, {"allowed_amount": 58.62, "providers": [{"billed_charge": 108.0, "npi": [1225899826, 1811798275]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.62, "providers": [{"billed_charge": 83.0, "npi": [1245813708]}]}, {"allowed_amount": 62.96, "providers": [{"billed_charge": 83.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1528044781]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 736.05, "providers": [{"billed_charge": 2103.0, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "843261579"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1083876353]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.62, "providers": [{"billed_charge": 86.84, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.62, "providers": [{"billed_charge": 140.0, "npi": [1700405818, 1871681999]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1992787121]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 100.0, "npi": [1770084022]}]}, {"allowed_amount": 65.12, "providers": [{"billed_charge": 100.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1780673483]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.29, "providers": [{"billed_charge": 190.0, "npi": [1205061744]}]}, {"allowed_amount": 58.62, "providers": [{"billed_charge": 190.0, "npi": [1205061744, 1154054260]}]}, {"allowed_amount": 60.16, "providers": [{"billed_charge": 190.0, "npi": [1154054260]}]}, {"allowed_amount": 100.39, "providers": [{"billed_charge": 110.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1851592299]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.39, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.8, "npi": [1699941039]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.6, "providers": [{"billed_charge": 186.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "933380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1396815700]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.46, "npi": [1457336729]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1366429383]}]}, {"allowed_amount": 17.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1245486729]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1811966823]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 136.0, "npi": [1134432545]}]}]}]}, {"name": "Radiologic examination, knee; complete, 4 or more views", "billing_code_type": "CPT", "billing_code": "73564", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1417515297]}]}]}, {"tin": {"type": "ein", "value": "060865643"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1770502361]}]}]}, {"tin": {"type": "ein", "value": "082564129"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1801823554]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1750609855]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1225069776]}]}, {"allowed_amount": 15.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1225069776, 1538196977, 1801899042, 1851569701]}]}, {"allowed_amount": 16.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1225069776, 1538196977, 1598913980]}]}, {"allowed_amount": 26.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "204722218"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1053401950]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1841255759]}]}]}, {"tin": {"type": "ein", "value": "221894941"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1609300078]}]}]}, {"tin": {"type": "ein", "value": "232664784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1023260502]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1093748840, 1053383786, 1013969294, 1225089428, 1386694040]}]}, {"allowed_amount": 20.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1093748840, 1386694040, 1265457485, 1558450023]}]}, {"allowed_amount": 41.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1386694040, 1053383786]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1700822913]}]}, {"allowed_amount": 27.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1700011582, 1467616391]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1124361324]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.99, "providers": [{"billed_charge": 220.2, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 63.0, "providers": [{"billed_charge": 140.0, "npi": [1467844571]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1497985469]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1053585380]}]}, {"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1700315025, 1053585380, 1104288836]}]}, {"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 15.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1235517558, 1053585380, 1619497567, 1891996047]}]}, {"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1215024971, 1013063908]}]}, {"allowed_amount": 16.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1477711919]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 1279.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 382.34, "providers": [{"billed_charge": 1911.67, "npi": [1275511651]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1427580331]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1437126216, 1780900365]}]}, {"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1962021774]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1184940330, 1659324275]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1497929954]}]}, {"allowed_amount": 26.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1578507588, 1073557518]}]}, {"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1902243009, 1376705665, 1033307137]}]}, {"allowed_amount": 20.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1568953065, 1811151996]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1821592999]}]}, {"allowed_amount": 20.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1811903867]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1558332809]}]}, {"allowed_amount": 34.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1477085504, 1235172529, 1295601854]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.88, "npi": [1124281175]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 64.71, "providers": [{"billed_charge": 1114.35, "npi": [1053831032, 1942567375]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 999.97, "npi": [1285662239]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1184663494]}]}]}, {"tin": {"type": "ein", "value": "630574300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1255956074]}]}]}, {"tin": {"type": "ein", "value": "630639615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1952549644]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1598994451]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1457579559, 1437671062, 1942760343]}]}, {"allowed_amount": 26.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1750319893]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1124293568, 1205815289]}]}, {"allowed_amount": 26.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1124293568, 1235578980, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "720276883"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1740667096]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 68.2, "providers": [{"billed_charge": 121.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1316108731, 1508204348]}]}, {"allowed_amount": 20.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1194847038]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.43, "providers": [{"billed_charge": 220.0, "npi": [1770084022]}]}, {"allowed_amount": 169.03, "providers": [{"billed_charge": 220.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1952402273]}, {"billed_charge": 50.0, "npi": [1811549868]}]}]}, {"tin": {"type": "ein", "value": "870692261"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 800.0, "providers": [{"billed_charge": 800.0, "npi": [1689769911]}]}]}, {"tin": {"type": "ein", "value": "910858298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1710900352]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.6, "npi": [1962899096, 1073812715]}]}]}, {"tin": {"type": "ein", "value": "952598917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1417324633]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.2, "npi": [1942026174]}]}]}]}, {"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": "060646973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1316928385]}]}]}, {"tin": {"type": "ein", "value": "060931385"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1841673712]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1780642702]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.64, "providers": [{"billed_charge": 290.41, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1477500130]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977, 1851569701]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.55, "npi": [1851675276]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1255161022]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1922088392]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1386694040, 1265457485]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1386694040, 1053383786, 1265457485, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1164610671]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1861805871]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 26.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1255364378, 1841675642, 1043474190]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1669708715]}]}, {"allowed_amount": 101.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1952426983]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 2.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1891996047]}]}, {"allowed_amount": 4.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1700315025]}]}, {"allowed_amount": 6.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1235517558]}]}, {"allowed_amount": 10.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851826440, 1770646457, 1891996047]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1700315025, 1053585380]}]}, {"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1013063908, 1053585380, 1851569701, 1851826440, 1215024971, 1891996047, 1700315025, 1619497567]}]}, {"allowed_amount": 12.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1770646457, 1235517558, 1619497567]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1851826440, 1215024971, 1891996047, 1073017174, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1902888969]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1992782155]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1033572425]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 337.45, "providers": [{"billed_charge": 749.89, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1427580331]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1073557518]}]}, {"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1811151996]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1558789115]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 286.13, "providers": [{"billed_charge": 1057.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1235172529, 1497981989]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.42, "npi": [1245712835]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1750840682]}]}, {"allowed_amount": 19.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1558571794]}, {"billed_charge": 40.0, "npi": [1922495399]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1124293568, 1780662700, 1235578980]}]}, {"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1083693352, 1205815289, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1972698793]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 12.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1316108731]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.46, "providers": [{"billed_charge": 155.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.1, "providers": [{"billed_charge": 367.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1841210275, 1457779332, 1184644510]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1487090213]}]}]}]}, {"name": "Radiologic examination, ribs, unilateral; 2 views", "billing_code_type": "CPT", "billing_code": "71100", "billing_code_type_version": "2022", "description": "RADEX RIBS UNILATERAL 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1538196977]}]}, {"allowed_amount": 24.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.92, "providers": [{"billed_charge": 299.05, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.92, "providers": [{"billed_charge": 110.0, "npi": [1457705618]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1013063908]}]}, {"allowed_amount": 14.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1891996047]}]}, {"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1770646457]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1205815289]}]}, {"allowed_amount": 24.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1124293568]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.65, "providers": [{"billed_charge": 93.25, "npi": [1891735544, 1568500445]}]}, {"allowed_amount": 66.96, "providers": [{"billed_charge": 93.25, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.92, "providers": [{"billed_charge": 73.96, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.92, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}, {"allowed_amount": 85.5, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}]}]}, {"name": "Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views", "billing_code_type": "CPT", "billing_code": "71101", "billing_code_type_version": "2022", "description": "RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 18.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 20.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 24.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1851569701]}]}, {"allowed_amount": 30.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.13, "providers": [{"billed_charge": 100.0, "npi": [1427436229]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1053383786, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1073595740]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1053585380]}]}, {"allowed_amount": 17.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1851826440, 1700315025, 1215024971, 1891996047]}]}, {"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1053585380]}]}, {"allowed_amount": 18.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1770646457, 1104288836, 1619497567]}]}, {"allowed_amount": 18.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1851826440, 1700315025, 1235517558, 1891996047]}]}, {"allowed_amount": 20.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1215024971, 1891996047, 1700315025, 1235517558, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 605.28, "providers": [{"billed_charge": 1345.06, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 40.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1275186280]}]}, {"allowed_amount": 24.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1881647592, 1285923292]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1508319815]}]}, {"allowed_amount": 24.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1568953065, 1578704342]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1710240775]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1093827214]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.02, "providers": [{"billed_charge": 165.0, "npi": [1780456475]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1962834671]}]}, {"allowed_amount": 19.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1649764531]}]}, {"allowed_amount": 30.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1124293568, 1962834671, 1649764531, 1205815289, 1174714299]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.13, "providers": [{"billed_charge": 109.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.24, "providers": [{"billed_charge": 111.0, "npi": [1225899826]}]}, {"allowed_amount": 88.78, "providers": [{"billed_charge": 111.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 62.32, "providers": [{"billed_charge": 87.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "830230892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.13, "providers": [{"billed_charge": 102.0, "npi": [1942648365]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.21, "providers": [{"billed_charge": 250.0, "npi": [1770084022]}]}, {"allowed_amount": 64.67, "providers": [{"billed_charge": 250.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.28, "providers": [{"billed_charge": 190.0, "npi": [1205061744]}]}, {"allowed_amount": 58.02, "providers": [{"billed_charge": 190.0, "npi": [1205061744, 1154054260]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.24, "providers": [{"billed_charge": 367.0, "npi": [1154480218]}]}, {"allowed_amount": 58.02, "providers": [{"billed_charge": 367.0, "npi": [1114696176, 1922436922]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1053474080]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1053386136]}]}]}]}, {"name": "Radiologic examination, shoulder; 1 view", "billing_code_type": "CPT", "billing_code": "73020", "billing_code_type_version": "2022", "description": "RADEX SHOULDER 1 VIEW", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 11.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.32, "providers": [{"billed_charge": 185.0, "npi": [1871676668]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 31.95, "providers": [{"billed_charge": 71.0, "npi": [1528591815]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1053585380]}]}, {"allowed_amount": 10.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1053585380, 1851569701, 1013063908, 1538588207]}]}, {"allowed_amount": 11.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1891996047, 1770646457, 1073017174, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1649245903]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1013910702]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1720430010]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1124293568]}]}, {"allowed_amount": 17.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1205815289]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.32, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}]}]}, {"name": "Radiologic examination, shoulder; complete, minimum of 2 views", "billing_code_type": "CPT", "billing_code": "73030", "billing_code_type_version": "2022", "description": "RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "042807148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1255010021]}]}]}, {"tin": {"type": "ein", "value": "074383095"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1255385654]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1700804713]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.01, "providers": [{"billed_charge": 694.31, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1770921132]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1164836607]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1225069776]}]}, {"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 16.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1851569701]}]}, {"allowed_amount": 21.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1225069776]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1225069776, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.98, "providers": [{"billed_charge": 104.4, "npi": [1659116861]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.4, "providers": [{"billed_charge": 1819.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1528098555]}]}]}, {"tin": {"type": "ein", "value": "204722218"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1053401950]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1134488497]}]}]}, {"tin": {"type": "ein", "value": "232664784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1023260502]}]}]}, {"tin": {"type": "ein", "value": "236291113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1912403890]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1902072341]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.98, "providers": [{"billed_charge": 100.0, "npi": [1952884074]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.8, "npi": [1447216924, 1447243878]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "330928285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.38, "providers": [{"billed_charge": 1068.38, "npi": [1962407460]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1508819970]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1386694040, 1053383786, 1265457485, 1437125077]}]}, {"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 34.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1518175637]}]}, {"allowed_amount": 27.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.39, "npi": [1386096535]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1356502538]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1962848705, 1528083359]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1487636569]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1831122761, 1205223765]}]}]}, {"tin": {"type": "ein", "value": "412648278"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1972713188]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 50.4, "providers": [{"billed_charge": 112.0, "npi": [1558781625, 1528591815]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.82, "npi": [1932126851]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1043474190]}]}, {"allowed_amount": 27.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 37.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 123.0, "npi": [1588533509]}]}, {"allowed_amount": 49.49, "providers": [{"billed_charge": 123.0, "npi": [1447735030, 1700752599]}]}, {"allowed_amount": 75.72, "providers": [{"billed_charge": 123.0, "npi": [1194518241, 1447735030]}]}, {"allowed_amount": 101.58, "providers": [{"billed_charge": 123.0, "npi": [1407682255]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 76.0, "npi": [1326017468]}]}, {"allowed_amount": 76.0, "providers": [{"billed_charge": 76.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1770534869]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1205079506, 1063578995, 1760694285]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.15, "providers": [{"billed_charge": 75.0, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "464289822"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.86, "npi": [1467871715]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 12.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380]}]}, {"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380, 1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1770646457]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1053585380, 1851569701, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 13.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 13.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1013063908]}]}, {"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1073017174, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 16.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "540846558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1518933951]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1699747170]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1366678450]}]}]}, {"tin": {"type": "ein", "value": "561044771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1083751044]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.64, "providers": [{"billed_charge": 414.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1235442963]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1841218971]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1275996316]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1720035033]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1437105707, 1770509523, 1609226851]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 384.69, "providers": [{"billed_charge": 854.86, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.92, "providers": [{"billed_charge": 1258.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 1325.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 1185.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1710179676]}]}, {"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1861726952, 1588610026, 1215164348, 1023570827, 1750516720, 1710179676]}, {"billed_charge": 142.0, "npi": [1932182219, 1710179676]}]}, {"allowed_amount": 28.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1861726952, 1811525108, 1710179676]}]}]}, {"tin": {"type": "ein", "value": "591212948"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1538200969]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1841723434]}]}, {"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1720024680]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1962021774, 1043287311]}]}, {"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1750801031]}]}, {"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1609220300]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1427345032, 1285923292]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["11", "22", "23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1497929954, 1407275118]}, {"billed_charge": 98.0, "npi": [1497929954]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1437248853]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1376705665, 1033307137, 1306263751, 1568953065, 1659341139, 1558789115, 1811151996]}]}, {"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1033307137, 1902243009, 1235109729, 1568953065, 1023052990]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1295729689]}]}]}, {"tin": {"type": "ein", "value": "591316491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1477907640]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1099.71, "providers": [{"billed_charge": 2618.35, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1114365517]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1942260005]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.98, "providers": [{"billed_charge": 944.9, "npi": [1205363686]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 751.74, "providers": [{"billed_charge": 418.0, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1235194168, 1437378742]}]}, {"allowed_amount": 16.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1093827214]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1184678369, 1649478702]}]}, {"allowed_amount": 20.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1922495399]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.4, "providers": [{"billed_charge": 1819.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 547.28, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 370.8, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 137.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 455.98, "providers": [{"billed_charge": 1302.8, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "610945743"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1598984254]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1184883092]}]}]}, {"tin": {"type": "ein", "value": "621545731"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1790044147]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1427232966]}]}]}, {"tin": {"type": "ein", "value": "640863698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1518988328]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1457579559]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1255593885, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 15.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1508354861]}]}, {"allowed_amount": 49.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1508354861]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1538243555]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1104949874]}]}]}, {"tin": {"type": "ein", "value": "730793134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1558583963]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1689840076, 1376530444]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1548451727]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1740422369]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1972698793, 1841583796]}]}]}, {"tin": {"type": "ein", "value": "751292603"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1699958157]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1073.57, "providers": [{"billed_charge": 1819.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810306157"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1578821963]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 66.41, "providers": [{"billed_charge": 88.35, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1225533433]}]}, {"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.56, "providers": [{"billed_charge": 91.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 49.49, "providers": [{"billed_charge": 91.0, "npi": [1811798275]}]}, {"allowed_amount": 75.72, "providers": [{"billed_charge": 91.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "820301061"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1669850590]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1457589699, 1518279660, 1548496912, 1700229523, 1669529558]}]}, {"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1619938743]}]}, {"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1659509305, 1508204348]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1679528467]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 37.7, "providers": [{"billed_charge": 71.0, "npi": [1912482282]}]}, {"allowed_amount": 49.49, "providers": [{"billed_charge": 71.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.49, "providers": [{"billed_charge": 73.32, "npi": [1023650793]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.36, "providers": [{"billed_charge": 110.0, "npi": [1639600414]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.23, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}, {"allowed_amount": 55.03, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 37.39, "providers": [{"billed_charge": 130.0, "npi": [1205061744]}, {"billed_charge": 150.0, "npi": [1205061744]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.36, "providers": [{"billed_charge": 266.0, "npi": [1205156643]}]}, {"allowed_amount": 44.56, "providers": [{"billed_charge": 266.0, "npi": [1114696176]}]}, {"allowed_amount": 49.49, "providers": [{"billed_charge": 266.0, "npi": [1114696176, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1518062413]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.49, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "880307447"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1790179927]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1457779332]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.23, "providers": [{"billed_charge": 120.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "930604377"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1982990131]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.46, "npi": [1235183781]}]}, {"allowed_amount": 40.66, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 62.0, "npi": [1760656391]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1295354439]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 550.0, "providers": [{"billed_charge": 550.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1316990328]}, {"billed_charge": 50.0, "npi": [1578500401, 1033168422]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.4, "npi": [1124243282]}]}]}]}, {"name": "Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study", "billing_code_type": "CPT", "billing_code": "74250", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1225069776, 1851569701]}]}, {"allowed_amount": 58.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 58.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1437326956, 1396852851, 1326343716, 1093122277]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 54.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1770646457, 1104288836, 1619497567]}]}, {"allowed_amount": 58.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1013063908]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.53, "providers": [{"billed_charge": 1383.39, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 52.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1497929954, 1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1437441250]}]}, {"allowed_amount": 71.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1568953065]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1427220235]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1225533433]}]}]}]}, {"name": "Radiologic examination, spine, cervical; 2 or 3 views", "billing_code_type": "CPT", "billing_code": "72040", "billing_code_type_version": "2022", "description": "RADEX SPINE CERVICAL 2 OR 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "061214933"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1578559225]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.2, "providers": [{"billed_charge": 1060.0, "npi": [1770717530]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1538196977]}]}, {"allowed_amount": 12.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1851569701]}]}, {"allowed_amount": 14.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1225069776, 1265428908]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1225069776, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1003868522]}]}, {"allowed_amount": 32.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1003868522]}]}]}, {"tin": {"type": "ein", "value": "251857035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1750350161]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1255161022]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1093748840, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.9, "npi": [1508153685]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1528126109]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 31.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1174086466, 1487821542, 1306166442, 1306330899, 1255364378, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.35, "providers": [{"billed_charge": 396.6, "npi": [1164803078]}]}, {"allowed_amount": 54.95, "providers": [{"billed_charge": 396.6, "npi": [1417535881]}]}, {"allowed_amount": 56.39, "providers": [{"billed_charge": 396.6, "npi": [1407682255]}]}, {"allowed_amount": 84.07, "providers": [{"billed_charge": 396.6, "npi": [1447735030]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1053585380]}]}, {"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1770646457, 1619497567, 1891996047]}]}, {"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1851826440, 1215024971, 1053585380, 1891996047]}]}, {"allowed_amount": 14.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1013063908, 1851569701, 1053585380, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1619497567]}]}, {"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1770646457, 1104288836]}]}, {"allowed_amount": 15.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1700315025]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 384.69, "providers": [{"billed_charge": 854.86, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1306126222]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1982832572]}]}, {"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1457334732, 1780846204]}]}, {"allowed_amount": 23.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1033608922]}]}, {"allowed_amount": 32.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1861726952, 1588610026, 1427580331, 1811525108, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1609220300, 1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1659324275]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1659341139, 1508319815]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1295729689]}]}, {"allowed_amount": 19.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1811903867]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 56.81, "providers": [{"billed_charge": 645.0, "npi": [1851671564]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 286.13, "providers": [{"billed_charge": 1057.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1942401682]}]}, {"allowed_amount": 23.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1487185013]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1124293568, 1235578980, 1780662700, 1649764531, 1205815289]}]}, {"allowed_amount": 24.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1124293568, 1205815289, 1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1376572032]}]}, {"allowed_amount": 17.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1376572032]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1255931226]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.35, "providers": [{"billed_charge": 128.75, "npi": [1184886459]}]}, {"allowed_amount": 54.95, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.81, "providers": [{"billed_charge": 100.73, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.2, "providers": [{"billed_charge": 104.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.95, "providers": [{"billed_charge": 104.0, "npi": [1811798275]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1194847038, 1457589699, 1700229523, 1093742694]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.95, "providers": [{"billed_charge": 81.4, "npi": [1457057671]}]}, {"allowed_amount": 81.4, "providers": [{"billed_charge": 81.4, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.81, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}, {"allowed_amount": 61.02, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.95, "providers": [{"billed_charge": 190.0, "npi": [1205061744]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.95, "providers": [{"billed_charge": 266.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 73.64, "providers": [{"billed_charge": 80.58, "npi": [1891716908]}]}]}]}, {"name": "Radiologic examination, spine, cervical; 4 or 5 views", "billing_code_type": "CPT", "billing_code": "72050", "billing_code_type_version": "2022", "description": "RADEX SPINE CERVICAL 4 OR 5 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "060914379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 22.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1952419095]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1851569701]}]}, {"allowed_amount": 20.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1447250618]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 18.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1053585380, 1891996047, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 19.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1053585380, 1013063908, 1891996047]}]}, {"allowed_amount": 20.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1851826440]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 243.0, "npi": [1841723434]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1558789115, 1578704342]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 18.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1205815289]}]}, {"allowed_amount": 31.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1124293568, 1205815289, 1649764531, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 102.39, "providers": [{"billed_charge": 136.33, "npi": [1568500445]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 20.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1225533433]}]}]}]}, {"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": "020316134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1962997122, 1982838942]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.55, "providers": [{"billed_charge": 338.71, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1477500130]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.07, "providers": [{"billed_charge": 1501.0, "npi": [1770717530]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1851569701]}]}, {"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "205174181"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1730535212]}]}]}, {"tin": {"type": "ein", "value": "260540046"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1962717579]}]}]}, {"tin": {"type": "ein", "value": "310667480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1285830828]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1447613005]}]}, {"allowed_amount": 31.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 90.0, "npi": [1407824832]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1558450023, 1053383786, 1265457485, 1013969294, 1437125077, 1386694040]}]}, {"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1558450023, 1093748840, 1053383786, 1013969294, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1548436132, 1528126109]}]}]}, {"tin": {"type": "ein", "value": "363261413"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 123.1, "npi": [1952017717]}]}]}, {"tin": {"type": "ein", "value": "410974675"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1396061636]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 31.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1174086466, 1487821542, 1306166442, 1306330899, 1255364378]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.09, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 147.0, "npi": [1407682255]}]}, {"allowed_amount": 45.09, "providers": [{"billed_charge": 147.0, "npi": [1164803078]}]}, {"allowed_amount": 55.86, "providers": [{"billed_charge": 147.0, "npi": [1780373209, 1417535881, 1447735030, 1407682255]}]}, {"allowed_amount": 57.33, "providers": [{"billed_charge": 147.0, "npi": [1407682255]}]}, {"allowed_amount": 85.47, "providers": [{"billed_charge": 147.0, "npi": [1417535881, 1215675988]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1285682930]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 42.0, "npi": [1942186648, 1689244063]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 5.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1770646457]}]}, {"allowed_amount": 13.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380]}]}, {"allowed_amount": 14.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380]}]}, {"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380, 1104288836, 1851826440, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1215024971, 1053585380, 1891996047]}]}, {"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1053585380, 1851569701, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1770646457, 1619497567]}]}, {"allowed_amount": 15.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1770646457, 1215024971, 1013063908, 1538588207]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1013063908, 1851826440, 1215024971, 1891996047, 1235767062, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1235517558]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1467945998]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1023506557]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1083054845]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1437593381]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.51, "providers": [{"billed_charge": 956.68, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1033608922, 1932182219]}]}, {"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1588610026, 1457334732]}]}, {"allowed_amount": 33.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1861726952, 1588610026, 1932182219, 1457334732, 1750516720, 1497131734, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1508245424]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1578507588, 1629357207]}, {"billed_charge": 50.0, "npi": [1326014572]}]}, {"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1659341139, 1508319815]}]}, {"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1568953065]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["20", "22", "23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1295729689, 1851404107, 1023468709]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 57.75, "providers": [{"billed_charge": 631.0, "npi": [1851671564, 1316197668]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1508021460]}]}, {"allowed_amount": 33.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1184736647]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.07, "providers": [{"billed_charge": 968.44, "npi": [1275529539]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1497071898]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1619950995, 1437618436]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.01, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 156.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1114920394]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1598994451]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1265438287]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1528070521, 1255593885]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1124293568, 1235578980, 1780662700, 1477754349, 1962834671, 1205815289]}]}, {"allowed_amount": 25.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1255931226]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1568464147]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.33, "providers": [{"billed_charge": 136.25, "npi": [1184886459]}]}, {"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1669835005]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.75, "providers": [{"billed_charge": 100.73, "npi": [1891735544, 1902912454]}]}, {"allowed_amount": 74.87, "providers": [{"billed_charge": 100.73, "npi": [1891735544, 1023759875]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1427019728]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.3, "providers": [{"billed_charge": 105.0, "npi": [1811798275]}]}, {"allowed_amount": 55.86, "providers": [{"billed_charge": 105.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 85.47, "providers": [{"billed_charge": 105.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1093957037]}]}, {"allowed_amount": 20.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1093957037, 1194847038]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.86, "providers": [{"billed_charge": 82.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 82.76, "providers": [{"billed_charge": 82.76, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.75, "providers": [{"billed_charge": 120.0, "npi": [1770084022]}]}, {"allowed_amount": 62.03, "providers": [{"billed_charge": 120.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.86, "providers": [{"billed_charge": 250.0, "npi": [1205061744, 1154054260]}]}, {"allowed_amount": 57.33, "providers": [{"billed_charge": 250.0, "npi": [1154054260]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1922436922]}]}, {"allowed_amount": 50.3, "providers": [{"billed_charge": 367.0, "npi": [1922436922]}]}]}, {"tin": {"type": "ein", "value": "863655230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.75, "providers": [{"billed_charge": 85.56, "npi": [1205663465]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.86, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}, {"allowed_amount": 57.33, "providers": [{"billed_charge": 250.0, "npi": [1568031219]}]}, {"allowed_amount": 95.67, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "900950252"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1982101234]}]}]}, {"tin": {"type": "ein", "value": "930798039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1285730267]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1033477971]}]}]}, {"tin": {"type": "ein", "value": "954747393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1467504027]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1770739260]}]}]}]}, {"name": "Radiologic examination, spine, lumbosacral; minimum of 4 views", "billing_code_type": "CPT", "billing_code": "72110", "billing_code_type_version": "2022", "description": "RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.21, "providers": [{"billed_charge": 156.03, "npi": [1407116544, 1093018277]}]}, {"allowed_amount": 70.21, "providers": [{"billed_charge": 156.03, "npi": [1952745358]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 40.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1174086466, 1487821542, 1306166442, 1043474190, 1306330899, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.01, "providers": [{"billed_charge": 204.0, "npi": [1700752599]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 16.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1053585380]}]}, {"allowed_amount": 17.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1053585380]}]}, {"allowed_amount": 17.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1700315025, 1619497567]}]}, {"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1770646457, 1700315025]}]}, {"allowed_amount": 18.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1700315025, 1770646457, 1104288836]}]}, {"allowed_amount": 18.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1053585380, 1851826440, 1891996047, 1700315025, 1770646457]}]}, {"allowed_amount": 20.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1851826440]}]}]}, {"tin": {"type": "ein", "value": "510426500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1902119654]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 702.06, "providers": [{"billed_charge": 1560.14, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1215164348]}]}, {"allowed_amount": 40.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1861726952]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1013177120, 1093827214]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1124293568, 1205815289]}]}, {"allowed_amount": 30.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1205815289, 1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1437268695]}]}]}]}, {"name": "Radiologic examination, spine; thoracic, 2 views", "billing_code_type": "CPT", "billing_code": "72070", "billing_code_type_version": "2022", "description": "RADEX SPINE THORACIC 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.16, "providers": [{"billed_charge": 286.18, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1477500130]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1851569701]}]}, {"allowed_amount": 13.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1538196977]}]}, {"allowed_amount": 14.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.43, "providers": [{"billed_charge": 101.0, "npi": [1477444545]}]}]}, {"tin": {"type": "ein", "value": "310667480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1285830828]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1447613005]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1265457485]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1306166442, 1174086466, 1942486527]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1104288836]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1053585380, 1851826440, 1215024971, 1891996047, 1700315025, 1770646457]}]}, {"allowed_amount": 13.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1104288836]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1467945998]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.16, "providers": [{"billed_charge": 1200.35, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1457334732]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1043287311]}]}, {"allowed_amount": 18.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1659341139]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 286.13, "providers": [{"billed_charge": 1057.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1184736647]}]}]}, {"tin": {"type": "ein", "value": "605218195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1679893820]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1205815289, 1780662700]}]}, {"allowed_amount": 22.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1083693352, 1205815289, 1780662700]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.34, "providers": [{"billed_charge": 150.0, "npi": [1184886459]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.5, "providers": [{"billed_charge": 84.18, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.82, "providers": [{"billed_charge": 87.0, "npi": [1407731177, 1225899826]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.88, "providers": [{"billed_charge": 67.88, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.44, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.02, "providers": [{"billed_charge": 190.0, "npi": [1154054260]}]}]}, {"tin": {"type": "ein", "value": "863655230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.44, "providers": [{"billed_charge": 70.29, "npi": [1205663465]}]}]}, {"tin": {"type": "ein", "value": "900950252"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1982101234]}]}]}]}, {"name": "Radiologic examination, spine; thoracic, 3 views", "billing_code_type": "CPT", "billing_code": "72072", "billing_code_type_version": "2022", "description": "RADEX SPINE THORACIC 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "020316134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1982838942]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1386694040, 1053383786, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1528126109]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.57, "providers": [{"billed_charge": 145.0, "npi": [1700752599]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1053585380]}]}, {"allowed_amount": 14.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1053585380, 1013063908, 1235517558]}]}, {"allowed_amount": 14.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1700315025, 1215024971, 1619497567]}]}, {"allowed_amount": 15.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1700315025]}]}, {"allowed_amount": 15.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1851826440]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 483.0, "npi": [1598198012]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1932182219]}]}, {"allowed_amount": 14.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1457334732]}]}, {"allowed_amount": 32.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1497131734]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1508319815]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1437618436]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1124293568, 1205815289, 1649764531]}]}, {"allowed_amount": 24.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1205815289, 1477754349, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1093957037]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 91.74, "providers": [{"billed_charge": 250.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1639137334]}]}]}]}, {"name": "Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study", "billing_code_type": "CPT", "billing_code": "74230", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1851569701]}]}, {"allowed_amount": 38.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 78.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1144756214]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 324.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 592.5, "npi": [1982650842]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1558450023]}]}, {"allowed_amount": 46.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1225089428]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 31.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1053585380]}]}, {"allowed_amount": 33.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1053585380, 1104288836, 1891996047]}]}, {"allowed_amount": 34.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1770646457, 1053585380]}]}, {"allowed_amount": 35.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1851826440]}]}, {"allowed_amount": 36.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1770646457, 1104288836, 1619497567]}]}, {"allowed_amount": 38.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1700315025]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1053809483]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 33.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1447372131, 1679006555, 1427580331, 1497131734]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1356393086]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1033307137]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 34.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1205815289]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1437513322]}]}]}]}, {"name": "Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study", "billing_code_type": "CPT", "billing_code": "74240", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 54.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 58.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1598913980]}]}]}, {"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1174054191]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 52.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1225089428, 1437125077]}]}, {"allowed_amount": 71.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1093748840, 1437125077, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1578079562]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 47.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1053585380]}]}, {"allowed_amount": 50.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1053585380]}]}, {"allowed_amount": 51.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1851826440, 1215024971]}]}, {"allowed_amount": 54.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1053585380, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1619497567]}]}, {"allowed_amount": 55.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1770646457, 1235517558]}]}, {"allowed_amount": 58.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1104288836, 1215024971, 1538588207, 1700315025, 1235517558]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1356393086]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1447815089]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 89.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1962834671]}]}]}]}, {"name": "Radiologic examination, wrist; 2 views", "billing_code_type": "CPT", "billing_code": "73100", "billing_code_type_version": "2022", "description": "RADEX WRIST 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1225069776, 1538196977, 1780864033]}]}, {"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "205755130"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1548687973]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1235372392]}]}]}, {"tin": {"type": "ein", "value": "262998718"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1871508382]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1386694040]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1982665055]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.2, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1053585380]}]}, {"allowed_amount": 11.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1235517558]}]}, {"allowed_amount": 12.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1104288836, 1053585380, 1851826440, 1891996047, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 12.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1235517558]}]}, {"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1013063908, 1851826440, 1215024971, 1700315025, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "560946251"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1124550496]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1205169620]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1710179676]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1184940330]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1295729689]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1306652896, 1346201647]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1972634541]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "23"], "payments": [{"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1083693352, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.73, "providers": [{"billed_charge": 70.62, "npi": [1942281142]}]}, {"allowed_amount": 47.67, "providers": [{"billed_charge": 70.62, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.67, "providers": [{"billed_charge": 120.0, "npi": [1255388815]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1235335324]}]}]}]}, {"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": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1528050762]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1881011930, 1750609855]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1851341739]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.47, "providers": [{"billed_charge": 93.0, "npi": [1326152190]}]}, {"allowed_amount": 64.54, "providers": [{"billed_charge": 93.0, "npi": [1962234898, 1629680814]}]}]}, {"tin": {"type": "ein", "value": "160988763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1124010038]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1881987238]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 16.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1851569701]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 26.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 111.0, "providers": [{"billed_charge": 111.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1659321248, 1215983085]}]}, {"allowed_amount": 27.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1568663680, 1568824738, 1659321248]}]}]}, {"tin": {"type": "ein", "value": "204881619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1215186283]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1083900575]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1417547233]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.64, "providers": [{"billed_charge": 100.0, "npi": [1194298331]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.1, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1053383786, 1558450023]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1437125077, 1053383786, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1538130265]}]}]}, {"tin": {"type": "ein", "value": "341029988"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1922504687]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1790135507]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1831328038]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 59.85, "providers": [{"billed_charge": 133.0, "npi": [1174029771, 1902366644]}]}]}, {"tin": {"type": "ein", "value": "452230827"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.65, "providers": [{"billed_charge": 334.0, "npi": [1518253194]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 101.2, "providers": [{"billed_charge": 150.0, "npi": [1184441719]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 44.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.09, "providers": [{"billed_charge": 147.0, "npi": [1194518241]}]}]}, {"tin": {"type": "ein", "value": "455241476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 148.7, "npi": [1215927579]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.95, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 93.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1396108023]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1073595740, 1760694285, 1720177207]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1215024971, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1104288836, 1013063908, 1053585380, 1851569701, 1851826440, 1215024971, 1538588207, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 12.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1013063908, 1104288836, 1215024971, 1538588207, 1891996047, 1235517558, 1770646457]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1538588207, 1891996047, 1619497567]}]}, {"allowed_amount": 13.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.92, "providers": [{"billed_charge": 175.0, "npi": [1861685034]}]}]}, {"tin": {"type": "ein", "value": "560529974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 411.0, "providers": [{"billed_charge": 411.0, "npi": [1225088255]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1902211709]}]}]}, {"tin": {"type": "ein", "value": "562136828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 77.32, "providers": [{"billed_charge": 118.0, "npi": [1285364406]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1821557141, 1477711919]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1982966305]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.81, "providers": [{"billed_charge": 826.26, "npi": [1912964768]}]}, {"allowed_amount": 371.82, "providers": [{"billed_charge": 826.26, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1117.68, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.67, "providers": [{"billed_charge": 1556.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1033608922, 1457334732, 1710179676]}]}, {"allowed_amount": 27.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1033608922, 1427580331, 1457334732]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1801185897, 1861463069, 1477966463]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1407275118]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1629277249]}, {"billed_charge": 38.0, "npi": [1225026073]}]}, {"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1902243009, 1811151996, 1023052990]}]}, {"allowed_amount": 16.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1114187457, 1659341139]}]}, {"allowed_amount": 27.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1164410916]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1003027376, 1821592999]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.3, "providers": [{"billed_charge": 751.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.74, "npi": [1245712835]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1093827214]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1750840682, 1508418443, 1164552014, 1669679569, 1366978876]}]}, {"allowed_amount": 19.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1497072292]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1689897563]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1750410452]}]}]}, {"tin": {"type": "ein", "value": "630718694"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1447316195]}]}]}, {"tin": {"type": "ein", "value": "640863698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1174540066]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1962834671, 1205815289]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1124293568, 1235578980, 1083693352, 1962834671, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1431.66, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1447204284]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1598728891]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1811381536]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1972698793]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1033179130]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.3, "providers": [{"billed_charge": 751.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.11, "providers": [{"billed_charge": 105.0, "npi": [1891735544]}]}, {"allowed_amount": 79.22, "providers": [{"billed_charge": 105.0, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.2, "providers": [{"billed_charge": 75.0, "npi": [1942335492]}]}, {"allowed_amount": 59.09, "providers": [{"billed_charge": 75.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.2, "providers": [{"billed_charge": 108.0, "npi": [1225899826]}]}, {"allowed_amount": 59.09, "providers": [{"billed_charge": 108.0, "npi": [1407731177, 1225899826]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.09, "providers": [{"billed_charge": 185.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1316108731, 1669529558]}]}, {"allowed_amount": 20.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.09, "providers": [{"billed_charge": 84.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "840563230"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1205036662]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1760693493]}]}]}, {"tin": {"type": "ein", "value": "843439553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1427351097]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.54, "providers": [{"billed_charge": 87.54, "npi": [1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.96, "providers": [{"billed_charge": 130.0, "npi": [1700405818]}]}, {"allowed_amount": 53.2, "providers": [{"billed_charge": 130.0, "npi": [1336613603]}]}, {"allowed_amount": 59.09, "providers": [{"billed_charge": 130.0, "npi": [1093315947, 1093291916, 1871681999]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1457715773]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.11, "providers": [{"billed_charge": 250.0, "npi": [1770084022]}]}, {"allowed_amount": 65.64, "providers": [{"billed_charge": 250.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.09, "providers": [{"billed_charge": 190.0, "npi": [1205061744, 1275669780]}]}, {"allowed_amount": 60.64, "providers": [{"billed_charge": 190.0, "npi": [1568899961]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.96, "providers": [{"billed_charge": 266.0, "npi": [1205156643]}]}, {"allowed_amount": 53.2, "providers": [{"billed_charge": 266.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 121.29, "providers": [{"billed_charge": 250.0, "npi": [1194609198]}]}]}, {"tin": {"type": "ein", "value": "943223279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1306805189]}]}]}, {"tin": {"type": "ein", "value": "951643336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 826.0, "providers": [{"billed_charge": 826.0, "npi": [1508851288]}]}]}, {"tin": {"type": "ein", "value": "952635165"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1366413387]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "994277174"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.93, "providers": [{"billed_charge": 112.0, "npi": [1053967760]}]}]}]}, {"name": "Radiologic examination; clavicle, complete", "billing_code_type": "CPT", "billing_code": "73000", "billing_code_type_version": "2022", "description": "RADEX CLAVICLE COMPLETE", "allowed_amounts": [{"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1598118978]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1154347276]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1538130265]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1770646457, 1538588207]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1891996047]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1235517558, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1023052990]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "23"], "payments": [{"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1205815289, 1417940420]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1548496912, 1194847038]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.31, "providers": [{"billed_charge": 110.0, "npi": [1659617686, 1871681999]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.55, "providers": [{"billed_charge": 250.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1528223526]}]}]}]}, {"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": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1417515297]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1700804713, 1528050762]}]}]}, {"tin": {"type": "ein", "value": "131623978"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1750609855]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.55, "providers": [{"billed_charge": 338.71, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770921132]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1881987238]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977, 1265428908, 1851569701]}]}, {"allowed_amount": 12.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1780864033, 1538196977]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1881643153]}]}, {"allowed_amount": 24.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1770532012]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "262998718"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1871508382]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "330449527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 672.0, "providers": [{"billed_charge": 672.0, "npi": [1528041811]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1508819970]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1386694040, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "341029988"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1922504687]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1831312099]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.37, "providers": [{"billed_charge": 115.22, "npi": [1376783548]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 20.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1255364378, 1376032607, 1043474190, 1841675642]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.31, "providers": [{"billed_charge": 100.0, "npi": [1669179636]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380]}]}, {"allowed_amount": 10.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380]}]}, {"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1770646457, 1538588207, 1235517558, 1891996047]}]}, {"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1013063908, 1053585380, 1851569701, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457]}]}, {"allowed_amount": 11.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1104288836, 1013063908, 1538588207, 1891996047, 1770646457]}]}, {"allowed_amount": 12.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1215024971]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1104288836]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1699747170]}]}]}, {"tin": {"type": "ein", "value": "560845796"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.24, "npi": [1730184904]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1285810515]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1477711919]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1235379017, 1982966305]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1992264212]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 336.68, "providers": [{"billed_charge": 748.18, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1811421167]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1033608922]}]}, {"allowed_amount": 24.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1750516720]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1184940330, 1861463069, 1649245903]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1629277249]}]}, {"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1447815089]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1285016733]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1346201647]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.29, "providers": [{"billed_charge": 666.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1700316403]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1093827214]}]}]}, {"tin": {"type": "ein", "value": "593234721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 904.0, "npi": [1518024462]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1366978876]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1730316118]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1083693352, 1205815289, 1780662700, 1962834671]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1083693352, 1205815289, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1972698793]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.34, "providers": [{"billed_charge": 80.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1316108731, 1669529558]}]}, {"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1316108731]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.37, "providers": [{"billed_charge": 60.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.8, "providers": [{"billed_charge": 59.8, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.37, "providers": [{"billed_charge": 100.0, "npi": [1366953242, 1659389229]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.89, "providers": [{"billed_charge": 500.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1982480646]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.37, "providers": [{"billed_charge": 250.0, "npi": [1093670945]}]}]}, {"tin": {"type": "ein", "value": "952639291"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1306342084]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1487090213]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.5, "npi": [1124243282]}]}]}]}, {"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": "111631788"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 15.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1700804713, 1417119124]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.0, "providers": [{"billed_charge": 319.99, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770921132]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225069776, 1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.17, "providers": [{"billed_charge": 769.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "273426141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1740247485]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1437125077]}]}, {"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1386694040, 1053383786, 1265457485, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "351187380"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1518194257]}]}]}, {"tin": {"type": "ein", "value": "362646425"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1558384115]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1205223765]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380]}]}, {"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1851826440]}]}, {"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1053585380, 1104288836, 1013063908, 1851569701, 1851826440, 1215024971, 1891996047, 1770646457]}]}, {"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1770646457, 1013063908, 1891996047]}]}, {"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1770646457]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1205221108]}]}]}, {"tin": {"type": "ein", "value": "560530233"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1699747170]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.04, "providers": [{"billed_charge": 824.54, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1083807408]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1861726952]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1427345032, 1649245903]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1437248853]}]}, {"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1659341139]}]}, {"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1578704342]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1720430010]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1649478702]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.47, "providers": [{"billed_charge": 126.0, "npi": [1780456475]}]}]}, {"tin": {"type": "ein", "value": "630577764"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1003075433, 1730316118]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568]}]}, {"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1124293568, 1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 13.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1508354861]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1972698793]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1669835005]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 59.76, "providers": [{"billed_charge": 81.75, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "992212966"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.3, "npi": [1124243282]}]}]}]}, {"name": "Radiologic examination; neck, soft tissue", "billing_code_type": "CPT", "billing_code": "70360", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION NECK SOFT TISSUE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977, 1780864033]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1093748840]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1013900117]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1376527382]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 20.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1306166442]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1053585380]}]}, {"allowed_amount": 12.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1104288836]}]}, {"allowed_amount": 13.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1013063908, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1265635056]}]}]}, {"tin": {"type": "ein", "value": "581093931"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1215137385]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1336528017]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.72, "providers": [{"billed_charge": 770.48, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1780846204]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1205498896]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1023052990]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1780662700, 1235578980]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1043483175]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.66, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}]}]}, {"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": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1417515297]}]}]}, {"tin": {"type": "ein", "value": "060914379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1578587788]}]}]}, {"tin": {"type": "ein", "value": "111631788"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1235699232, 1750608030]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1780642702]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 82.98, "providers": [{"billed_charge": 1516.0, "npi": [1730391343]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 12.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 14.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1851569701]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225069776]}]}, {"allowed_amount": 24.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1598913980]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.03, "providers": [{"billed_charge": 91.86, "npi": [1407116544]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1881643153]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1376805044]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1659413805]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1871957308, 1477720092]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.34, "providers": [{"billed_charge": 100.0, "npi": [1407650658]}]}, {"allowed_amount": 70.79, "providers": [{"billed_charge": 100.0, "npi": [1033830427]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.35, "npi": [1225318827]}]}, {"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.35, "npi": [1447243878]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.56, "providers": [{"billed_charge": 91.86, "npi": [1851576102]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1609830751]}]}]}, {"tin": {"type": "ein", "value": "310646568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1831505494]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1053383786, 1265457485, 1013969294]}]}, {"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1386694040, 1265457485, 1437125077, 1558450023]}]}, {"allowed_amount": 29.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1265457485]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1548436132]}]}]}, {"tin": {"type": "ein", "value": "351344539"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1073856118]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.0, "providers": [{"billed_charge": 173.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1497771786]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 46.35, "providers": [{"billed_charge": 103.0, "npi": [1467844571]}]}]}, {"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.73, "npi": [1821098906]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 20.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1841675642, 1255364378, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.65, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 121.0, "npi": [1407682255]}]}, {"allowed_amount": 43.56, "providers": [{"billed_charge": 121.0, "npi": [1194518241]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1760694285]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380]}]}, {"allowed_amount": 10.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380]}]}, {"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380, 1851569701, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457]}]}, {"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1215024971, 1891996047]}]}, {"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1053585380, 1851569701, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 11.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1104288836, 1851826440, 1215024971, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 12.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1073017174, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1568442887]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1760798565]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1720035033]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1730441593]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 349.55, "providers": [{"billed_charge": 776.78, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 8.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1710179676]}]}, {"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1710179676]}]}, {"allowed_amount": 24.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1932182219, 1427580331]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1841723434]}]}, {"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1437126216, 1669521803]}]}, {"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1043287311]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1093109969, 1538150933, 1801026893, 1649245903]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1497929954]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1083656706]}]}, {"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1255741344, 1629277249, 1326014572, 1124217021]}]}, {"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1447815089, 1902243009]}]}, {"allowed_amount": 14.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1902243009, 1659341139, 1447815089, 1235109729]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1427317882]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1972575835]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.17, "providers": [{"billed_charge": 769.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1720430010]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.08, "npi": [1386634202, 1487889267, 1922149988]}]}, {"allowed_amount": 14.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.08, "npi": [1437139540]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1710056858]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1801047683, 1033395165, 1285976431]}]}, {"allowed_amount": 17.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1386616761]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.17, "providers": [{"billed_charge": 769.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "621203441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1649807702, 1588838718]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1952563520]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1306334404, 1962444620, 1942760343]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1083693352, 1205815289, 1235578980, 1124293568]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1124293568, 1235578980, 1083693352, 1962834671, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1528007606]}]}]}, {"tin": {"type": "ein", "value": "800756169"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1225075450]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 58.56, "providers": [{"billed_charge": 80.93, "npi": [1568500445]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.56, "providers": [{"billed_charge": 83.0, "npi": [1225899826]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1700229523, 1508204348, 1619938743]}]}, {"allowed_amount": 18.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.56, "providers": [{"billed_charge": 110.0, "npi": [1700405818]}]}, {"allowed_amount": 66.65, "providers": [{"billed_charge": 110.0, "npi": [1093315947]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.17, "providers": [{"billed_charge": 175.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.61, "providers": [{"billed_charge": 190.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.56, "providers": [{"billed_charge": 266.0, "npi": [1922436922]}]}]}, {"tin": {"type": "ein", "value": "874362493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1659697092]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1346284106]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1376329110]}]}]}, {"tin": {"type": "ein", "value": "920037993"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.06, "npi": [1104149715]}]}]}, {"tin": {"type": "ein", "value": "941668344"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 896.53, "providers": [{"billed_charge": 896.53, "npi": [1942298153]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1811966823]}]}]}]}, {"name": "Radiologic examination; toe(s), minimum of 2 views", "billing_code_type": "CPT", "billing_code": "73660", "billing_code_type_version": "2022", "description": "RADEX TOE MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1538196977]}]}, {"allowed_amount": 10.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1447250618]}]}, {"allowed_amount": 12.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 64.78, "providers": [{"billed_charge": 100.0, "npi": [1407650658]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1700822913]}]}]}, {"tin": {"type": "ein", "value": "421516894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1609008515]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 37.83, "providers": [{"billed_charge": 69.0, "npi": [1689124554]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1841675642, 1043474190, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1770646457]}]}, {"allowed_amount": 9.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1053585380, 1013063908, 1215024971, 1891996047, 1235517558]}]}, {"allowed_amount": 10.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1700315025, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1750553426]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.04, "providers": [{"billed_charge": 408.98, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.03, "providers": [{"billed_charge": 569.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1699270090, 1013335876]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1750319893, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "23"], "payments": [{"allowed_amount": 15.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1124293568, 1649764531, 1780662700]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 944.98, "providers": [{"billed_charge": 760.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.47, "providers": [{"billed_charge": 74.35, "npi": [1891735544, 1568500445, 1902912454]}]}, {"allowed_amount": 53.76, "providers": [{"billed_charge": 74.35, "npi": [1891735544, 1508115825]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.92, "providers": [{"billed_charge": 77.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1396192118]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.78, "providers": [{"billed_charge": 110.0, "npi": [1639600414]}]}, {"allowed_amount": 39.92, "providers": [{"billed_charge": 110.0, "npi": [1093291916, 1639600414]}]}, {"allowed_amount": 44.36, "providers": [{"billed_charge": 110.0, "npi": [1659389229]}]}, {"allowed_amount": 61.08, "providers": [{"billed_charge": 110.0, "npi": [1093315947]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.47, "providers": [{"billed_charge": 500.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.78, "providers": [{"billed_charge": 266.0, "npi": [1205156643]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.92, "providers": [{"billed_charge": 42.76, "npi": [1922506583]}]}]}]}, {"name": "Radiological examination, surgical specimen", "billing_code_type": "CPT", "billing_code": "76098", "billing_code_type_version": "2022", "description": "RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 27.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 21.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1770646457]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1215909536]}]}, {"allowed_amount": 15.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1215909536, 1831240142]}]}, {"allowed_amount": 20.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 22.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1215909536]}]}, {"allowed_amount": 23.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1215909536, 1770734337]}]}, {"allowed_amount": 23.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}]}]}, {"name": "Red blood cells, washed, each unit", "billing_code_type": "CPT", "billing_code": "P9022", "billing_code_type_version": "2022", "description": "Red blood cells, washed, each unit", "allowed_amounts": [{"tin": {"type": "ein", "value": "320078468"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 405.0, "providers": [{"billed_charge": 1000.0, "npi": [1558700807, 1700647815, 1528338316, 1255062030, 1568193936, 1881964690, 1487180824, 1407744287, 1790496032, 1932636578, 1215601828, 1912755380, 1184977977, 1225309503, 1962802496, 1598442303, 1669296588, 1891036109, 1639688658, 1376818898, 1427335637, 1588285928, 1518662121, 1538029418, 1720439276, 1891662193]}]}, {"allowed_amount": 433.35, "providers": [{"billed_charge": 1000.0, "npi": [1699470997]}]}]}]}, {"name": "Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 2-15 days in a 30-day period", "billing_code_type": "CPT", "billing_code": "99445", "billing_code_type_version": "2022", "description": "REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS", "allowed_amounts": [{"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["11", "20"], "payments": [{"allowed_amount": 67.5, "providers": [{"billed_charge": 100.0, "npi": [1306233911]}, {"billed_charge": 145.0, "npi": [1306233911]}, {"billed_charge": 150.0, "npi": [1306233911]}]}, {"allowed_amount": 71.62, "providers": [{"billed_charge": 100.0, "npi": [1306233911]}]}]}]}, {"name": "Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "99458", "billing_code_type_version": "2022", "description": "RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20", "allowed_amounts": [{"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.65, "providers": [{"billed_charge": 65.0, "npi": [1306233911]}]}, {"allowed_amount": 57.72, "providers": [{"billed_charge": 65.0, "npi": [1306233911]}]}]}]}, {"name": "Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes", "billing_code_type": "CPT", "billing_code": "99457", "billing_code_type_version": "2022", "description": "RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 69.01, "providers": [{"billed_charge": 140.0, "npi": [1306233911]}]}, {"allowed_amount": 71.87, "providers": [{"billed_charge": 140.0, "npi": [1306233911]}]}]}]}, {"name": "Removal foreign body from external auditory canal; without general anesthesia", "billing_code_type": "CPT", "billing_code": "69200", "billing_code_type_version": "2022", "description": "RMVL FB XTRNL AUDITORY CANAL W/O ANES", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 24.69, "providers": [{"billed_charge": 481.0, "npi": [1245291426]}]}, {"allowed_amount": 41.92, "providers": [{"billed_charge": 481.0, "npi": [1730112244, 1417905886]}]}, {"allowed_amount": 115.41, "providers": [{"billed_charge": 481.0, "npi": [1952822652]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 136.0, "providers": [{"billed_charge": 136.0, "npi": [1073833653]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 121.0, "providers": [{"billed_charge": 136.0, "npi": [1073833653]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 136.0, "providers": [{"billed_charge": 136.0, "npi": [1043313232]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.71, "providers": [{"billed_charge": 124.0, "npi": [1043808157]}]}, {"allowed_amount": 125.05, "providers": [{"billed_charge": 124.0, "npi": [1174741078]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1730893496]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.41, "providers": [{"billed_charge": 392.0, "npi": [1760904056, 1598724403]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.0, "providers": [{"billed_charge": 247.0, "npi": [1588098040]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 115.41, "providers": [{"billed_charge": 220.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.4, "providers": [{"billed_charge": 406.0, "npi": [1164983086]}, {"billed_charge": 499.0, "npi": [1922206168, 1255697504]}, {"billed_charge": 513.0, "npi": [1437248432]}]}, {"allowed_amount": 110.03, "providers": [{"billed_charge": 483.0, "npi": [1871859652]}, {"billed_charge": 500.0, "npi": [1376032011]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.4, "providers": [{"billed_charge": 513.0, "npi": [1609518356]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.4, "providers": [{"billed_charge": 382.0, "npi": [1982883237]}, {"billed_charge": 435.0, "npi": [1699851295]}, {"billed_charge": 461.0, "npi": [1922684448, 1386094274, 1639585607]}]}]}, {"tin": {"type": "ein", "value": "812824891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 132.07, "providers": [{"billed_charge": 191.0, "npi": [1063526705]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 103.91, "providers": [{"billed_charge": 215.0, "npi": [1811798275]}]}, {"allowed_amount": 115.41, "providers": [{"billed_charge": 215.0, "npi": [1225899826]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.0, "providers": [{"billed_charge": 247.0, "npi": [1639157258]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 115.41, "providers": [{"billed_charge": 300.0, "npi": [1386324051]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.49, "providers": [{"billed_charge": 247.0, "npi": [1376250290]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.49, "providers": [{"billed_charge": 247.0, "npi": [1376250290]}]}, {"allowed_amount": 57.41, "providers": [{"billed_charge": 247.0, "npi": [1225618192]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1659653954]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1689646440]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.28, "providers": [{"billed_charge": 275.0, "npi": [1770293102]}]}, {"allowed_amount": 65.39, "providers": [{"billed_charge": 275.0, "npi": [1306473624, 1881125722]}]}, {"allowed_amount": 121.0, "providers": [{"billed_charge": 275.0, "npi": [1952988131]}]}]}]}, {"name": "Removal impacted cerumen requiring instrumentation, unilateral", "billing_code_type": "CPT", "billing_code": "69210", "billing_code_type_version": "2022", "description": "REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT", "allowed_amounts": [{"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 64.54, "providers": [{"billed_charge": 143.43, "npi": [1568097129]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 189.0, "npi": [1578805248, 1639134661, 1053645457, 1659566545, 1164418323, 1518986132, 1538144597, 1144354390, 1497920474]}, {"billed_charge": 378.0, "npi": [1578805248, 1255893657, 1518986132]}]}, {"allowed_amount": 70.73, "providers": [{"billed_charge": 189.0, "npi": [1437544384, 1023052644, 1245352491, 1235189358, 1104182799, 1053645457, 1265993075, 1730112244, 1265665145, 1417905886]}, {"billed_charge": 378.0, "npi": [1952921025, 1124239207, 1235189358, 1003365461, 1033615414, 1821246133]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 81.0, "npi": [1558724377, 1669919155, 1942457692, 1235796277]}]}, {"allowed_amount": 81.0, "providers": [{"billed_charge": 81.0, "npi": [1891725164, 1194285486, 1073833653, 1457715096, 1558724377]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 81.0, "npi": [1174586465, 1669919155, 1912961293]}]}, {"allowed_amount": 81.0, "providers": [{"billed_charge": 81.0, "npi": [1174586465]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 81.0, "npi": [1558724377, 1780632612, 1528022332, 1881271310]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 81.0, "npi": [1508108390, 1508137670, 1558395434, 1396774956, 1194822353]}]}, {"allowed_amount": 81.0, "providers": [{"billed_charge": 81.0, "npi": [1467073254, 1558395434, 1396774956, 1194822353, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 74.0, "npi": [1407029523]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 190.0, "npi": [1003625062]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 81.0, "npi": [1710175526, 1790906154, 1467073254]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 81.0, "npi": [1669919155, 1528022332, 1073833653, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 172.0, "npi": [1366603334]}, {"billed_charge": 344.0, "npi": [1053587493]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 210.0, "npi": [1255203873, 1386460756]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 208.0, "npi": [1447735030]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 99.86, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 213.0, "npi": [1548609258, 1518234319]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 126.6, "npi": [1891735544, 1023759875, 1285359414]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 100.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 128.0, "npi": [1225899826]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.96, "providers": [{"billed_charge": 344.0, "npi": [1942626155]}]}, {"allowed_amount": 70.73, "providers": [{"billed_charge": 172.0, "npi": [1235425836]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 85.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 99.98, "npi": [1457057671]}]}, {"allowed_amount": 74.99, "providers": [{"billed_charge": 99.98, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 172.0, "npi": [1366603334]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 172.0, "npi": [1053587493]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 260.0, "npi": [1780567255]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 150.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1932189511]}]}]}]}, {"name": "Removal impacted cerumen using irrigation/lavage, unilateral", "billing_code_type": "CPT", "billing_code": "69209", "billing_code_type_version": "2022", "description": "REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT", "allowed_amounts": [{"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.35, "providers": [{"billed_charge": 40.0, "npi": [1750773255]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.35, "providers": [{"billed_charge": 49.41, "npi": [1568097129]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.61, "providers": [{"billed_charge": 118.0, "npi": [1902003635]}]}, {"allowed_amount": 36.92, "providers": [{"billed_charge": 118.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1396774956]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.23, "providers": [{"billed_charge": 90.0, "npi": [1699117903]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.48, "providers": [{"billed_charge": 60.0, "npi": [1558182824]}]}, {"allowed_amount": 36.92, "providers": [{"billed_charge": 60.0, "npi": [1164803078]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.23, "providers": [{"billed_charge": 25.02, "npi": [1164149597]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.48, "providers": [{"billed_charge": 60.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.83, "providers": [{"billed_charge": 45.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.26, "providers": [{"billed_charge": 50.0, "npi": [1578396321]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.65, "providers": [{"billed_charge": 40.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 35.48, "providers": [{"billed_charge": 40.0, "npi": [1407731177, 1811798275]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.23, "providers": [{"billed_charge": 35.0, "npi": [1942376348]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.65, "providers": [{"billed_charge": 60.0, "npi": [1700405818]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.61, "providers": [{"billed_charge": 100.0, "npi": [1770084022]}]}, {"allowed_amount": 36.92, "providers": [{"billed_charge": 100.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.65, "providers": [{"billed_charge": 100.0, "npi": [1275669780]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.48, "providers": [{"billed_charge": 184.0, "npi": [1154480218]}]}]}]}, {"name": "Removal of foreign body, external eye; conjunctival superficial", "billing_code_type": "CPT", "billing_code": "65205", "billing_code_type_version": "2022", "description": "REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 22.51, "providers": [{"billed_charge": 272.0, "npi": [1417905886]}]}, {"allowed_amount": 39.88, "providers": [{"billed_charge": 272.0, "npi": [1730112244]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.0, "providers": [{"billed_charge": 49.0, "npi": [1558724377]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.0, "providers": [{"billed_charge": 49.0, "npi": [1669919155]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.88, "providers": [{"billed_charge": 43.0, "npi": [1699079202]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.0, "providers": [{"billed_charge": 49.0, "npi": [1528022332]}]}]}, {"tin": {"type": "ein", "value": "383740839"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.7, "providers": [{"billed_charge": 231.25, "npi": [1912427576]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.11, "providers": [{"billed_charge": 281.0, "npi": [1104110386]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.4, "providers": [{"billed_charge": 113.0, "npi": [1780456475]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.32, "providers": [{"billed_charge": 306.0, "npi": [1740972751]}, {"billed_charge": 405.0, "npi": [1689494221]}]}, {"allowed_amount": 54.57, "providers": [{"billed_charge": 319.0, "npi": [1629885736, 1598363764, 1609636422]}, {"billed_charge": 322.0, "npi": [1063652881]}, {"billed_charge": 369.0, "npi": [1144005208, 1700532645]}]}, {"allowed_amount": 64.2, "providers": [{"billed_charge": 319.0, "npi": [1144482951, 1134625049, 1376032011, 1053690479]}, {"billed_charge": 322.0, "npi": [1710372230]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.32, "providers": [{"billed_charge": 306.0, "npi": [1437600418, 1750387726]}]}, {"allowed_amount": 61.55, "providers": [{"billed_charge": 306.0, "npi": [1619543105, 1427554773]}, {"billed_charge": 309.0, "npi": [1275973786]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.11, "providers": [{"billed_charge": 273.0, "npi": [1659326494]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 34.93, "providers": [{"billed_charge": 100.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.88, "providers": [{"billed_charge": 140.0, "npi": [1841876315]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.11, "providers": [{"billed_charge": 140.0, "npi": [1386385862]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.8, "providers": [{"billed_charge": 200.0, "npi": [1154054260]}]}]}]}, {"name": "Removal of foreign body, external eye; corneal, without slit lamp", "billing_code_type": "CPT", "billing_code": "65220", "billing_code_type_version": "2022", "description": "RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 37.47, "providers": [{"billed_charge": 317.0, "npi": [1245352491, 1053645457, 1144595307, 1033615414]}]}, {"allowed_amount": 94.89, "providers": [{"billed_charge": 317.0, "npi": [1053645457, 1245352491]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.45, "providers": [{"billed_charge": 101.0, "npi": [1174586465]}]}, {"allowed_amount": 94.89, "providers": [{"billed_charge": 101.0, "npi": [1174586465]}]}, {"allowed_amount": 101.0, "providers": [{"billed_charge": 101.0, "npi": [1174586465]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.45, "providers": [{"billed_charge": 101.0, "npi": [1245352491]}]}, {"allowed_amount": 101.0, "providers": [{"billed_charge": 101.0, "npi": [1558395434]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 101.0, "providers": [{"billed_charge": 101.0, "npi": [1710175526]}]}]}, {"tin": {"type": "ein", "value": "270191765"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.97, "providers": [{"billed_charge": 449.0, "npi": [1881457943]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 94.89, "providers": [{"billed_charge": 101.0, "npi": [1073833653]}]}, {"allowed_amount": 101.0, "providers": [{"billed_charge": 101.0, "npi": [1689816191]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.32, "providers": [{"billed_charge": 213.0, "npi": [1588098040]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.9, "providers": [{"billed_charge": 483.0, "npi": [1144005208]}]}, {"allowed_amount": 96.35, "providers": [{"billed_charge": 414.0, "npi": [1255869483]}, {"billed_charge": 438.0, "npi": [1629885736]}, {"billed_charge": 483.0, "npi": [1659951358]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.87, "providers": [{"billed_charge": 413.0, "npi": [1801639430]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.32, "providers": [{"billed_charge": 213.0, "npi": [1124547336]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 81.13, "providers": [{"billed_charge": 210.0, "npi": [1871681999]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 155.02, "providers": [{"billed_charge": 200.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.26, "providers": [{"billed_charge": 420.0, "npi": [1225081532]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.62, "providers": [{"billed_charge": 236.0, "npi": [1023884491]}]}, {"allowed_amount": 58.45, "providers": [{"billed_charge": 236.0, "npi": [1750022976, 1902435027]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.24, "providers": [{"billed_charge": 309.0, "npi": [1699744177, 1629099411]}]}]}]}, {"name": "Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)", "billing_code_type": "CPT", "billing_code": "15853", "billing_code_type_version": "2022", "description": "REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA", "allowed_amounts": [{"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.14, "providers": [{"billed_charge": 28.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.08, "providers": [{"billed_charge": 25.0, "npi": [1962787044]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.32, "providers": [{"billed_charge": 49.84, "npi": [1588533509, 1407682255]}]}]}, {"tin": {"type": "ein", "value": "474734363"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.76, "providers": [{"billed_charge": 45.0, "npi": [1447622402]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.77, "providers": [{"billed_charge": 100.0, "npi": [1811798275]}]}, {"allowed_amount": 19.32, "providers": [{"billed_charge": 100.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 28.5, "providers": [{"billed_charge": 100.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.18, "providers": [{"billed_charge": 45.0, "npi": [1164804779]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.17, "providers": [{"billed_charge": 200.0, "npi": [1770084022]}]}, {"allowed_amount": 20.89, "providers": [{"billed_charge": 200.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.32, "providers": [{"billed_charge": 40.0, "npi": [1922436922]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.32, "providers": [{"billed_charge": 20.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.12, "providers": [{"billed_charge": 50.0, "npi": [1194609198]}]}, {"allowed_amount": 19.32, "providers": [{"billed_charge": 50.0, "npi": [1740036516]}]}]}]}, {"name": "Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)", "billing_code_type": "CPT", "billing_code": "80069", "billing_code_type_version": "2022", "description": "RENAL FUNCTION PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "520591607"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.32, "providers": [{"billed_charge": 36.32, "npi": [1811084718]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.43, "providers": [{"billed_charge": 525.39, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.68, "providers": [{"billed_charge": 194.99, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.06, "providers": [{"billed_charge": 29.5, "npi": [1982804340, 1952362949]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.06, "providers": [{"billed_charge": 105.0, "npi": [1982606992]}]}]}]}, {"name": "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated", "billing_code_type": "CPT", "billing_code": "49594", "billing_code_type_version": "2022", "description": "RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.97, "providers": [{"billed_charge": 2838.71, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1260.0, "providers": [{"billed_charge": 2800.0, "npi": [1912943010]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 73.99, "providers": [{"billed_charge": 804.0, "npi": [1821704552]}]}, {"allowed_amount": 119.68, "providers": [{"billed_charge": 804.0, "npi": [1932938073]}]}, {"allowed_amount": 147.97, "providers": [{"billed_charge": 804.0, "npi": [1306158449, 1922862325]}]}]}, {"tin": {"type": "ein", "value": "475091016"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 251.55, "providers": [{"billed_charge": 2447.13, "npi": [1518369578]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1010.31, "providers": [{"billed_charge": 2534.01, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 110.98, "providers": [{"billed_charge": 867.0, "npi": [1700776572]}]}, {"allowed_amount": 119.68, "providers": [{"billed_charge": 867.0, "npi": [1275047698]}]}, {"allowed_amount": 144.95, "providers": [{"billed_charge": 867.0, "npi": [1760862510]}]}, {"allowed_amount": 147.97, "providers": [{"billed_charge": 867.0, "npi": [1982369195, 1700776572, 1649120445]}]}, {"allowed_amount": 164.48, "providers": [{"billed_charge": 867.0, "npi": [1982080099, 1881561801, 1205694221, 1114516689, 1033080502, 1245691260]}]}, {"allowed_amount": 224.73, "providers": [{"billed_charge": 867.0, "npi": [1740432848]}]}, {"allowed_amount": 251.55, "providers": [{"billed_charge": 867.0, "npi": [1336659507]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1028.54, "providers": [{"billed_charge": 4226.0, "npi": [1336601343]}]}]}, {"tin": {"type": "ein", "value": "991437415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1088.02, "providers": [{"billed_charge": 2330.0, "npi": [1225520901]}]}]}]}, {"name": "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible", "billing_code_type": "CPT", "billing_code": "49593", "billing_code_type_version": "2022", "description": "RPR AA HERNIA 1ST 3-10 CM REDUCIBLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "203625173"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 113.64, "providers": [{"billed_charge": 8940.0, "npi": [1912900960]}]}, {"allowed_amount": 172.59, "providers": [{"billed_charge": 5970.0, "npi": [1912900960]}, {"billed_charge": 8940.0, "npi": [1912900960]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 113.64, "providers": [{"billed_charge": 2173.14, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 101.57, "providers": [{"billed_charge": 264.0, "npi": [1821704552]}]}, {"allowed_amount": 113.64, "providers": [{"billed_charge": 264.0, "npi": [1386230670]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 775.91, "providers": [{"billed_charge": 1824.5, "npi": [1821317264]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 97.77, "providers": [{"billed_charge": 667.0, "npi": [1083426530]}]}, {"allowed_amount": 101.57, "providers": [{"billed_charge": 667.0, "npi": [1184338238]}]}, {"allowed_amount": 102.04, "providers": [{"billed_charge": 667.0, "npi": [1780401208, 1821245176]}]}, {"allowed_amount": 111.18, "providers": [{"billed_charge": 667.0, "npi": [1568175933]}]}, {"allowed_amount": 113.64, "providers": [{"billed_charge": 667.0, "npi": [1942680731, 1700776572]}]}, {"allowed_amount": 126.16, "providers": [{"billed_charge": 667.0, "npi": [1508247537, 1083426530]}]}]}]}, {"name": "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible", "billing_code_type": "CPT", "billing_code": "49591", "billing_code_type_version": "2022", "description": "RPR AA HERNIA 1ST < 3 CM REDUCIBLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "203625173"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 33.97, "providers": [{"billed_charge": 3570.0, "npi": [1912900960]}]}, {"allowed_amount": 51.59, "providers": [{"billed_charge": 3570.0, "npi": [1912900960]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 30.36, "providers": [{"billed_charge": 2375.0, "npi": [1588723373]}]}, {"allowed_amount": 33.97, "providers": [{"billed_charge": 2375.0, "npi": [1497024053]}]}, {"allowed_amount": 67.93, "providers": [{"billed_charge": 2375.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.93, "providers": [{"billed_charge": 263.0, "npi": [1215698196, 1922862325]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 30.39, "providers": [{"billed_charge": 399.0, "npi": [1477193878]}]}, {"allowed_amount": 33.97, "providers": [{"billed_charge": 399.0, "npi": [1366983074, 1184338238]}]}, {"allowed_amount": 37.57, "providers": [{"billed_charge": 399.0, "npi": [1245691260, 1710540893]}]}, {"allowed_amount": 58.24, "providers": [{"billed_charge": 399.0, "npi": [1083426530, 1710540893]}]}, {"allowed_amount": 67.93, "providers": [{"billed_charge": 399.0, "npi": [1861122194]}]}, {"allowed_amount": 75.15, "providers": [{"billed_charge": 399.0, "npi": [1710540893]}]}]}, {"tin": {"type": "ein", "value": "832523412"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.71, "providers": [{"billed_charge": 5340.0, "npi": [1790134641]}]}]}]}, {"name": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less", "billing_code_type": "CPT", "billing_code": "12041", "billing_code_type_version": "2022", "description": "REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 252.32, "providers": [{"billed_charge": 868.0, "npi": [1023052644, 1730112244]}]}, {"allowed_amount": 380.84, "providers": [{"billed_charge": 868.0, "npi": [1568496909]}]}, {"allowed_amount": 396.56, "providers": [{"billed_charge": 868.0, "npi": [1235189358]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 252.32, "providers": [{"billed_charge": 521.0, "npi": [1073856241]}]}, {"allowed_amount": 393.61, "providers": [{"billed_charge": 521.0, "npi": [1609403013]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 374.53, "providers": [{"billed_charge": 1277.0, "npi": [1114504305]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 376.9, "providers": [{"billed_charge": 1127.84, "npi": [1588533509]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 396.56, "providers": [{"billed_charge": 1172.0, "npi": [1104271725]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 476.18, "providers": [{"billed_charge": 476.18, "npi": [1164149597]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 362.43, "providers": [{"billed_charge": 1789.97, "npi": [1841722360]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 393.61, "providers": [{"billed_charge": 676.0, "npi": [1801875554]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 393.61, "providers": [{"billed_charge": 986.0, "npi": [1518234319]}]}, {"allowed_amount": 396.56, "providers": [{"billed_charge": 986.0, "npi": [1518234319]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 505.38, "providers": [{"billed_charge": 1469.0, "npi": [1194492900]}]}, {"allowed_amount": 594.56, "providers": [{"billed_charge": 1249.0, "npi": [1740260538]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.15, "providers": [{"billed_charge": 837.0, "npi": [1770293102]}]}, {"allowed_amount": 316.03, "providers": [{"billed_charge": 837.0, "npi": [1639642507]}]}, {"allowed_amount": 374.53, "providers": [{"billed_charge": 837.0, "npi": [1295354777]}]}, {"allowed_amount": 393.61, "providers": [{"billed_charge": 837.0, "npi": [1043956022]}]}, {"allowed_amount": 396.56, "providers": [{"billed_charge": 837.0, "npi": [1154694479]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 374.53, "providers": [{"billed_charge": 1081.0, "npi": [1699744177, 1518163658, 1003076183]}]}, {"allowed_amount": 380.84, "providers": [{"billed_charge": 1081.0, "npi": [1962441048, 1649202961, 1003076183]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 376.9, "providers": [{"billed_charge": 388.78, "npi": [1922506583]}]}]}]}, {"name": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code": "12042", "billing_code_type_version": "2022", "description": "REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM", "allowed_amounts": [{"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 485.83, "providers": [{"billed_charge": 1700.0, "npi": [1194798090]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 441.98, "providers": [{"billed_charge": 1330.52, "npi": [1407682255]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1859.4, "providers": [{"billed_charge": 1271.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1532.52, "providers": [{"billed_charge": 1350.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 421.41, "providers": [{"billed_charge": 1847.39, "npi": [1518277946]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 834.57, "providers": [{"billed_charge": 1859.0, "npi": [1306499470]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 460.1, "providers": [{"billed_charge": 1058.0, "npi": [1548609258, 1285608828, 1134665508, 1780796086]}]}, {"allowed_amount": 508.95, "providers": [{"billed_charge": 1058.0, "npi": [1649375783]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 677.44, "providers": [{"billed_charge": 1504.0, "npi": [1780832105]}]}, {"allowed_amount": 796.99, "providers": [{"billed_charge": 2018.0, "npi": [1053677138]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 235.0, "providers": [{"billed_charge": 235.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 460.1, "providers": [{"billed_charge": 1444.0, "npi": [1174729446]}]}, {"allowed_amount": 897.19, "providers": [{"billed_charge": 1444.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.52, "providers": [{"billed_charge": 1137.0, "npi": [1770293102]}]}, {"allowed_amount": 508.95, "providers": [{"billed_charge": 1137.0, "npi": [1750022976]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 441.98, "providers": [{"billed_charge": 1467.0, "npi": [1962616367, 1114918117, 1003076183]}]}, {"allowed_amount": 485.83, "providers": [{"billed_charge": 1467.0, "npi": [1962441048]}]}]}]}, {"name": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code": "12032", "billing_code_type_version": "2022", "description": "REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 433.55, "providers": [{"billed_charge": 958.0, "npi": [1164418323]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 942.02, "providers": [{"billed_charge": 3521.0, "npi": [1770150914]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 450.51, "providers": [{"billed_charge": 464.0, "npi": [1477701498]}]}, {"allowed_amount": 464.0, "providers": [{"billed_charge": 464.0, "npi": [1235698234]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 450.51, "providers": [{"billed_charge": 1518.0, "npi": [1104110386]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1379.69, "providers": [{"billed_charge": 1172.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 810.22, "providers": [{"billed_charge": 1640.0, "npi": [1942797972]}]}, {"allowed_amount": 850.32, "providers": [{"billed_charge": 2129.0, "npi": [1801092465]}, {"billed_charge": 2144.0, "npi": [1538148127]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 473.97, "providers": [{"billed_charge": 1255.0, "npi": [1720068224]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 688.69, "providers": [{"billed_charge": 1924.0, "npi": [1477824126]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 450.51, "providers": [{"billed_charge": 887.0, "npi": [1801875554, 1760126551]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.69, "providers": [{"billed_charge": 1050.0, "npi": [1518549567]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 772.61, "providers": [{"billed_charge": 1564.0, "npi": [1457881344]}, {"billed_charge": 1608.0, "npi": [1699902874]}, {"billed_charge": 1948.0, "npi": [1033260831]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "850897854"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.98, "providers": [{"billed_charge": 744.0, "npi": [1396907762]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 433.55, "billing_code_modifier": ["78"], "providers": [{"billed_charge": 868.02, "npi": [1427233006]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 495.0, "providers": [{"billed_charge": 1104.0, "npi": [1801258884]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 433.55, "providers": [{"billed_charge": 1419.0, "npi": [1083649602]}]}, {"allowed_amount": 473.97, "providers": [{"billed_charge": 1419.0, "npi": [1619408739]}]}]}]}, {"name": "Rhythm ECG, 1-3 leads; interpretation and report only", "billing_code_type": "CPT", "billing_code": "93042", "billing_code_type_version": "2022", "description": "RHYTHM ECG 1-3 LEADS INTERPRETATION & REPRT ON", "allowed_amounts": [{"tin": {"type": "ein", "value": "454376008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.44, "providers": [{"billed_charge": 32.0, "npi": [1124588009]}]}]}, {"tin": {"type": "ein", "value": "464258971"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 10.23, "providers": [{"billed_charge": 12.0, "npi": [1194799387]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.63, "providers": [{"billed_charge": 99.0, "npi": [1023219763, 1154333987]}]}, {"allowed_amount": 11.39, "providers": [{"billed_charge": 99.0, "npi": [1154333987, 1023219763]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.95, "providers": [{"billed_charge": 41.1, "npi": [1790059384]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.95, "providers": [{"billed_charge": 111.0, "npi": [1427431782, 1720239411, 1699065276, 1912648510]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.23, "providers": [{"billed_charge": 66.0, "npi": [1578508024, 1699065763]}]}, {"allowed_amount": 20.03, "providers": [{"billed_charge": 66.0, "npi": [1699065763]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.63, "providers": [{"billed_charge": 34.0, "npi": [1801875554, 1578669412, 1801474630, 1376589002, 1598706764, 1235425836, 1760126551, 1063154904, 1760452957, 1306800446]}]}, {"allowed_amount": 20.72, "providers": [{"billed_charge": 34.0, "npi": [1063154904, 1801474630, 1306800446]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.23, "providers": [{"billed_charge": 14.62, "npi": [1164973442]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 43.0, "npi": [1508436361]}]}, {"allowed_amount": 13.21, "providers": [{"billed_charge": 43.0, "npi": [1699515908]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.23, "providers": [{"billed_charge": 53.0, "npi": [1962441048, 1215982657, 1083649602, 1801221619]}]}]}]}, {"name": "SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed", "billing_code_type": "CPT", "billing_code": "81329", "billing_code_type_version": "2022", "description": "SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 137.0, "providers": [{"billed_charge": 137.0, "npi": [1518983642]}]}, {"allowed_amount": 183.57, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 226.4, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 227.65, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 228.2, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 228.61, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 237.96, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 237.97, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 251.14, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}, {"allowed_amount": 253.35, "providers": [{"billed_charge": 73.98, "npi": [1518983642]}]}]}]}, {"name": "Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "77063", "billing_code_type_version": "2022", "description": "SCREENING DIGITAL BREAST TOMOSYNTHESIS BI", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 39.88, "providers": [{"billed_charge": 100.0, "npi": [1225069776]}]}, {"allowed_amount": 42.83, "providers": [{"billed_charge": 100.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "providers": [{"billed_charge": 91.0, "npi": [1508186131]}]}]}, {"tin": {"type": "ein", "value": "205589716"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 78.13, "providers": [{"billed_charge": 199.0, "npi": [1205063039]}]}]}, {"tin": {"type": "ein", "value": "221904530"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 41.91, "providers": [{"billed_charge": 83.0, "npi": [1902847254]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.64, "providers": [{"billed_charge": 143.0, "npi": [1225089428, 1013969294]}]}, {"allowed_amount": 52.37, "providers": [{"billed_charge": 143.0, "npi": [1225089428, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "providers": [{"billed_charge": 74.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 40.48, "providers": [{"billed_charge": 74.0, "npi": [1770646457, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "providers": [{"billed_charge": 123.0, "npi": [1801002324, 1669458246]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 32.11, "providers": [{"billed_charge": 198.0, "npi": [1447372131, 1023570827]}]}, {"allowed_amount": 37.69, "providers": [{"billed_charge": 198.0, "npi": [1780846204, 1306135777, 1861726952, 1588610026, 1932182219, 1457334732, 1023570827, 1750516720, 1033608922, 1679006555, 1215164348]}]}, {"allowed_amount": 63.66, "providers": [{"billed_charge": 198.0, "npi": [1033608922]}]}, {"allowed_amount": 87.67, "providers": [{"billed_charge": 198.0, "npi": [1306135777, 1861726952, 1023570827, 1427580331, 1932182219, 1750516720, 1417158452, 1033608922, 1679006555, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 34.63, "providers": [{"billed_charge": 213.0, "npi": [1841723434]}]}, {"allowed_amount": 42.83, "providers": [{"billed_charge": 213.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "providers": [{"billed_charge": 168.0, "npi": [1356393086]}]}, {"allowed_amount": 50.81, "providers": [{"billed_charge": 168.0, "npi": [1407842024]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "providers": [{"billed_charge": 122.0, "npi": [1497103121, 1780655498, 1164694055]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.69, "providers": [{"billed_charge": 60.0, "npi": [1235194168, 1457349458]}]}, {"allowed_amount": 50.81, "providers": [{"billed_charge": 60.0, "npi": [1528333887]}]}, {"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.17, "providers": [{"billed_charge": 95.0, "npi": [1780629618]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 38.64, "providers": [{"billed_charge": 200.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 42.93, "providers": [{"billed_charge": 200.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 65.83, "providers": [{"billed_charge": 200.0, "npi": [1083693352, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "812683091"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 67.86, "providers": [{"billed_charge": 106.0, "npi": [1396872263]}]}]}, {"tin": {"type": "ein", "value": "930593249"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.2, "providers": [{"billed_charge": 115.8, "npi": [1356488605]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.81, "providers": [{"billed_charge": 165.0, "npi": [1649489014]}]}]}]}, {"name": "Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed", "billing_code_type": "CPT", "billing_code": "77067", "billing_code_type_version": "2022", "description": "SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 600.0, "npi": [1225069776]}]}, {"allowed_amount": 54.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 600.0, "npi": [1225069776, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1508186131]}]}]}, {"tin": {"type": "ein", "value": "205589716"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 192.71, "providers": [{"billed_charge": 524.0, "npi": [1205063039]}]}]}, {"tin": {"type": "ein", "value": "221904530"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 53.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1902847254]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1225089428, 1013969294]}]}, {"allowed_amount": 66.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1225089428, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1770646457, 1891996047]}]}, {"allowed_amount": 51.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1770646457, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1801002324, 1669458246]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 40.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1447372131, 1023570827]}]}, {"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1780846204, 1306135777, 1861726952, 1588610026, 1932182219, 1457334732, 1023570827, 1750516720, 1033608922, 1679006555, 1215164348]}]}, {"allowed_amount": 80.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1033608922]}]}, {"allowed_amount": 111.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1306135777, 1861726952, 1023570827, 1427580331, 1932182219, 1750516720, 1417158452, 1033608922, 1679006555, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 316.0, "npi": [1841723434]}]}, {"allowed_amount": 54.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 316.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1356393086]}]}, {"allowed_amount": 64.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1407842024]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1497103121, 1780655498, 1164694055]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1235194168, 1457349458]}]}, {"allowed_amount": 64.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1528333887]}]}, {"allowed_amount": 75.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "611459826"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 77.32, "providers": [{"billed_charge": 172.0, "npi": [1154512309]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 48.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 54.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 83.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1083693352, 1477754349]}]}]}, {"tin": {"type": "ein", "value": "812683091"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 165.65, "providers": [{"billed_charge": 254.0, "npi": [1396872263]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1609010677]}]}, {"allowed_amount": 83.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1609010677]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 64.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1649489014]}]}]}]}, {"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": "113412370"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1.89, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 25.0, "npi": [1366543795]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.16, "providers": [{"billed_charge": 189.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.11, "providers": [{"billed_charge": 87.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.9, "providers": [{"billed_charge": 8.66, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.16, "providers": [{"billed_charge": 189.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.16, "providers": [{"billed_charge": 189.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}]}, {"name": "Sedimentation rate, erythrocyte; non-automated", "billing_code_type": "CPT", "billing_code": "85651", "billing_code_type_version": "2022", "description": "SEDIMENTATION RATE RBC NON-AUTOMATED", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.9, "providers": [{"billed_charge": 8.66, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.68, "providers": [{"billed_charge": 41.2, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.46, "providers": [{"billed_charge": 17.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.54, "providers": [{"billed_charge": 20.08, "npi": [1609596907]}]}]}]}, {"name": "Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs", "billing_code_type": "CPT", "billing_code": "95938", "billing_code_type_version": "2022", "description": "SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB", "allowed_amounts": [{"tin": {"type": "ein", "value": "200837806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 11900.01, "npi": [1679004006]}]}]}, {"tin": {"type": "ein", "value": "260406521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4160.0, "npi": [1275859183]}]}]}, {"tin": {"type": "ein", "value": "262188574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 51.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1780849281, 1851572937, 1417059346, 1093133076, 1780805077, 1427106012]}]}, {"allowed_amount": 53.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1851572937, 1124315411]}]}, {"allowed_amount": 57.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1780849281, 1851572937, 1518586569, 1508898669, 1124315411, 1689795510, 1053574681, 1780612671]}]}, {"allowed_amount": 59.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1780849281, 1780612671]}]}, {"allowed_amount": 63.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1093133076, 1124412085]}]}, {"allowed_amount": 69.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1851572937, 1518586569]}]}, {"allowed_amount": 95.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1508898669]}]}, {"allowed_amount": 128.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1760465942]}]}, {"allowed_amount": 2430.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1508898669]}]}]}, {"tin": {"type": "ein", "value": "264645356"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10900.0, "npi": [1700128287]}]}]}, {"tin": {"type": "ein", "value": "352587817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10027.0, "npi": [1437404563]}]}]}, {"tin": {"type": "ein", "value": "364916680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10027.0, "npi": [1750373338]}]}, {"allowed_amount": 57.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10027.0, "npi": [1528005485, 1437404563, 1023022357, 1457511743]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 59.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1760402820]}]}]}, {"tin": {"type": "ein", "value": "651180239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1518976729]}]}]}, {"tin": {"type": "ein", "value": "810934442"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1518586569]}]}, {"allowed_amount": 51.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1518586569, 1417059346, 1093133076, 1780612671]}]}, {"allowed_amount": 53.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1518586569, 1417059346, 1124315411, 1780612671]}]}, {"allowed_amount": 56.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1295997740]}]}, {"allowed_amount": 57.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1780849281, 1285833186, 1578023180, 1508898669, 1124315411, 1760465942, 1780612671]}]}, {"allowed_amount": 59.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1679773600, 1780849281, 1518586569, 1508898669]}]}, {"allowed_amount": 69.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1780849281, 1851572937, 1518586569, 1093133076, 1780612671]}]}, {"allowed_amount": 69.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1790105658, 1578023180, 1508898669]}]}, {"allowed_amount": 95.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1508898669]}]}, {"allowed_amount": 96.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1508898669]}]}, {"allowed_amount": 227.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3739.0, "npi": [1760465942]}]}]}, {"tin": {"type": "ein", "value": "834381597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 509.21, "providers": [{"billed_charge": 9024.3, "npi": [1346719689, 1548557796]}]}, {"allowed_amount": 611.06, "providers": [{"billed_charge": 9024.3, "npi": [1346719689]}]}]}, {"tin": {"type": "ein", "value": "834572520"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 57.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6000.0, "npi": [1649598285]}]}]}, {"tin": {"type": "ein", "value": "862676026"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6507.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 9297.0, "npi": [1235447517]}]}]}, {"tin": {"type": "ein", "value": "873299446"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 451.24, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6000.0, "npi": [1386753317]}]}]}, {"tin": {"type": "ein", "value": "900793277"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 51.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 11900.01, "npi": [1154375772]}]}, {"allowed_amount": 59.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 11900.01, "npi": [1780686162]}]}, {"allowed_amount": 465.11, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 8925.01, "npi": [1588973499]}]}]}]}, {"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": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 217.49, "providers": [{"billed_charge": 314.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 33.45, "providers": [{"billed_charge": 791.0, "npi": [1245291426]}]}, {"allowed_amount": 36.79, "providers": [{"billed_charge": 791.0, "npi": [1467692236, 1568496909, 1053645457, 1659566545, 1497920474]}]}, {"allowed_amount": 58.35, "providers": [{"billed_charge": 791.0, "npi": [1437544384, 1245352491, 1235189358, 1598111924, 1730112244]}]}, {"allowed_amount": 66.68, "providers": [{"billed_charge": 791.0, "npi": [1538139324]}]}, {"allowed_amount": 205.93, "providers": [{"billed_charge": 791.0, "npi": [1255893657, 1518986132]}]}, {"allowed_amount": 217.49, "providers": [{"billed_charge": 791.0, "npi": [1023052644, 1639134661, 1245352491, 1235189358, 1265993075]}]}]}, {"tin": {"type": "ein", "value": "205615996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 205.93, "providers": [{"billed_charge": 852.0, "npi": [1386245033]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1891725164, 1235796277]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1558724377, 1669919155, 1508108390]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1528022332]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1043313232]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 17.57, "providers": [{"billed_charge": 195.0, "npi": [1447396023]}]}, {"allowed_amount": 35.14, "providers": [{"billed_charge": 172.0, "npi": [1942044037]}, {"billed_charge": 195.0, "npi": [1124420229]}]}, {"allowed_amount": 91.02, "providers": [{"billed_charge": 195.0, "npi": [1275794885, 1477574028, 1023645074, 1205332889, 1619384187]}]}, {"allowed_amount": 108.75, "providers": [{"billed_charge": 172.0, "npi": [1376561100]}]}, {"allowed_amount": 172.0, "providers": [{"billed_charge": 172.0, "npi": [1124353123, 1336236009, 1407895402, 1447014063, 1487473047, 1205332889, 1477701498, 1629462015]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1467073254]}]}]}, {"tin": {"type": "ein", "value": "264467460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.97, "providers": [{"billed_charge": 274.0, "npi": [1518142603]}]}]}, {"tin": {"type": "ein", "value": "270034858"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 194.88, "providers": [{"billed_charge": 390.0, "npi": [1518969377]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.31, "providers": [{"billed_charge": 440.0, "npi": [1720433725]}]}, {"allowed_amount": 194.88, "providers": [{"billed_charge": 440.0, "npi": [1699415786]}]}, {"allowed_amount": 205.93, "providers": [{"billed_charge": 440.0, "npi": [1912103060]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.72, "providers": [{"billed_charge": 313.5, "npi": [1871024117]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.92, "providers": [{"billed_charge": 292.0, "npi": [1972936698]}]}, {"allowed_amount": 91.02, "providers": [{"billed_charge": 292.0, "npi": [1821599309]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 305.48, "providers": [{"billed_charge": 855.0, "npi": [1578670543]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.02, "providers": [{"billed_charge": 742.0, "npi": [1104110386, 1023219763]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}, {"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.69, "providers": [{"billed_charge": 650.0, "npi": [1437683653]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.81, "providers": [{"billed_charge": 551.0, "npi": [1265683965]}, {"billed_charge": 562.0, "npi": [1346709391, 1679921951]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.09, "providers": [{"billed_charge": 347.28, "npi": [1447225768]}]}, {"allowed_amount": 49.11, "providers": [{"billed_charge": 347.28, "npi": [1851131858]}]}, {"allowed_amount": 194.88, "providers": [{"billed_charge": 347.28, "npi": [1912224593]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.5, "providers": [{"billed_charge": 1232.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.88, "providers": [{"billed_charge": 995.0, "npi": [1174561930, 1932831278]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.93, "providers": [{"billed_charge": 325.0, "npi": [1841968799]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.69, "providers": [{"billed_charge": 539.0, "npi": [1508374992]}, {"billed_charge": 584.0, "npi": [1689494221]}, {"billed_charge": 617.0, "npi": [1326637588]}]}, {"allowed_amount": 115.03, "providers": [{"billed_charge": 571.0, "npi": [1205850070]}, {"billed_charge": 583.0, "npi": [1063652881, 1982122180]}, {"billed_charge": 604.0, "npi": [1629885736]}, {"billed_charge": 670.0, "npi": [1144005208]}]}, {"allowed_amount": 124.34, "providers": [{"billed_charge": 504.0, "npi": [1861733313, 1346772076, 1578190278]}, {"billed_charge": 584.0, "npi": [1700803343]}, {"billed_charge": 605.0, "npi": [1972130318]}, {"billed_charge": 613.0, "npi": [1538555685]}, {"billed_charge": 622.0, "npi": [1194083881]}]}, {"allowed_amount": 135.33, "providers": [{"billed_charge": 553.0, "npi": [1699208637]}, {"billed_charge": 571.0, "npi": [1255869483]}, {"billed_charge": 583.0, "npi": [1780983569, 1558725358]}, {"billed_charge": 604.0, "npi": [1629885736, 1376032011, 1053690479]}, {"billed_charge": 658.0, "npi": [1326579566, 1659951358]}, {"billed_charge": 670.0, "npi": [1376522144, 1558011197, 1134323405]}]}, {"allowed_amount": 211.37, "providers": [{"billed_charge": 584.0, "npi": [1215587647]}, {"billed_charge": 617.0, "npi": [1326637588]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.34, "providers": [{"billed_charge": 625.0, "npi": [1851618227]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 205.93, "providers": [{"billed_charge": 415.0, "npi": [1699270819, 1841287356]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.69, "providers": [{"billed_charge": 447.0, "npi": [1215330642, 1932312964]}, {"billed_charge": 454.0, "npi": [1831691666]}, {"billed_charge": 521.0, "npi": [1669845285]}, {"billed_charge": 533.0, "npi": [1316681265]}, {"billed_charge": 554.0, "npi": [1700894144]}, {"billed_charge": 558.0, "npi": [1235590928, 1477824126]}]}, {"allowed_amount": 124.34, "providers": [{"billed_charge": 446.0, "npi": [1114953916, 1235167453, 1124055959]}, {"billed_charge": 447.0, "npi": [1619149481, 1508807546, 1356383095]}, {"billed_charge": 512.0, "npi": [1275973786]}, {"billed_charge": 521.0, "npi": [1285684753, 1275100059, 1316261233]}, {"billed_charge": 533.0, "npi": [1194074112, 1912403387]}, {"billed_charge": 554.0, "npi": [1427554773, 1326074790, 1952714487]}, {"billed_charge": 558.0, "npi": [1720389679]}]}, {"allowed_amount": 133.08, "providers": [{"billed_charge": 447.0, "npi": [1508807546]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.02, "providers": [{"billed_charge": 257.0, "npi": [1376589002]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.02, "providers": [{"billed_charge": 721.0, "npi": [1801474630]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.14, "providers": [{"billed_charge": 443.0, "npi": [1437281185]}]}, {"allowed_amount": 117.81, "providers": [{"billed_charge": 588.0, "npi": [1407432941]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.93, "providers": [{"billed_charge": 306.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.66, "providers": [{"billed_charge": 694.0, "npi": [1437145992]}]}, {"allowed_amount": 205.93, "providers": [{"billed_charge": 694.0, "npi": [1700068566]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.02, "providers": [{"billed_charge": 292.0, "npi": [1386385862]}]}, {"allowed_amount": 217.49, "providers": [{"billed_charge": 292.0, "npi": [1386385862]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.98, "providers": [{"billed_charge": 390.0, "npi": [1639600414]}]}, {"allowed_amount": 205.93, "providers": [{"billed_charge": 390.0, "npi": [1700405818, 1386324051, 1093315947, 1659617686]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.92, "providers": [{"billed_charge": 292.0, "npi": [1588098040]}]}, {"allowed_amount": 217.49, "providers": [{"billed_charge": 292.0, "npi": [1376250290, 1912262098]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.92, "providers": [{"billed_charge": 292.0, "npi": [1124547336]}]}, {"allowed_amount": 91.02, "providers": [{"billed_charge": 292.0, "npi": [1336536440]}]}, {"allowed_amount": 217.49, "providers": [{"billed_charge": 292.0, "npi": [1477387371]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1770084022]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.02, "providers": [{"billed_charge": 742.0, "npi": [1396724431]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.3, "providers": [{"billed_charge": 317.0, "npi": [1467277673]}]}, {"allowed_amount": 91.02, "providers": [{"billed_charge": 317.0, "npi": [1194245464, 1821739897, 1801258884, 1750842902]}]}, {"allowed_amount": 182.04, "providers": [{"billed_charge": 317.0, "npi": [1306473624]}]}, {"allowed_amount": 205.93, "providers": [{"billed_charge": 317.0, "npi": [1548919707, 1154073237]}]}, {"allowed_amount": 217.49, "providers": [{"billed_charge": 317.0, "npi": [1750022976, 1952988131, 1891324745, 1669608618, 1083243885, 1306473624, 1043893118]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.58, "providers": [{"billed_charge": 411.0, "npi": [1053338723]}]}]}, {"tin": {"type": "ein", "value": "993487298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.43, "providers": [{"billed_charge": 387.0, "npi": [1588975361]}]}]}]}, {"name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm", "billing_code_type": "CPT", "billing_code": "12013", "billing_code_type_version": "2022", "description": "SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 108.04, "providers": [{"billed_charge": 926.0, "npi": [1447629027]}]}, {"allowed_amount": 215.84, "providers": [{"billed_charge": 926.0, "npi": [1952822652]}]}, {"allowed_amount": 228.75, "providers": [{"billed_charge": 926.0, "npi": [1235189358, 1033615414]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.82, "providers": [{"billed_charge": 179.0, "npi": [1124420229]}]}, {"allowed_amount": 89.5, "providers": [{"billed_charge": 179.0, "npi": [1609278969, 1962083642]}]}, {"allowed_amount": 95.36, "providers": [{"billed_charge": 209.0, "npi": [1396132569]}]}, {"allowed_amount": 179.0, "providers": [{"billed_charge": 179.0, "npi": [1629472923]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 204.0, "providers": [{"billed_charge": 204.0, "npi": [1710175526]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.51, "providers": [{"billed_charge": 452.0, "npi": [1891492831]}]}, {"allowed_amount": 102.13, "providers": [{"billed_charge": 452.0, "npi": [1891322376]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.36, "providers": [{"billed_charge": 314.0, "npi": [1376125104]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.75, "providers": [{"billed_charge": 402.87, "npi": [1811256258]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}, {"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.26, "providers": [{"billed_charge": 373.44, "npi": [1427685189]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.84, "providers": [{"billed_charge": 537.0, "npi": [1225373848, 1841279700]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.03, "providers": [{"billed_charge": 647.0, "npi": [1023751138]}]}, {"allowed_amount": 125.33, "providers": [{"billed_charge": 605.0, "npi": [1598363764, 1245904820]}]}, {"allowed_amount": 134.05, "providers": [{"billed_charge": 543.0, "npi": [1982054029]}, {"billed_charge": 589.0, "npi": [1073824785]}, {"billed_charge": 616.0, "npi": [1629236427]}, {"billed_charge": 647.0, "npi": [1093212458]}, {"billed_charge": 652.0, "npi": [1346220811]}]}, {"allowed_amount": 147.44, "providers": [{"billed_charge": 585.0, "npi": [1306418264]}, {"billed_charge": 605.0, "npi": [1265883433, 1801245675]}, {"billed_charge": 641.0, "npi": [1629885736]}, {"billed_charge": 696.0, "npi": [1326579566]}]}, {"allowed_amount": 227.88, "providers": [{"billed_charge": 637.0, "npi": [1255138228]}]}, {"allowed_amount": 250.65, "providers": [{"billed_charge": 619.0, "npi": [1770369019]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.53, "providers": [{"billed_charge": 425.0, "npi": [1841287356]}]}, {"allowed_amount": 215.84, "providers": [{"billed_charge": 425.0, "npi": [1043639297]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.94, "providers": [{"billed_charge": 470.0, "npi": [1215330642]}, {"billed_charge": 549.0, "npi": [1346768066]}, {"billed_charge": 563.0, "npi": [1912194713, 1780280255]}, {"billed_charge": 584.0, "npi": [1780280255]}]}, {"allowed_amount": 134.05, "providers": [{"billed_charge": 471.0, "npi": [1508807546, 1760419774]}, {"billed_charge": 563.0, "npi": [1801525027, 1598098428]}, {"billed_charge": 584.0, "npi": [1922376730]}, {"billed_charge": 595.0, "npi": [1477973709]}]}, {"allowed_amount": 135.34, "providers": [{"billed_charge": 549.0, "npi": [1265606784]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.36, "providers": [{"billed_charge": 911.0, "npi": [1548609258]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 187.39, "providers": [{"billed_charge": 320.0, "npi": [1811798275]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.53, "providers": [{"billed_charge": 813.0, "npi": [1437145992]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.73, "providers": [{"billed_charge": 314.0, "npi": [1629529433]}]}, {"allowed_amount": 95.36, "providers": [{"billed_charge": 314.0, "npi": [1992101943]}]}]}, {"tin": {"type": "ein", "value": "841888261"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.67, "providers": [{"billed_charge": 562.0, "npi": [1811194483]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.36, "providers": [{"billed_charge": 314.0, "npi": [1790944205]}]}, {"allowed_amount": 228.75, "providers": [{"billed_charge": 314.0, "npi": [1790444651]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.75, "providers": [{"billed_charge": 314.0, "npi": [1366603334]}]}]}, {"tin": {"type": "ein", "value": "863655230"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 228.75, "providers": [{"billed_charge": 326.78, "npi": [1205663465]}]}]}, {"tin": {"type": "ein", "value": "910885450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.75, "providers": [{"billed_charge": 684.0, "npi": [1720660681]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.36, "providers": [{"billed_charge": 1361.0, "npi": [1083191092]}]}, {"allowed_amount": 228.75, "providers": [{"billed_charge": 1361.0, "npi": [1063964666]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.68, "providers": [{"billed_charge": 332.0, "npi": [1962272278]}]}, {"allowed_amount": 95.36, "providers": [{"billed_charge": 332.0, "npi": [1245639624, 1952988131]}]}, {"allowed_amount": 215.84, "providers": [{"billed_charge": 332.0, "npi": [1487282257, 1760122774]}]}, {"allowed_amount": 228.75, "providers": [{"billed_charge": 332.0, "npi": [1245639624]}]}, {"allowed_amount": 231.26, "providers": [{"billed_charge": 332.0, "npi": [1811615297]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.62, "providers": [{"billed_charge": 434.0, "npi": [1417925876]}]}, {"allowed_amount": 215.84, "providers": [{"billed_charge": 434.0, "npi": [1679922629]}]}]}]}, {"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": "111631788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.8, "providers": [{"billed_charge": 145.0, "npi": [1457837148]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 245.0, "npi": [1437636503]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 341.1, "npi": [1942418579]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 88.47, "providers": [{"billed_charge": 295.0, "npi": [1902003635]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 295.0, "npi": [1902003635]}]}, {"allowed_amount": 295.0, "providers": [{"billed_charge": 295.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 264.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.98, "providers": [{"billed_charge": 250.0, "npi": [1801768577]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["20", "19"], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 655.0, "npi": [1245291426]}]}, {"allowed_amount": 29.46, "providers": [{"billed_charge": 655.0, "npi": [1144354390]}]}, {"allowed_amount": 29.7, "providers": [{"billed_charge": 655.0, "npi": [1578805248, 1205417474, 1659566545, 1053645457, 1518986132, 1235796277, 1811483829, 1255893657, 1952822652, 1649436734]}]}, {"allowed_amount": 33.58, "providers": [{"billed_charge": 655.0, "npi": [1346206257]}]}, {"allowed_amount": 47.01, "providers": [{"billed_charge": 655.0, "npi": [1437544384, 1952921025, 1023052644, 1245352491, 1235189358, 1265993075, 1598111924, 1730112244, 1033615414, 1245755958, 1417905886]}]}, {"allowed_amount": 53.72, "providers": [{"billed_charge": 655.0, "npi": [1538139324]}]}, {"allowed_amount": 67.26, "providers": [{"billed_charge": 655.0, "npi": [1376579714]}]}, {"allowed_amount": 167.72, "providers": [{"billed_charge": 655.0, "npi": [1437544384, 1982648705, 1245291426, 1447488580, 1639134661, 1225353766, 1053645457, 1164418323, 1518986132, 1811483829, 1952822652]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 655.0, "npi": [1437544384, 1952921025, 1376579714, 1174586465, 1023052644, 1821284910, 1780062414, 1235189358, 1053645457, 1346206257, 1730112244, 1245755958, 1538139324, 1417905886]}]}]}, {"tin": {"type": "ein", "value": "205615996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.43, "providers": [{"billed_charge": 681.0, "npi": [1952684912]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1710947940, 1881271310, 1669919155, 1235796277, 1457715096, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1508108390, 1508137670, 1558395434, 1912961293, 1558724377]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1780632612, 1700011335, 1912961293, 1669919155, 1073833653]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1790906154, 1396774956, 1912961293, 1194822353, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 390.0, "npi": [1699117903]}]}]}, {"tin": {"type": "ein", "value": "260732427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.68, "providers": [{"billed_charge": 385.74, "npi": [1437387198]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 28.31, "providers": [{"billed_charge": 144.0, "npi": [1023633153, 1760040307, 1942044037, 1740145903]}, {"billed_charge": 157.0, "npi": [1629472923, 1487674149, 1821077967]}]}, {"allowed_amount": 32.19, "providers": [{"billed_charge": 157.0, "npi": [1124118138]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 157.0, "npi": [1871015248, 1912103060, 1104846773, 1790216695, 1952864696, 1205332889, 1487738654]}]}, {"allowed_amount": 88.47, "providers": [{"billed_charge": 144.0, "npi": [1407895402]}]}, {"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1265999585, 1942218433, 1306853338, 1700981156, 1124420229, 1528515210, 1538525423, 1871015248, 1760040307, 1396133237, 1083041750, 1942731799, 1902246424, 1437460409, 1124118138, 1881058170]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1194298331]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1710175526, 1467073254, 1790906154, 1346206257, 1235796277]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 145.62, "providers": [{"billed_charge": 636.61, "npi": [1982273678]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.26, "providers": [{"billed_charge": 356.0, "npi": [1558757880, 1114504305, 1942267182]}]}, {"allowed_amount": 134.51, "providers": [{"billed_charge": 356.0, "npi": [1942267182]}]}, {"allowed_amount": 158.73, "providers": [{"billed_charge": 356.0, "npi": [1902888084]}]}, {"allowed_amount": 167.72, "providers": [{"billed_charge": 356.0, "npi": [1609537588]}]}]}, {"tin": {"type": "ein", "value": "271463219"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 167.72, "providers": [{"billed_charge": 243.0, "npi": [1497853048]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1467073254, 1508108390, 1669919155, 1073833653, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.62, "providers": [{"billed_charge": 236.0, "npi": [1366603334]}]}, {"allowed_amount": 64.38, "providers": [{"billed_charge": 236.0, "npi": [1104128305]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 236.0, "npi": [1730169475]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.38, "providers": [{"billed_charge": 236.0, "npi": [1164252052]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 236.0, "npi": [1821441254]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 236.0, "npi": [1306800446]}]}]}, {"tin": {"type": "ein", "value": "393068262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.37, "providers": [{"billed_charge": 429.0, "npi": [1558488072]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.33, "providers": [{"billed_charge": 1308.0, "npi": [1467521146]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.92, "providers": [{"billed_charge": 312.0, "npi": [1699491498]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.12, "providers": [{"billed_charge": 451.0, "npi": [1134369416]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 167.72, "providers": [{"billed_charge": 375.56, "npi": [1376783548, 1417819806, 1184441719]}]}, {"allowed_amount": 276.98, "providers": [{"billed_charge": 375.56, "npi": [1417819806]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 247.45, "providers": [{"billed_charge": 416.72, "npi": [1447735030]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 167.72, "providers": [{"billed_charge": 197.04, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.54, "providers": [{"billed_charge": 143.0, "npi": [1124284724]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.8, "providers": [{"billed_charge": 624.0, "npi": [1912993114]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 624.0, "npi": [1154333987]}]}, {"allowed_amount": 158.73, "providers": [{"billed_charge": 624.0, "npi": [1811928666]}]}]}, {"tin": {"type": "ein", "value": "472660438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.95, "providers": [{"billed_charge": 433.0, "npi": [1598743130]}]}]}, {"tin": {"type": "ein", "value": "562119000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.37, "providers": [{"billed_charge": 533.0, "npi": [1710187869]}]}]}, {"tin": {"type": "ein", "value": "562136828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.16, "providers": [{"billed_charge": 263.0, "npi": [1285364406]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}, {"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 788.0, "npi": [1396267753]}]}]}, {"tin": {"type": "ein", "value": "591237521"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.66, "providers": [{"billed_charge": 513.0, "npi": [1629266184, 1902997208]}]}, {"allowed_amount": 101.95, "providers": [{"billed_charge": 513.0, "npi": [1548357437]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.9, "providers": [{"billed_charge": 454.0, "npi": [1922879113]}, {"billed_charge": 476.0, "npi": [1457837957]}]}, {"allowed_amount": 96.35, "providers": [{"billed_charge": 379.0, "npi": [1003498353, 1407144314]}, {"billed_charge": 479.0, "npi": [1912160813]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.16, "providers": [{"billed_charge": 284.04, "npi": [1942697214]}]}, {"allowed_amount": 63.43, "providers": [{"billed_charge": 284.04, "npi": [1457871824]}]}, {"allowed_amount": 158.73, "providers": [{"billed_charge": 284.04, "npi": [1235160516]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.86, "providers": [{"billed_charge": 697.0, "npi": [1760772958]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 180.2, "npi": [1164072393]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 308.39, "providers": [{"billed_charge": 1242.5, "npi": [1427286715, 1942567375]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.38, "providers": [{"billed_charge": 156.56, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 167.72, "providers": [{"billed_charge": 381.0, "npi": [1700656071]}]}]}, {"tin": {"type": "ein", "value": "636004476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.27, "providers": [{"billed_charge": 360.0, "npi": [1407749526]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.67, "providers": [{"billed_charge": 370.0, "npi": [1841279700]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.66, "providers": [{"billed_charge": 413.0, "npi": [1134108996]}, {"billed_charge": 466.0, "npi": [1689494221]}, {"billed_charge": 482.0, "npi": [1447862818, 1659250868]}, {"billed_charge": 510.0, "npi": [1942701156]}]}, {"allowed_amount": 94.64, "providers": [{"billed_charge": 453.0, "npi": [1598363764, 1205850070]}, {"billed_charge": 467.0, "npi": [1063652881]}, {"billed_charge": 482.0, "npi": [1629885736, 1992465330, 1598363764, 1609636422]}, {"billed_charge": 541.0, "npi": [1144005208, 1700532645, 1114625712]}]}, {"allowed_amount": 101.95, "providers": [{"billed_charge": 413.0, "npi": [1295001667, 1700464039, 1982054029, 1922275221, 1588046999]}, {"billed_charge": 466.0, "npi": [1922206168, 1457512642, 1629236427]}, {"billed_charge": 488.0, "npi": [1336725225]}, {"billed_charge": 496.0, "npi": [1568038784, 1003880774, 1346220811, 1891894838]}, {"billed_charge": 505.0, "npi": [1235440017, 1255367892, 1073719621, 1689660748]}, {"billed_charge": 510.0, "npi": [1437248432, 1235440017]}]}, {"allowed_amount": 111.33, "providers": [{"billed_charge": 439.0, "npi": [1639495245, 1699208637]}, {"billed_charge": 453.0, "npi": [1639424906, 1457812273, 1366431546, 1073762043, 1902866494]}, {"billed_charge": 467.0, "npi": [1033143698, 1114509270, 1437649175]}, {"billed_charge": 482.0, "npi": [1710568704, 1629885736, 1376032011, 1639109150, 1538148127]}, {"billed_charge": 523.0, "npi": [1659951358, 1417698077, 1326579566]}, {"billed_charge": 541.0, "npi": [1275799827, 1841876349, 1124657085]}]}, {"allowed_amount": 173.31, "providers": [{"billed_charge": 466.0, "npi": [1689494221]}, {"billed_charge": 482.0, "npi": [1659250868]}, {"billed_charge": 510.0, "npi": [1730168568, 1710574777]}]}, {"allowed_amount": 222.66, "providers": [{"billed_charge": 453.0, "npi": [1639424906]}, {"billed_charge": 541.0, "npi": [1801092465]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.9, "providers": [{"billed_charge": 473.0, "npi": [1639587702]}]}, {"allowed_amount": 86.66, "providers": [{"billed_charge": 514.0, "npi": [1740145309]}]}, {"allowed_amount": 101.95, "providers": [{"billed_charge": 499.0, "npi": [1467716241]}, {"billed_charge": 514.0, "npi": [1467716241, 1225569742]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.26, "providers": [{"billed_charge": 336.0, "npi": [1912388224, 1841287356, 1801120027, 1730529124]}]}, {"allowed_amount": 167.72, "providers": [{"billed_charge": 336.0, "npi": [1720068224, 1316917321]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.84, "providers": [{"billed_charge": 145.68, "npi": [1558637272]}]}, {"allowed_amount": 83.86, "providers": [{"billed_charge": 145.68, "npi": [1558637272]}]}, {"allowed_amount": 167.72, "providers": [{"billed_charge": 446.0, "npi": [1851500847]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.66, "providers": [{"billed_charge": 359.0, "npi": [1831691666, 1932312964]}, {"billed_charge": 416.0, "npi": [1225432768, 1518131465, 1225149594, 1497419923]}, {"billed_charge": 417.0, "npi": [1700894144, 1669845285, 1669783213]}, {"billed_charge": 426.0, "npi": [1316681265, 1093979650, 1780280255]}, {"billed_charge": 438.0, "npi": [1437600418, 1477824126, 1801639430]}, {"billed_charge": 443.0, "npi": [1801594809, 1013248095, 1427054311]}, {"billed_charge": 452.0, "npi": [1588643357]}]}, {"allowed_amount": 101.95, "providers": [{"billed_charge": 359.0, "npi": [1760419774, 1861772964, 1629509302, 1356383095]}, {"billed_charge": 360.0, "npi": [1124055959]}, {"billed_charge": 416.0, "npi": [1831176130, 1609870682, 1760418495]}, {"billed_charge": 417.0, "npi": [1316261233, 1154764611, 1477130334]}, {"billed_charge": 426.0, "npi": [1598098428, 1871750349]}, {"billed_charge": 438.0, "npi": [1598976656]}, {"billed_charge": 443.0, "npi": [1619543105, 1386094274, 1326074790, 1013307495, 1023645074, 1952714487, 1699851295]}, {"billed_charge": 452.0, "npi": [1467947242]}]}, {"allowed_amount": 173.31, "providers": [{"billed_charge": 438.0, "npi": [1477824126]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.95, "providers": [{"billed_charge": 210.0, "npi": [1801474630]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 606.0, "npi": [1548609258, 1114156783, 1881704807]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 606.0, "npi": [1730169475]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 606.0, "npi": [1326668864, 1821733312, 1730169475, 1881210920, 1861901753, 1699735258, 1659326494]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.54, "providers": [{"billed_charge": 258.0, "npi": [1881330850]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.65, "providers": [{"billed_charge": 767.13, "npi": [1356093009]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.9, "providers": [{"billed_charge": 354.0, "npi": [1821086745, 1639587702]}, {"billed_charge": 473.0, "npi": [1366882433]}, {"billed_charge": 480.0, "npi": [1255561502]}]}, {"allowed_amount": 96.35, "providers": [{"billed_charge": 475.0, "npi": [1053677138, 1245492487]}, {"billed_charge": 477.0, "npi": [1265704332]}, {"billed_charge": 478.0, "npi": [1063038388]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 221.18, "providers": [{"billed_charge": 251.43, "npi": [1891735544, 1902912454]}]}]}, {"tin": {"type": "ein", "value": "811855329"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.35, "providers": [{"billed_charge": 312.0, "npi": [1144755349]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 167.72, "providers": [{"billed_charge": 256.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 512.0, "npi": [1346593050]}]}]}, {"tin": {"type": "ein", "value": "823328660"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.47, "providers": [{"billed_charge": 407.38, "npi": [1104567015]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.62, "providers": [{"billed_charge": 236.0, "npi": [1700060605]}]}, {"allowed_amount": 64.38, "providers": [{"billed_charge": 236.0, "npi": [1124547336, 1639157258, 1942626155]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 236.0, "npi": [1124559828, 1730329798]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 236.0, "npi": [1225618192, 1629529433, 1013465095]}]}]}, {"tin": {"type": "ein", "value": "832794560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.75, "providers": [{"billed_charge": 312.0, "npi": [1720877087]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 144.96, "providers": [{"billed_charge": 320.0, "npi": [1700405818, 1134101710]}]}, {"allowed_amount": 145.62, "providers": [{"billed_charge": 320.0, "npi": [1336613603]}]}, {"allowed_amount": 167.72, "providers": [{"billed_charge": 320.0, "npi": [1093315947, 1093291916, 1659389229, 1871681999]}]}, {"allowed_amount": 247.45, "providers": [{"billed_charge": 320.0, "npi": [1093315947]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.62, "providers": [{"billed_charge": 236.0, "npi": [1790444651]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 236.0, "npi": [1912262098, 1861838823]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 236.0, "npi": [1861838823, 1790444651, 1467627729, 1104128305, 1376250290, 1588098040]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.38, "providers": [{"billed_charge": 236.0, "npi": [1225618192]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 236.0, "npi": [1174732705, 1679776330, 1427288109, 1336536440, 1841876315]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 236.0, "npi": [1124547336, 1629529433, 1992101943]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 123.86, "providers": [{"billed_charge": 700.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.99, "providers": [{"billed_charge": 264.87, "npi": [1427233006]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 167.72, "providers": [{"billed_charge": 360.0, "npi": [1992043715]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.95, "providers": [{"billed_charge": 624.0, "npi": [1780636720, 1518969468, 1396724431]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 145.62, "providers": [{"billed_charge": 332.0, "npi": [1154480218]}]}, {"allowed_amount": 167.72, "providers": [{"billed_charge": 332.0, "npi": [1922436922]}]}]}, {"tin": {"type": "ein", "value": "870997442"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.75, "providers": [{"billed_charge": 312.0, "npi": [1730348145]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 167.72, "providers": [{"billed_charge": 267.0, "npi": [1093670945]}]}, {"allowed_amount": 267.0, "providers": [{"billed_charge": 267.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "872243361"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.34, "providers": [{"billed_charge": 382.0, "npi": [1265884696]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.3, "providers": [{"billed_charge": 260.0, "npi": [1881199073]}]}]}, {"tin": {"type": "ein", "value": "910885450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.6, "providers": [{"billed_charge": 482.0, "npi": [1154339539]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 911.0, "npi": [1306473624, 1063964666, 1184853004]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 911.0, "npi": [1821331612, 1184853004]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 165.98, "providers": [{"billed_charge": 254.0, "npi": [1386487593]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.19, "providers": [{"billed_charge": 260.0, "npi": [1235392663]}]}, {"allowed_amount": 32.71, "providers": [{"billed_charge": 260.0, "npi": [1083495964]}]}, {"allowed_amount": 34.01, "providers": [{"billed_charge": 260.0, "npi": [1235916073]}]}, {"allowed_amount": 56.75, "providers": [{"billed_charge": 260.0, "npi": [1215739164]}]}, {"allowed_amount": 67.26, "providers": [{"billed_charge": 260.0, "npi": [1790710069, 1659991958, 1639810989]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 260.0, "npi": [1750022976, 1891324778, 1225665003, 1083243885, 1063760759, 1902435027, 1881825461, 1144960758, 1750842902, 1306473624, 1538113790]}]}, {"allowed_amount": 120.27, "providers": [{"billed_charge": 260.0, "npi": [1427445642]}]}, {"allowed_amount": 167.72, "providers": [{"billed_charge": 260.0, "npi": [1669003273, 1891435087, 1265484562, 1376387670, 1043819675]}]}, {"allowed_amount": 176.95, "providers": [{"billed_charge": 260.0, "npi": [1750022976, 1245639624, 1386267474, 1881825461, 1750842902, 1538113790]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.26, "providers": [{"billed_charge": 335.0, "npi": [1649202961, 1083649602, 1619408739]}]}]}, {"tin": {"type": "ein", "value": "942728480"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.57, "providers": [{"billed_charge": 437.0, "npi": [1720557473]}]}]}]}, {"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": "113495935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.5, "providers": [{"billed_charge": 185.0, "npi": [1578042685]}]}]}, {"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 38.78, "providers": [{"billed_charge": 791.0, "npi": [1255893657, 1952822652]}]}, {"allowed_amount": 43.88, "providers": [{"billed_charge": 791.0, "npi": [1346206257]}]}, {"allowed_amount": 61.44, "providers": [{"billed_charge": 791.0, "npi": [1437544384, 1245352491, 1265993075, 1598111924, 1730112244, 1033615414, 1265665145]}]}, {"allowed_amount": 205.77, "providers": [{"billed_charge": 791.0, "npi": [1265665145, 1568496909, 1538144597]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 791.0, "npi": [1023052644, 1124239207, 1235189358, 1467093492, 1952822652]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1285780387, 1508137670, 1790906154, 1891725164, 1881271310, 1043313232, 1457715096]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1710947940, 1174586465, 1942457692, 1669737953]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1285780387, 1710947940, 1700011335, 1891725164, 1649538828, 1558724377]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1194822353, 1790906154]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 321.76, "providers": [{"billed_charge": 400.0, "npi": [1427436229]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.0, "providers": [{"billed_charge": 175.0, "npi": [1306853338, 1538652979, 1730190869]}, {"billed_charge": 207.0, "npi": [1265999585, 1124420229, 1104996461, 1447014063, 1538652979]}]}, {"allowed_amount": 70.21, "providers": [{"billed_charge": 207.0, "npi": [1548622764]}]}, {"allowed_amount": 74.0, "providers": [{"billed_charge": 207.0, "npi": [1447396023]}]}, {"allowed_amount": 87.5, "providers": [{"billed_charge": 175.0, "npi": [1437491040]}]}, {"allowed_amount": 95.84, "providers": [{"billed_charge": 207.0, "npi": [1417985888, 1942731799, 1487115960, 1962083642, 1629462015]}]}, {"allowed_amount": 162.92, "providers": [{"billed_charge": 175.0, "npi": [1528515210]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1790216695, 1700981156, 1942044037, 1124420229, 1538525423, 1447014063, 1780117937, 1730190869, 1083041750, 1447396023, 1316437080, 1124118138, 1629472923, 1639305212]}]}, {"allowed_amount": 191.67, "providers": [{"billed_charge": 207.0, "npi": [1104846773]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1790906154, 1528022332, 1710175526]}]}]}, {"tin": {"type": "ein", "value": "264626264"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 237.86, "providers": [{"billed_charge": 510.0, "npi": [1437482817]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.95, "providers": [{"billed_charge": 470.0, "npi": [1306486196]}]}, {"allowed_amount": 82.88, "providers": [{"billed_charge": 470.0, "npi": [1659900512, 1699186171]}]}, {"allowed_amount": 87.81, "providers": [{"billed_charge": 470.0, "npi": [1114504305]}]}, {"allowed_amount": 97.42, "providers": [{"billed_charge": 470.0, "npi": [1295305217]}]}, {"allowed_amount": 194.84, "providers": [{"billed_charge": 470.0, "npi": [1053894170, 1134137326]}]}, {"allowed_amount": 205.77, "providers": [{"billed_charge": 470.0, "npi": [1457496572, 1720433725]}]}]}, {"tin": {"type": "ein", "value": "300986476"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.84, "providers": [{"billed_charge": 333.7, "npi": [1134347891, 1730452723]}]}]}, {"tin": {"type": "ein", "value": "311009777"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.15, "providers": [{"billed_charge": 571.0, "npi": [1144197005]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.62, "providers": [{"billed_charge": 163.8, "npi": [1871957290]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.71, "providers": [{"billed_charge": 444.0, "npi": [1528000627]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1528022332]}]}]}, {"tin": {"type": "ein", "value": "331604186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.44, "providers": [{"billed_charge": 311.0, "npi": [1437739570]}]}, {"allowed_amount": 74.0, "providers": [{"billed_charge": 311.0, "npi": [1366603334]}]}, {"allowed_amount": 84.15, "providers": [{"billed_charge": 311.0, "npi": [1972936698]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 311.0, "npi": [1972936698]}]}]}, {"tin": {"type": "ein", "value": "331631546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.15, "providers": [{"billed_charge": 311.0, "npi": [1164252052]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 311.0, "npi": [1700161700]}]}]}, {"tin": {"type": "ein", "value": "352163112"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 64.0, "providers": [{"billed_charge": 64.0, "npi": [1659358687]}]}, {"allowed_amount": 259.0, "providers": [{"billed_charge": 259.0, "npi": [1659358687]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.15, "providers": [{"billed_charge": 598.0, "npi": [1609196864]}]}]}, {"tin": {"type": "ein", "value": "460714837"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 245.28, "providers": [{"billed_charge": 634.0, "npi": [1184971558]}]}]}, {"tin": {"type": "ein", "value": "461283908"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.11, "providers": [{"billed_charge": 853.0, "npi": [1285130914]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.68, "providers": [{"billed_charge": 237.0, "npi": [1013370592]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.58, "providers": [{"billed_charge": 809.0, "npi": [1033160163]}]}]}, {"tin": {"type": "ein", "value": "472660438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.44, "providers": [{"billed_charge": 578.0, "npi": [1336120690]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}, {"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.04, "providers": [{"billed_charge": 510.0, "npi": [1720033962]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.8, "providers": [{"billed_charge": 371.22, "npi": [1902699952]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.89, "providers": [{"billed_charge": 333.7, "npi": [1902613078]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.21, "providers": [{"billed_charge": 1049.0, "npi": [1841221777]}]}, {"allowed_amount": 194.84, "providers": [{"billed_charge": 1049.0, "npi": [1063663516]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.38, "providers": [{"billed_charge": 156.56, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "621751737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.6, "providers": [{"billed_charge": 596.0, "npi": [1225411259]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 205.77, "providers": [{"billed_charge": 502.0, "npi": [1578508024, 1265485577, 1841279700]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.09, "providers": [{"billed_charge": 539.0, "npi": [1073935300, 1205685484]}, {"billed_charge": 571.0, "npi": [1215719315]}, {"billed_charge": 618.0, "npi": [1568969061]}, {"billed_charge": 641.0, "npi": [1447862818, 1659250868]}]}, {"allowed_amount": 123.34, "providers": [{"billed_charge": 603.0, "npi": [1245904820, 1598363764, 1205850070]}, {"billed_charge": 615.0, "npi": [1063652881]}, {"billed_charge": 639.0, "npi": [1629885736, 1215425707, 1598363764, 1609636422]}, {"billed_charge": 713.0, "npi": [1154757656, 1144005208]}]}, {"allowed_amount": 133.05, "providers": [{"billed_charge": 539.0, "npi": [1629962618]}, {"billed_charge": 571.0, "npi": [1932527884]}, {"billed_charge": 592.0, "npi": [1184998676]}, {"billed_charge": 618.0, "npi": [1922206168]}, {"billed_charge": 656.0, "npi": [1003880774, 1346220811, 1891894838, 1124093703]}, {"billed_charge": 659.0, "npi": [1376511147, 1699761759]}]}, {"allowed_amount": 145.1, "providers": [{"billed_charge": 583.0, "npi": [1225394240, 1639495245]}, {"billed_charge": 603.0, "npi": [1801245675]}, {"billed_charge": 639.0, "npi": [1629885736, 1376032011]}, {"billed_charge": 693.0, "npi": [1134625049, 1417698077, 1538148127]}, {"billed_charge": 713.0, "npi": [1376522144, 1801092465]}]}, {"allowed_amount": 226.18, "providers": [{"billed_charge": 641.0, "npi": [1255138228]}, {"billed_charge": 656.0, "npi": [1326637588]}]}, {"allowed_amount": 246.67, "providers": [{"billed_charge": 583.0, "npi": [1235814310]}]}, {"allowed_amount": 290.2, "providers": [{"billed_charge": 713.0, "npi": [1801092465]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.09, "providers": [{"billed_charge": 662.0, "npi": [1710574777]}]}, {"allowed_amount": 133.05, "providers": [{"billed_charge": 662.0, "npi": [1003131749, 1457556714, 1851618227, 1609518356, 1689669400, 1528687837]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.09, "providers": [{"billed_charge": 437.0, "npi": [1083864987, 1598122749]}]}, {"allowed_amount": 87.81, "providers": [{"billed_charge": 437.0, "npi": [1013904457]}]}, {"allowed_amount": 205.77, "providers": [{"billed_charge": 437.0, "npi": [1326467580]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.09, "providers": [{"billed_charge": 478.0, "npi": [1932312964]}, {"billed_charge": 542.0, "npi": [1205454162, 1184093726]}, {"billed_charge": 552.0, "npi": [1669783213]}, {"billed_charge": 565.0, "npi": [1912194713, 1437600418, 1093979650]}, {"billed_charge": 581.0, "npi": [1437600418, 1477824126, 1801639430]}, {"billed_charge": 586.0, "npi": [1801594809, 1568490027, 1427054311]}, {"billed_charge": 596.0, "npi": [1588643357, 1609956119]}]}, {"allowed_amount": 133.05, "providers": [{"billed_charge": 542.0, "npi": [1326336785, 1609870682, 1811121957]}, {"billed_charge": 552.0, "npi": [1285684753, 1154764611, 1477130334]}, {"billed_charge": 565.0, "npi": [1811933062]}, {"billed_charge": 586.0, "npi": [1619543105, 1336382241, 1427554773, 1326074790]}, {"billed_charge": 596.0, "npi": [1457830408, 1942837901]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.8, "providers": [{"billed_charge": 745.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.67, "providers": [{"billed_charge": 786.0, "npi": [1730169475]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 786.0, "npi": [1861901753, 1548609258, 1659326494, 1881704807]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.89, "providers": [{"billed_charge": 1521.0, "npi": [1801835418]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.46, "providers": [{"billed_charge": 912.0, "npi": [1518549567]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.04, "providers": [{"billed_charge": 467.0, "npi": [1396463972]}, {"billed_charge": 624.0, "npi": [1831613165]}]}, {"allowed_amount": 125.93, "providers": [{"billed_charge": 467.0, "npi": [1245264829]}, {"billed_charge": 490.0, "npi": [1114945094]}, {"billed_charge": 545.0, "npi": [1740260538, 1073072930]}, {"billed_charge": 627.0, "npi": [1053677138, 1659734804]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 217.56, "providers": [{"billed_charge": 308.58, "npi": [1891735544]}]}, {"allowed_amount": 271.95, "providers": [{"billed_charge": 308.58, "npi": [1508115825]}]}]}, {"tin": {"type": "ein", "value": "812574422"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.83, "providers": [{"billed_charge": 261.0, "npi": [1225069263]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.8, "providers": [{"billed_charge": 348.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.77, "providers": [{"billed_charge": 309.0, "npi": [1811798275]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.81, "providers": [{"billed_charge": 694.0, "npi": [1437145992]}]}, {"allowed_amount": 175.61, "providers": [{"billed_charge": 694.0, "npi": [1437145992]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.15, "providers": [{"billed_charge": 311.0, "npi": [1104128305, 1124096946, 1912279860, 1053587493]}]}, {"allowed_amount": 95.84, "providers": [{"billed_charge": 311.0, "npi": [1336536440]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 311.0, "npi": [1649929480, 1588147193, 1477387371]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.15, "providers": [{"billed_charge": 311.0, "npi": [1124096946]}]}, {"allowed_amount": 95.84, "providers": [{"billed_charge": 311.0, "npi": [1316114614]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 311.0, "npi": [1124096946, 1104128305, 1376250290, 1467627729]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.0, "providers": [{"billed_charge": 311.0, "npi": [1588147193]}]}, {"allowed_amount": 84.15, "providers": [{"billed_charge": 311.0, "npi": [1013465095]}]}, {"allowed_amount": 95.84, "providers": [{"billed_charge": 311.0, "npi": [1841876315]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 311.0, "npi": [1124096946, 1629529433, 1376250290, 1942626155]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 212.09, "providers": [{"billed_charge": 407.0, "npi": [1548221674]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.77, "providers": [{"billed_charge": 321.99, "npi": [1427233006]}]}]}, {"tin": {"type": "ein", "value": "853811409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.56, "providers": [{"billed_charge": 809.0, "npi": [1821733312, 1962151092]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.77, "providers": [{"billed_charge": 418.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "874090319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.95, "providers": [{"billed_charge": 627.0, "npi": [1730154790]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.56, "providers": [{"billed_charge": 1266.0, "npi": [1710400353]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.08, "providers": [{"billed_charge": 339.0, "npi": [1275586315]}]}, {"allowed_amount": 66.19, "providers": [{"billed_charge": 339.0, "npi": [1306673017]}]}, {"allowed_amount": 74.09, "providers": [{"billed_charge": 339.0, "npi": [1467277673, 1467062323, 1215739164, 1154073237]}]}, {"allowed_amount": 82.88, "providers": [{"billed_charge": 339.0, "npi": [1831726090]}]}, {"allowed_amount": 87.81, "providers": [{"billed_charge": 339.0, "npi": [1760061931, 1447499793, 1205465077, 1760122774, 1841754678, 1477133114]}]}, {"allowed_amount": 95.84, "providers": [{"billed_charge": 339.0, "npi": [1750022976, 1801258884, 1245639624, 1902435027, 1750842902, 1295485431, 1194245464, 1821739897, 1144960758]}]}, {"allowed_amount": 205.77, "providers": [{"billed_charge": 339.0, "npi": [1811615297, 1588694798, 1467062323, 1154073237, 1477294270]}]}, {"allowed_amount": 217.56, "providers": [{"billed_charge": 339.0, "npi": [1295316040, 1164476313]}]}]}, {"tin": {"type": "ein", "value": "922122433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.6, "providers": [{"billed_charge": 339.0, "npi": [1407243587]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 271.95, "providers": [{"billed_charge": 274.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.81, "providers": [{"billed_charge": 440.0, "npi": [1083649602, 1629099411]}]}, {"allowed_amount": 205.77, "providers": [{"billed_charge": 440.0, "npi": [1952352239]}]}]}]}, {"name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm", "billing_code_type": "CPT", "billing_code": "12004", "billing_code_type_version": "2022", "description": "SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM", "allowed_amounts": [{"tin": {"type": "ein", "value": "204949752"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 49.15, "providers": [{"billed_charge": 980.0, "npi": [1811483829]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 228.0, "providers": [{"billed_charge": 228.0, "npi": [1194822353]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.43, "providers": [{"billed_charge": 260.0, "npi": [1124420229]}]}, {"allowed_amount": 204.0, "providers": [{"billed_charge": 204.0, "npi": [1942242649]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.13, "providers": [{"billed_charge": 580.0, "npi": [1891322376, 1952064826]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 228.0, "providers": [{"billed_charge": 228.0, "npi": [1912961293]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.13, "providers": [{"billed_charge": 768.0, "npi": [1417112723]}]}]}, {"tin": {"type": "ein", "value": "475040973"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.99, "providers": [{"billed_charge": 1094.0, "npi": [1063496727]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7337.47, "providers": [{"billed_charge": 7337.47, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.58, "providers": [{"billed_charge": 325.0, "npi": [1205334737]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.88, "providers": [{"billed_charge": 508.62, "npi": [1912964768]}]}, {"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.55, "providers": [{"billed_charge": 1838.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.8, "providers": [{"billed_charge": 1269.0, "npi": [1467491662]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.95, "providers": [{"billed_charge": 634.0, "npi": [1629472923]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.82, "providers": [{"billed_charge": 802.0, "npi": [1740528231]}]}, {"allowed_amount": 179.58, "providers": [{"billed_charge": 733.0, "npi": [1639495245]}, {"billed_charge": 874.0, "npi": [1538148127]}]}, {"allowed_amount": 305.28, "providers": [{"billed_charge": 894.0, "npi": [1144005208]}]}, {"allowed_amount": 329.64, "providers": [{"billed_charge": 824.0, "npi": [1376511147]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.82, "providers": [{"billed_charge": 824.0, "npi": [1689669400]}, {"billed_charge": 829.0, "npi": [1003131749]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.1, "providers": [{"billed_charge": 709.0, "npi": [1912194713]}]}, {"allowed_amount": 164.82, "providers": [{"billed_charge": 693.0, "npi": [1699771576]}]}, {"allowed_amount": 280.2, "providers": [{"billed_charge": 709.0, "npi": [1780280255]}]}, {"allowed_amount": 329.64, "providers": [{"billed_charge": 730.0, "npi": [1891081881]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.67, "providers": [{"billed_charge": 1789.0, "npi": [1558302653]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.17, "providers": [{"billed_charge": 775.0, "npi": [1861470353]}]}]}, {"tin": {"type": "ein", "value": "823017429"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.16, "providers": [{"billed_charge": 861.0, "npi": [1154370807]}]}]}, {"tin": {"type": "ein", "value": "824172510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.29, "providers": [{"billed_charge": 390.0, "npi": [1427288109]}]}, {"allowed_amount": 256.37, "providers": [{"billed_charge": 390.0, "npi": [1477387371]}]}]}, {"tin": {"type": "ein", "value": "850558172"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.37, "providers": [{"billed_charge": 390.0, "npi": [1629529433]}]}, {"allowed_amount": 256.37, "providers": [{"billed_charge": 390.0, "npi": [1407484074]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.65, "providers": [{"billed_charge": 418.0, "npi": [1043830235]}]}, {"allowed_amount": 111.3, "providers": [{"billed_charge": 418.0, "npi": [1043830235]}]}, {"allowed_amount": 241.16, "providers": [{"billed_charge": 418.0, "npi": [1639810989]}]}]}]}, {"name": "Sling operation for stress incontinence (eg, fascia or synthetic)", "billing_code_type": "CPT", "billing_code": "57288", "billing_code_type_version": "2022", "description": "SLING OPERATION STRESS INCONTINENCE", "allowed_amounts": [{"tin": {"type": "ein", "value": "043735278"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 69.49, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1639.88, "npi": [1699716670]}]}, {"allowed_amount": 86.2, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1639.88, "npi": [1699716670]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 61.08, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2436.0, "npi": [1588723373]}]}, {"allowed_amount": 68.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2436.0, "npi": [1497024053, 1588723373]}]}, {"allowed_amount": 103.79, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2436.0, "npi": [1497024053]}]}, {"allowed_amount": 122.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2436.0, "npi": [1467622258, 1588723373]}]}, {"allowed_amount": 136.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2436.0, "npi": [1659641595, 1588723373]}]}, {"allowed_amount": 207.59, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2436.0, "npi": [1659641595]}]}]}, {"tin": {"type": "ein", "value": "208686147"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9856.0, "npi": [1962529800]}]}]}, {"tin": {"type": "ein", "value": "264190328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.18, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3087.56, "npi": [1053381459]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11032.0, "npi": [1134963390]}]}]}, {"tin": {"type": "ein", "value": "474345756"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 35850.0, "npi": [1487023420]}]}, {"allowed_amount": 136.68, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 35850.0, "npi": [1487023420]}]}, {"allowed_amount": 139.25, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 8860.0, "npi": [1487023420]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 538.73, "providers": [{"billed_charge": 2028.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 56.78, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 884.0, "npi": [1982080099]}]}, {"allowed_amount": 68.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 884.0, "npi": [1275047698]}]}, {"allowed_amount": 73.27, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 884.0, "npi": [1518380104]}]}, {"allowed_amount": 113.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 884.0, "npi": [1982080099]}]}, {"allowed_amount": 118.52, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 884.0, "npi": [1861122194, 1922971514]}]}]}, {"tin": {"type": "ein", "value": "922986389"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.34, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9886.0, "npi": [1013194372]}]}]}]}, {"name": "Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types", "billing_code_type": "CPT", "billing_code": "87205", "billing_code_type_version": "2022", "description": "SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.88, "providers": [{"billed_charge": 6.88, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.0, "providers": [{"billed_charge": 181.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.83, "providers": [{"billed_charge": 52.02, "npi": [1508885633]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.02, "providers": [{"billed_charge": 84.5, "npi": [1912964768]}]}, {"allowed_amount": 38.03, "providers": [{"billed_charge": 84.5, "npi": [1912964768]}]}, {"allowed_amount": 78.12, "providers": [{"billed_charge": 173.61, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.8, "providers": [{"billed_charge": 181.0, "npi": [1184709057]}]}, {"allowed_amount": 48.99, "providers": [{"billed_charge": 181.0, "npi": [1184709057]}]}, {"allowed_amount": 49.0, "providers": [{"billed_charge": 181.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.27, "providers": [{"billed_charge": 244.44, "npi": [1275529539]}]}, {"allowed_amount": 11.61, "providers": [{"billed_charge": 244.44, "npi": [1861929721, 1770169476, 1255868279]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.27, "providers": [{"billed_charge": 95.84, "npi": [1245720820]}]}, {"allowed_amount": 4.95, "providers": [{"billed_charge": 95.84, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.37, "providers": [{"billed_charge": 11.0, "npi": [1467433292]}]}, {"allowed_amount": 3.38, "providers": [{"billed_charge": 11.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.5, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 86.25, "npi": [1255314704]}]}, {"allowed_amount": 3.54, "providers": [{"billed_charge": 86.25, "npi": [1487657573]}]}, {"allowed_amount": 4.27, "providers": [{"billed_charge": 86.25, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "661031927"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.27, "providers": [{"billed_charge": 8.54, "npi": [1285497743]}]}, {"allowed_amount": 6.19, "providers": [{"billed_charge": 8.54, "npi": [1285497743]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.92, "providers": [{"billed_charge": 52.0, "npi": [1982606992]}]}]}]}, {"name": "Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes", "billing_code_type": "CPT", "billing_code": "99407", "billing_code_type_version": "2022", "description": "TOBACCO USE CESSATION INTENSIVE >10 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 28.05, "providers": [{"billed_charge": 88.0, "npi": [1861012411, 1114661204]}]}, {"allowed_amount": 37.85, "providers": [{"billed_charge": 88.0, "npi": [1548269178, 1508500026, 1306586037, 1114661204]}]}]}, {"tin": {"type": "ein", "value": "263668328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.06, "providers": [{"billed_charge": 50.0, "npi": [1982990115]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.56, "providers": [{"billed_charge": 51.0, "npi": [1336593565]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.56, "providers": [{"billed_charge": 81.0, "npi": [1275627622]}]}]}, {"tin": {"type": "ein", "value": "612037805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.56, "providers": [{"billed_charge": 56.0, "npi": [1801027818]}]}]}, {"tin": {"type": "ein", "value": "650523388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1285165068]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.05, "providers": [{"billed_charge": 93.0, "npi": [1588957328]}]}, {"allowed_amount": 31.29, "providers": [{"billed_charge": 40.0, "npi": [1659990554]}]}, {"allowed_amount": 37.85, "providers": [{"billed_charge": 93.0, "npi": [1588957328, 1295115012, 1891114823]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.56, "providers": [{"billed_charge": 159.0, "npi": [1245650548]}]}]}]}, {"name": "Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes", "billing_code_type": "CPT", "billing_code": "99406", "billing_code_type_version": "2022", "description": "TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "030526533"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.26, "providers": [{"billed_charge": 59.0, "npi": [1083640916]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.61, "providers": [{"billed_charge": 45.0, "npi": [1881334761, 1548269178]}]}, {"allowed_amount": 19.99, "providers": [{"billed_charge": 45.0, "npi": [1548269178]}]}]}, {"tin": {"type": "ein", "value": "260599338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.85, "providers": [{"billed_charge": 35.0, "npi": [1437812203]}]}]}, {"tin": {"type": "ein", "value": "263668328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.14, "providers": [{"billed_charge": 50.0, "npi": [1386376457]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 42.0, "npi": [1245460526]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.26, "providers": [{"billed_charge": 20.0, "npi": [1366035636]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 21.15, "providers": [{"billed_charge": 47.0, "npi": [1669992046]}]}]}, {"tin": {"type": "ein", "value": "461050740"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 13.61, "providers": [{"billed_charge": 30.29, "npi": [1194888479]}]}]}, {"tin": {"type": "ein", "value": "463077526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.26, "providers": [{"billed_charge": 82.0, "npi": [1558591891]}]}, {"allowed_amount": 25.82, "providers": [{"billed_charge": 82.0, "npi": [1558591891]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.78, "providers": [{"billed_charge": 42.0, "npi": [1376117036]}]}]}, {"tin": {"type": "ein", "value": "582540964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.37, "providers": [{"billed_charge": 43.0, "npi": [1982849808]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 96.0, "npi": [1619264512]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.52, "providers": [{"billed_charge": 97.0, "npi": [1043439318]}, {"billed_charge": 103.0, "npi": [1083600092]}]}, {"allowed_amount": 52.92, "providers": [{"billed_charge": 107.0, "npi": [1871859652]}]}]}, {"tin": {"type": "ein", "value": "650625113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.83, "providers": [{"billed_charge": 82.0, "npi": [1013364660, 1255342341]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.94, "providers": [{"billed_charge": 89.0, "npi": [1588643357]}]}, {"allowed_amount": 50.52, "providers": [{"billed_charge": 85.0, "npi": [1073715470]}, {"billed_charge": 89.0, "npi": [1629657184, 1518184225, 1467947242, 1962498071, 1407238363]}]}]}, {"tin": {"type": "ein", "value": "830799959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.02, "providers": [{"billed_charge": 42.0, "npi": [1831348333]}]}, {"allowed_amount": 19.26, "providers": [{"billed_charge": 42.0, "npi": [1306889050, 1831348333]}]}]}, {"tin": {"type": "ein", "value": "833126409"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.15, "providers": [{"billed_charge": 31.0, "npi": [1922276153]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.19, "providers": [{"billed_charge": 45.0, "npi": [1164918645, 1699962639]}]}, {"allowed_amount": 19.99, "providers": [{"billed_charge": 45.0, "npi": [1184236473, 1588304539, 1235534215]}]}, {"allowed_amount": 30.83, "providers": [{"billed_charge": 45.0, "npi": [1134625064]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.99, "providers": [{"billed_charge": 68.0, "npi": [1669003273, 1902688922]}]}, {"allowed_amount": 23.24, "providers": [{"billed_charge": 68.0, "npi": [1902688922]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.63, "providers": [{"billed_charge": 68.0, "npi": [1114450228, 1386104941]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.83, "providers": [{"billed_charge": 92.0, "npi": [1750382420]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 83.0, "npi": [1912639899]}]}]}]}, {"name": "Sodium; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code": "84295", "billing_code_type_version": "2022", "description": "SODIUM SERUM PLASMA OR WHOLE BLOOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.81, "providers": [{"billed_charge": 108.09, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 58.0, "npi": [1982606992]}]}]}]}, {"name": "Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)", "billing_code_type": "CPT", "billing_code": "88312", "billing_code_type_version": "2022", "description": "SPECIAL STAIN GROUP 1 MICROORGANISMS I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 307.25, "providers": [{"billed_charge": 307.25, "npi": [1649272022]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1083622427]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1457870719, 1659337251, 1477608628, 1427080951]}]}, {"allowed_amount": 47.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1457870719, 1346336674, 1750664132, 1427080951]}]}, {"allowed_amount": 47.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1659337251]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1023032190]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 176.0, "npi": [1497956569]}]}, {"allowed_amount": 127.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 127.0, "npi": [1356313548]}]}, {"allowed_amount": 166.47, "providers": [{"billed_charge": 176.0, "npi": [1023032190]}]}]}, {"tin": {"type": "ein", "value": "205405972"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 161.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 276.84, "npi": [1992812473]}]}, {"allowed_amount": 205.42, "providers": [{"billed_charge": 356.16, "npi": [1992812473]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1497162978]}]}]}, {"tin": {"type": "ein", "value": "454486874"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 155.94, "providers": [{"billed_charge": 217.0, "npi": [1831169762, 1790980837, 1497167720, 1396164430, 1417390287, 1730679986, 1154617843, 1164955928, 1003073628, 1477965887]}]}]}, {"tin": {"type": "ein", "value": "464450797"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 205.42, "providers": [{"billed_charge": 443.0, "npi": [1851707186]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1154393221]}]}, {"allowed_amount": 33.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1568615078]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.17, "providers": [{"billed_charge": 207.06, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 25.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1215902143, 1154596468, 1982920823]}]}, {"allowed_amount": 37.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1679794671]}]}]}, {"tin": {"type": "ein", "value": "591263616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1407122492]}]}]}, {"tin": {"type": "ein", "value": "591295228"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 24.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1790170819, 1962585463]}]}, {"allowed_amount": 78.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1033311758]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1689646465, 1194797985, 1467617506, 1609161892, 1619920204, 1386964815, 1669675153, 1114999091, 1437126612, 1386140663, 1518900315, 1396044574, 1700994431]}]}, {"allowed_amount": 33.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1821258211]}]}, {"allowed_amount": 37.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1689646465, 1194797985, 1467617506, 1609161892, 1619920204, 1114999091, 1386140663, 1518900315, 1396044574]}]}, {"allowed_amount": 38.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1518900315, 1285969717, 1821258211]}]}]}, {"tin": {"type": "ein", "value": "591565158"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 33.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1144205188]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1568496636]}]}]}, {"tin": {"type": "ein", "value": "592114442"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 81.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 157.58, "npi": [1700959590]}]}, {"allowed_amount": 88.45, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 157.58, "npi": [1700959590]}]}, {"allowed_amount": 106.06, "providers": [{"billed_charge": 205.75, "npi": [1700959590]}]}, {"allowed_amount": 115.61, "providers": [{"billed_charge": 205.75, "npi": [1700959590]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 86.13, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 187.0, "npi": [1396408829]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 71.49, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 147.1, "npi": [1487657573]}]}, {"allowed_amount": 86.13, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 147.1, "npi": [1487657573]}]}, {"allowed_amount": 92.59, "providers": [{"billed_charge": 200.2, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1215909536, 1841441490, 1922070259]}]}, {"allowed_amount": 37.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1841441490, 1922070259]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1538115852]}]}, {"allowed_amount": 37.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1538115852]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1619949641, 1659573715, 1972654846, 1144292855]}]}, {"allowed_amount": 37.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1619949641, 1659573715, 1972654846, 1144292855]}]}, {"allowed_amount": 38.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1972654846]}]}]}, {"tin": {"type": "ein", "value": "650728724"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 33.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1912077488, 1881996221]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 115.3, "providers": [{"billed_charge": 399.0, "npi": [1013175694, 1114450384, 1942487251, 1144515412, 1497958995, 1780027763, 1295296283, 1295991198]}]}]}, {"tin": {"type": "ein", "value": "811279016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 24.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1871628529]}]}, {"allowed_amount": 50.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1871628529]}]}]}, {"tin": {"type": "ein", "value": "811294016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 25.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.87, "npi": [1295092583]}]}, {"allowed_amount": 37.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.87, "npi": [1295092583]}]}]}]}, {"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": 224.8, "providers": [{"billed_charge": 224.8, "npi": [1548294465, 1184673634, 1790171916, 1457882060, 1649272022, 1376699199]}]}]}, {"tin": {"type": "ein", "value": "202638089"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 2.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1457870719]}]}, {"allowed_amount": 11.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1346336674, 1750664132, 1891985925, 1477966984, 1477608628, 1427080951]}]}, {"allowed_amount": 17.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1477966984, 1457870719]}]}, {"allowed_amount": 17.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1477608628]}]}, {"allowed_amount": 21.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1346336674, 1659337251, 1477966984, 1427080951, 1457870719]}]}, {"allowed_amount": 21.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1346336674, 1659337251, 1750664132, 1891985925, 1477966984, 1457870719]}]}]}, {"tin": {"type": "ein", "value": "203139459"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 22.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1023334976]}]}]}, {"tin": {"type": "ein", "value": "203737698"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1356313548]}]}, {"allowed_amount": 17.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1134107857]}]}]}, {"tin": {"type": "ein", "value": "204506043"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 70.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 102.0, "npi": [1356313548]}]}, {"allowed_amount": 82.31, "providers": [{"billed_charge": 124.0, "npi": [1356313548]}]}, {"allowed_amount": 102.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 102.0, "npi": [1356313548]}]}, {"allowed_amount": 122.99, "providers": [{"billed_charge": 124.0, "npi": [1356313548, 1023032190]}]}]}, {"tin": {"type": "ein", "value": "205405972"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 132.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 227.61, "npi": [1992812473]}]}, {"allowed_amount": 152.64, "providers": [{"billed_charge": 263.61, "npi": [1992812473]}]}]}, {"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.39, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 164.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "273750482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1740422872]}]}]}, {"tin": {"type": "ein", "value": "454486874"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 113.87, "providers": [{"billed_charge": 160.0, "npi": [1831169762, 1790980837, 1497167720, 1396164430, 1417390287, 1730679986, 1154617843, 1164955928, 1003073628, 1477965887]}]}]}, {"tin": {"type": "ein", "value": "460563060"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 22.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1245242700]}]}]}, {"tin": {"type": "ein", "value": "464450797"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 152.64, "providers": [{"billed_charge": 312.0, "npi": [1851707186]}]}]}, {"tin": {"type": "ein", "value": "471624395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1154393221]}]}]}, {"tin": {"type": "ein", "value": "581910975"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 125.69, "providers": [{"billed_charge": 182.0, "npi": [1003919531, 1225444300]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.75, "providers": [{"billed_charge": 163.88, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1215902143]}]}, {"allowed_amount": 17.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1679794671]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1467617506, 1821258211, 1609161892, 1902096894, 1164402152, 1386964815, 1669675153, 1114999091, 1386140663, 1396044574, 1700994431]}]}, {"allowed_amount": 13.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1700994431]}]}, {"allowed_amount": 15.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1164402152, 1669675153, 1821258211, 1902096894]}]}, {"allowed_amount": 17.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1467617506, 1609161892, 1114999091, 1518900315, 1396044574]}]}, {"allowed_amount": 17.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1396044574]}]}, {"allowed_amount": 17.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1821258211]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 112.0, "providers": [{"billed_charge": 112.0, "npi": [1326289455]}]}]}, {"tin": {"type": "ein", "value": "591723249"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1700850237]}]}]}, {"tin": {"type": "ein", "value": "592114442"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 128.65, "npi": [1700959590]}]}, {"allowed_amount": 72.59, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 128.65, "npi": [1700959590]}]}, {"allowed_amount": 77.98, "providers": [{"billed_charge": 150.73, "npi": [1700959590]}]}, {"allowed_amount": 85.0, "providers": [{"billed_charge": 150.73, "npi": [1700959590]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 58.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 122.9, "npi": [1487657573]}]}, {"allowed_amount": 70.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 122.9, "npi": [1487657573]}]}, {"allowed_amount": 105.96, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 122.9, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1194201194]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1215909536, 1770734337, 1831240142, 1841441490, 1922070259]}]}, {"allowed_amount": 17.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1841441490, 1831240142]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1326402371]}]}, {"allowed_amount": 17.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1326402371]}]}, {"allowed_amount": 17.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1326402371]}]}]}, {"tin": {"type": "ein", "value": "650596573"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1619949641, 1659573715]}]}, {"allowed_amount": 17.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1972654846]}]}]}, {"tin": {"type": "ein", "value": "650728724"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 15.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1912077488, 1881996221]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 84.78, "providers": [{"billed_charge": 283.0, "npi": [1134447535, 1114450384, 1497958995, 1780027763, 1295296283, 1295991198]}]}]}, {"tin": {"type": "ein", "value": "811279016"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1871628529]}]}, {"allowed_amount": 22.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1871628529]}]}, {"allowed_amount": 22.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1871628529]}]}]}, {"tin": {"type": "ein", "value": "824615899"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.91, "providers": [{"billed_charge": 249.25, "npi": [1467938993]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["81", "21"], "payments": [{"allowed_amount": 17.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1649220781]}]}, {"allowed_amount": 115.8, "providers": [{"billed_charge": 200.0, "npi": [1649220781]}]}]}]}, {"name": "Specialty care transport (sct)", "billing_code_type": "CPT", "billing_code": "A0434", "billing_code_type_version": "2022", "description": "Specialty care transport (sct)", "allowed_amounts": [{"tin": {"type": "ein", "value": "204560963"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 923.22, "providers": [{"billed_charge": 950.0, "npi": [1013104116]}]}]}, {"tin": {"type": "ein", "value": "223747643"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1684.21, "providers": [{"billed_charge": 3829.5, "npi": [1225010838]}]}]}, {"tin": {"type": "ein", "value": "271720808"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 705.53, "providers": [{"billed_charge": 988.38, "npi": [1902118805]}]}, {"allowed_amount": 988.38, "providers": [{"billed_charge": 988.38, "npi": [1902118805]}]}, {"allowed_amount": 1068.09, "providers": [{"billed_charge": 1291.2, "npi": [1902118805]}]}]}, {"tin": {"type": "ein", "value": "372039688"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 979.9, "providers": [{"billed_charge": 1000.0, "npi": [1346830676]}]}, {"allowed_amount": 1000.0, "providers": [{"billed_charge": 1000.0, "npi": [1346830676]}]}]}, {"tin": {"type": "ein", "value": "596000598"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 923.22, "providers": [{"billed_charge": 1950.0, "npi": [1518960426]}]}]}, {"tin": {"type": "ein", "value": "650145123"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 961.23, "providers": [{"billed_charge": 2347.0, "npi": [1164162558]}]}]}, {"tin": {"type": "ein", "value": "650571130"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 923.22, "providers": [{"billed_charge": 2060.0, "npi": [1255376497]}]}]}, {"tin": {"type": "ein", "value": "843941942"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 923.22, "providers": [{"billed_charge": 2742.78, "npi": [1336789304]}]}, {"allowed_amount": 1234.25, "providers": [{"billed_charge": 2742.78, "npi": [1336789304]}]}]}]}, {"name": "Spinal puncture, lumbar, diagnostic;", "billing_code_type": "CPT", "billing_code": "62270", "billing_code_type_version": "2022", "description": "DIAGNOSTIC LUMBAR SPINAL PUNCTURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.27, "providers": [{"billed_charge": 394.0, "npi": [1043663867]}]}, {"allowed_amount": 249.14, "providers": [{"billed_charge": 394.0, "npi": [1043663867]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.98, "providers": [{"billed_charge": 224.0, "npi": [1124353123]}]}, {"allowed_amount": 124.57, "billing_code_modifier": ["53"], "providers": [{"billed_charge": 224.0, "npi": [1316912157]}]}, {"allowed_amount": 201.97, "providers": [{"billed_charge": 224.0, "npi": [1235574021]}, {"billed_charge": 274.0, "npi": [1720002272]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.19, "providers": [{"billed_charge": 200.19, "npi": [1619959186]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.84, "providers": [{"billed_charge": 639.0, "npi": [1154900660]}]}, {"allowed_amount": 235.35, "providers": [{"billed_charge": 639.0, "npi": [1942401062, 1225562762, 1730152646]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.8, "providers": [{"billed_charge": 872.0, "npi": [1558659524]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 107.27, "providers": [{"billed_charge": 650.0, "npi": [1083241020, 1730509068]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.6, "providers": [{"billed_charge": 1545.77, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.02, "providers": [{"billed_charge": 587.0, "npi": [1740662360]}, {"billed_charge": 1013.0, "npi": [1720032048]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.75, "providers": [{"billed_charge": 265.0, "npi": [1447492913]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.19, "providers": [{"billed_charge": 714.0, "npi": [1437248432, 1538555685]}]}, {"allowed_amount": 282.38, "providers": [{"billed_charge": 714.0, "npi": [1891894838]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.19, "providers": [{"billed_charge": 599.0, "npi": [1396206843]}, {"billed_charge": 700.0, "npi": [1427554773]}, {"billed_charge": 706.0, "npi": [1871750349]}]}, {"allowed_amount": 240.02, "providers": [{"billed_charge": 599.0, "npi": [1396296729]}]}, {"allowed_amount": 282.38, "providers": [{"billed_charge": 599.0, "npi": [1417930678, 1013993831]}, {"billed_charge": 603.0, "npi": [1619149481]}, {"billed_charge": 706.0, "npi": [1194074112]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.14, "providers": [{"billed_charge": 290.0, "npi": [1801875554]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.99, "providers": [{"billed_charge": 832.0, "npi": [1699735258]}]}, {"allowed_amount": 249.14, "providers": [{"billed_charge": 832.0, "npi": [1659326494]}]}]}, {"tin": {"type": "ein", "value": "811178868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.27, "providers": [{"billed_charge": 250.0, "npi": [1467626127]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 249.14, "providers": [{"billed_charge": 413.0, "npi": [1861838823]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.4, "providers": [{"billed_charge": 508.0, "npi": [1760800015]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.84, "providers": [{"billed_charge": 353.0, "npi": [1265061840]}]}, {"allowed_amount": 222.47, "providers": [{"billed_charge": 353.0, "npi": [1770359978]}]}, {"allowed_amount": 249.14, "providers": [{"billed_charge": 353.0, "npi": [1225665003]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 172.04, "providers": [{"billed_charge": 464.0, "npi": [1962864181]}]}, {"allowed_amount": 235.35, "providers": [{"billed_charge": 464.0, "npi": [1336725225]}]}]}]}, {"name": "Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation", "billing_code_type": "CPT", "billing_code": "94010", "billing_code_type_version": "2022", "description": "SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ", "allowed_amounts": [{"tin": {"type": "ein", "value": "263082994"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1003894692]}]}, {"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1003894692]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1770969859, 1679137731, 1669992046, 1922000314, 1639732191]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.87, "providers": [{"billed_charge": 337.48, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1598743791]}]}]}, {"tin": {"type": "ein", "value": "811831574"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.02, "npi": [1356667430]}]}, {"allowed_amount": 11.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.02, "npi": [1356667430]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 773.19, "npi": [1699081117]}]}, {"allowed_amount": 14.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 773.19, "npi": [1194258350]}]}]}]}, {"name": "Subsequent hospital care, per day, for evaluation and management of normal newborn", "billing_code_type": "CPT", "billing_code": "99462", "billing_code_type_version": "2022", "description": "SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN", "allowed_amounts": [{"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.68, "providers": [{"billed_charge": 196.0, "npi": [1801965678]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.74, "providers": [{"billed_charge": 336.0, "npi": [1699836858, 1679510242, 1477015139, 1306334628, 1154708550, 1598840167, 1437509080, 1093778318, 1306152400, 1245506161, 1144514738, 1972169779, 1417223728, 1972589943, 1073711768, 1427408863, 1881076412, 1417210527]}]}, {"allowed_amount": 39.78, "providers": [{"billed_charge": 336.0, "npi": [1144514738]}]}, {"allowed_amount": 44.2, "providers": [{"billed_charge": 336.0, "npi": [1235625443, 1982899399, 1245506161, 1144514738, 1972589943, 1073711768]}]}, {"allowed_amount": 44.56, "providers": [{"billed_charge": 336.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 47.16, "providers": [{"billed_charge": 336.0, "npi": [1902845043]}]}, {"allowed_amount": 47.74, "providers": [{"billed_charge": 336.0, "npi": [1437509080, 1306334628]}]}, {"allowed_amount": 48.6, "providers": [{"billed_charge": 336.0, "npi": [1730165655]}]}, {"allowed_amount": 49.72, "providers": [{"billed_charge": 336.0, "npi": [1063607810, 1013924356, 1093778318, 1992782742, 1073711768, 1629621917, 1417210527, 1417223728, 1972908978, 1972169779, 1699836858, 1396900924, 1881076412, 1982899399, 1306152400, 1215228374, 1639445851, 1770556508, 1710263009, 1477015139, 1477515112, 1245506161, 1760821235, 1972589943]}]}, {"allowed_amount": 50.83, "providers": [{"billed_charge": 336.0, "npi": [1699724195, 1982656799]}]}, {"allowed_amount": 51.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1437509080, 1679510242, 1437147931, 1306334628]}]}, {"allowed_amount": 55.25, "providers": [{"billed_charge": 336.0, "npi": [1477015139, 1154708550, 1417223728, 1760821235, 1972169779, 1215228374, 1417210527]}]}, {"allowed_amount": 60.03, "providers": [{"billed_charge": 336.0, "npi": [1487886016, 1770556508]}]}, {"allowed_amount": 66.83, "providers": [{"billed_charge": 336.0, "npi": [1437147931]}]}, {"allowed_amount": 73.48, "providers": [{"billed_charge": 336.0, "npi": [1972169779]}]}, {"allowed_amount": 76.07, "providers": [{"billed_charge": 336.0, "npi": [1275230138, 1063607810, 1598439218, 1629621917]}]}, {"allowed_amount": 76.61, "providers": [{"billed_charge": 336.0, "npi": [1306909189]}]}, {"allowed_amount": 77.71, "providers": [{"billed_charge": 336.0, "npi": [1598840167, 1093778318, 1154580561, 1396900924, 1427408863]}]}]}, {"tin": {"type": "ein", "value": "592347217"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.28, "providers": [{"billed_charge": 336.0, "npi": [1417223728]}]}, {"allowed_amount": 36.09, "providers": [{"billed_charge": 336.0, "npi": [1366625733, 1215228374]}]}]}, {"tin": {"type": "ein", "value": "593398308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.0, "providers": [{"billed_charge": 173.0, "npi": [1184714727]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.09, "providers": [{"billed_charge": 336.0, "npi": [1184600900]}]}]}, {"tin": {"type": "ein", "value": "650883043"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.6, "providers": [{"billed_charge": 150.0, "npi": [1356384291]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 336.0, "npi": [1669674354]}]}]}]}, {"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": "010238552"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.26, "providers": [{"billed_charge": 261.0, "npi": [1801932884]}]}]}, {"tin": {"type": "ein", "value": "010566334"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 200.0, "npi": [1518005891]}]}]}, {"tin": {"type": "ein", "value": "010651490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.41, "providers": [{"billed_charge": 187.0, "npi": [1528355922]}]}]}, {"tin": {"type": "ein", "value": "010720868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 295.0, "npi": [1952333775]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 295.0, "npi": [1952333775]}]}]}, {"tin": {"type": "ein", "value": "010732587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 2190.0, "npi": [1003894601]}]}, {"allowed_amount": 145.61, "providers": [{"billed_charge": 219.0, "npi": [1003894601]}, {"billed_charge": 2190.0, "npi": [1003894601]}]}]}, {"tin": {"type": "ein", "value": "030449021"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 220.04, "npi": [1518372630]}]}]}, {"tin": {"type": "ein", "value": "043589781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.12, "providers": [{"billed_charge": 233.84, "npi": [1962659466]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 233.84, "npi": [1962659466]}]}]}, {"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1285652016]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "050559140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 205.62, "npi": [1114124112, 1417217498, 1780034363]}]}]}, {"tin": {"type": "ein", "value": "060646768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.7, "providers": [{"billed_charge": 295.0, "npi": [1366465031]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.37, "providers": [{"billed_charge": 395.0, "npi": [1710516026, 1952575771]}]}]}, {"tin": {"type": "ein", "value": "061330992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.32, "providers": [{"billed_charge": 359.0, "npi": [1457197915, 1336543107, 1174701007]}]}, {"allowed_amount": 180.37, "providers": [{"billed_charge": 359.0, "npi": [1972865368]}]}]}, {"tin": {"type": "ein", "value": "061666540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1275634982]}]}]}, {"tin": {"type": "ein", "value": "064769881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.21, "providers": [{"billed_charge": 1000.0, "npi": [1053420760]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 173.14, "providers": [{"billed_charge": 610.0, "npi": [1962039222]}]}, {"allowed_amount": 203.41, "providers": [{"billed_charge": 610.0, "npi": [1437562378, 1821138702, 1841794591]}]}, {"allowed_amount": 205.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1427553742]}]}, {"allowed_amount": 215.52, "providers": [{"billed_charge": 610.0, "npi": [1992123970, 1356590772, 1629508759]}]}]}, {"tin": {"type": "ein", "value": "133006635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.27, "providers": [{"billed_charge": 550.0, "npi": [1336178581]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 550.0, "npi": [1336178581]}]}]}, {"tin": {"type": "ein", "value": "153901098"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1197.94, "providers": [{"billed_charge": 335.0, "npi": [1396270393]}]}]}, {"tin": {"type": "ein", "value": "200312349"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.33, "providers": [{"billed_charge": 273.0, "npi": [1861437881]}]}]}, {"tin": {"type": "ein", "value": "200639541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 400.0, "npi": [1063473122]}]}]}, {"tin": {"type": "ein", "value": "200704610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.21, "providers": [{"billed_charge": 164.0, "npi": [1700119948, 1265438188]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 515.0, "npi": [1316113798, 1700465671, 1639562119, 1336300938, 1346560653, 1427632538, 1922319003, 1073660445, 1548910623, 1134294689, 1679150114, 1760988455, 1336310572, 1013534643, 1134396724, 1609452341, 1780754358, 1891229621, 1649614397, 1699713214, 1831682772, 1619400405, 1629053921, 1174817506, 1104244581, 1952930406, 1609490044]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 515.0, "npi": [1700465671, 1336300938, 1346560653, 1427632538, 1922319003, 1548910623, 1134294689, 1679150114, 1336310572, 1013534643, 1134396724, 1891229621, 1962066613, 1780754358, 1609452341, 1346746682, 1770088635, 1649614397, 1699713214, 1467741249, 1831682772, 1669667796, 1619400405, 1932723293, 1174817506, 1912226275, 1952930406, 1316399215, 1609490044]}]}, {"allowed_amount": 314.51, "providers": [{"billed_charge": 515.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "200881992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 252.01, "providers": [{"billed_charge": 265.0, "npi": [1134879679]}]}]}, {"tin": {"type": "ein", "value": "201054138"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 237.0, "npi": [1134757008]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 237.0, "npi": [1134757008, 1447242268]}, {"billed_charge": 337.0, "npi": [1134757008, 1447242268]}, {"billed_charge": 356.0, "npi": [1134757008]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 237.0, "npi": [1447242268]}]}]}, {"tin": {"type": "ein", "value": "201271870"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 160.0, "npi": [1720165012]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1720165012]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 406.0, "npi": [1376171041, 1215592936, 1982683595, 1710627310, 1215673264, 1174749139, 1518444181, 1932545175, 1164678843]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 406.0, "npi": [1538154596, 1588755367, 1417442823, 1396738183, 1912213133, 1770151086, 1376074351, 1801988720, 1538693650, 1700349586, 1609040757, 1932545175, 1770014714, 1104090141]}]}, {"allowed_amount": 223.45, "providers": [{"billed_charge": 406.0, "npi": [1609040757]}]}]}, {"tin": {"type": "ein", "value": "201508867"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.12, "providers": [{"billed_charge": 358.0, "npi": [1295702850, 1407142573]}]}]}, {"tin": {"type": "ein", "value": "201585675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 307.0, "npi": [1578554408]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 307.0, "npi": [1578554408]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 307.0, "npi": [1578554408]}]}]}, {"tin": {"type": "ein", "value": "201702746"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 211.0, "npi": [1205115599]}]}]}, {"tin": {"type": "ein", "value": "201739960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.89, "providers": [{"billed_charge": 163.5, "npi": [1205832854]}]}]}, {"tin": {"type": "ein", "value": "202069671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.21, "providers": [{"billed_charge": 200.0, "npi": [1679544704]}]}]}, {"tin": {"type": "ein", "value": "202098546"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.05, "providers": [{"billed_charge": 329.0, "npi": [1043730112, 1518221266, 1568429322, 1194336099]}]}]}, {"tin": {"type": "ein", "value": "202199650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.31, "providers": [{"billed_charge": 279.53, "npi": [1871090696, 1316576879]}]}, {"allowed_amount": 21.41, "providers": [{"billed_charge": 279.53, "npi": [1467611582]}]}, {"allowed_amount": 26.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 279.53, "npi": [1467611582]}]}]}, {"tin": {"type": "ein", "value": "202364772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.13, "providers": [{"billed_charge": 250.0, "npi": [1518157601, 1215440284]}]}, {"allowed_amount": 146.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1518157601, 1285253716, 1215440284]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1215440284]}]}]}, {"tin": {"type": "ein", "value": "202396250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1720037690]}]}]}, {"tin": {"type": "ein", "value": "202705510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.54, "providers": [{"billed_charge": 250.0, "npi": [1568459857]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["22", "61", "21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 307.0, "npi": [1518578202]}]}, {"allowed_amount": 146.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 307.0, "npi": [1558998849, 1154559045, 1811450505, 1427348978, 1669499604, 1811300536, 1518578202, 1043663867, 1578040093]}]}, {"allowed_amount": 169.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 307.0, "npi": [1558998849, 1811450505, 1427348978, 1669499604, 1548623606, 1811300536, 1518578202, 1043663867, 1578040093]}]}, {"allowed_amount": 175.38, "providers": [{"billed_charge": 307.0, "npi": [1811450505, 1043663867, 1578040093]}]}, {"allowed_amount": 233.84, "providers": [{"billed_charge": 307.0, "npi": [1154559045]}]}]}, {"tin": {"type": "ein", "value": "202823061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 155.0, "npi": [1043272115]}]}]}, {"tin": {"type": "ein", "value": "203273724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 161.0, "npi": [1447417175]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 161.0, "npi": [1447417175]}]}]}, {"tin": {"type": "ein", "value": "203294411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1265467716]}]}]}, {"tin": {"type": "ein", "value": "203566888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.36, "providers": [{"billed_charge": 439.0, "npi": [1265925598, 1639829278]}]}, {"allowed_amount": 167.39, "providers": [{"billed_charge": 439.0, "npi": [1114554318]}]}]}, {"tin": {"type": "ein", "value": "203713889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 218.0, "npi": [1619974839]}]}, {"allowed_amount": 218.0, "providers": [{"billed_charge": 218.0, "npi": [1619974839, 1053751149, 1437729431]}]}]}, {"tin": {"type": "ein", "value": "204168057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.86, "providers": [{"billed_charge": 217.32, "npi": [1952486573]}]}]}, {"tin": {"type": "ein", "value": "204595671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 822.0, "npi": [1780795435]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 134.41, "providers": [{"billed_charge": 439.0, "npi": [1265023451, 1598402919]}]}, {"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 439.0, "npi": [1265819270, 1619417227, 1013595289, 1932631579, 1043444508, 1689010076, 1255718045, 1649622176, 1326490806, 1063856318, 1023519683, 1346773447, 1821583956, 1679919963, 1740659168, 1609367523, 1093975658, 1396932216, 1902268154]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 439.0, "npi": [1265819270, 1619417227, 1619301389, 1013595289, 1043444508, 1689010076, 1255718045, 1649622176, 1114374311, 1932787512, 1023519683, 1033525316, 1942628805, 1346773447, 1639608649, 1821583956, 1225406937, 1679919963, 1992236640, 1609367523, 1093975658, 1396932216, 1902268154]}]}, {"allowed_amount": 231.36, "providers": [{"billed_charge": 439.0, "npi": [1619301389]}]}, {"allowed_amount": 306.91, "providers": [{"billed_charge": 439.0, "npi": [1033525316]}]}]}, {"tin": {"type": "ein", "value": "204600494"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.86, "providers": [{"billed_charge": 250.0, "npi": [1720519952]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 162.99, "providers": [{"billed_charge": 463.0, "npi": [1922585538, 1972182103]}]}, {"allowed_amount": 173.86, "providers": [{"billed_charge": 463.0, "npi": [1063619195]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.25, "providers": [{"billed_charge": 292.3, "npi": [1184841835, 1730676404]}]}, {"allowed_amount": 123.21, "providers": [{"billed_charge": 280.03, "npi": [1184841835]}]}, {"allowed_amount": 128.61, "providers": [{"billed_charge": 292.3, "npi": [1184841835]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 280.03, "npi": [1184841835, 1730676404]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 292.3, "npi": [1710128657, 1184841835, 1730676404]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 292.3, "npi": [1710128657]}]}]}, {"tin": {"type": "ein", "value": "204744987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.9, "providers": [{"billed_charge": 250.0, "npi": [1083697320]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.4, "providers": [{"billed_charge": 418.0, "npi": [1649809633, 1790359958]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 418.0, "npi": [1982163515, 1790359958]}]}, {"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 418.0, "npi": [1689201030, 1528696457, 1205579414, 1659012375, 1316566680, 1710203161, 1710474010, 1851655203, 1578994984, 1609210665, 1144961707, 1316688310, 1508500026, 1861012411, 1841931581, 1053054924, 1114661204, 1326301789, 1447604319, 1649809633, 1881334761, 1548269178]}, {"billed_charge": 442.0, "npi": [1750775904, 1700047396, 1942732904, 1558854760, 1609210665, 1801477716, 1053666420, 1821594516, 1134431455]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.0, "npi": [1700317153, 1548836513, 1174185706, 1093395568, 1013759836, 1114421823]}, {"billed_charge": 401.0, "npi": [1487159778]}, {"billed_charge": 418.0, "npi": [1528696457, 1790359958, 1659012375, 1316566680, 1710203161, 1710474010, 1205579414, 1437724317, 1851655203, 1578994984, 1609210665, 1144961707, 1306586037, 1316688310, 1508500026, 1861012411, 1841931581, 1114661204, 1447604319, 1649809633, 1881334761, 1871234682]}, {"billed_charge": 421.0, "npi": [1306423173, 1568028942, 1427032473, 1780208538, 1689011108, 1336704683, 1750888111, 1184129207, 1205225794, 1124915400, 1750927695, 1295140051, 1356081236, 1053844696, 1750775904, 1992334817, 1952345324, 1518429562, 1841860475, 1386608255]}, {"billed_charge": 442.0, "npi": [1750775904, 1437715398, 1942732904, 1558854760, 1124915400, 1609210665, 1750927695, 1023690419, 1053666420, 1609809011, 1356920086, 1821594516, 1447810072, 1134431455]}]}, {"allowed_amount": 151.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.0, "npi": [1093395568, 1700317153, 1174185706, 1174103774]}, {"billed_charge": 401.0, "npi": [1629323613]}, {"billed_charge": 418.0, "npi": [1518499979, 1689011108, 1356081236]}, {"billed_charge": 421.0, "npi": [1689011108, 1306423173, 1740863786, 1336704683, 1285212266, 1952345324, 1235767534, 1275518607, 1780208538, 1356081236, 1184129207, 1518429562, 1841860475, 1386608255]}, {"billed_charge": 442.0, "npi": [1437715398, 1043898919, 1952345324, 1750927695, 1609809011]}]}, {"allowed_amount": 155.19, "providers": [{"billed_charge": 398.0, "npi": [1992306146, 1013759836]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 398.0, "npi": [1548836513]}, {"billed_charge": 401.0, "npi": [1255951380]}]}]}, {"tin": {"type": "ein", "value": "204923281"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 126.09, "providers": [{"billed_charge": 235.0, "npi": [1427289321]}]}, {"allowed_amount": 130.47, "providers": [{"billed_charge": 235.0, "npi": [1093132383]}]}]}, {"tin": {"type": "ein", "value": "205036495"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 536.0, "npi": [1477900496]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 536.0, "npi": [1053637272]}]}]}, {"tin": {"type": "ein", "value": "205106086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.1, "providers": [{"billed_charge": 358.0, "npi": [1821037110]}]}, {"allowed_amount": 193.41, "providers": [{"billed_charge": 354.0, "npi": [1346220779]}, {"billed_charge": 358.0, "npi": [1154473957, 1588769178, 1891785077]}]}]}, {"tin": {"type": "ein", "value": "205438009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 200.0, "npi": [1033436696, 1295761245]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1295761245]}]}]}, {"tin": {"type": "ein", "value": "205454152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 630.0, "npi": [1548506553]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.59, "providers": [{"billed_charge": 220.0, "npi": [1992969604, 1316967318]}]}]}, {"tin": {"type": "ein", "value": "205627654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1750900593]}]}]}, {"tin": {"type": "ein", "value": "208153119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 486.0, "npi": [1457096893]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 486.0, "npi": [1073179693]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 350.0, "npi": [1073179693]}, {"billed_charge": 486.0, "npi": [1073179693]}]}]}, {"tin": {"type": "ein", "value": "221537688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.8, "providers": [{"billed_charge": 418.4, "npi": [1215963673, 1932318847]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.8, "providers": [{"billed_charge": 337.0, "npi": [1437788189]}]}]}, {"tin": {"type": "ein", "value": "223310529"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 194.76, "providers": [{"billed_charge": 335.0, "npi": [1396270393, 1720576580]}]}, {"allowed_amount": 199.27, "providers": [{"billed_charge": 335.0, "npi": [1326508680, 1023691417, 1902469141]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.84, "providers": [{"billed_charge": 335.0, "npi": [1669422762, 1598129470]}]}, {"allowed_amount": 108.72, "providers": [{"billed_charge": 375.0, "npi": [1952720807]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 140.68, "providers": [{"billed_charge": 190.0, "npi": [1467833699]}]}]}, {"tin": {"type": "ein", "value": "232730785"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 157.28, "providers": [{"billed_charge": 206.0, "npi": [1902344807]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.16, "providers": [{"billed_charge": 411.0, "npi": [1912264128, 1417451170]}]}]}, {"tin": {"type": "ein", "value": "237155946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.08, "providers": [{"billed_charge": 498.0, "npi": [1588191472, 1013983998]}]}]}, {"tin": {"type": "ein", "value": "237313346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 252.01, "providers": [{"billed_charge": 331.0, "npi": [1770083073]}]}]}, {"tin": {"type": "ein", "value": "260229265"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 220.0, "npi": [1992332928]}]}, {"allowed_amount": 153.69, "providers": [{"billed_charge": 220.0, "npi": [1992332928]}]}, {"allowed_amount": 163.5, "providers": [{"billed_charge": 220.0, "npi": [1992332928]}]}]}, {"tin": {"type": "ein", "value": "260255161"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.79, "providers": [{"billed_charge": 250.0, "npi": [1730174400]}]}]}, {"tin": {"type": "ein", "value": "260307415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 307.0, "npi": [1669649638]}]}]}, {"tin": {"type": "ein", "value": "260341143"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 900.0, "npi": [1548483761]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 900.0, "npi": [1548483761]}]}]}, {"tin": {"type": "ein", "value": "260972508"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.61, "providers": [{"billed_charge": 350.0, "npi": [1366405169]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 280.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "261176939"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 185.0, "npi": [1336340298]}]}]}, {"tin": {"type": "ein", "value": "261666272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 336.03, "npi": [1699558262]}]}, {"allowed_amount": 155.19, "providers": [{"billed_charge": 336.03, "npi": [1952148736, 1699558262]}]}]}, {"tin": {"type": "ein", "value": "261837240"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1528289360]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 319.19, "providers": [{"billed_charge": 343.0, "npi": [1235698234]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 180.0, "npi": [1568741320]}]}]}, {"tin": {"type": "ein", "value": "262255271"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1790836997]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 219.0, "npi": [1790836997]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.06, "providers": [{"billed_charge": 273.0, "npi": [1134749591]}]}]}, {"tin": {"type": "ein", "value": "262765049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.39, "providers": [{"billed_charge": 250.0, "npi": [1396704482]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 148.05, "providers": [{"billed_charge": 329.0, "npi": [1316391105, 1326272873]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.4, "providers": [{"billed_charge": 336.03, "npi": [1891761128]}]}, {"allowed_amount": 128.81, "providers": [{"billed_charge": 336.03, "npi": [1003305186]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 336.03, "npi": [1033616115, 1639433725, 1245469923]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 336.03, "npi": [1760987713, 1295185189, 1184120172, 1629496815, 1619959186, 1689878134, 1760495998]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.03, "npi": [1760987713, 1962275362, 1245469923, 1891761128, 1184120172, 1629496815, 1265051700, 1710403381, 1295084564, 1689878134, 1508991126, 1932558202, 1124392378, 1639433725, 1760495998]}]}, {"allowed_amount": 145.61, "providers": [{"billed_charge": 336.03, "npi": [1891761128]}]}, {"allowed_amount": 306.91, "providers": [{"billed_charge": 336.03, "npi": [1710403381]}]}, {"allowed_amount": 336.03, "providers": [{"billed_charge": 336.03, "npi": [1851730030]}]}]}, {"tin": {"type": "ein", "value": "263178257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1437402930, 1821020959]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 582.0, "npi": [1043476807, 1346602927, 1225095599, 1700318706, 1235302803, 1730543638, 1689961591, 1467993915, 1659724573, 1679848766, 1598283327]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 582.0, "npi": [1467872481, 1851786594, 1346602927, 1700318706, 1760986293, 1730543638, 1467993915, 1598283327]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 582.0, "npi": [1689961591]}]}]}, {"tin": {"type": "ein", "value": "263651005"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.0, "providers": [{"billed_charge": 133.0, "npi": [1184649105, 1508306549]}]}]}, {"tin": {"type": "ein", "value": "263715180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 215.0, "npi": [1881665461]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 215.0, "npi": [1881665461]}]}]}, {"tin": {"type": "ein", "value": "263788808"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.3, "providers": [{"billed_charge": 230.0, "npi": [1851362925]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 148.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.0, "npi": [1457466369, 1891965158, 1851743207, 1639601958, 1700235405, 1245460526, 1528350543, 1548757040, 1063417426, 1710432083, 1386038388, 1952668725, 1598113367, 1285046748, 1851753917, 1730611294, 1972761567]}]}]}, {"tin": {"type": "ein", "value": "264190328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 472.12, "npi": [1497040240]}]}]}, {"tin": {"type": "ein", "value": "264216161"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 310.0, "npi": [1114019916]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 225.0, "npi": [1114019916]}]}]}, {"tin": {"type": "ein", "value": "264252537"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 145.5, "npi": [1114050648]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.5, "npi": [1114050648]}]}]}, {"tin": {"type": "ein", "value": "264395318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 170.0, "npi": [1700044914]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 170.0, "npi": [1700044914]}]}]}, {"tin": {"type": "ein", "value": "264557501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 290.0, "npi": [1023051265]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 290.0, "npi": [1023051265]}]}]}, {"tin": {"type": "ein", "value": "264633098"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.89, "providers": [{"billed_charge": 294.0, "npi": [1306213616, 1134320500]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 294.0, "npi": [1134320500]}]}, {"allowed_amount": 154.78, "providers": [{"billed_charge": 294.0, "npi": [1013256700]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 371.35, "npi": [1841252657]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 371.35, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 170.0, "npi": [1881890457, 1992392062]}]}]}, {"tin": {"type": "ein", "value": "266697467"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 150.0, "npi": [1093704348]}]}]}, {"tin": {"type": "ein", "value": "270172647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 218.0, "npi": [1376744482]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 218.0, "npi": [1376744482]}]}]}, {"tin": {"type": "ein", "value": "270313131"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.92, "providers": [{"billed_charge": 195.0, "npi": [1104857119, 1710931522, 1013382860, 1306825351]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 327.0, "npi": [1013291400, 1083844278]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 327.0, "npi": [1487115382]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 327.0, "npi": [1013291400, 1487115382]}]}]}, {"tin": {"type": "ein", "value": "270765771"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 254.0, "npi": [1588896120]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 254.0, "npi": [1588896120]}]}]}, {"tin": {"type": "ein", "value": "270794018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1932300779]}]}]}, {"tin": {"type": "ein", "value": "271067878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1134716038]}]}]}, {"tin": {"type": "ein", "value": "271082084"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.94, "providers": [{"billed_charge": 144.0, "npi": [1316110653]}]}, {"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1316110653]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.21, "providers": [{"billed_charge": 265.0, "npi": [1417162090, 1801871173]}]}, {"allowed_amount": 181.25, "providers": [{"billed_charge": 265.0, "npi": [1013215854]}]}, {"allowed_amount": 199.27, "providers": [{"billed_charge": 265.0, "npi": [1386139483, 1295033819]}]}, {"allowed_amount": 222.91, "providers": [{"billed_charge": 265.0, "npi": [1619358892]}]}]}, {"tin": {"type": "ein", "value": "271608375"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.65, "providers": [{"billed_charge": 344.0, "npi": [1851075915, 1578830063]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 344.0, "npi": [1811577240, 1851075915, 1578830063]}]}]}, {"tin": {"type": "ein", "value": "271788250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 385.0, "npi": [1578509642]}]}]}, {"tin": {"type": "ein", "value": "272314189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 218.0, "npi": [1467421735]}]}]}, {"tin": {"type": "ein", "value": "272398444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1346485877]}]}]}, {"tin": {"type": "ein", "value": "272515402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.08, "providers": [{"billed_charge": 229.16, "npi": [1760453427]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 220.0, "npi": [1760700348]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 220.0, "npi": [1275538944, 1942628037, 1285916627, 1215919733, 1760773246, 1336536382, 1639431679]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 220.0, "npi": [1285916627, 1336536382]}]}, {"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1831284132, 1942628037, 1295717718]}]}]}, {"tin": {"type": "ein", "value": "272582397"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 54.81, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}, {"allowed_amount": 82.27, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}, {"allowed_amount": 83.13, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}, {"allowed_amount": 89.87, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}, {"allowed_amount": 90.46, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}, {"allowed_amount": 123.21, "providers": [{"billed_charge": 600.0, "npi": [1255595047]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 600.0, "npi": [1306000211]}]}]}, {"tin": {"type": "ein", "value": "272969038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 229.0, "npi": [1568927648, 1457839987]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 229.0, "npi": [1568927648, 1396404646]}]}]}, {"tin": {"type": "ein", "value": "273527738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 203.0, "npi": [1013059211]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.1, "providers": [{"billed_charge": 275.0, "npi": [1306029293]}]}, {"allowed_amount": 152.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1578335253]}]}, {"allowed_amount": 179.86, "providers": [{"billed_charge": 275.0, "npi": [1801994884]}]}, {"allowed_amount": 193.41, "providers": [{"billed_charge": 275.0, "npi": [1558514232, 1801806765]}]}]}, {"tin": {"type": "ein", "value": "274369422"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 184.41, "npi": [1659535987]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 184.41, "npi": [1659535987]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 184.41, "npi": [1659535987]}]}]}, {"tin": {"type": "ein", "value": "274828756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.78, "providers": [{"billed_charge": 210.71, "npi": [1265429047]}]}]}, {"tin": {"type": "ein", "value": "300137567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 350.0, "npi": [1104043652]}]}]}, {"tin": {"type": "ein", "value": "300891469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.41, "providers": [{"billed_charge": 400.0, "npi": [1972757953]}]}]}, {"tin": {"type": "ein", "value": "300995552"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 310.0, "npi": [1902884307]}, {"billed_charge": 385.0, "npi": [1902884307]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 385.0, "npi": [1902884307]}]}]}, {"tin": {"type": "ein", "value": "301048148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 210.0, "npi": [1932562832]}]}, {"allowed_amount": 131.89, "providers": [{"billed_charge": 204.0, "npi": [1932562832]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 210.0, "npi": [1932562832]}]}]}, {"tin": {"type": "ein", "value": "310821503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.21, "providers": [{"billed_charge": 200.0, "npi": [1558999383]}]}]}, {"tin": {"type": "ein", "value": "311108118"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.21, "providers": [{"billed_charge": 212.0, "npi": [1295964997]}]}]}, {"tin": {"type": "ein", "value": "311185270"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 141.19, "providers": [{"billed_charge": 263.0, "npi": [1215486667]}]}, {"allowed_amount": 142.98, "providers": [{"billed_charge": 263.0, "npi": [1538849385]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.62, "providers": [{"billed_charge": 240.0, "npi": [1891358529, 1356979157]}]}, {"allowed_amount": 227.93, "providers": [{"billed_charge": 240.0, "npi": [1962935254]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.41, "providers": [{"billed_charge": 206.52, "npi": [1740939867]}]}]}, {"tin": {"type": "ein", "value": "320028466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 387.0, "npi": [1285643296]}]}]}, {"tin": {"type": "ein", "value": "320135798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 140.0, "npi": [1588658819]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.15, "providers": [{"billed_charge": 407.0, "npi": [1467092072]}]}]}, {"tin": {"type": "ein", "value": "331020159"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1942259148]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 210.0, "npi": [1184787467, 1649288374]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 210.0, "npi": [1952319329, 1992749238]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 210.0, "npi": [1548848096, 1588084388, 1467401612]}]}]}, {"tin": {"type": "ein", "value": "331335318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 385.0, "npi": [1710990908]}]}]}, {"tin": {"type": "ein", "value": "331749850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.48, "providers": [{"billed_charge": 150.0, "npi": [1205956919]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.4, "providers": [{"billed_charge": 718.0, "npi": [1669992590]}]}, {"allowed_amount": 51.96, "providers": [{"billed_charge": 718.0, "npi": [1366689028]}]}, {"allowed_amount": 92.65, "providers": [{"billed_charge": 718.0, "npi": [1427742964]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 718.0, "npi": [1710448642, 1508516998, 1548886047, 1386393510, 1699367599, 1245542703, 1396276143, 1124580790, 1801322813, 1295808830, 1437380797, 1053710913, 1164886735, 1821615824, 1154948818, 1871154260, 1841816279, 1487934568, 1366402281, 1326676586, 1083877112]}]}, {"allowed_amount": 125.35, "providers": [{"billed_charge": 718.0, "npi": [1285166157, 1063829927]}]}, {"allowed_amount": 131.89, "providers": [{"billed_charge": 718.0, "npi": [1053949073, 1902039530, 1790080422]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 718.0, "npi": [1528188034, 1871552356, 1659690089, 1679869549, 1821142126, 1447833918, 1255725503]}]}, {"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 718.0, "npi": [1922305440, 1033151873, 1386173185, 1366689028, 1588222343, 1669452264, 1255725503, 1073552360, 1801005418, 1336889070, 1669992590, 1699962639, 1831572510, 1407276538, 1144753310, 1265091391]}]}, {"allowed_amount": 136.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 718.0, "npi": [1508516998, 1487934568, 1326676586, 1396397675, 1285166157, 1396276143, 1053949073, 1154948818, 1871979732, 1215381140, 1083877112, 1225615545, 1659909851, 1922312636, 1083097240, 1295808830, 1639733983]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 718.0, "npi": [1033151873, 1528188034, 1366689028, 1588222343, 1669992590, 1144753310, 1831572510, 1922305440, 1447833918, 1265091391, 1255725503, 1871552356, 1073552360, 1669452264, 1801005418, 1659690089, 1679869549, 1336889070, 1821142126]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 718.0, "npi": [1669452264]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1770104986]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 300.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "333473960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 310.0, "npi": [1316456528]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.81, "providers": [{"billed_charge": 560.0, "npi": [1033329677]}]}]}, {"tin": {"type": "ein", "value": "334779413"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 195.0, "npi": [1831786516]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.63, "providers": [{"billed_charge": 960.0, "npi": [1063673986]}]}, {"allowed_amount": 181.4, "providers": [{"billed_charge": 960.0, "npi": [1093337008]}]}, {"allowed_amount": 211.31, "providers": [{"billed_charge": 960.0, "npi": [1508228081, 1407111396, 1174199566]}]}, {"allowed_amount": 215.52, "providers": [{"billed_charge": 960.0, "npi": [1962467407]}]}]}, {"tin": {"type": "ein", "value": "352051598"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.0, "providers": [{"billed_charge": 165.0, "npi": [1043278039]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 160.0, "npi": [1447859723]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 160.0, "npi": [1740215284, 1538736582]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 160.0, "npi": [1194357558, 1841445905, 1447859723, 1538736582]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 160.0, "npi": [1497374839]}]}, {"allowed_amount": 155.19, "providers": [{"billed_charge": 160.0, "npi": [1841445905, 1669127361]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1194357558, 1962297622]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 273.0, "npi": [1629118740, 1063724326]}]}, {"allowed_amount": 173.31, "providers": [{"billed_charge": 273.0, "npi": [1376741736, 1083898449]}]}]}, {"tin": {"type": "ein", "value": "352440359"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.14, "providers": [{"billed_charge": 1000.04, "npi": [1689792525]}, {"billed_charge": 1000.05, "npi": [1689792525]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 165.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 293.4, "npi": [1295963502]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.4, "providers": [{"billed_charge": 273.0, "npi": [1972916658]}]}, {"allowed_amount": 149.93, "providers": [{"billed_charge": 273.0, "npi": [1699706523]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.4, "providers": [{"billed_charge": 253.0, "npi": [1366898157]}]}]}, {"tin": {"type": "ein", "value": "371616845"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.52, "providers": [{"billed_charge": 229.0, "npi": [1790814713]}]}]}, {"tin": {"type": "ein", "value": "371657756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.41, "providers": [{"billed_charge": 263.43, "npi": [1225562549]}]}]}, {"tin": {"type": "ein", "value": "392851054"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 136.25, "npi": [1487642617]}]}]}, {"tin": {"type": "ein", "value": "394248979"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 584.6, "npi": [1629390109]}]}, {"allowed_amount": 169.53, "providers": [{"billed_charge": 615.0, "npi": [1629390109]}]}]}, {"tin": {"type": "ein", "value": "413202312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.88, "providers": [{"billed_charge": 572.0, "npi": [1508285453]}]}, {"allowed_amount": 179.86, "providers": [{"billed_charge": 572.0, "npi": [1659695989]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 206.0, "npi": [1316926421, 1750743183]}]}, {"allowed_amount": 184.21, "providers": [{"billed_charge": 206.0, "npi": [1316926421]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.67, "providers": [{"billed_charge": 452.0, "npi": [1962425785]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.73, "providers": [{"billed_charge": 319.0, "npi": [1518317825]}]}]}, {"tin": {"type": "ein", "value": "450559282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 150.0, "npi": [1760602049]}]}]}, {"tin": {"type": "ein", "value": "450957677"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 219.0, "npi": [1992904718]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 219.0, "npi": [1992904718]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 148.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.0, "npi": [1396323010, 1801392295, 1093197931, 1669992046, 1083779888, 1881956944, 1336317171, 1992793939, 1356803829, 1619217049, 1922000314, 1356574651, 1033640669, 1750736542, 1639732191]}]}]}, {"tin": {"type": "ein", "value": "451299307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 2298.8, "npi": [1649381146]}]}, {"allowed_amount": 551.09, "providers": [{"billed_charge": 2298.8, "npi": [1649381146]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.15, "providers": [{"billed_charge": 203.0, "npi": [1497911762]}]}, {"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1861208902]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.54, "providers": [{"billed_charge": 257.0, "npi": [1992155600]}]}, {"allowed_amount": 165.34, "providers": [{"billed_charge": 257.0, "npi": [1043897481, 1689135063]}]}]}, {"tin": {"type": "ein", "value": "452820011"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 325.0, "npi": [1699962639]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 250.0, "npi": [1699962639]}, {"billed_charge": 325.0, "npi": [1699962639]}]}]}, {"tin": {"type": "ein", "value": "452914168"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 220.0, "npi": [1760651285]}]}, {"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1760651285]}]}]}, {"tin": {"type": "ein", "value": "453245033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.57, "providers": [{"billed_charge": 490.48, "npi": [1114989605]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 490.48, "npi": [1114989605]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 490.48, "npi": [1114989605]}]}]}, {"tin": {"type": "ein", "value": "453710878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1689630527]}]}]}, {"tin": {"type": "ein", "value": "453782550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.81, "providers": [{"billed_charge": 718.0, "npi": [1295332724]}]}, {"allowed_amount": 31.54, "providers": [{"billed_charge": 718.0, "npi": [1730687336, 1184805681, 1003112657, 1386856581]}]}, {"allowed_amount": 131.41, "providers": [{"billed_charge": 718.0, "npi": [1336720929]}]}, {"allowed_amount": 132.33, "providers": [{"billed_charge": 718.0, "npi": [1336720929, 1518949106, 1881217917, 1386856581]}]}]}, {"tin": {"type": "ein", "value": "453976574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 20.67, "providers": [{"billed_charge": 545.0, "npi": [1801149992]}]}, {"allowed_amount": 24.31, "providers": [{"billed_charge": 545.0, "npi": [1902910664, 1639608300, 1265827158, 1134110521, 1922409564]}]}, {"allowed_amount": 41.34, "providers": [{"billed_charge": 545.0, "npi": [1801149992]}]}, {"allowed_amount": 48.62, "providers": [{"billed_charge": 545.0, "npi": [1265827158]}]}, {"allowed_amount": 89.61, "providers": [{"billed_charge": 545.0, "npi": [1255713806]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 545.0, "npi": [1578541058, 1538470919, 1669604856, 1861402505, 1255713806, 1932548880, 1730996497, 1033920145, 1407134489, 1215656350, 1649665571, 1366680357, 1659754919, 1801149992, 1558182824, 1467906552, 1376185256, 1699268649, 1588001325, 1780173997, 1932845864, 1649854001, 1477185973, 1134110521, 1619918141, 1609810878, 1699556803, 1255393476, 1972154565, 1902910664, 1558949842, 1356081236, 1265827158, 1326625625, 1588830426, 1053351643, 1922409564, 1992334817, 1487613410, 1093995235, 1750679908, 1407252075, 1639608300, 1952345324, 1689342834, 1235336819, 1104399864, 1528229242]}, {"billed_charge": 560.0, "npi": [1134110521]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 545.0, "npi": [1538470919, 1932548880, 1407134489, 1215656350, 1366680357, 1659754919, 1932845864, 1699268649, 1780173997, 1649854001, 1134110521, 1619918141, 1255393476, 1902910664, 1689674574, 1881788750, 1558949842, 1356081236, 1326625625, 1588830426, 1053351643, 1992334817, 1487613410, 1750679908, 1952345324, 1326579053, 1528229242]}]}, {"allowed_amount": 155.19, "providers": [{"billed_charge": 545.0, "npi": [1699556803, 1225676901, 1366963142, 1801149992, 1407252075, 1790344497, 1730996497, 1033920145, 1477185973, 1467906552]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 545.0, "npi": [1801149992, 1356081236, 1255713806]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 545.0, "npi": [1265827158, 1235336819, 1609810878, 1255713806]}]}, {"allowed_amount": 258.97, "providers": [{"billed_charge": 545.0, "npi": [1972154565]}]}, {"allowed_amount": 306.91, "providers": [{"billed_charge": 545.0, "npi": [1639608300]}]}]}, {"tin": {"type": "ein", "value": "454070993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 439.0, "npi": [1609182666]}]}]}, {"tin": {"type": "ein", "value": "454216983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 211.0, "npi": [1245285212]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 211.0, "npi": [1245285212]}]}]}, {"tin": {"type": "ein", "value": "454395947"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.95, "providers": [{"billed_charge": 303.0, "npi": [1679893036, 1043377062]}]}]}, {"tin": {"type": "ein", "value": "454448055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 164.16, "npi": [1326685975]}]}]}, {"tin": {"type": "ein", "value": "454748388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1366434334]}]}, {"allowed_amount": 169.53, "providers": [{"billed_charge": 195.0, "npi": [1366434334]}]}]}, {"tin": {"type": "ein", "value": "454888659"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 213.0, "npi": [1245790021]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 213.0, "npi": [1245790021]}]}]}, {"tin": {"type": "ein", "value": "454944358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 180.0, "npi": [1265654263]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 180.0, "npi": [1265654263]}]}]}, {"tin": {"type": "ein", "value": "455188506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.61, "providers": [{"billed_charge": 457.0, "npi": [1548671415]}]}]}, {"tin": {"type": "ein", "value": "455339282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 600.0, "npi": [1255595047]}]}]}, {"tin": {"type": "ein", "value": "455530459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 200.0, "npi": [1619057858]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 200.0, "npi": [1619057858]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 227.93, "providers": [{"billed_charge": 340.0, "npi": [1043367931]}]}]}, {"tin": {"type": "ein", "value": "460692160"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 265.0, "npi": [1104168673, 1013304179, 1811903222, 1710385414]}]}]}, {"tin": {"type": "ein", "value": "460759101"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.55, "providers": [{"billed_charge": 439.0, "npi": [1487048864]}]}]}, {"tin": {"type": "ein", "value": "460829877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 235.0, "npi": [1649814484, 1558043679]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 225.0, "npi": [1366936866, 1598262115]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 225.0, "npi": [1366936866, 1497224588, 1962109389, 1689440422]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 235.0, "npi": [1558043679]}]}, {"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1497224588, 1962109389, 1689440422]}]}]}, {"tin": {"type": "ein", "value": "460938202"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 344.0, "npi": [1659950152, 1952938151]}]}, {"allowed_amount": 154.78, "providers": [{"billed_charge": 344.0, "npi": [1952938151]}]}]}, {"tin": {"type": "ein", "value": "461050740"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 243.45, "npi": [1194888479]}]}, {"allowed_amount": 231.36, "providers": [{"billed_charge": 243.45, "npi": [1639590391]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.08, "providers": [{"billed_charge": 241.0, "npi": [1588314264, 1588082721, 1003355850, 1831650746]}]}, {"allowed_amount": 126.44, "providers": [{"billed_charge": 241.0, "npi": [1710382312, 1700407939, 1881027068]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 241.0, "npi": [1942467576, 1396373056, 1720062516, 1114380821]}]}, {"allowed_amount": 146.06, "providers": [{"billed_charge": 241.0, "npi": [1144614090]}]}, {"allowed_amount": 163.5, "providers": [{"billed_charge": 241.0, "npi": [1114380821]}]}, {"allowed_amount": 169.55, "providers": [{"billed_charge": 241.0, "npi": [1558866574]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 303.0, "npi": [1801277504]}]}]}, {"tin": {"type": "ein", "value": "461448783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1104002054]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.62, "providers": [{"billed_charge": 230.99, "npi": [1265450217]}]}, {"allowed_amount": 124.33, "providers": [{"billed_charge": 230.99, "npi": [1568803567]}]}]}, {"tin": {"type": "ein", "value": "461814274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.25, "providers": [{"billed_charge": 250.0, "npi": [1508074063]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1508074063]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 250.0, "npi": [1508074063]}]}]}, {"tin": {"type": "ein", "value": "461870079"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.75, "providers": [{"billed_charge": 218.0, "npi": [1790280600, 1295311934]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 481.0, "npi": [1275695306, 1942443551]}]}, {"allowed_amount": 163.5, "providers": [{"billed_charge": 481.0, "npi": [1174267892]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.96, "providers": [{"billed_charge": 495.0, "npi": [1427450329]}]}]}, {"tin": {"type": "ein", "value": "462404937"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 175.0, "npi": [1649265067]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 175.0, "npi": [1649265067]}]}]}, {"tin": {"type": "ein", "value": "462691069"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 240.0, "npi": [1841267796]}]}]}, {"tin": {"type": "ein", "value": "462718719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.42, "providers": [{"billed_charge": 1371.0, "npi": [1740635077]}]}, {"allowed_amount": 130.32, "providers": [{"billed_charge": 1371.0, "npi": [1811453103]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 1371.0, "npi": [1295931251]}]}, {"allowed_amount": 252.01, "providers": [{"billed_charge": 1371.0, "npi": [1295931251]}]}]}, {"tin": {"type": "ein", "value": "462748817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.28, "providers": [{"billed_charge": 1081.67, "npi": [1932634805]}]}]}, {"tin": {"type": "ein", "value": "462964889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 350.0, "npi": [1992271084]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 350.0, "npi": [1518499979, 1154551349]}]}, {"allowed_amount": 175.38, "providers": [{"billed_charge": 350.0, "npi": [1518499979]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 350.0, "npi": [1518499979, 1154551349]}]}, {"allowed_amount": 231.36, "providers": [{"billed_charge": 350.0, "npi": [1447932801, 1992271084]}]}]}, {"tin": {"type": "ein", "value": "462964946"}, "billing_class": "professional", "service_codes": ["02", "21"], "payments": [{"allowed_amount": 128.81, "providers": [{"billed_charge": 250.0, "npi": [1881128320, 1730628579, 1053582221]}, {"billed_charge": 300.0, "npi": [1902366560, 1881128320, 1730628579, 1144664806, 1770503526, 1033506175, 1174750376, 1831199850, 1639437452, 1003472366, 1386888113, 1164659546, 1538503131, 1740523935]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 300.0, "npi": [1760827778]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 300.0, "npi": [1306898762, 1053582221, 1154472314, 1003017427, 1770882458]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 300.0, "npi": [1881128320, 1033606660, 1811348501, 1376820514, 1104115492, 1497105704, 1427400746, 1316443575, 1881037240, 1891946950, 1346624327, 1306898762, 1700142668, 1972946002, 1528494689, 1730628579, 1336300771, 1144664806, 1568620136, 1295356400, 1740253822]}]}, {"allowed_amount": 152.6, "providers": [{"billed_charge": 250.0, "npi": [1730628579, 1346624327, 1033506175]}, {"billed_charge": 300.0, "npi": [1497105704, 1902268626, 1922426907, 1124215538]}]}, {"allowed_amount": 153.69, "providers": [{"billed_charge": 300.0, "npi": [1558724799]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 250.0, "npi": [1811348501, 1700415734]}, {"billed_charge": 300.0, "npi": [1952780108, 1811348501, 1346624327]}]}]}, {"tin": {"type": "ein", "value": "463077526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 880.0, "npi": [1730683129, 1558591891]}]}, {"allowed_amount": 218.65, "providers": [{"billed_charge": 880.0, "npi": [1003699505]}]}, {"allowed_amount": 257.24, "providers": [{"billed_charge": 880.0, "npi": [1528371200]}]}]}, {"tin": {"type": "ein", "value": "463705561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.0, "providers": [{"billed_charge": 142.0, "npi": [1619230612]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 343.08, "npi": [1699038109]}]}]}, {"tin": {"type": "ein", "value": "464225758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.59, "providers": [{"billed_charge": 439.0, "npi": [1548836182]}]}]}, {"tin": {"type": "ein", "value": "464258971"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1194799387]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1194799387]}]}]}, {"tin": {"type": "ein", "value": "464713792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.42, "providers": [{"billed_charge": 240.25, "npi": [1912177023]}]}, {"allowed_amount": 154.78, "providers": [{"billed_charge": 240.25, "npi": [1003816844, 1194761916, 1053562751]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.81, "providers": [{"billed_charge": 202.0, "npi": [1669446449, 1740240571]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 248.0, "npi": [1184823825]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 202.0, "npi": [1912102104, 1932276177, 1144304197]}, {"billed_charge": 248.0, "npi": [1184823825, 1578983847]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 248.0, "npi": [1215106216]}]}, {"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1912102104, 1710074182]}]}]}, {"tin": {"type": "ein", "value": "465292740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.17, "providers": [{"billed_charge": 316.0, "npi": [1154945087]}]}]}, {"tin": {"type": "ein", "value": "465362272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.08, "providers": [{"billed_charge": 210.0, "npi": [1861473167]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 210.0, "npi": [1134179922]}]}, {"allowed_amount": 210.0, "providers": [{"billed_charge": 210.0, "npi": [1134179922]}]}]}, {"tin": {"type": "ein", "value": "465449716"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 160.0, "npi": [1184673444]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 160.0, "npi": [1184673444]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.82, "providers": [{"billed_charge": 336.0, "npi": [1235343922]}]}, {"allowed_amount": 238.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1376117036]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 230.0, "npi": [1871793604, 1588754055]}]}]}, {"tin": {"type": "ein", "value": "471012178"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.83, "providers": [{"billed_charge": 123.83, "npi": [1770816860]}]}]}, {"tin": {"type": "ein", "value": "471182996"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 315.0, "npi": [1184062267]}]}]}, {"tin": {"type": "ein", "value": "471346318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 306.91, "providers": [{"billed_charge": 355.0, "npi": [1508284118]}]}]}, {"tin": {"type": "ein", "value": "471682283"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1962475111]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 272.5, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "471859521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.12, "providers": [{"billed_charge": 369.0, "npi": [1386631562]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 205.8, "npi": [1366883365, 1144301854]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 205.8, "npi": [1285165068, 1366883365, 1104002054]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 205.8, "npi": [1497149116, 1285165068, 1689878134]}]}]}, {"tin": {"type": "ein", "value": "472504666"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 475.0, "npi": [1689909343]}]}]}, {"tin": {"type": "ein", "value": "472590836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.61, "providers": [{"billed_charge": 364.0, "npi": [1740570118]}]}]}, {"tin": {"type": "ein", "value": "472615759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 292.0, "npi": [1336627769, 1609683275, 1689305492]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 292.0, "npi": [1336627769, 1609683275, 1689305492]}]}]}, {"tin": {"type": "ein", "value": "472619488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 270.0, "npi": [1992987770]}]}, {"allowed_amount": 174.74, "providers": [{"billed_charge": 270.0, "npi": [1992987770]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 224.0, "npi": [1679969851, 1801231311]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 224.0, "npi": [1679969851, 1801231311]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 267.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "473660763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 275.0, "npi": [1174830178]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 275.0, "npi": [1174830178]}]}]}, {"tin": {"type": "ein", "value": "473874447"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1457308744]}, {"billed_charge": 220.0, "npi": [1457308744]}]}, {"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1457308744]}]}]}, {"tin": {"type": "ein", "value": "474276880"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.13, "providers": [{"billed_charge": 195.0, "npi": [1578968699]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1578968699]}]}]}, {"tin": {"type": "ein", "value": "474291574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 322.53, "npi": [1659366060, 1578104816, 1447915699, 1871143578, 1629682331]}]}, {"allowed_amount": 155.19, "providers": [{"billed_charge": 322.53, "npi": [1578104816]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 322.53, "npi": [1659366060]}]}, {"allowed_amount": 174.23, "providers": [{"billed_charge": 322.53, "npi": [1578104816]}]}, {"allowed_amount": 222.79, "providers": [{"billed_charge": 322.53, "npi": [1659366060]}]}, {"allowed_amount": 258.97, "providers": [{"billed_charge": 322.53, "npi": [1447915699, 1629682331]}]}, {"allowed_amount": 262.1, "providers": [{"billed_charge": 322.53, "npi": [1659366060]}]}]}, {"tin": {"type": "ein", "value": "474464147"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 227.0, "npi": [1588910343]}]}]}, {"tin": {"type": "ein", "value": "475142345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 282.98, "npi": [1801919014]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 560.0, "npi": [1619002888]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 545.0, "npi": [1912971607]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 545.0, "npi": [1619002888]}]}, {"allowed_amount": 548.85, "providers": [{"billed_charge": 560.0, "npi": [1982841961]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.33, "providers": [{"billed_charge": 312.0, "npi": [1659354736, 1760942171, 1689251373]}]}, {"allowed_amount": 132.48, "providers": [{"billed_charge": 312.0, "npi": [1851885578, 1891991998]}]}]}, {"tin": {"type": "ein", "value": "522356545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 200.0, "npi": [1326578808]}]}]}, {"tin": {"type": "ein", "value": "542063146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 300.0, "npi": [1699706937]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 300.0, "npi": [1699706937]}]}]}, {"tin": {"type": "ein", "value": "542066908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 306.91, "providers": [{"billed_charge": 450.0, "npi": [1417985888]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 449.0, "npi": [1952351694]}]}, {"allowed_amount": 123.23, "providers": [{"billed_charge": 448.0, "npi": [1770239113, 1972932788]}, {"billed_charge": 449.0, "npi": [1770239113]}]}, {"allowed_amount": 128.61, "providers": [{"billed_charge": 448.0, "npi": [1679770879]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 449.0, "npi": [1114914348]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 449.0, "npi": [1952351694]}]}, {"allowed_amount": 140.13, "providers": [{"billed_charge": 448.0, "npi": [1235835166, 1770299687]}, {"billed_charge": 449.0, "npi": [1194447730, 1235835166, 1770299687]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 448.0, "npi": [1770299687, 1770239113, 1194447730, 1972932788, 1235835166]}, {"billed_charge": 449.0, "npi": [1750950150, 1770299687, 1770239113, 1912586090, 1235835166]}]}, {"allowed_amount": 169.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 449.0, "npi": [1912586090, 1083241020]}]}]}, {"tin": {"type": "ein", "value": "550891794"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 195.0, "npi": [1518992106]}]}, {"allowed_amount": 128.61, "providers": [{"billed_charge": 195.0, "npi": [1518992106]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 195.0, "npi": [1518992106]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1518992106]}]}]}, {"tin": {"type": "ein", "value": "561732213"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.29, "providers": [{"billed_charge": 347.0, "npi": [1871027821]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.39, "providers": [{"billed_charge": 339.0, "npi": [1548656150]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.36, "providers": [{"billed_charge": 199.0, "npi": [1558504316]}]}]}, {"tin": {"type": "ein", "value": "570359174"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.14, "providers": [{"billed_charge": 300.0, "npi": [1124004627]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.14, "providers": [{"billed_charge": 403.0, "npi": [1013595578, 1578671442]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 162.99, "providers": [{"billed_charge": 318.0, "npi": [1043896848, 1275036014]}]}, {"allowed_amount": 193.41, "providers": [{"billed_charge": 318.0, "npi": [1972650794]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.36, "providers": [{"billed_charge": 283.0, "npi": [1538722160, 1518126267]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.09, "providers": [{"billed_charge": 463.0, "npi": [1457516403, 1932788221]}]}, {"allowed_amount": 118.49, "providers": [{"billed_charge": 463.0, "npi": [1932788221]}]}, {"allowed_amount": 162.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 463.0, "npi": [1932423704, 1285169532, 1932788221]}]}]}, {"tin": {"type": "ein", "value": "582061514"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.41, "providers": [{"billed_charge": 239.0, "npi": [1114260833]}]}]}, {"tin": {"type": "ein", "value": "582540964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.41, "providers": [{"billed_charge": 355.0, "npi": [1679917488, 1194168559]}]}]}, {"tin": {"type": "ein", "value": "584348481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1447314372]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 300.0, "npi": [1447314372]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 588.0, "npi": [1457763096]}]}, {"allowed_amount": 177.67, "providers": [{"billed_charge": 588.0, "npi": [1215461702, 1972514495]}]}]}, {"tin": {"type": "ein", "value": "590634434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.69, "providers": [{"billed_charge": 262.3, "npi": [1528358181]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 106.41, "providers": [{"billed_charge": 960.0, "npi": [1457715161]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 960.0, "npi": [1508112772, 1528324613, 1851914766, 1285619221, 1174257430, 1467039008, 1013029289, 1639428394, 1992935852, 1124657200, 1447487152, 1295313591, 1689080376, 1093120958, 1871853507, 1851979728, 1710446547, 1003565151, 1760125793, 1609189869, 1639565047]}]}, {"allowed_amount": 156.81, "providers": [{"billed_charge": 960.0, "npi": [1124657200]}]}, {"allowed_amount": 174.23, "providers": [{"billed_charge": 960.0, "npi": [1548044837]}]}, {"allowed_amount": 178.1, "providers": [{"billed_charge": 960.0, "npi": [1487064283]}]}, {"allowed_amount": 184.82, "providers": [{"billed_charge": 960.0, "npi": [1093120958, 1386906550]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 960.0, "npi": [1205331196, 1285619221, 1053817734]}]}, {"allowed_amount": 203.86, "providers": [{"billed_charge": 960.0, "npi": [1679918635]}]}, {"allowed_amount": 207.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 960.0, "npi": [1356706550, 1639565047]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 960.0, "npi": [1609189869, 1932735933, 1306282199]}]}, {"allowed_amount": 258.97, "providers": [{"billed_charge": 960.0, "npi": [1093388878, 1265935399]}]}, {"allowed_amount": 262.1, "providers": [{"billed_charge": 960.0, "npi": [1467039008, 1760125793, 1598854754, 1902272099, 1407316326, 1639428394, 1992935852, 1003010174, 1477505873, 1063073658, 1376864157, 1548426398, 1003565151]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 998.0, "npi": [1144813536]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 458.0, "npi": [1891836391]}]}, {"allowed_amount": 223.45, "providers": [{"billed_charge": 458.0, "npi": [1306417035, 1306282124, 1538680590, 1912579863, 1760003479, 1972025252, 1891956264, 1164719530, 1235525429, 1346771771, 1609003334, 1598128969, 1154853323, 1780237529, 1750817243, 1841207388, 1366679656, 1558585711, 1568841971]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 250.0, "npi": [1518462928, 1669634010, 1831179290]}]}, {"allowed_amount": 168.95, "providers": [{"billed_charge": 250.0, "npi": [1518462928, 1821304353, 1154633675, 1205220688]}]}]}, {"tin": {"type": "ein", "value": "591803105"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.41, "providers": [{"billed_charge": 135.0, "npi": [1417191891]}]}, {"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1417191891]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.53, "providers": [{"billed_charge": 265.0, "npi": [1952919581]}]}]}, {"tin": {"type": "ein", "value": "591901199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1700893583]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 229.16, "npi": [1215959952, 1841428554, 1083061246]}]}, {"allowed_amount": 153.69, "providers": [{"billed_charge": 229.16, "npi": [1407388804]}]}, {"allowed_amount": 168.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 229.16, "npi": [1356760763, 1629027404, 1205064029]}]}, {"allowed_amount": 229.16, "providers": [{"billed_charge": 229.16, "npi": [1043187107, 1538346796, 1700194966, 1992188023, 1073253977, 1467500223]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 224.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "591934417"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 144.0, "npi": [1679109748]}]}]}, {"tin": {"type": "ein", "value": "591935045"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 279.75, "npi": [1134520380]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.0, "npi": [1760773246]}]}, {"allowed_amount": 220.0, "providers": [{"billed_charge": 220.0, "npi": [1831284132, 1760773246]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1326011545]}]}, {"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1851616783]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1326011545]}]}]}, {"tin": {"type": "ein", "value": "591940256"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.65, "providers": [{"billed_charge": 141.7, "npi": [1316577588]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 141.7, "npi": [1639501711]}]}, {"allowed_amount": 141.7, "providers": [{"billed_charge": 141.7, "npi": [1063820777]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.13, "providers": [{"billed_charge": 288.0, "npi": [1497722748]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 984.0, "npi": [1316900525, 1639135015]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 984.0, "npi": [1568427516]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 984.0, "npi": [1477015139]}]}]}, {"tin": {"type": "ein", "value": "592219482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 214.0, "npi": [1639145774]}]}, {"allowed_amount": 145.61, "providers": [{"billed_charge": 214.0, "npi": [1639145774]}]}]}, {"tin": {"type": "ein", "value": "592291897"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 178.0, "providers": [{"billed_charge": 178.0, "npi": [1659570851]}]}]}, {"tin": {"type": "ein", "value": "592292041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 355.0, "npi": [1609339746]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 355.0, "npi": [1659511533]}]}]}, {"tin": {"type": "ein", "value": "592313481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 344.0, "npi": [1801113576, 1093938573, 1528666864]}]}, {"allowed_amount": 147.15, "providers": [{"billed_charge": 344.0, "npi": [1245734409, 1093938573]}]}, {"allowed_amount": 257.24, "providers": [{"billed_charge": 344.0, "npi": [1184851073, 1740775980]}]}]}, {"tin": {"type": "ein", "value": "592319380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 295.0, "npi": [1225532625, 1982701421, 1568806222, 1346347887]}]}, {"allowed_amount": 149.33, "providers": [{"billed_charge": 295.0, "npi": [1225532625, 1336246875, 1073610515, 1982701421]}]}]}, {"tin": {"type": "ein", "value": "592319823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 286.0, "npi": [1427157494]}]}]}, {"tin": {"type": "ein", "value": "592348526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1114335023]}]}]}, {"tin": {"type": "ein", "value": "592396735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 164.0, "npi": [1093453920, 1053319145, 1083907083]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.25, "providers": [{"billed_charge": 354.09, "npi": [1255422127]}]}, {"allowed_amount": 125.22, "providers": [{"billed_charge": 354.09, "npi": [1629150123]}]}, {"allowed_amount": 128.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 354.09, "npi": [1629150123, 1790096972]}]}]}, {"tin": {"type": "ein", "value": "592579935"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 399.0, "npi": [1093005514]}]}]}, {"tin": {"type": "ein", "value": "592693323"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 170.0, "npi": [1497719611]}]}]}, {"tin": {"type": "ein", "value": "592713805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.92, "providers": [{"billed_charge": 180.0, "npi": [1639132897]}]}]}, {"tin": {"type": "ein", "value": "592715999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.41, "providers": [{"billed_charge": 165.0, "npi": [1811098569]}]}]}, {"tin": {"type": "ein", "value": "592832513"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 245.88, "npi": [1285613679]}]}, {"allowed_amount": 175.38, "providers": [{"billed_charge": 245.88, "npi": [1285613679]}]}]}, {"tin": {"type": "ein", "value": "592842187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 200.0, "npi": [1578582664]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 131.89, "providers": [{"billed_charge": 240.24, "npi": [1265427728, 1205821170, 1770595571]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 240.24, "npi": [1205821170, 1710972435, 1649385733]}]}, {"allowed_amount": 190.75, "providers": [{"billed_charge": 240.24, "npi": [1710972435]}]}]}, {"tin": {"type": "ein", "value": "593112205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.2, "providers": [{"billed_charge": 150.0, "npi": [1013014737]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1013014737]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 185.0, "npi": [1902824139, 1699793836]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 273.0, "npi": [1629565585, 1609309715, 1861954836, 1093998742, 1306938774, 1366722936, 1033641436]}]}, {"allowed_amount": 152.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 273.0, "npi": [1871887406]}]}, {"allowed_amount": 163.5, "providers": [{"billed_charge": 273.0, "npi": [1437476520, 1578094967]}]}, {"allowed_amount": 168.95, "providers": [{"billed_charge": 273.0, "npi": [1427094168]}]}, {"allowed_amount": 190.75, "providers": [{"billed_charge": 273.0, "npi": [1376840157, 1801965785, 1811065949]}]}]}, {"tin": {"type": "ein", "value": "593215680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 481.0, "npi": [1720035272, 1295364057]}, {"billed_charge": 701.0, "npi": [1295364057]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1235195744, 1073002564, 1942614565, 1366516486, 1629505094, 1003262700, 1336113166, 1518440858, 1851786255, 1205055027, 1730563412, 1548428501, 1578983607, 1083021273, 1912184730, 1528435070]}]}, {"allowed_amount": 150.42, "providers": [{"billed_charge": 360.0, "npi": [1417319096]}]}, {"allowed_amount": 154.78, "providers": [{"billed_charge": 360.0, "npi": [1477932515, 1952939076, 1952745671, 1134619786, 1245627660, 1144511213, 1265660880, 1518587856, 1487819413, 1215336821, 1992876569, 1518440858, 1114369055]}]}, {"allowed_amount": 163.5, "providers": [{"billed_charge": 360.0, "npi": [1336113166]}]}, {"allowed_amount": 173.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1669554689, 1912184730, 1265737126, 1780930719]}]}]}, {"tin": {"type": "ein", "value": "593285626"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.9, "providers": [{"billed_charge": 125.0, "npi": [1790869006]}]}, {"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1235425158]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.65, "providers": [{"billed_charge": 504.0, "npi": [1801667464, 1780317289, 1275271215, 1184205775, 1538646047]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 504.0, "npi": [1508358656, 1104230002]}]}, {"allowed_amount": 106.55, "providers": [{"billed_charge": 504.0, "npi": [1801554456]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 504.0, "npi": [1932546017, 1346610664, 1275386419, 1548640915, 1952733719, 1205349727]}]}]}, {"tin": {"type": "ein", "value": "593338654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 361.0, "npi": [1598799942]}]}]}, {"tin": {"type": "ein", "value": "593360315"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.06, "providers": [{"billed_charge": 273.0, "npi": [1104166339]}]}]}, {"tin": {"type": "ein", "value": "593379430"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 320.0, "npi": [1265589774]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 267.0, "npi": [1538345442, 1710447396, 1891229381, 1568802825, 1720466444, 1932413630, 1629489455, 1578191185, 1912999665, 1508445107, 1972658292, 1063745107, 1255623070]}]}, {"allowed_amount": 142.79, "providers": [{"billed_charge": 267.0, "npi": [1285167973]}]}, {"allowed_amount": 223.45, "providers": [{"billed_charge": 267.0, "npi": [1922598432, 1699208462, 1629489455, 1508445107, 1235338047]}]}]}, {"tin": {"type": "ein", "value": "593385828"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 160.0, "npi": [1790042513, 1083783609, 1154615813]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 160.0, "npi": [1649409764, 1154615813, 1184911372, 1700271343, 1790042513, 1568996791]}]}]}, {"tin": {"type": "ein", "value": "593388890"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 155.0, "npi": [1588312680]}]}]}, {"tin": {"type": "ein", "value": "593411454"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.44, "providers": [{"billed_charge": 185.0, "npi": [1417149873]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 354.27, "providers": [{"billed_charge": 600.0, "npi": [1346294253]}]}]}, {"tin": {"type": "ein", "value": "593573936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 175.0, "npi": [1477661825]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 175.0, "npi": [1477661825]}]}]}, {"tin": {"type": "ein", "value": "593577370"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 272.7, "npi": [1184202806]}]}]}, {"tin": {"type": "ein", "value": "593580766"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1740269448]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 273.0, "npi": [1063867554, 1174049340, 1386847903]}]}, {"allowed_amount": 125.35, "providers": [{"billed_charge": 273.0, "npi": [1326232216, 1598963290, 1619940715, 1811192388]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 273.0, "npi": [1053746156, 1457607988, 1447483151]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.75, "providers": [{"billed_charge": 230.0, "npi": [1548555956]}]}]}, {"tin": {"type": "ein", "value": "594142476"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 250.0, "npi": [1740244805]}]}]}, {"tin": {"type": "ein", "value": "595926652"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 108.63, "providers": [{"billed_charge": 210.0, "npi": [1871099705]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 331.0, "npi": [1356919914]}]}, {"allowed_amount": 136.15, "providers": [{"billed_charge": 331.0, "npi": [1841369410, 1366673725]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 331.0, "npi": [1841369410, 1700992559, 1891336079, 1417264532, 1790159796, 1073901179, 1609001213]}]}, {"allowed_amount": 145.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 331.0, "npi": [1982090288, 1447492913, 1437181674, 1568776771]}]}, {"allowed_amount": 231.36, "providers": [{"billed_charge": 331.0, "npi": [1528521713, 1073901179, 1790159796, 1417264532]}]}, {"allowed_amount": 272.18, "providers": [{"billed_charge": 331.0, "npi": [1891336079]}]}]}, {"tin": {"type": "ein", "value": "598052198"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1093035065]}]}, {"allowed_amount": 128.61, "providers": [{"billed_charge": 232.0, "npi": [1093035065]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 232.0, "npi": [1093035065]}]}]}, {"tin": {"type": "ein", "value": "611029626"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.62, "providers": [{"billed_charge": 253.0, "npi": [1144842345]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.74, "providers": [{"billed_charge": 410.0, "npi": [1356801039]}]}]}, {"tin": {"type": "ein", "value": "611677183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.8, "providers": [{"billed_charge": 269.23, "npi": [1346274735]}]}]}, {"tin": {"type": "ein", "value": "612037805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 241.0, "npi": [1487688503]}]}, {"allowed_amount": 142.79, "providers": [{"billed_charge": 241.0, "npi": [1346999562, 1487688503]}]}, {"allowed_amount": 190.75, "providers": [{"billed_charge": 241.0, "npi": [1972022648]}]}, {"allowed_amount": 241.0, "providers": [{"billed_charge": 241.0, "npi": [1740898667, 1740916949, 1235639543]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.96, "providers": [{"billed_charge": 328.0, "npi": [1689051773, 1114347366]}]}, {"allowed_amount": 181.58, "providers": [{"billed_charge": 328.0, "npi": [1528451705]}]}, {"allowed_amount": 213.62, "providers": [{"billed_charge": 328.0, "npi": [1831328244]}]}]}, {"tin": {"type": "ein", "value": "621147754"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1104329069]}]}]}, {"tin": {"type": "ein", "value": "621529858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.58, "providers": [{"billed_charge": 199.0, "npi": [1508892688]}]}]}, {"tin": {"type": "ein", "value": "621822362"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.03, "providers": [{"billed_charge": 280.0, "npi": [1831440023]}]}, {"allowed_amount": 164.74, "providers": [{"billed_charge": 263.0, "npi": [1093769648, 1720738503]}]}]}, {"tin": {"type": "ein", "value": "631012832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1538363726]}]}]}, {"tin": {"type": "ein", "value": "639361935"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 212.08, "providers": [{"billed_charge": 407.0, "npi": [1548550718]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 960.0, "npi": [1235494402, 1194353987, 1548794563, 1174586853, 1760799050, 1235190414, 1487985883, 1396762258, 1437643699, 1598179285, 1013076470, 1275645723, 1790131613, 1972091262]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 960.0, "npi": [1467713776]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 960.0, "npi": [1942437892, 1841725199, 1366755472, 1588903207, 1154520104, 1225329063, 1770070187, 1518259126, 1134665912, 1962031930, 1245684414, 1649658303, 1811187925, 1215496534, 1255745501, 1477500254, 1104129634, 1881824621, 1386006385, 1487049086]}]}, {"allowed_amount": 135.83, "providers": [{"billed_charge": 960.0, "npi": [1548225154]}]}, {"allowed_amount": 136.15, "providers": [{"billed_charge": 960.0, "npi": [1285224196, 1700547494, 1518321751]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 960.0, "npi": [1235494402, 1487049086, 1780629253, 1316213895, 1841725199, 1396762258, 1700547494, 1225329063, 1588903207, 1154520104, 1336343847, 1437643699, 1952677429, 1518259126, 1073034039, 1134665912, 1962031930, 1649658303, 1972091262, 1548794563, 1194353987, 1528001740, 1609974476, 1003818188, 1215496534, 1871034074, 1407205214, 1154551521, 1104129634, 1164402657, 1467713776, 1386006385, 1790023166]}]}, {"allowed_amount": 145.61, "providers": [{"billed_charge": 960.0, "npi": [1982229530]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 960.0, "npi": [1649658303]}]}, {"allowed_amount": 306.91, "providers": [{"billed_charge": 960.0, "npi": [1497114649]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.09, "providers": [{"billed_charge": 960.0, "npi": [1144467515]}]}, {"allowed_amount": 262.1, "providers": [{"billed_charge": 960.0, "npi": [1669606109]}]}]}, {"tin": {"type": "ein", "value": "650063092"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 225.0, "npi": [1558361543]}]}]}, {"tin": {"type": "ein", "value": "650084769"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 146.89, "npi": [1558960393]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 146.89, "npi": [1558960393]}]}]}, {"tin": {"type": "ein", "value": "650118506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 200.0, "npi": [1811929029]}]}]}, {"tin": {"type": "ein", "value": "650145061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 175.0, "npi": [1881645729]}]}]}, {"tin": {"type": "ein", "value": "650158744"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 150.0, "npi": [1962663070]}]}]}, {"tin": {"type": "ein", "value": "650177616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.61, "providers": [{"billed_charge": 320.0, "npi": [1043410699]}]}]}, {"tin": {"type": "ein", "value": "650199979"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 200.0, "npi": [1447035605]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 200.0, "npi": [1588215016]}]}]}, {"tin": {"type": "ein", "value": "650236284"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 925.0, "npi": [1710047121]}]}]}, {"tin": {"type": "ein", "value": "650236433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 239.48, "npi": [1184629800]}]}]}, {"tin": {"type": "ein", "value": "650262189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 225.0, "npi": [1700831088, 1326050105, 1558317594]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 225.0, "npi": [1700831088, 1558317594]}]}]}, {"tin": {"type": "ein", "value": "650264851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 160.0, "npi": [1548283427]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 448.0, "npi": [1780085548]}]}, {"allowed_amount": 140.13, "providers": [{"billed_charge": 448.0, "npi": [1790329001]}]}]}, {"tin": {"type": "ein", "value": "650298964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 225.0, "npi": [1417939141]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.06, "providers": [{"billed_charge": 487.0, "npi": [1376572032]}]}]}, {"tin": {"type": "ein", "value": "650347027"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.61, "providers": [{"billed_charge": 333.0, "npi": [1194798439]}]}]}, {"tin": {"type": "ein", "value": "650432710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 220.0, "npi": [1912170077]}]}]}, {"tin": {"type": "ein", "value": "650450662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 275.0, "npi": [1346363967]}]}]}, {"tin": {"type": "ein", "value": "650500312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.12, "providers": [{"billed_charge": 307.0, "npi": [1639191786]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 307.0, "npi": [1639191786]}]}, {"allowed_amount": 175.38, "providers": [{"billed_charge": 307.0, "npi": [1639191786]}]}]}, {"tin": {"type": "ein", "value": "650523388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 130.0, "npi": [1982785689, 1366883365]}]}, {"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1295029635, 1366883365, 1285165068, 1982785689, 1144301854]}]}]}, {"tin": {"type": "ein", "value": "650539792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.01, "providers": [{"billed_charge": 112.01, "npi": [1376742833, 1043428089]}]}]}, {"tin": {"type": "ein", "value": "650580501"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 239.0, "npi": [1114923703]}, {"billed_charge": 392.0, "npi": [1114923703]}]}, {"allowed_amount": 239.0, "providers": [{"billed_charge": 239.0, "npi": [1114923703]}]}]}, {"tin": {"type": "ein", "value": "650589189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 380.0, "npi": [1518066695]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 350.0, "npi": [1518066695]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 429.81, "providers": [{"billed_charge": 612.0, "npi": [1326715418, 1982444204]}, {"billed_charge": 679.0, "npi": [1568490027, 1427054311]}]}, {"allowed_amount": 505.66, "providers": [{"billed_charge": 679.0, "npi": [1023645074]}]}]}, {"tin": {"type": "ein", "value": "650661983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 150.0, "npi": [1699863183]}]}]}, {"tin": {"type": "ein", "value": "650672834"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 160.0, "npi": [1760687842]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 160.0, "npi": [1760687842]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 456.46, "npi": [1588988000, 1700104874, 1003839309, 1821317264, 1699234864, 1215956115, 1548528342, 1558637272]}]}, {"allowed_amount": 145.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 456.46, "npi": [1588988000, 1700104874, 1003839309, 1821317264, 1699234864, 1215956115, 1548528342, 1558637272]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 456.46, "npi": [1588988000, 1699234864, 1851500847]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 456.46, "npi": [1699207241]}]}, {"allowed_amount": 145.61, "providers": [{"billed_charge": 456.46, "npi": [1699207241]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 456.46, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 220.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 456.46, "npi": [1225109440, 1770679771, 1053407205]}]}, {"allowed_amount": 145.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 456.46, "npi": [1770679771, 1003902214]}]}, {"allowed_amount": 181.84, "providers": [{"billed_charge": 456.46, "npi": [1053407205]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 456.46, "npi": [1225109440, 1053407205]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 220.0, "npi": [1205097904]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.0, "npi": [1912707209, 1508834540, 1205097904, 1275415762, 1962509877, 1700317948]}]}, {"allowed_amount": 155.19, "providers": [{"billed_charge": 220.0, "npi": [1316628779]}]}, {"allowed_amount": 188.18, "providers": [{"billed_charge": 220.0, "npi": [1548529662]}]}]}, {"tin": {"type": "ein", "value": "650736911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 190.75, "npi": [1629094602]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 180.0, "npi": [1699773341]}, {"billed_charge": 350.0, "npi": [1699773341]}]}, {"allowed_amount": 145.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650770715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.61, "providers": [{"billed_charge": 275.0, "npi": [1164430716]}]}]}, {"tin": {"type": "ein", "value": "650790741"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 164.0, "npi": [1275564106]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 164.0, "npi": [1275564106, 1497959092, 1932267663]}]}, {"allowed_amount": 142.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 164.0, "npi": [1104913185]}]}, {"allowed_amount": 146.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 164.0, "npi": [1104913185]}]}]}, {"tin": {"type": "ein", "value": "650851252"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 400.0, "npi": [1437184843]}]}, {"allowed_amount": 204.98, "providers": [{"billed_charge": 400.0, "npi": [1437184843]}]}]}, {"tin": {"type": "ein", "value": "650851352"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 400.0, "npi": [1437184843]}]}, {"allowed_amount": 204.98, "providers": [{"billed_charge": 400.0, "npi": [1437184843]}]}]}, {"tin": {"type": "ein", "value": "650856170"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 155.0, "npi": [1750342689]}, {"billed_charge": 250.0, "npi": [1750342689]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 155.0, "npi": [1750342689]}]}]}, {"tin": {"type": "ein", "value": "650863823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 212.0, "npi": [1609980531]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 212.0, "npi": [1609980531]}]}]}, {"tin": {"type": "ein", "value": "650867203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.12, "providers": [{"billed_charge": 300.0, "npi": [1205809670]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1205809670]}]}]}, {"tin": {"type": "ein", "value": "650879348"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 336.03, "npi": [1942381512]}]}]}, {"tin": {"type": "ein", "value": "650909168"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1609828938, 1912964156]}]}]}, {"tin": {"type": "ein", "value": "650923588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 175.0, "npi": [1497919039]}]}]}, {"tin": {"type": "ein", "value": "650947880"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 300.0, "npi": [1336146679]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 300.0, "npi": [1336146679]}]}]}, {"tin": {"type": "ein", "value": "650958737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1013959246]}]}]}, {"tin": {"type": "ein", "value": "650960025"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 179.22, "npi": [1770071052]}]}]}, {"tin": {"type": "ein", "value": "650967376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 300.0, "npi": [1881806206]}]}]}, {"tin": {"type": "ein", "value": "650977950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 245.0, "npi": [1730192758]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 245.0, "npi": [1730192758]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 245.0, "npi": [1730192758]}]}]}, {"tin": {"type": "ein", "value": "650983923"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 200.0, "npi": [1841507886]}]}, {"allowed_amount": 170.04, "providers": [{"billed_charge": 200.0, "npi": [1336102888]}]}]}, {"tin": {"type": "ein", "value": "651002459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.33, "providers": [{"billed_charge": 650.0, "npi": [1235131103]}]}, {"allowed_amount": 258.97, "providers": [{"billed_charge": 650.0, "npi": [1093332090]}]}]}, {"tin": {"type": "ein", "value": "651002758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.61, "providers": [{"billed_charge": 350.0, "npi": [1649292012]}]}]}, {"tin": {"type": "ein", "value": "651009275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.61, "providers": [{"billed_charge": 250.0, "npi": [1194759928]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1194759928]}]}]}, {"tin": {"type": "ein", "value": "651015825"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.21, "providers": [{"billed_charge": 125.0, "npi": [1720231459, 1063522332]}]}, {"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1720231459, 1063522332]}]}]}, {"tin": {"type": "ein", "value": "651020386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.13, "providers": [{"billed_charge": 184.41, "npi": [1043253479]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 184.41, "npi": [1043253479]}]}]}, {"tin": {"type": "ein", "value": "651020460"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1831256809]}]}, {"allowed_amount": 233.84, "providers": [{"billed_charge": 300.0, "npi": [1831256809]}]}]}, {"tin": {"type": "ein", "value": "651040252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.2, "providers": [{"billed_charge": 300.0, "npi": [1750438974]}]}, {"allowed_amount": 123.21, "providers": [{"billed_charge": 300.0, "npi": [1750438974]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 300.0, "npi": [1750438974]}]}, {"allowed_amount": 166.26, "providers": [{"billed_charge": 300.0, "npi": [1750438974]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 600.0, "npi": [1811345978]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 186.0, "npi": [1104104264, 1457329450, 1700232667, 1457329468]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 186.0, "npi": [1346745312, 1689295792, 1972686327]}]}, {"allowed_amount": 150.09, "providers": [{"billed_charge": 186.0, "npi": [1689295792]}]}, {"allowed_amount": 186.0, "providers": [{"billed_charge": 186.0, "npi": [1346745312, 1457329450, 1447681846, 1972686327, 1700232667, 1457329468]}]}]}, {"tin": {"type": "ein", "value": "651086216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1609821610]}]}, {"allowed_amount": 145.61, "providers": [{"billed_charge": 150.0, "npi": [1609821610]}]}]}, {"tin": {"type": "ein", "value": "651086616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 650.0, "npi": [1649498635]}]}]}, {"tin": {"type": "ein", "value": "651102146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1164482782]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1164482782]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 250.0, "npi": [1164482782]}]}]}, {"tin": {"type": "ein", "value": "651105106"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1568411676]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.7, "providers": [{"billed_charge": 225.0, "npi": [1457303224]}]}]}, {"tin": {"type": "ein", "value": "716046242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 163.7, "providers": [{"billed_charge": 207.0, "npi": [1417376203]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.81, "providers": [{"billed_charge": 283.0, "npi": [1285308197]}]}, {"allowed_amount": 130.47, "providers": [{"billed_charge": 283.0, "npi": [1508516907]}]}, {"allowed_amount": 131.57, "providers": [{"billed_charge": 283.0, "npi": [1770785982]}]}]}, {"tin": {"type": "ein", "value": "800006481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.96, "providers": [{"billed_charge": 159.05, "npi": [1013956473]}]}]}, {"tin": {"type": "ein", "value": "800033443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 144.0, "npi": [1982192746]}]}]}, {"tin": {"type": "ein", "value": "800132834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 152.16, "npi": [1689606949]}]}]}, {"tin": {"type": "ein", "value": "800674849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 236.06, "npi": [1689253064, 1114506300]}]}, {"allowed_amount": 155.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 236.06, "npi": [1487285714, 1629674205]}]}]}, {"tin": {"type": "ein", "value": "800898187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.74, "providers": [{"billed_charge": 190.0, "npi": [1528490513]}]}]}, {"tin": {"type": "ein", "value": "800926662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.75, "providers": [{"billed_charge": 218.0, "npi": [1457309411]}]}]}, {"tin": {"type": "ein", "value": "810723858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.01, "providers": [{"billed_charge": 336.03, "npi": [1417954496]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 336.03, "npi": [1417954496]}]}, {"allowed_amount": 169.53, "providers": [{"billed_charge": 350.76, "npi": [1154950988]}]}]}, {"tin": {"type": "ein", "value": "810977823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 175.0, "npi": [1306046214]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1306046214]}]}]}, {"tin": {"type": "ein", "value": "811178868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 160.0, "npi": [1467626127]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1467626127]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1184668865, 1609872647, 1972684298, 1194775098, 1487794715, 1851617021]}]}]}, {"tin": {"type": "ein", "value": "811894645"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 370.0, "npi": [1215994447]}]}]}, {"tin": {"type": "ein", "value": "811899661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.88, "providers": [{"billed_charge": 525.0, "npi": [1013588417]}]}]}, {"tin": {"type": "ein", "value": "812611928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 162.0, "npi": [1932548880]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 162.0, "npi": [1932548880]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 69.16, "providers": [{"billed_charge": 439.0, "npi": [1871925792]}]}, {"allowed_amount": 86.46, "providers": [{"billed_charge": 439.0, "npi": [1235870452, 1902433295]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 439.0, "npi": [1013591528]}]}, {"allowed_amount": 128.53, "providers": [{"billed_charge": 439.0, "npi": [1144815408]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 439.0, "npi": [1326350307, 1932511821, 1811048622, 1215252432, 1720584758, 1306596119, 1356460190]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 439.0, "npi": [1871925792, 1992334817, 1083985121, 1164862215, 1275160970, 1659789261, 1699962639, 1144815408, 1902433295, 1235870452, 1619996436, 1639735962, 1598144669, 1164965182]}]}, {"allowed_amount": 151.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 439.0, "npi": [1578907200, 1992334817, 1083985121, 1184042921, 1275160970, 1902433295, 1235870452, 1619996436, 1407115389, 1639735962, 1598144669]}]}, {"allowed_amount": 155.19, "providers": [{"billed_charge": 439.0, "npi": [1871925792, 1093839128, 1164965182, 1164862215]}]}, {"allowed_amount": 184.21, "providers": [{"billed_charge": 439.0, "npi": [1306596119]}]}, {"allowed_amount": 190.75, "providers": [{"billed_charge": 439.0, "npi": [1154523397, 1689803454]}]}, {"allowed_amount": 257.24, "providers": [{"billed_charge": 439.0, "npi": [1265847800, 1326350307, 1477815165, 1720584758]}]}]}, {"tin": {"type": "ein", "value": "812685539"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.41, "providers": [{"billed_charge": 267.21, "npi": [1992128482]}]}]}, {"tin": {"type": "ein", "value": "812758498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 286.0, "npi": [1093815508]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 145.17, "npi": [1194682732, 1902633134, 1275348534, 1720598006, 1497555098]}]}, {"allowed_amount": 145.17, "providers": [{"billed_charge": 145.17, "npi": [1386504298, 1720598006, 1497427322]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.65, "providers": [{"billed_charge": 224.0, "npi": [1609195833]}]}, {"allowed_amount": 95.21, "providers": [{"billed_charge": 224.0, "npi": [1568443232, 1811978950, 1053352583, 1013229707, 1174554893, 1508847088, 1124120019, 1538321021]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 224.0, "npi": [1245417609, 1295940294]}]}, {"allowed_amount": 116.92, "providers": [{"billed_charge": 224.0, "npi": [1811950132]}]}, {"allowed_amount": 123.21, "providers": [{"billed_charge": 224.0, "npi": [1255645255, 1235624552, 1043244908, 1811929144, 1265462873, 1578945598]}]}, {"allowed_amount": 131.89, "providers": [{"billed_charge": 224.0, "npi": [1285626499, 1134325004]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 224.0, "npi": [1255372199, 1134325004, 1073537650, 1356398200, 1609195833, 1063640126]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 224.0, "npi": [1568443232, 1811978950, 1255645255, 1053352583, 1235624552, 1043244908, 1174554893, 1497943856, 1508847088, 1124120019, 1144781139, 1407887128, 1265462873, 1811929144, 1538321021]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 224.0, "npi": [1386165793, 1811950132]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 224.0, "npi": [1407887128]}]}, {"allowed_amount": 224.0, "providers": [{"billed_charge": 224.0, "npi": [1255372199, 1801057096, 1073537650, 1124227319, 1063640126]}]}]}, {"tin": {"type": "ein", "value": "812968717"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 250.0, "npi": [1245547223]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1245547223]}]}]}, {"tin": {"type": "ein", "value": "813080216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 170.0, "npi": [1407815525]}]}, {"allowed_amount": 136.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 170.0, "npi": [1053330787, 1407815525]}]}, {"allowed_amount": 142.79, "providers": [{"billed_charge": 170.0, "npi": [1053330787]}]}]}, {"tin": {"type": "ein", "value": "813158598"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1194815092]}]}]}, {"tin": {"type": "ein", "value": "813172922"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.41, "providers": [{"billed_charge": 451.0, "npi": [1164693891]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 451.0, "npi": [1710449731]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 451.0, "npi": [1184253296, 1710449731, 1932669983]}]}]}, {"tin": {"type": "ein", "value": "813505131"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 169.97, "npi": [1447887773]}]}]}, {"tin": {"type": "ein", "value": "813669955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 302.45, "npi": [1558752618]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 302.45, "npi": [1558752618]}]}]}, {"tin": {"type": "ein", "value": "814015095"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 212.0, "npi": [1467740928]}]}]}, {"tin": {"type": "ein", "value": "814912881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 300.0, "npi": [1548413024]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 300.0, "npi": [1548413024]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 300.0, "npi": [1548413024]}]}]}, {"tin": {"type": "ein", "value": "815026620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 179.86, "providers": [{"billed_charge": 229.0, "npi": [1497729834, 1871976589]}]}]}, {"tin": {"type": "ein", "value": "815038483"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 240.24, "npi": [1316995129, 1316095565, 1760449854]}]}]}, {"tin": {"type": "ein", "value": "815124973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.0, "npi": [1992016497]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 216.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "820821946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 545.0, "npi": [1083880926, 1689743239]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 545.0, "npi": [1508506288, 1366430274]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 545.0, "npi": [1689743239]}]}]}, {"tin": {"type": "ein", "value": "820926850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.0, "providers": [{"billed_charge": 165.0, "npi": [1588683007]}]}]}, {"tin": {"type": "ein", "value": "821010987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1770785859]}]}]}, {"tin": {"type": "ein", "value": "821746333"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1861709230]}]}, {"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1861709230]}]}]}, {"tin": {"type": "ein", "value": "822304431"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 350.0, "npi": [1629164439]}]}]}, {"tin": {"type": "ein", "value": "823273210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.44, "providers": [{"billed_charge": 157.0, "npi": [1174848147]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 157.0, "npi": [1174848147]}, {"billed_charge": 164.0, "npi": [1174848147]}]}]}, {"tin": {"type": "ein", "value": "823352623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.32, "providers": [{"billed_charge": 355.0, "npi": [1972965887, 1770903031]}]}]}, {"tin": {"type": "ein", "value": "823362725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 888.77, "npi": [1710281027, 1104908581, 1205578150, 1215985361, 1386225332, 1033344692]}]}]}, {"tin": {"type": "ein", "value": "823454041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1881643195]}]}]}, {"tin": {"type": "ein", "value": "823782639"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.21, "providers": [{"billed_charge": 210.0, "npi": [1275589764]}]}]}, {"tin": {"type": "ein", "value": "823898488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.44, "providers": [{"billed_charge": 336.0, "npi": [1649706458]}]}]}, {"tin": {"type": "ein", "value": "824392391"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 275.0, "npi": [1134407307]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 275.0, "npi": [1134407307]}]}]}, {"tin": {"type": "ein", "value": "824525580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 248.0, "npi": [1609196989]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 248.0, "npi": [1609196989]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["51", "22", "21"], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 319.0, "npi": [1699203620, 1902772445, 1740002583]}]}, {"allowed_amount": 92.65, "providers": [{"billed_charge": 319.0, "npi": [1407374077]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 319.0, "npi": [1346326980, 1639331176, 1841224169, 1174085914, 1790434637, 1023020856, 1871955955, 1194465138, 1134105752, 1801080346, 1386957405, 1194132126, 1538488895]}]}, {"allowed_amount": 125.35, "providers": [{"billed_charge": 319.0, "npi": [1194711515, 1316516156]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 319.0, "npi": [1548007040, 1558822528, 1235754979, 1639331176, 1841224169, 1952503369, 1790434637, 1104830959, 1295301042, 1194465138, 1902427156, 1689683575, 1134105752, 1407374077]}]}, {"allowed_amount": 223.45, "providers": [{"billed_charge": 319.0, "npi": [1104830959]}]}, {"allowed_amount": 306.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1669845889, 1003578931]}]}, {"allowed_amount": 319.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1902772445, 1497149793, 1407270788, 1780873661]}]}]}, {"tin": {"type": "ein", "value": "824950980"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 128.61, "providers": [{"billed_charge": 195.0, "npi": [1760426597]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1811487200, 1710931522, 1225033020]}]}]}, {"tin": {"type": "ein", "value": "825012837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 195.0, "npi": [1730479387]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 195.0, "npi": [1730479387]}]}]}, {"tin": {"type": "ein", "value": "825210774"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 250.0, "npi": [1235180001]}]}]}, {"tin": {"type": "ein", "value": "831015586"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 164.0, "npi": [1932115631]}]}]}, {"tin": {"type": "ein", "value": "831032622"}, "billing_class": "professional", "service_codes": ["51", "55"], "payments": [{"allowed_amount": 215.0, "providers": [{"billed_charge": 215.0, "npi": [1841699659]}]}, {"allowed_amount": 249.0, "providers": [{"billed_charge": 249.0, "npi": [1841699659]}]}]}, {"tin": {"type": "ein", "value": "831283936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 165.0, "npi": [1134421407]}]}]}, {"tin": {"type": "ein", "value": "831606709"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 230.0, "npi": [1144596057]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 230.0, "npi": [1144596057]}]}]}, {"tin": {"type": "ein", "value": "831809129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.93, "providers": [{"billed_charge": 304.0, "npi": [1912467648, 1730620501]}]}]}, {"tin": {"type": "ein", "value": "831848483"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.56, "npi": [1366460974]}]}]}, {"tin": {"type": "ein", "value": "831912307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 345.0, "npi": [1265453245]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 345.0, "npi": [1851611768, 1265453245]}]}]}, {"tin": {"type": "ein", "value": "831918740"}, "billing_class": "professional", "service_codes": ["56", "21"], "payments": [{"allowed_amount": 92.2, "providers": [{"billed_charge": 350.0, "npi": [1043299456]}]}, {"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1043299456]}]}]}, {"tin": {"type": "ein", "value": "832447582"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.33, "providers": [{"billed_charge": 2521.0, "npi": [1932104049]}]}]}, {"tin": {"type": "ein", "value": "832459808"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.78, "providers": [{"billed_charge": 439.0, "npi": [1669588299]}]}]}, {"tin": {"type": "ein", "value": "833158789"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 218.0, "npi": [1215599261]}]}]}, {"tin": {"type": "ein", "value": "833546595"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.56, "providers": [{"billed_charge": 320.0, "npi": [1528492949]}]}]}, {"tin": {"type": "ein", "value": "833553816"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.61, "providers": [{"billed_charge": 350.0, "npi": [1902037468]}]}]}, {"tin": {"type": "ein", "value": "834031845"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 205.62, "npi": [1629519038]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.74, "providers": [{"billed_charge": 300.0, "npi": [1760524250]}, {"billed_charge": 356.0, "npi": [1760524250]}]}]}, {"tin": {"type": "ein", "value": "834594332"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 225.0, "npi": [1457801441]}]}]}, {"tin": {"type": "ein", "value": "834655627"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.57, "providers": [{"billed_charge": 112.57, "npi": [1033502802]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.72, "providers": [{"billed_charge": 481.0, "npi": [1922502152, 1750642948]}]}]}, {"tin": {"type": "ein", "value": "840974982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.72, "providers": [{"billed_charge": 214.0, "npi": [1255444816, 1598932873, 1811957707]}]}]}, {"tin": {"type": "ein", "value": "841958549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1730112715]}]}, {"allowed_amount": 195.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 195.0, "npi": [1730112715]}]}]}, {"tin": {"type": "ein", "value": "842490149"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 250.0, "npi": [1740750322]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 165.0, "npi": [1740750322]}, {"billed_charge": 250.0, "npi": [1740750322]}]}, {"allowed_amount": 149.92, "providers": [{"billed_charge": 250.0, "npi": [1740750322]}]}]}, {"tin": {"type": "ein", "value": "842805012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 400.0, "npi": [1669863189]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 400.0, "npi": [1669863189]}]}]}, {"tin": {"type": "ein", "value": "842840521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 162.0, "npi": [1871782268]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.4, "providers": [{"billed_charge": 448.0, "npi": [1699017681]}]}, {"allowed_amount": 114.25, "providers": [{"billed_charge": 300.0, "npi": [1801423868, 1952987463]}]}, {"allowed_amount": 134.41, "providers": [{"billed_charge": 448.0, "npi": [1730717059, 1689096604]}]}, {"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1114244993, 1972243970, 1578541058, 1326577925, 1083677322, 1114999695, 1588957328, 1417243536, 1669863189, 1497261721, 1871768861, 1942485289, 1114501038, 1629657135, 1477085744, 1508506163, 1801158969, 1760794556, 1053666495, 1730429762, 1104404292, 1871881797, 1801116231, 1952920779, 1699017681, 1467080796, 1619532124, 1548413024, 1114112240, 1487232369, 1386065142, 1154792059]}, {"billed_charge": 448.0, "npi": [1114244993, 1972243970, 1609454479, 1588957328, 1114999695, 1831350933, 1629657135, 1477085744, 1508506163, 1154645430, 1184236473, 1760794556, 1730429762, 1104404292, 1467080796, 1548413024, 1235542507, 1386118511, 1487232369, 1386065142, 1154792059]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.0, "npi": [1982050688, 1114244993, 1972243970, 1730717059, 1720665474, 1326577925, 1053744771, 1235534215, 1578541058, 1083677322, 1699962639, 1588957328, 1952791824, 1609454479, 1114999695, 1417243536, 1831350933, 1669863189, 1629714456, 1659990554, 1801121306, 1689096604, 1871768861, 1790425502, 1588304539, 1245693597, 1679843494, 1053761064, 1942485289, 1134625064, 1013180843, 1356636971, 1508506163, 1154645430, 1801158969, 1104566074, 1639273790, 1730429762, 1174792899, 1871881797, 1891114823, 1689253064, 1477752137, 1801116231, 1952920779, 1699017681, 1124475090, 1316180060, 1467080796, 1366683997, 1124006879, 1548413024, 1659663078, 1538491626, 1235542507, 1962142828, 1386118511, 1114112240, 1861462384, 1487232369, 1962039925, 1386065142, 1154792059, 1801423868]}]}, {"allowed_amount": 145.61, "providers": [{"billed_charge": 448.0, "npi": [1720665474]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 448.0, "npi": [1104320043]}]}, {"allowed_amount": 151.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1235534215, 1083677322, 1699962639, 1952791824, 1174800148, 1659990554, 1245693597, 1649665571, 1033640743, 1053761064, 1942485289, 1356636971, 1154645430, 1801158969, 1619471935, 1174792899, 1801116231, 1891114823, 1952920779, 1124475090, 1508001496, 1316180060, 1366683997, 1326301789, 1033605605]}, {"billed_charge": 448.0, "npi": [1982050688, 1578541058, 1235534215, 1932844040, 1083677322, 1699962639, 1952791824, 1801121306, 1588304539, 1245693597, 1790425502, 1649665571, 1942485289, 1356636971, 1497495345, 1154645430, 1104566074, 1639273790, 1174792899, 1891114823, 1477752137, 1124475090, 1316180060, 1366683997, 1124006879, 1659663078, 1861462384, 1952051831]}]}, {"allowed_amount": 168.02, "providers": [{"billed_charge": 448.0, "npi": [1326577925, 1609454479]}]}, {"allowed_amount": 232.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1821157504]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 300.0, "npi": [1013180843]}, {"billed_charge": 448.0, "npi": [1013180843]}]}, {"allowed_amount": 306.91, "providers": [{"billed_charge": 448.0, "npi": [1134625064, 1508284118]}]}, {"allowed_amount": 394.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1972243970]}]}]}, {"tin": {"type": "ein", "value": "843260543"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 123.21, "providers": [{"billed_charge": 195.0, "npi": [1063600872]}]}, {"allowed_amount": 128.61, "providers": [{"billed_charge": 195.0, "npi": [1063600872]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 195.0, "npi": [1063600872]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1063600872]}]}]}, {"tin": {"type": "ein", "value": "843467601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 300.0, "npi": [1063862837]}]}]}, {"tin": {"type": "ein", "value": "843653826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 218.96, "npi": [1205260221]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 218.96, "npi": [1205260221]}]}]}, {"tin": {"type": "ein", "value": "843785275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 400.0, "npi": [1760794556]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 400.0, "npi": [1760794556]}]}]}, {"tin": {"type": "ein", "value": "844424454"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 319.0, "npi": [1477131134, 1639174212, 1548433949, 1750791166]}]}, {"allowed_amount": 131.89, "providers": [{"billed_charge": 319.0, "npi": [1154826907]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 319.0, "npi": [1740206937, 1275948978, 1457664195]}]}, {"allowed_amount": 296.48, "providers": [{"billed_charge": 319.0, "npi": [1457664195]}]}]}, {"tin": {"type": "ein", "value": "844824450"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 200.0, "npi": [1396433850]}]}]}, {"tin": {"type": "ein", "value": "844991122"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 310.0, "npi": [1265769822]}, {"billed_charge": 385.0, "npi": [1265769822]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 310.0, "npi": [1265769822]}, {"billed_charge": 385.0, "npi": [1265769822]}]}]}, {"tin": {"type": "ein", "value": "850548129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.0, "providers": [{"billed_charge": 109.0, "npi": [1962558171]}]}, {"allowed_amount": 142.79, "providers": [{"billed_charge": 218.0, "npi": [1962558171]}]}]}, {"tin": {"type": "ein", "value": "850808438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 255.0, "npi": [1932548542]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 255.0, "npi": [1932548542]}]}, {"allowed_amount": 168.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 255.0, "npi": [1932548542]}]}]}, {"tin": {"type": "ein", "value": "850897854"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.69, "providers": [{"billed_charge": 240.0, "npi": [1396907762]}]}]}, {"tin": {"type": "ein", "value": "852012444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 230.0, "npi": [1033581699]}]}, {"allowed_amount": 169.53, "providers": [{"billed_charge": 230.0, "npi": [1033581699]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.08, "providers": [{"billed_charge": 746.0, "npi": [1780019448, 1861044166]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 678.0, "npi": [1417101411, 1346403052, 1174886386, 1972822963, 1063549723]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 678.0, "npi": [1225520901, 1427233006]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 678.0, "npi": [1164833489, 1346403052]}]}, {"allowed_amount": 548.85, "providers": [{"billed_charge": 678.0, "npi": [1063549723]}]}]}, {"tin": {"type": "ein", "value": "853271503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 204.61, "providers": [{"billed_charge": 400.0, "npi": [1740702448]}, {"billed_charge": 450.0, "npi": [1437773868]}]}]}, {"tin": {"type": "ein", "value": "853646513"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 880.0, "npi": [1942733258, 1033267679]}]}, {"allowed_amount": 142.79, "providers": [{"billed_charge": 880.0, "npi": [1356307748, 1669975447]}]}, {"allowed_amount": 257.24, "providers": [{"billed_charge": 880.0, "npi": [1801233077, 1790930998]}]}]}, {"tin": {"type": "ein", "value": "853737205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.08, "providers": [{"billed_charge": 498.0, "npi": [1992236921]}]}]}, {"tin": {"type": "ein", "value": "853888725"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1558801159]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 250.0, "npi": [1558801159]}]}]}, {"tin": {"type": "ein", "value": "853957957"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 218.0, "npi": [1821244039]}]}]}, {"tin": {"type": "ein", "value": "854106709"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 451.0, "npi": [1275030678]}]}]}, {"tin": {"type": "ein", "value": "861094148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.79, "providers": [{"billed_charge": 145.0, "npi": [1831149756]}]}]}, {"tin": {"type": "ein", "value": "861284506"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 325.0, "npi": [1689850182]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 325.0, "npi": [1689850182]}]}]}, {"tin": {"type": "ein", "value": "861978414"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 195.0, "npi": [1831786516]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1831786516]}]}]}, {"tin": {"type": "ein", "value": "861989885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1154958163]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.36, "providers": [{"billed_charge": 318.0, "npi": [1760800015]}]}]}, {"tin": {"type": "ein", "value": "862458650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 254.0, "npi": [1902629124]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 254.0, "npi": [1396286225]}]}]}, {"tin": {"type": "ein", "value": "863265908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.89, "providers": [{"billed_charge": 215.0, "npi": [1407092562]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 215.0, "npi": [1407092562]}]}]}, {"tin": {"type": "ein", "value": "871278138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.23, "providers": [{"billed_charge": 190.0, "npi": [1821048968]}, {"billed_charge": 250.0, "npi": [1821048968]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 190.0, "npi": [1821048968]}, {"billed_charge": 250.0, "npi": [1821048968]}]}]}, {"tin": {"type": "ein", "value": "872481943"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.61, "providers": [{"billed_charge": 248.44, "npi": [1487933685]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 248.44, "npi": [1487933685]}]}]}, {"tin": {"type": "ein", "value": "873049307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1487219721]}]}]}, {"tin": {"type": "ein", "value": "873113031"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 170.87, "providers": [{"billed_charge": 199.0, "npi": [1134770407]}]}, {"allowed_amount": 199.0, "providers": [{"billed_charge": 199.0, "npi": [1154784551]}]}]}, {"tin": {"type": "ein", "value": "873722274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 180.0, "npi": [1023329992]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.86, "providers": [{"billed_charge": 365.0, "npi": [1568616498, 1407167919]}]}]}, {"tin": {"type": "ein", "value": "880599082"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 150.0, "npi": [1447709449]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1447709449]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 572.0, "npi": [1881199073, 1932521036, 1811444110, 1710202965, 1730494741, 1053677047]}]}, {"allowed_amount": 152.6, "providers": [{"billed_charge": 572.0, "npi": [1881199073]}]}, {"allowed_amount": 163.5, "providers": [{"billed_charge": 572.0, "npi": [1811444110]}]}]}, {"tin": {"type": "ein", "value": "880770500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.81, "providers": [{"billed_charge": 213.0, "npi": [1346771912]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 213.0, "npi": [1346771912]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.01, "providers": [{"billed_charge": 257.0, "npi": [1699903831]}]}, {"allowed_amount": 137.67, "providers": [{"billed_charge": 257.0, "npi": [1962792473]}]}]}, {"tin": {"type": "ein", "value": "881133167"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1104357946]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 250.0, "npi": [1104357946]}]}]}, {"tin": {"type": "ein", "value": "881407702"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 300.0, "npi": [1922565027]}]}]}, {"tin": {"type": "ein", "value": "881882871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.42, "providers": [{"billed_charge": 238.56, "npi": [1336302421]}]}]}, {"tin": {"type": "ein", "value": "881963120"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 116.92, "providers": [{"billed_charge": 195.0, "npi": [1679912117]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1679912117]}]}]}, {"tin": {"type": "ein", "value": "883157983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.95, "providers": [{"billed_charge": 209.0, "npi": [1184337818]}]}, {"allowed_amount": 109.32, "providers": [{"billed_charge": 209.0, "npi": [1184337818]}]}, {"allowed_amount": 128.61, "providers": [{"billed_charge": 209.0, "npi": [1295782209]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 209.0, "npi": [1184337818]}]}]}, {"tin": {"type": "ein", "value": "883556833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.6, "providers": [{"billed_charge": 350.0, "npi": [1760826580]}]}]}, {"tin": {"type": "ein", "value": "883946897"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.61, "providers": [{"billed_charge": 354.09, "npi": [1316457914]}]}]}, {"tin": {"type": "ein", "value": "920741055"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 116.92, "providers": [{"billed_charge": 200.0, "npi": [1174906861]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 200.0, "npi": [1174906861]}]}]}, {"tin": {"type": "ein", "value": "920813815"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 449.0, "npi": [1861697948]}]}]}, {"tin": {"type": "ein", "value": "920902509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 168.01, "npi": [1255747507]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 168.01, "npi": [1255747507]}]}]}, {"tin": {"type": "ein", "value": "921178997"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.16, "providers": [{"billed_charge": 242.0, "npi": [1700184157, 1679985071]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 23.38, "providers": [{"billed_charge": 364.0, "npi": [1518522572]}]}, {"allowed_amount": 81.13, "providers": [{"billed_charge": 364.0, "npi": [1598087520]}]}, {"allowed_amount": 128.61, "providers": [{"billed_charge": 364.0, "npi": [1326159385]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 364.0, "npi": [1639513344, 1730429762, 1871578088, 1831350933, 1972724029]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 364.0, "npi": [1871578088]}]}, {"allowed_amount": 146.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 364.0, "npi": [1194979591, 1518522572, 1205414604, 1073179693, 1437773868, 1134418668, 1174849749, 1902158934, 1801151899, 1700041084]}]}, {"allowed_amount": 149.93, "providers": [{"billed_charge": 364.0, "npi": [1265105472]}]}, {"allowed_amount": 173.92, "providers": [{"billed_charge": 364.0, "npi": [1952502825]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 364.0, "npi": [1194979591, 1164672424, 1518522572, 1437773868, 1134418668, 1902158934, 1801151899, 1700041084]}]}, {"allowed_amount": 364.0, "providers": [{"billed_charge": 364.0, "npi": [1952502825]}]}]}, {"tin": {"type": "ein", "value": "921934530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1326482092]}, {"billed_charge": 400.0, "npi": [1326482092]}]}, {"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1326482092]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 95.0, "providers": [{"billed_charge": 572.0, "npi": [1194405621]}]}, {"allowed_amount": 126.44, "providers": [{"billed_charge": 572.0, "npi": [1265847438, 1174018014]}]}, {"allowed_amount": 135.53, "providers": [{"billed_charge": 572.0, "npi": [1699234401]}]}, {"allowed_amount": 136.25, "providers": [{"billed_charge": 572.0, "npi": [1588012801, 1396310405, 1982283529, 1174817035, 1801275276, 1568520971, 1477538197, 1679064604, 1497021471, 1679156905, 1780205740, 1578069175, 1760715833, 1598405565, 1346697927, 1043673932, 1831725787, 1528441060, 1902205552, 1376077172]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 572.0, "npi": [1699234401, 1457927907, 1134782022, 1053994855, 1184201832, 1154054807, 1881213098, 1568629897, 1255999470, 1295475697, 1801237847, 1629714456, 1114677465, 1912249756, 1093793853, 1578144952]}]}, {"allowed_amount": 142.79, "providers": [{"billed_charge": 572.0, "npi": [1679223275, 1598992646]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 572.0, "npi": [1427318880, 1114554466, 1376865923, 1033452677, 1497496202, 1508506288, 1689061681, 1063916690, 1477182806, 1659012375, 1902547706, 1073263067, 1891186268, 1679100317]}]}, {"allowed_amount": 154.78, "providers": [{"billed_charge": 572.0, "npi": [1902365141, 1831725787, 1477937829, 1790837086]}]}, {"allowed_amount": 175.38, "providers": [{"billed_charge": 572.0, "npi": [1063916690, 1033452677, 1477182806]}]}, {"allowed_amount": 190.75, "providers": [{"billed_charge": 572.0, "npi": [1588012801, 1346697927, 1841609351, 1073998670, 1902205552, 1124433297]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 572.0, "npi": [1427318880, 1376865923, 1033452677, 1902547706, 1497496202, 1508506288, 1881859569, 1063916690, 1689061681, 1801477716, 1477182806, 1972243608, 1871234682, 1073263067, 1891186268, 1679100317]}]}, {"allowed_amount": 207.22, "providers": [{"billed_charge": 572.0, "npi": [1578144952, 1053994855]}]}, {"allowed_amount": 255.06, "providers": [{"billed_charge": 572.0, "npi": [1245681824, 1639130834]}]}, {"allowed_amount": 256.15, "providers": [{"billed_charge": 572.0, "npi": [1427637644, 1578972089, 1801275276, 1598405565]}]}, {"allowed_amount": 257.24, "providers": [{"billed_charge": 572.0, "npi": [1407016579, 1871012484, 1295787877, 1780205740, 1508447087, 1376077172, 1578069175, 1679064604]}]}, {"allowed_amount": 262.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 572.0, "npi": [1932786886, 1134782022, 1609516426, 1881213098, 1518292606, 1407505746, 1801237847, 1114677465, 1912249756, 1093793853, 1154942365]}]}]}, {"tin": {"type": "ein", "value": "922137152"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.25, "providers": [{"billed_charge": 572.0, "npi": [1619339082, 1982004883]}]}, {"allowed_amount": 152.6, "providers": [{"billed_charge": 572.0, "npi": [1982066346, 1982004883, 1619339082]}]}]}, {"tin": {"type": "ein", "value": "923260946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 310.0, "npi": [1992016497, 1689814493]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 310.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "923470549"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 140.13, "providers": [{"billed_charge": 250.0, "npi": [1972904324]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1972904324]}]}]}, {"tin": {"type": "ein", "value": "931357152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 10200.0, "npi": [1508285941]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 500.0, "npi": [1508285941]}, {"billed_charge": 10200.0, "npi": [1508285941]}]}]}, {"tin": {"type": "ein", "value": "931879238"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1689061681]}]}, {"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1689061681]}]}]}, {"tin": {"type": "ein", "value": "932033486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.86, "providers": [{"billed_charge": 336.03, "npi": [1144540386]}]}]}, {"tin": {"type": "ein", "value": "933832553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 224.0, "npi": [1598905754]}]}]}, {"tin": {"type": "ein", "value": "934016957"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.81, "providers": [{"billed_charge": 150.0, "npi": [1295157667]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 150.0, "npi": [1295157667]}]}]}, {"tin": {"type": "ein", "value": "934027365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 240.0, "npi": [1710478847]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 240.0, "npi": [1710478847]}]}]}, {"tin": {"type": "ein", "value": "934267912"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.59, "providers": [{"billed_charge": 222.3, "npi": [1235106154]}]}]}, {"tin": {"type": "ein", "value": "941156581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.39, "providers": [{"billed_charge": 374.0, "npi": [1811975113, 1649258005, 1609022581]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 101.92, "providers": [{"billed_charge": 680.0, "npi": [1932791621]}]}, {"allowed_amount": 136.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 680.0, "npi": [1851898662, 1194385351, 1538801071, 1518247600, 1457871378, 1538482260, 1396475828, 1881818037, 1104576636]}]}, {"allowed_amount": 142.79, "providers": [{"billed_charge": 680.0, "npi": [1497017313, 1972997229, 1487398053]}]}, {"allowed_amount": 169.14, "providers": [{"billed_charge": 680.0, "npi": [1336580802]}]}, {"allowed_amount": 218.65, "providers": [{"billed_charge": 680.0, "npi": [1013463785]}]}, {"allowed_amount": 251.08, "providers": [{"billed_charge": 680.0, "npi": [1184172967]}]}, {"allowed_amount": 252.01, "providers": [{"billed_charge": 680.0, "npi": [1578934899]}]}, {"allowed_amount": 256.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 680.0, "npi": [1689134496, 1992371173, 1144884040, 1053755785, 1083666762, 1578531513, 1912587510, 1922520535, 1417449273, 1568923514]}]}, {"allowed_amount": 257.24, "providers": [{"billed_charge": 680.0, "npi": [1295857696, 1396940227, 1013463785, 1538801071, 1104576636]}]}]}, {"tin": {"type": "ein", "value": "943432525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.43, "providers": [{"billed_charge": 160.0, "npi": [1588631378]}]}]}, {"tin": {"type": "ein", "value": "943439188"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.33, "providers": [{"billed_charge": 250.0, "npi": [1942706536]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.34, "providers": [{"billed_charge": 425.0, "npi": [1255502506, 1770994659, 1144781964]}]}]}, {"tin": {"type": "ein", "value": "954835743"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.34, "providers": [{"billed_charge": 200.0, "npi": [1821072844]}]}]}, {"tin": {"type": "ein", "value": "990403826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 180.0, "npi": [1992902753]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 180.0, "npi": [1992902753]}]}]}, {"tin": {"type": "ein", "value": "990685574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 180.0, "npi": [1053374017]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 180.0, "npi": [1053374017]}]}]}, {"tin": {"type": "ein", "value": "990884958"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 195.0, "npi": [1679079826]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.0, "providers": [{"billed_charge": 145.0, "npi": [1669849741]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2290.0, "npi": [1356766554, 1710517438, 1699081117, 1194258350]}]}, {"allowed_amount": 187.06, "providers": [{"billed_charge": 2290.0, "npi": [1356766554, 1699081117, 1194258350]}]}]}, {"tin": {"type": "ein", "value": "991683336"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1245770163]}]}, {"allowed_amount": 151.21, "providers": [{"billed_charge": 250.0, "npi": [1245770163]}]}]}, {"tin": {"type": "ein", "value": "991995721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.6, "providers": [{"billed_charge": 354.0, "npi": [1215048061]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.69, "providers": [{"billed_charge": 210.0, "npi": [1740841006, 1831350743]}]}]}, {"tin": {"type": "ein", "value": "992147869"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.84, "providers": [{"billed_charge": 397.32, "npi": [1497327233]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 128.81, "providers": [{"billed_charge": 385.0, "npi": [1255951695]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 385.0, "npi": [1023141157, 1780689331, 1801324645, 1336674233]}]}, {"allowed_amount": 157.09, "providers": [{"billed_charge": 385.0, "npi": [1699656009]}]}, {"allowed_amount": 174.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 385.0, "npi": [1417925967]}]}, {"allowed_amount": 183.7, "providers": [{"billed_charge": 385.0, "npi": [1790081701, 1265413801, 1912414426, 1326509787, 1699725051]}]}, {"allowed_amount": 236.34, "providers": [{"billed_charge": 385.0, "npi": [1972532497, 1528375276]}]}, {"allowed_amount": 258.97, "providers": [{"billed_charge": 385.0, "npi": [1881025203, 1245905173]}]}, {"allowed_amount": 263.22, "providers": [{"billed_charge": 385.0, "npi": [1952607574, 1245326107, 1558566653, 1841421534]}]}]}, {"tin": {"type": "ein", "value": "992902671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.53, "providers": [{"billed_charge": 250.0, "npi": [1700826807]}]}, {"allowed_amount": 140.01, "providers": [{"billed_charge": 250.0, "npi": [1700826807]}]}, {"allowed_amount": 146.15, "providers": [{"billed_charge": 250.0, "npi": [1700826807]}]}, {"allowed_amount": 204.61, "providers": [{"billed_charge": 250.0, "npi": [1700826807]}]}]}, {"tin": {"type": "ein", "value": "993170041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 229.16, "npi": [1952455297]}]}, {"allowed_amount": 131.89, "providers": [{"billed_charge": 229.16, "npi": [1669806923]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.15, "providers": [{"billed_charge": 280.0, "npi": [1306158191]}]}]}]}, {"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": "002849983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.13, "providers": [{"billed_charge": 175.0, "npi": [1508445461]}]}]}, {"tin": {"type": "ein", "value": "010566334"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 140.0, "npi": [1518005891]}]}]}, {"tin": {"type": "ein", "value": "010651490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.68, "providers": [{"billed_charge": 130.0, "npi": [1497477376]}]}, {"allowed_amount": 86.69, "providers": [{"billed_charge": 130.0, "npi": [1528355922]}]}]}, {"tin": {"type": "ein", "value": "010720868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 200.0, "npi": [1952333775]}]}]}, {"tin": {"type": "ein", "value": "010732587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 1152.0, "npi": [1003894601]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 152.0, "npi": [1003894601]}, {"billed_charge": 1152.0, "npi": [1003894601]}]}]}, {"tin": {"type": "ein", "value": "013684078"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.13, "providers": [{"billed_charge": 175.0, "npi": [1487915039]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.74, "providers": [{"billed_charge": 234.0, "npi": [1255758355]}]}]}, {"tin": {"type": "ein", "value": "030562624"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 100.0, "npi": [1952621294]}]}, {"allowed_amount": 86.77, "providers": [{"billed_charge": 100.0, "npi": [1528168051]}]}]}, {"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 180.0, "npi": [1407351760]}]}]}, {"tin": {"type": "ein", "value": "043170333"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.18, "providers": [{"billed_charge": 211.0, "npi": [1548624281]}]}]}, {"tin": {"type": "ein", "value": "043589781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.18, "providers": [{"billed_charge": 154.3, "npi": [1962659466]}]}]}, {"tin": {"type": "ein", "value": "043622993"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1285652016]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 200.0, "npi": [1285652016]}]}]}, {"tin": {"type": "ein", "value": "043726123"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.72, "providers": [{"billed_charge": 120.0, "npi": [1366442824]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 120.0, "npi": [1366442824]}]}]}, {"tin": {"type": "ein", "value": "043823088"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.71, "providers": [{"billed_charge": 185.68, "npi": [1568486611]}]}]}, {"tin": {"type": "ein", "value": "046887073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.13, "providers": [{"billed_charge": 175.0, "npi": [1184244568]}]}, {"allowed_amount": 96.26, "providers": [{"billed_charge": 175.0, "npi": [1184244568]}]}]}, {"tin": {"type": "ein", "value": "050559140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 143.18, "npi": [1780034363]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 143.18, "npi": [1114124112, 1417217498, 1780034363]}]}, {"allowed_amount": 101.38, "providers": [{"billed_charge": 143.18, "npi": [1114124112]}]}]}, {"tin": {"type": "ein", "value": "050577791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 300.0, "npi": [1053378893]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 300.0, "npi": [1053378893]}]}]}, {"tin": {"type": "ein", "value": "054585615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.11, "providers": [{"billed_charge": 300.0, "npi": [1407816556]}]}]}, {"tin": {"type": "ein", "value": "060646973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.92, "providers": [{"billed_charge": 250.0, "npi": [1427209873]}]}]}, {"tin": {"type": "ein", "value": "061330992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.09, "providers": [{"billed_charge": 241.0, "npi": [1972544864, 1497007629, 1497932867, 1033153093]}]}, {"allowed_amount": 118.92, "providers": [{"billed_charge": 241.0, "npi": [1639743792, 1942734058, 1275012676]}]}]}, {"tin": {"type": "ein", "value": "061483728"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.92, "providers": [{"billed_charge": 175.0, "npi": [1184244568, 1740383785, 1508445461]}]}]}, {"tin": {"type": "ein", "value": "061620366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.13, "providers": [{"billed_charge": 150.0, "npi": [1528054848]}]}]}, {"tin": {"type": "ein", "value": "061666540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 175.0, "npi": [1275634982]}]}]}, {"tin": {"type": "ein", "value": "063708000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 160.0, "npi": [1386741114]}]}]}, {"tin": {"type": "ein", "value": "064769881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 800.0, "npi": [1053420760]}]}]}, {"tin": {"type": "ein", "value": "109382336"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.59, "providers": [{"billed_charge": 200.0, "npi": [1659384584]}]}]}, {"tin": {"type": "ein", "value": "112781622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.88, "providers": [{"billed_charge": 150.0, "npi": [1437654662]}]}]}, {"tin": {"type": "ein", "value": "113167120"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.17, "providers": [{"billed_charge": 224.0, "npi": [1144488560]}]}]}, {"tin": {"type": "ein", "value": "113312035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 224.0, "providers": [{"billed_charge": 224.0, "npi": [1558774968]}]}]}, {"tin": {"type": "ein", "value": "113735424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.06, "providers": [{"billed_charge": 222.0, "npi": [1023248705, 1457416331]}]}]}, {"tin": {"type": "ein", "value": "119800956"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 150.0, "npi": [1770591638]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.11, "providers": [{"billed_charge": 455.0, "npi": [1821138702, 1841794591]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1023314895]}]}, {"allowed_amount": 142.1, "providers": [{"billed_charge": 500.0, "npi": [1710023049]}]}]}, {"tin": {"type": "ein", "value": "141338373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 254.0, "npi": [1225652605]}]}]}, {"tin": {"type": "ein", "value": "141910687"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 165.0, "npi": [1740251008]}]}]}, {"tin": {"type": "ein", "value": "141942527"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.71, "providers": [{"billed_charge": 160.0, "npi": [1376767988]}]}, {"allowed_amount": 92.2, "providers": [{"billed_charge": 160.0, "npi": [1376767988]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1376767988]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 82.02, "providers": [{"billed_charge": 181.99, "npi": [1295153690]}]}, {"allowed_amount": 164.04, "providers": [{"billed_charge": 181.99, "npi": [1184078404]}]}]}, {"tin": {"type": "ein", "value": "200060013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.06, "providers": [{"billed_charge": 165.0, "npi": [1750470316]}]}]}, {"tin": {"type": "ein", "value": "200304468"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 98.38, "npi": [1184732489]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 98.38, "npi": [1184732489]}]}]}, {"tin": {"type": "ein", "value": "200312349"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.5, "providers": [{"billed_charge": 180.0, "npi": [1861437881]}]}]}, {"tin": {"type": "ein", "value": "200362544"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 152.0, "npi": [1194783670]}]}]}, {"tin": {"type": "ein", "value": "200403832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.57, "providers": [{"billed_charge": 144.0, "npi": [1326015157]}]}]}, {"tin": {"type": "ein", "value": "200409821"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 144.36, "npi": [1821056847]}]}]}, {"tin": {"type": "ein", "value": "200453439"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 304.0, "npi": [1720045529]}]}]}, {"tin": {"type": "ein", "value": "200704610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 115.0, "npi": [1700119948, 1265438188]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.67, "providers": [{"billed_charge": 358.0, "npi": [1942943923]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 358.0, "npi": [1316113798, 1639562119, 1700465671, 1336300938, 1346560653, 1427632538, 1922319003, 1073660445, 1548910623, 1134294689, 1679150114, 1760988455, 1336310572, 1013534643, 1134396724, 1891229621, 1962066613, 1609452341, 1780754358, 1346746682, 1770088635, 1881679421, 1699713214, 1649614397, 1467741249, 1831682772, 1619400405, 1669667796, 1932723293, 1629053921, 1174817506, 1912226275, 1104244581, 1952930406, 1316399215, 1609490044]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 358.0, "npi": [1316113798, 1700465671, 1336300938, 1346560653, 1427632538, 1922319003, 1073660445, 1548910623, 1134294689, 1679150114, 1336310572, 1013534643, 1134396724, 1962066613, 1609452341, 1891229621, 1780754358, 1346746682, 1770088635, 1649614397, 1699713214, 1881679421, 1467741249, 1669667796, 1831682772, 1619400405, 1932723293, 1629053921, 1174817506, 1912226275, 1699975268, 1952930406, 1316399215, 1659470201, 1609490044]}]}, {"allowed_amount": 207.53, "providers": [{"billed_charge": 358.0, "npi": [1760988455]}]}]}, {"tin": {"type": "ein", "value": "201021229"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 55.83, "providers": [{"billed_charge": 115.0, "npi": [1154298560]}]}, {"allowed_amount": 57.31, "providers": [{"billed_charge": 115.0, "npi": [1154298560]}]}, {"allowed_amount": 62.8, "providers": [{"billed_charge": 115.0, "npi": [1154298560]}]}, {"allowed_amount": 71.71, "providers": [{"billed_charge": 115.0, "npi": [1154298560]}]}, {"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1154298560]}]}]}, {"tin": {"type": "ein", "value": "201054138"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 160.0, "npi": [1134757008, 1447242268]}, {"billed_charge": 222.0, "npi": [1134757008, 1447242268]}, {"billed_charge": 240.0, "npi": [1134757008]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 160.0, "npi": [1447242268]}]}]}, {"tin": {"type": "ein", "value": "201132386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 200.0, "npi": [1114952413]}]}]}, {"tin": {"type": "ein", "value": "201201744"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.87, "providers": [{"billed_charge": 229.0, "npi": [1447367453]}]}]}, {"tin": {"type": "ein", "value": "201395801"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 141.0, "npi": [1194011908]}]}, {"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 141.0, "npi": [1912000696, 1699762641]}]}]}, {"tin": {"type": "ein", "value": "201408526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.71, "providers": [{"billed_charge": 150.0, "npi": [1053140012]}]}]}, {"tin": {"type": "ein", "value": "201419272"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 270.0, "npi": [1376171041]}, {"billed_charge": 284.0, "npi": [1902421894, 1396738183, 1790353928, 1912213133, 1700349586, 1538693650, 1518444181, 1376171041, 1588755367, 1770151086, 1215673264, 1609201334, 1023198009, 1164678843, 1083874879, 1982683595, 1104563790, 1174749139, 1215592936, 1811513708, 1710627310, 1376074351, 1457380214, 1023647351]}]}, {"allowed_amount": 82.69, "providers": [{"billed_charge": 284.0, "npi": [1770014714, 1972989523]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 284.0, "npi": [1417442823, 1396738183, 1912213133, 1700349586, 1538693650, 1447815444, 1518444181, 1104090141, 1053445791, 1376171041, 1770232100, 1588755367, 1215673264, 1609201334, 1164678843, 1043299134, 1467024448, 1174749139, 1972989523, 1457980641, 1538154596, 1730524133, 1811513708, 1710627310, 1376074351, 1801988720, 1720583792, 1457380214, 1023647351, 1770014714]}]}, {"allowed_amount": 94.19, "providers": [{"billed_charge": 284.0, "npi": [1730524133]}]}, {"allowed_amount": 100.66, "providers": [{"billed_charge": 284.0, "npi": [1689201725]}]}, {"allowed_amount": 147.4, "providers": [{"billed_charge": 284.0, "npi": [1649664657, 1497215123, 1104090141, 1417442823]}]}]}, {"tin": {"type": "ein", "value": "201508867"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 112.15, "providers": [{"billed_charge": 238.0, "npi": [1013193044, 1881972677, 1245543222]}]}]}, {"tin": {"type": "ein", "value": "201544786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 1252.16, "npi": [1215063839]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 1252.16, "npi": [1215063839]}]}]}, {"tin": {"type": "ein", "value": "202069671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 137.0, "npi": [1679544704]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 137.0, "npi": [1679544704]}]}]}, {"tin": {"type": "ein", "value": "202098546"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.6, "providers": [{"billed_charge": 228.0, "npi": [1659117760, 1043730112, 1023548005, 1669055430, 1568429322, 1518221266]}]}]}, {"tin": {"type": "ein", "value": "202198931"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 204.0, "npi": [1245259084]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 204.0, "npi": [1245259084]}]}]}, {"tin": {"type": "ein", "value": "202364772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.81, "providers": [{"billed_charge": 165.0, "npi": [1518157601, 1215440284]}]}, {"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 165.0, "npi": [1518157601, 1467496398, 1588647796, 1285253716, 1215440284, 1508808734]}, {"billed_charge": 255.0, "npi": [1508808734]}, {"billed_charge": 365.0, "npi": [1285253716]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 165.0, "npi": [1588647796, 1508808734, 1285253716]}]}, {"allowed_amount": 135.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 165.0, "npi": [1215440284]}, {"billed_charge": 365.0, "npi": [1215440284]}]}]}, {"tin": {"type": "ein", "value": "202396250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1245280650, 1720037690]}]}]}, {"tin": {"type": "ein", "value": "202425584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.46, "providers": [{"billed_charge": 120.0, "npi": [1043253479]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 120.0, "npi": [1043253479]}]}]}, {"tin": {"type": "ein", "value": "202500981"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 450.0, "npi": [1639223688, 1700868809]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 450.0, "npi": [1639223688, 1700868809]}]}]}, {"tin": {"type": "ein", "value": "202729472"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 208.0, "npi": [1356072482, 1285380766]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 208.0, "npi": [1811300536, 1356072482, 1518578202, 1285380766]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 208.0, "npi": [1811300536, 1427348978, 1043663867, 1548623606]}]}]}, {"tin": {"type": "ein", "value": "202823061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 120.0, "npi": [1043272115]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 120.0, "npi": [1043272115]}]}]}, {"tin": {"type": "ein", "value": "203059260"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 202.0, "npi": [1467609446]}]}, {"allowed_amount": 138.82, "providers": [{"billed_charge": 202.0, "npi": [1790741676]}]}]}, {"tin": {"type": "ein", "value": "203204949"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 152.0, "npi": [1043032758]}]}]}, {"tin": {"type": "ein", "value": "203273724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 112.0, "npi": [1447417175]}]}]}, {"tin": {"type": "ein", "value": "203294411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 125.0, "npi": [1265467716]}]}]}, {"tin": {"type": "ein", "value": "203447115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.66, "providers": [{"billed_charge": 204.0, "npi": [1174900443, 1730423997]}]}]}, {"tin": {"type": "ein", "value": "203566888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.65, "providers": [{"billed_charge": 307.0, "npi": [1649492968]}]}, {"allowed_amount": 109.69, "providers": [{"billed_charge": 307.0, "npi": [1831776186, 1154880201, 1639829278, 1750903407, 1295312114, 1073856696, 1508493529, 1396934618, 1902089725, 1265925598]}]}]}, {"tin": {"type": "ein", "value": "203713889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 144.0, "npi": [1437729431]}]}, {"allowed_amount": 107.85, "providers": [{"billed_charge": 144.0, "npi": [1437729431]}]}, {"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1619974839, 1437729431]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.85, "providers": [{"billed_charge": 253.0, "npi": [1679923601]}]}, {"allowed_amount": 165.62, "providers": [{"billed_charge": 253.0, "npi": [1679923601]}]}]}, {"tin": {"type": "ein", "value": "204168057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.66, "providers": [{"billed_charge": 143.3, "npi": [1619290731, 1538789052, 1952486573]}]}]}, {"tin": {"type": "ein", "value": "204335635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.18, "providers": [{"billed_charge": 140.0, "npi": [1598132698]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 221.0, "npi": [1396714317, 1215425319]}]}, {"allowed_amount": 152.62, "providers": [{"billed_charge": 221.0, "npi": [1154158426]}]}]}, {"tin": {"type": "ein", "value": "204389641"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 119.77, "npi": [1639852874]}]}]}, {"tin": {"type": "ein", "value": "204539852"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 152.16, "npi": [1245267442]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 152.16, "npi": [1245267442]}]}]}, {"tin": {"type": "ein", "value": "204595671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 569.0, "npi": [1790728913, 1659614089, 1780795435, 1093244964]}]}, {"allowed_amount": 100.49, "providers": [{"billed_charge": 569.0, "npi": [1972598464, 1790728913, 1659614089, 1093244964]}]}]}, {"tin": {"type": "ein", "value": "204595837"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.78, "providers": [{"billed_charge": 307.0, "npi": [1043444508, 1255718045, 1821583956]}]}, {"allowed_amount": 76.0, "providers": [{"billed_charge": 307.0, "npi": [1225406937]}]}, {"allowed_amount": 88.67, "providers": [{"billed_charge": 307.0, "npi": [1265023451, 1598402919]}]}, {"allowed_amount": 89.41, "providers": [{"billed_charge": 307.0, "npi": [1265819270, 1619417227, 1013595289, 1932631579, 1689010076, 1043444508, 1255718045, 1649622176, 1386969376, 1114374311, 1326490806, 1932787512, 1063856318, 1023519683, 1346773447, 1639608649, 1821583956, 1679919963, 1740659168, 1992236640, 1609367523, 1093975658, 1396932216, 1902268154]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 307.0, "npi": [1265819270, 1619417227, 1619301389, 1013595289, 1932631579, 1043444508, 1255718045, 1689010076, 1649622176, 1386969376, 1114374311, 1326490806, 1932787512, 1023519683, 1033525316, 1942628805, 1346773447, 1639608649, 1821583956, 1225406937, 1679919963, 1992236640, 1609367523, 1093975658, 1396932216, 1902268154]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 307.0, "npi": [1649622176]}]}, {"allowed_amount": 152.62, "providers": [{"billed_charge": 307.0, "npi": [1619301389]}]}, {"allowed_amount": 202.46, "providers": [{"billed_charge": 307.0, "npi": [1033525316]}]}]}, {"tin": {"type": "ein", "value": "204600494"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.66, "providers": [{"billed_charge": 175.0, "npi": [1720519952, 1639697246, 1699118703]}]}]}, {"tin": {"type": "ein", "value": "204600646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.56, "providers": [{"billed_charge": 175.64, "npi": [1932707197]}]}, {"allowed_amount": 175.64, "providers": [{"billed_charge": 175.64, "npi": [1023234689, 1407016991]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.48, "providers": [{"billed_charge": 308.0, "npi": [1922585538, 1558708156]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 184.72, "npi": [1184841835]}]}, {"allowed_amount": 84.87, "providers": [{"billed_charge": 192.88, "npi": [1184841835]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 192.88, "npi": [1184841835, 1730676404]}]}]}, {"tin": {"type": "ein", "value": "204744987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.09, "providers": [{"billed_charge": 150.0, "npi": [1083697320, 1053809863]}, {"billed_charge": 225.0, "npi": [1083697320]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.78, "providers": [{"billed_charge": 292.0, "npi": [1508500026, 1861012411, 1144961707, 1447604319]}]}, {"allowed_amount": 14.85, "providers": [{"billed_charge": 292.0, "npi": [1710203161]}]}, {"allowed_amount": 88.67, "providers": [{"billed_charge": 292.0, "npi": [1790359958]}, {"billed_charge": 307.0, "npi": [1902235963]}]}, {"allowed_amount": 89.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 292.0, "npi": [1689201030, 1528696457, 1205579414, 1659012375, 1316566680, 1710203161, 1710474010, 1902057243, 1437724317, 1851655203, 1578994984, 1609210665, 1144961707, 1023690419, 1316688310, 1508500026, 1861012411, 1841931581, 1053054924, 1114661204, 1740921691, 1326301789, 1447604319, 1649809633, 1881334761, 1548269178]}, {"billed_charge": 307.0, "npi": [1750775904, 1912402009, 1700047396, 1942732904, 1609210665, 1558854760, 1023690419, 1801477716, 1821594516, 1770166068, 1356920086, 1447810072, 1053666420, 1629509146, 1083973150, 1134431455]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 278.0, "npi": [1548836513, 1992306146, 1487159778, 1700317153, 1174185706, 1093395568, 1255951380, 1013759836, 1629323613]}, {"billed_charge": 292.0, "npi": [1306423173, 1689201030, 1528696457, 1568028942, 1518429562, 1063808400, 1205579414, 1659012375, 1316566680, 1427032473, 1710474010, 1780208538, 1790359958, 1710203161, 1437724317, 1851655203, 1689011108, 1215556261, 1578994984, 1609210665, 1740863786, 1336704683, 1144961707, 1750888111, 1023690419, 1316688310, 1184129207, 1508500026, 1861012411, 1841931581, 1205225794, 1366690372, 1124915400, 1902556236, 1295140051, 1114661204, 1356081236, 1053844696, 1447604319, 1750775904, 1649809633, 1992334817, 1881334761, 1952345324, 1538466412, 1235767534, 1487886446, 1871234682, 1841860475, 1386608255]}, {"billed_charge": 307.0, "npi": [1821594516, 1356920086, 1447810072, 1629509146, 1609210665, 1023690419, 1770166068, 1437715398, 1124915400, 1750886990, 1750927695, 1063925972, 1912402009, 1134431455, 1750775904, 1942732904, 1558854760, 1609809011, 1053666420]}]}, {"allowed_amount": 99.51, "providers": [{"billed_charge": 307.0, "npi": [1124915400]}]}, {"allowed_amount": 99.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1700317153, 1487159778, 1174185706, 1093395568, 1629323613, 1174103774]}, {"billed_charge": 292.0, "npi": [1982050688, 1306423173, 1518499979, 1568028942, 1275518607, 1063808400, 1861400343, 1427032473, 1780208538, 1689011108, 1215556261, 1699237032, 1740863786, 1336704683, 1750888111, 1184129207, 1619527744, 1205225794, 1437715398, 1902556236, 1356081236, 1053844696, 1750775904, 1083985121, 1285212266, 1538466412, 1952345324, 1235767534, 1518429562, 1841860475, 1386608255]}, {"billed_charge": 307.0, "npi": [1619527744, 1437715398, 1043898919, 1699237032, 1952345324, 1750886990, 1750927695, 1609809011]}]}, {"allowed_amount": 102.37, "providers": [{"billed_charge": 278.0, "npi": [1992306146, 1013759836]}, {"billed_charge": 292.0, "npi": [1871925792, 1659789261]}, {"billed_charge": 307.0, "npi": [1124915400, 1063925972, 1043978620]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 292.0, "npi": [1295140051]}, {"billed_charge": 307.0, "npi": [1124915400]}]}, {"allowed_amount": 155.91, "providers": [{"billed_charge": 278.0, "npi": [1548836513, 1255951380]}]}]}, {"tin": {"type": "ein", "value": "204865588"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 71.71, "providers": [{"billed_charge": 121.0, "npi": [1568091585]}]}, {"allowed_amount": 121.0, "providers": [{"billed_charge": 121.0, "npi": [1265788079]}]}]}, {"tin": {"type": "ein", "value": "204923281"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 158.0, "npi": [1477940856]}]}]}, {"tin": {"type": "ein", "value": "204949875"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.32, "providers": [{"billed_charge": 125.0, "npi": [1508840430]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 125.0, "npi": [1508840430]}]}]}, {"tin": {"type": "ein", "value": "204965648"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 147.78, "npi": [1053358200]}]}]}, {"tin": {"type": "ein", "value": "205036495"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.14, "providers": [{"billed_charge": 373.0, "npi": [1023638277]}]}]}, {"tin": {"type": "ein", "value": "205106086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.62, "providers": [{"billed_charge": 238.0, "npi": [1043480049, 1770042483, 1821037110]}]}, {"allowed_amount": 73.62, "providers": [{"billed_charge": 238.0, "npi": [1972757953, 1770042483]}]}, {"allowed_amount": 115.36, "providers": [{"billed_charge": 238.0, "npi": [1740663319]}]}, {"allowed_amount": 127.54, "providers": [{"billed_charge": 233.0, "npi": [1346220779]}, {"billed_charge": 238.0, "npi": [1154473957, 1740847847, 1346220779, 1568985844, 1891785077, 1588769178]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 250.0, "npi": [1447267463]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 250.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "205263140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 110.0, "npi": [1861457459]}]}, {"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1083695217]}]}]}, {"tin": {"type": "ein", "value": "205438009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 150.0, "npi": [1033436696]}]}, {"allowed_amount": 147.4, "providers": [{"billed_charge": 150.0, "npi": [1295761245]}]}]}, {"tin": {"type": "ein", "value": "205454152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 596.0, "npi": [1417205154]}]}, {"allowed_amount": 173.64, "providers": [{"billed_charge": 596.0, "npi": [1285788570]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.53, "providers": [{"billed_charge": 147.0, "npi": [1538410170]}]}, {"allowed_amount": 111.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 147.0, "npi": [1053462150]}]}]}, {"tin": {"type": "ein", "value": "205653775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.44, "providers": [{"billed_charge": 218.0, "npi": [1770966699]}]}]}, {"tin": {"type": "ein", "value": "208153119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 325.0, "npi": [1457096893]}]}]}, {"tin": {"type": "ein", "value": "208411663"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.0, "npi": [1902808298]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.0, "npi": [1902808298]}]}, {"allowed_amount": 110.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.0, "npi": [1902808298]}]}]}, {"tin": {"type": "ein", "value": "208440394"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 100.0, "npi": [1588719298, 1114489762]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 100.0, "npi": [1588719298, 1114489762]}]}]}, {"tin": {"type": "ein", "value": "208513617"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 152.0, "npi": [1013298413]}]}, {"allowed_amount": 92.46, "providers": [{"billed_charge": 152.0, "npi": [1508003583]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 152.0, "npi": [1891165320]}]}]}, {"tin": {"type": "ein", "value": "208541608"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 280.0, "npi": [1346336260]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 280.0, "npi": [1346336260]}]}]}, {"tin": {"type": "ein", "value": "208853938"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.13, "providers": [{"billed_charge": 400.0, "npi": [1750708749]}]}]}, {"tin": {"type": "ein", "value": "222170196"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.2, "providers": [{"billed_charge": 233.0, "npi": [1073761375]}]}, {"allowed_amount": 115.78, "providers": [{"billed_charge": 233.0, "npi": [1477045169]}]}]}, {"tin": {"type": "ein", "value": "222646010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.98, "providers": [{"billed_charge": 124.98, "npi": [1811036130]}]}]}, {"tin": {"type": "ein", "value": "223148496"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.18, "providers": [{"billed_charge": 500.0, "npi": [1366333411]}]}]}, {"tin": {"type": "ein", "value": "223266219"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.66, "providers": [{"billed_charge": 233.0, "npi": [1639719107]}]}, {"allowed_amount": 128.4, "providers": [{"billed_charge": 233.0, "npi": [1386909752]}]}]}, {"tin": {"type": "ein", "value": "223310529"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.4, "providers": [{"billed_charge": 233.0, "npi": [1396270393, 1720576580]}]}, {"allowed_amount": 131.37, "providers": [{"billed_charge": 233.0, "npi": [1720249428]}]}]}, {"tin": {"type": "ein", "value": "223316007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.87, "providers": [{"billed_charge": 334.0, "npi": [1598938391]}]}, {"allowed_amount": 128.07, "providers": [{"billed_charge": 334.0, "npi": [1992295349]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.08, "providers": [{"billed_charge": 500.0, "npi": [1831264456]}]}, {"allowed_amount": 85.38, "providers": [{"billed_charge": 500.0, "npi": [1992110316, 1063788404]}]}, {"allowed_amount": 107.48, "providers": [{"billed_charge": 500.0, "npi": [1306365200]}]}, {"allowed_amount": 123.76, "providers": [{"billed_charge": 500.0, "npi": [1356195655]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.51, "providers": [{"billed_charge": 235.0, "npi": [1669422762, 1598129470]}]}]}, {"tin": {"type": "ein", "value": "223837962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.2, "providers": [{"billed_charge": 1599.78, "npi": [1801423033]}]}]}, {"tin": {"type": "ein", "value": "223963861"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 150.0, "npi": [1487689808]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.74, "providers": [{"billed_charge": 151.0, "npi": [1326468125]}]}, {"allowed_amount": 109.27, "providers": [{"billed_charge": 151.0, "npi": [1013470947, 1356080782]}]}]}, {"tin": {"type": "ein", "value": "232922437"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1679213219, 1629716550]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.31, "providers": [{"billed_charge": 325.0, "npi": [1144809393, 1871758508]}]}]}, {"tin": {"type": "ein", "value": "237155946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.48, "providers": [{"billed_charge": 334.0, "npi": [1184374019]}]}]}, {"tin": {"type": "ein", "value": "237313346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.0, "providers": [{"billed_charge": 216.0, "npi": [1083184394]}]}]}, {"tin": {"type": "ein", "value": "260229265"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.69, "providers": [{"billed_charge": 200.0, "npi": [1427371632]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 200.0, "npi": [1992332928, 1427371632]}]}]}, {"tin": {"type": "ein", "value": "260307415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 208.0, "npi": [1215174537]}]}]}, {"tin": {"type": "ein", "value": "260341143"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 700.0, "npi": [1548483761]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 700.0, "npi": [1548483761]}]}]}, {"tin": {"type": "ein", "value": "260599338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.62, "providers": [{"billed_charge": 165.0, "npi": [1437812203]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 216.0, "npi": [1851738793, 1558894683, 1306007463]}]}, {"allowed_amount": 84.97, "providers": [{"billed_charge": 215.64, "npi": [1245819267, 1427635093, 1003815317]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 216.0, "npi": [1457731994, 1699793042, 1558894683, 1306007463]}]}, {"allowed_amount": 155.91, "providers": [{"billed_charge": 215.64, "npi": [1336238682]}]}]}, {"tin": {"type": "ein", "value": "260655426"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.69, "providers": [{"billed_charge": 110.0, "npi": [1326016536]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 110.0, "npi": [1326016536]}]}]}, {"tin": {"type": "ein", "value": "260800286"}, "billing_class": "professional", "service_codes": ["51", "21"], "payments": [{"allowed_amount": 57.31, "providers": [{"billed_charge": 200.0, "npi": [1164127379]}]}, {"allowed_amount": 168.86, "providers": [{"billed_charge": 200.0, "npi": [1164127379]}]}, {"allowed_amount": 192.82, "providers": [{"billed_charge": 200.0, "npi": [1275567026]}]}, {"allowed_amount": 198.66, "providers": [{"billed_charge": 200.0, "npi": [1275567026]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 195.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "261179038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 354.0, "npi": [1598791212]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 354.0, "npi": [1598791212]}]}]}, {"tin": {"type": "ein", "value": "261300103"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 183.0, "npi": [1801360953, 1952348971]}]}]}, {"tin": {"type": "ein", "value": "261619141"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 350.0, "npi": [1518246313, 1598210858, 1639734619, 1689143422]}]}, {"allowed_amount": 102.37, "providers": [{"billed_charge": 350.0, "npi": [1518246313, 1598210858, 1639734619, 1689143422]}]}]}, {"tin": {"type": "ein", "value": "261837240"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1528289360]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 121.0, "npi": [1174741078, 1417586132, 1740008374, 1952185878]}]}, {"allowed_amount": 210.62, "providers": [{"billed_charge": 240.0, "npi": [1033796255]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.19, "providers": [{"billed_charge": 121.0, "npi": [1881100121]}]}, {"allowed_amount": 57.31, "providers": [{"billed_charge": 121.0, "npi": [1881100121]}]}, {"allowed_amount": 71.71, "providers": [{"billed_charge": 121.0, "npi": [1558767392, 1871872994, 1790908564, 1497174775, 1114135001]}]}, {"allowed_amount": 81.32, "providers": [{"billed_charge": 166.0, "npi": [1669150736]}]}, {"allowed_amount": 84.87, "providers": [{"billed_charge": 166.0, "npi": [1194212555]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 121.0, "npi": [1932560745, 1871703942]}]}, {"allowed_amount": 121.0, "providers": [{"billed_charge": 121.0, "npi": [1871872994, 1194212555, 1568912889, 1982051348, 1881100121]}]}, {"allowed_amount": 166.0, "providers": [{"billed_charge": 166.0, "npi": [1871872994, 1134384423, 1194212555, 1366614927, 1982051348, 1881100121, 1114135001, 1245790971]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.67, "providers": [{"billed_charge": 221.0, "npi": [1124903646]}]}]}, {"tin": {"type": "ein", "value": "262129453"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 95.0, "npi": [1184895286]}]}]}, {"tin": {"type": "ein", "value": "262516349"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 110.0, "npi": [1831296607]}]}]}, {"tin": {"type": "ein", "value": "262665620"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.47, "providers": [{"billed_charge": 180.0, "npi": [1255694667]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 180.0, "npi": [1285138750]}]}]}, {"tin": {"type": "ein", "value": "262739384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.51, "providers": [{"billed_charge": 220.0, "npi": [1720084254]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 228.0, "npi": [1518128768, 1356791776, 1316391105, 1972000776, 1326272873, 1578503538, 1861810806, 1962701599]}]}]}, {"tin": {"type": "ein", "value": "262987027"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.97, "providers": [{"billed_charge": 312.0, "npi": [1568660090]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 312.0, "npi": [1568660090]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.67, "providers": [{"billed_charge": 221.67, "npi": [1265051700]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 221.67, "npi": [1710403381]}]}]}, {"tin": {"type": "ein", "value": "263178257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1437402930, 1700050275]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 84.97, "providers": [{"billed_charge": 392.25, "npi": [1912922881, 1417116559]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 392.25, "npi": [1972856896, 1467872481, 1861763526, 1710182407, 1740336908, 1598283327, 1225095599, 1700318706, 1235300211, 1760986293, 1689961591, 1598299802, 1467993915, 1659724573, 1679848766, 1568622207]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 392.25, "npi": [1467872481, 1740336908, 1700318706, 1760986293, 1598299802, 1598283327]}]}]}, {"tin": {"type": "ein", "value": "263657971"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 155.0, "npi": [1124076377]}]}, {"allowed_amount": 125.83, "providers": [{"billed_charge": 155.0, "npi": [1124076377]}]}]}, {"tin": {"type": "ein", "value": "263792403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.7, "providers": [{"billed_charge": 140.0, "npi": [1457315434]}]}, {"allowed_amount": 124.24, "providers": [{"billed_charge": 140.0, "npi": [1104984871]}]}]}, {"tin": {"type": "ein", "value": "263978916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.32, "providers": [{"billed_charge": 308.0, "npi": [1609612381]}]}, {"allowed_amount": 246.26, "providers": [{"billed_charge": 308.0, "npi": [1699849349]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.6, "providers": [{"billed_charge": 228.0, "npi": [1891965158, 1851743207, 1639601958, 1538253711, 1548757040, 1619366259, 1952668725, 1972761567, 1285046748, 1851753917, 1497900831]}]}]}, {"tin": {"type": "ein", "value": "264076297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.11, "providers": [{"billed_charge": 329.0, "npi": [1679520472]}]}]}, {"tin": {"type": "ein", "value": "264190328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 318.12, "npi": [1497040240]}]}]}, {"tin": {"type": "ein", "value": "264216161"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 148.0, "npi": [1114019916]}, {"billed_charge": 230.0, "npi": [1114019916]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 148.0, "npi": [1114019916]}]}]}, {"tin": {"type": "ein", "value": "264312435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.27, "providers": [{"billed_charge": 126.0, "npi": [1922219666]}]}]}, {"tin": {"type": "ein", "value": "264557501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 200.0, "npi": [1023051265]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 200.0, "npi": [1023051265]}]}]}, {"tin": {"type": "ein", "value": "264633098"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 204.0, "npi": [1306213616, 1134320500]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 257.67, "npi": [1841252657]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 257.67, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 115.0, "npi": [1821757022, 1326148495, 1225252083, 1972700565, 1952608119, 1003355256, 1881890457, 1528497948, 1992392062]}]}, {"allowed_amount": 111.45, "providers": [{"billed_charge": 115.0, "npi": [1952608119]}]}, {"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1326148495]}]}]}, {"tin": {"type": "ein", "value": "266697467"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 100.0, "npi": [1093704348]}]}]}, {"tin": {"type": "ein", "value": "270075893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 125.0, "npi": [1790771004]}]}]}, {"tin": {"type": "ein", "value": "270172647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 152.0, "npi": [1376744482]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 152.0, "npi": [1376744482]}]}]}, {"tin": {"type": "ein", "value": "270194300"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 600.0, "npi": [1235159344]}]}]}, {"tin": {"type": "ein", "value": "270293215"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.46, "providers": [{"billed_charge": 253.0, "npi": [1588037865]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 253.0, "npi": [1588037865]}]}]}, {"tin": {"type": "ein", "value": "270313131"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.15, "providers": [{"billed_charge": 150.0, "npi": [1710931522]}]}]}, {"tin": {"type": "ein", "value": "270317604"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.07, "providers": [{"billed_charge": 250.0, "npi": [1407829955]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 57.32, "providers": [{"billed_charge": 216.0, "npi": [1083844278]}]}, {"allowed_amount": 81.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.0, "npi": [1083844278]}]}, {"allowed_amount": 89.41, "providers": [{"billed_charge": 216.0, "npi": [1710902416, 1487115382]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 216.0, "npi": [1710902416, 1083844278, 1487115382]}]}]}, {"tin": {"type": "ein", "value": "270671865"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 127.54, "providers": [{"billed_charge": 295.0, "npi": [1306881362]}]}]}, {"tin": {"type": "ein", "value": "270709861"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 144.0, "npi": [1396040366]}]}]}, {"tin": {"type": "ein", "value": "270720873"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 165.62, "providers": [{"billed_charge": 275.0, "npi": [1750148524]}]}]}, {"tin": {"type": "ein", "value": "270794018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1932300779]}]}]}, {"tin": {"type": "ein", "value": "271067878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 200.0, "npi": [1134716038]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 200.0, "npi": [1134716038]}]}]}, {"tin": {"type": "ein", "value": "271082084"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.81, "providers": [{"billed_charge": 100.0, "npi": [1316110653]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 100.0, "npi": [1649454091, 1316110653]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1316110653]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.93, "providers": [{"billed_charge": 185.0, "npi": [1801871173]}]}, {"allowed_amount": 80.9, "providers": [{"billed_charge": 185.0, "npi": [1194901553]}]}, {"allowed_amount": 128.4, "providers": [{"billed_charge": 185.0, "npi": [1023471992, 1750334538]}]}, {"allowed_amount": 131.37, "providers": [{"billed_charge": 185.0, "npi": [1386139483]}]}]}, {"tin": {"type": "ein", "value": "271602881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.28, "providers": [{"billed_charge": 156.16, "npi": [1760977243, 1730753179]}]}]}, {"tin": {"type": "ein", "value": "271661214"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.49, "providers": [{"billed_charge": 500.0, "npi": [1588818777]}]}]}, {"tin": {"type": "ein", "value": "271788250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 230.0, "npi": [1578509642]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 255.0, "npi": [1578509642]}]}]}, {"tin": {"type": "ein", "value": "272182082"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 134.0, "npi": [1427491364]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 119.0, "npi": [1740265610, 1427491364]}, {"billed_charge": 134.0, "npi": [1427491364]}]}]}, {"tin": {"type": "ein", "value": "272314189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 144.0, "npi": [1467421735]}]}]}, {"tin": {"type": "ein", "value": "272398444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.15, "providers": [{"billed_charge": 250.0, "npi": [1346485877]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 250.0, "npi": [1346485877]}]}]}, {"tin": {"type": "ein", "value": "272481555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.79, "providers": [{"billed_charge": 133.0, "npi": [1346531464]}]}]}, {"tin": {"type": "ein", "value": "272515402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.53, "providers": [{"billed_charge": 154.12, "npi": [1760453427]}]}]}, {"tin": {"type": "ein", "value": "272540041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 152.0, "npi": [1275538944]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 152.0, "npi": [1205327244, 1215919733]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 152.0, "npi": [1205327244]}]}, {"allowed_amount": 152.0, "providers": [{"billed_charge": 152.0, "npi": [1295717718]}]}]}, {"tin": {"type": "ein", "value": "272599035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 110.83, "npi": [1730399437]}]}]}, {"tin": {"type": "ein", "value": "272626998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 350.0, "npi": [1225312648, 1053635482, 1871756387]}]}]}, {"tin": {"type": "ein", "value": "272649285"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.96, "providers": [{"billed_charge": 237.0, "npi": [1568872224]}]}]}, {"tin": {"type": "ein", "value": "272751363"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 119.3, "npi": [1558545822]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.11, "providers": [{"billed_charge": 219.13, "npi": [1316960941]}]}, {"allowed_amount": 140.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 219.13, "npi": [1447427711]}]}]}, {"tin": {"type": "ein", "value": "272969038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 158.0, "npi": [1457839987, 1396404646]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 158.0, "npi": [1457839987, 1396404646]}]}]}, {"tin": {"type": "ein", "value": "273527738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 142.0, "npi": [1013059211]}]}]}, {"tin": {"type": "ein", "value": "273645560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.21, "providers": [{"billed_charge": 175.0, "npi": [1841759289]}]}]}, {"tin": {"type": "ein", "value": "273738408"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.86, "providers": [{"billed_charge": 150.0, "npi": [1063679827]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.62, "providers": [{"billed_charge": 190.0, "npi": [1306029293]}]}, {"allowed_amount": 118.66, "providers": [{"billed_charge": 190.0, "npi": [1073877908]}]}, {"allowed_amount": 127.54, "providers": [{"billed_charge": 190.0, "npi": [1477572618, 1619991148]}]}, {"allowed_amount": 130.94, "providers": [{"billed_charge": 190.0, "npi": [1861843815]}]}, {"allowed_amount": 132.55, "providers": [{"billed_charge": 190.0, "npi": [1174583470, 1235234527, 1780909879, 1861440216, 1245347194, 1629050844, 1114367711]}]}, {"allowed_amount": 220.86, "providers": [{"billed_charge": 190.0, "npi": [1306029293]}]}]}, {"tin": {"type": "ein", "value": "274026658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.41, "providers": [{"billed_charge": 130.0, "npi": [1205569548]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.08, "providers": [{"billed_charge": 200.0, "npi": [1710965488]}]}]}, {"tin": {"type": "ein", "value": "274286745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 196.0, "npi": [1528002771]}]}]}, {"tin": {"type": "ein", "value": "274369422"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 124.81, "npi": [1659535987]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 124.81, "npi": [1659535987]}]}]}, {"tin": {"type": "ein", "value": "276880982"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.56, "providers": [{"billed_charge": 142.0, "npi": [1902076300]}]}]}, {"tin": {"type": "ein", "value": "300137567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 250.0, "npi": [1104043652]}]}]}, {"tin": {"type": "ein", "value": "300995552"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 230.0, "npi": [1902884307]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 255.0, "npi": [1902884307]}]}]}, {"tin": {"type": "ein", "value": "310821503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.32, "providers": [{"billed_charge": 137.0, "npi": [1467125047]}]}]}, {"tin": {"type": "ein", "value": "311185270"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.32, "providers": [{"billed_charge": 174.0, "npi": [1194565671]}]}]}, {"tin": {"type": "ein", "value": "311211500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.96, "providers": [{"billed_charge": 128.0, "npi": [1073692042]}]}]}, {"tin": {"type": "ein", "value": "311255565"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.1, "providers": [{"billed_charge": 220.0, "npi": [1508140997]}]}, {"allowed_amount": 97.09, "providers": [{"billed_charge": 220.0, "npi": [1962721506]}]}]}, {"tin": {"type": "ein", "value": "311398575"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.68, "providers": [{"billed_charge": 130.0, "npi": [1659106417]}]}, {"allowed_amount": 97.09, "providers": [{"billed_charge": 130.0, "npi": [1730265695]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.71, "providers": [{"billed_charge": 170.0, "npi": [1780812198]}]}, {"allowed_amount": 140.87, "providers": [{"billed_charge": 170.0, "npi": [1891358529, 1245323021]}]}, {"allowed_amount": 150.3, "providers": [{"billed_charge": 170.0, "npi": [1598734006]}]}]}, {"tin": {"type": "ein", "value": "320135798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 100.0, "npi": [1871767426, 1588658819]}]}]}, {"tin": {"type": "ein", "value": "320235544"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 72.03, "providers": [{"billed_charge": 175.0, "npi": [1184032740]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 146.0, "npi": [1568029825, 1467089938, 1992749238]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 146.0, "npi": [1548848096, 1568029825, 1942669817, 1235591215]}]}]}, {"tin": {"type": "ein", "value": "332916607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 159.0, "npi": [1013365758]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 159.0, "npi": [1013365758]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.38, "providers": [{"billed_charge": 500.0, "npi": [1548886047]}]}, {"allowed_amount": 50.35, "providers": [{"billed_charge": 500.0, "npi": [1245542703]}]}, {"allowed_amount": 61.12, "providers": [{"billed_charge": 500.0, "npi": [1427742964]}]}, {"allowed_amount": 68.31, "providers": [{"billed_charge": 500.0, "npi": [1053710913, 1487934568, 1396276143, 1245542703, 1659909851, 1548886047]}]}, {"allowed_amount": 82.69, "providers": [{"billed_charge": 500.0, "npi": [1407807043]}]}, {"allowed_amount": 88.67, "providers": [{"billed_charge": 500.0, "npi": [1447833918, 1871552356, 1821142126]}]}, {"allowed_amount": 89.41, "providers": [{"billed_charge": 500.0, "npi": [1386173185, 1366689028, 1588222343, 1225428584, 1073552360, 1255725503, 1942466859, 1669452264, 1801005418, 1669992590, 1699962639, 1831572510, 1265091391]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 500.0, "npi": [1427288612, 1801234570, 1821615824, 1215381140, 1639733983]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 500.0, "npi": [1033151873, 1528188034, 1366689028, 1588222343, 1669452264, 1255725503, 1659690089, 1073552360, 1679869549, 1669992590, 1821142126, 1831572510, 1265091391]}]}]}, {"tin": {"type": "ein", "value": "333280148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 250.0, "npi": [1770104986]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 250.0, "npi": [1770104986]}]}]}, {"tin": {"type": "ein", "value": "333567033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 154.12, "npi": [1003048687]}]}]}, {"tin": {"type": "ein", "value": "333839423"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 135.0, "npi": [1730343690]}, {"billed_charge": 200.0, "npi": [1730343690]}]}]}, {"tin": {"type": "ein", "value": "333969015"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.19, "providers": [{"billed_charge": 308.0, "npi": [1730568379]}]}]}, {"tin": {"type": "ein", "value": "334779413"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 150.0, "npi": [1831786516]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.66, "providers": [{"billed_charge": 636.0, "npi": [1043676489]}]}, {"allowed_amount": 139.39, "providers": [{"billed_charge": 636.0, "npi": [1407111396]}]}, {"allowed_amount": 142.06, "providers": [{"billed_charge": 636.0, "npi": [1205514718]}]}, {"allowed_amount": 142.17, "providers": [{"billed_charge": 636.0, "npi": [1750346953]}]}]}, {"tin": {"type": "ein", "value": "342017298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 154.44, "npi": [1629053988]}]}]}, {"tin": {"type": "ein", "value": "351488175"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 42.24, "providers": [{"billed_charge": 135.0, "npi": [1588750509]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 115.0, "npi": [1689310559]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 180.0, "npi": [1346771342]}]}, {"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1356654339, 1780680678, 1063724326, 1215157136, 1629118740, 1780640953, 1033141692, 1669903613]}]}, {"allowed_amount": 114.32, "providers": [{"billed_charge": 180.0, "npi": [1215399456, 1508253600, 1013221282, 1033303532, 1093151888, 1215157136, 1760770291, 1629118740, 1780640953]}]}]}, {"tin": {"type": "ein", "value": "361564290"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.93, "providers": [{"billed_charge": 238.35, "npi": [1588075576]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.21, "providers": [{"billed_charge": 185.0, "npi": [1659839603]}]}]}, {"tin": {"type": "ein", "value": "362907660"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.91, "providers": [{"billed_charge": 166.0, "npi": [1255356689]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.32, "providers": [{"billed_charge": 168.0, "npi": [1366898157]}]}, {"allowed_amount": 98.93, "providers": [{"billed_charge": 168.0, "npi": [1962813907]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.23, "providers": [{"billed_charge": 170.0, "npi": [1831683887]}]}]}, {"tin": {"type": "ein", "value": "364442306"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 110.0, "npi": [1699733402]}]}]}, {"tin": {"type": "ein", "value": "364799830"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.09, "providers": [{"billed_charge": 125.0, "npi": [1861427288]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.93, "providers": [{"billed_charge": 191.0, "npi": [1306417431]}]}]}, {"tin": {"type": "ein", "value": "371591769"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 150.0, "npi": [1023603305]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1023603305]}]}]}, {"tin": {"type": "ein", "value": "371657756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.14, "providers": [{"billed_charge": 184.59, "npi": [1225562549]}]}]}, {"tin": {"type": "ein", "value": "383176550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.71, "providers": [{"billed_charge": 126.0, "npi": [1588379762]}]}]}, {"tin": {"type": "ein", "value": "383317788"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 94.27, "providers": [{"billed_charge": 144.0, "npi": [1871117440]}]}]}, {"tin": {"type": "ein", "value": "383589214"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.27, "providers": [{"billed_charge": 126.0, "npi": [1124012521, 1194163279]}]}, {"allowed_amount": 118.71, "providers": [{"billed_charge": 126.0, "npi": [1548800113, 1699241588]}]}]}, {"tin": {"type": "ein", "value": "383784872"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.77, "providers": [{"billed_charge": 160.0, "npi": [1235235938]}]}]}, {"tin": {"type": "ein", "value": "393624856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 147.78, "npi": [1154678811]}, {"billed_charge": 295.56, "npi": [1154678811]}]}]}, {"tin": {"type": "ein", "value": "394362698"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 120.0, "npi": [1447887773]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 120.0, "npi": [1447887773]}]}]}, {"tin": {"type": "ein", "value": "412117806"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 238.0, "npi": [1750938924]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 238.0, "npi": [1659367696]}]}]}, {"tin": {"type": "ein", "value": "412569180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 231.0, "npi": [1942244793]}]}]}, {"tin": {"type": "ein", "value": "412787724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 313.0, "npi": [1114623402, 1073498507]}]}]}, {"tin": {"type": "ein", "value": "413690420"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1891783080]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 115.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 182.0, "npi": [1841753423]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.22, "providers": [{"billed_charge": 284.0, "npi": [1093033813]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 101.25, "providers": [{"billed_charge": 315.0, "npi": [1477993830]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.49, "providers": [{"billed_charge": 228.0, "npi": [1518317825]}]}]}, {"tin": {"type": "ein", "value": "450559282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 125.0, "npi": [1760602049]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 73.89, "providers": [{"billed_charge": 73.89, "npi": [1114075785]}]}, {"allowed_amount": 89.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 247.77, "npi": [1114075785, 1912091794, 1306133988]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 221.66, "npi": [1114075785]}, {"billed_charge": 247.77, "npi": [1518953025, 1114075785, 1912091794, 1306133988]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 247.77, "npi": [1518953025]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 247.77, "npi": [1114075785, 1912091794, 1306133988]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 247.77, "npi": [1114075785]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 228.0, "npi": [1568802304, 1770969859, 1962490631, 1447870738, 1578913174, 1518199702, 1912943010, 1932261542, 1801392295, 1477087914, 1003098799, 1588766521, 1922000314, 1215224126, 1972591683, 1679137731, 1003810763, 1518200401, 1619183829, 1639732191, 1700175585, 1205255783, 1669992046, 1902057326, 1033172978, 1336317171, 1356803829, 1205024254]}]}]}, {"tin": {"type": "ein", "value": "451259671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.54, "providers": [{"billed_charge": 238.0, "npi": [1932594488]}]}]}, {"tin": {"type": "ein", "value": "451444883"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 142.0, "npi": [1346276631]}]}, {"allowed_amount": 125.83, "providers": [{"billed_charge": 142.0, "npi": [1285900670]}]}]}, {"tin": {"type": "ein", "value": "452526738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.97, "providers": [{"billed_charge": 175.0, "npi": [1598008765]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.01, "providers": [{"billed_charge": 172.0, "npi": [1043897481]}]}]}, {"tin": {"type": "ein", "value": "452820011"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 225.0, "npi": [1699962639]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 225.0, "npi": [1699962639]}]}]}, {"tin": {"type": "ein", "value": "452914168"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.0, "providers": [{"billed_charge": 152.0, "npi": [1760651285]}]}]}, {"tin": {"type": "ein", "value": "452988446"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 126.0, "npi": [1255325171]}]}, {"allowed_amount": 126.0, "providers": [{"billed_charge": 126.0, "npi": [1255325171]}]}]}, {"tin": {"type": "ein", "value": "453086772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 329.0, "npi": [1992906432]}]}]}, {"tin": {"type": "ein", "value": "453694469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.54, "providers": [{"billed_charge": 233.0, "npi": [1538152160]}, {"billed_charge": 238.0, "npi": [1881850261]}]}]}, {"tin": {"type": "ein", "value": "453710878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 250.0, "npi": [1689630527]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 250.0, "npi": [1689630527]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 250.0, "npi": [1689630527]}]}]}, {"tin": {"type": "ein", "value": "453725269"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 288.0, "npi": [1114010279]}]}]}, {"tin": {"type": "ein", "value": "453782550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.69, "providers": [{"billed_charge": 500.0, "npi": [1689081168, 1336720929]}]}, {"allowed_amount": 92.1, "providers": [{"billed_charge": 500.0, "npi": [1336720929]}]}]}, {"tin": {"type": "ein", "value": "453976574"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 360.0, "npi": [1750679908, 1366680357, 1447969316, 1699268649, 1407252075, 1639608300, 1467906552, 1528229242, 1053351643, 1922409564]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 360.0, "npi": [1528229242, 1750679908]}]}, {"allowed_amount": 102.37, "providers": [{"billed_charge": 360.0, "npi": [1467906552]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 360.0, "npi": [1447969316]}]}, {"allowed_amount": 155.91, "providers": [{"billed_charge": 360.0, "npi": [1609810878]}]}]}, {"tin": {"type": "ein", "value": "454070993"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.05, "providers": [{"billed_charge": 307.0, "npi": [1609182666]}]}, {"allowed_amount": 185.32, "providers": [{"billed_charge": 292.0, "npi": [1679710404]}]}]}, {"tin": {"type": "ein", "value": "454216983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 147.0, "npi": [1245285212]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 147.0, "npi": [1245285212]}]}]}, {"tin": {"type": "ein", "value": "454748388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1366434334]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 150.0, "npi": [1366434334]}]}]}, {"tin": {"type": "ein", "value": "454888659"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 180.0, "npi": [1245790021]}]}]}, {"tin": {"type": "ein", "value": "454944358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 170.0, "npi": [1265654263]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 170.0, "npi": [1265654263]}]}]}, {"tin": {"type": "ein", "value": "454966123"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 144.0, "npi": [1427231497]}]}]}, {"tin": {"type": "ein", "value": "455367757"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 153.0, "npi": [1346788155]}]}]}, {"tin": {"type": "ein", "value": "455530459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 155.0, "npi": [1619057858]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 155.0, "npi": [1619057858]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 150.3, "providers": [{"billed_charge": 238.0, "npi": [1043367931]}]}]}, {"tin": {"type": "ein", "value": "460663349"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 242.79, "npi": [1669886537]}]}, {"allowed_amount": 81.28, "providers": [{"billed_charge": 242.79, "npi": [1669886537]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 242.79, "npi": [1336810928, 1669886537, 1356836167]}]}]}, {"tin": {"type": "ein", "value": "460688274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1891758645]}]}]}, {"tin": {"type": "ein", "value": "460759101"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.8, "providers": [{"billed_charge": 304.0, "npi": [1487048864, 1679564892]}]}]}, {"tin": {"type": "ein", "value": "460829877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 150.0, "npi": [1366936866]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1366936866, 1497224588, 1962109389, 1689440422]}]}, {"allowed_amount": 145.0, "providers": [{"billed_charge": 145.0, "npi": [1407017114, 1922799659]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1962109389, 1700283173, 1497224588, 1013310549]}]}]}, {"tin": {"type": "ein", "value": "460938202"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 232.0, "npi": [1659950152]}]}, {"allowed_amount": 102.1, "providers": [{"billed_charge": 232.0, "npi": [1952938151]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 80.53, "providers": [{"billed_charge": 160.0, "npi": [1396373056, 1588082721, 1659908424, 1780047464, 1629247242, 1144632233, 1720461932, 1346702263, 1831650746, 1750526141]}]}, {"allowed_amount": 83.4, "providers": [{"billed_charge": 160.0, "npi": [1881027068]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 160.0, "npi": [1396373056, 1437468097, 1538527460, 1700437050, 1811987365, 1780047464, 1851709737, 1639256456, 1932636875, 1659765550, 1356441968, 1073748596, 1114380821, 1396157657, 1467015610, 1164866299, 1881027068]}]}, {"allowed_amount": 96.35, "providers": [{"billed_charge": 160.0, "npi": [1285043901]}]}, {"allowed_amount": 107.85, "providers": [{"billed_charge": 160.0, "npi": [1356578629]}]}, {"allowed_amount": 111.84, "providers": [{"billed_charge": 160.0, "npi": [1811480643]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1134616055]}]}]}, {"tin": {"type": "ein", "value": "461278990"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 125.0, "npi": [1578622908]}]}, {"allowed_amount": 104.26, "providers": [{"billed_charge": 125.0, "npi": [1578622908]}]}]}, {"tin": {"type": "ein", "value": "461717943"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.72, "providers": [{"billed_charge": 194.92, "npi": [1780203752]}]}]}, {"tin": {"type": "ein", "value": "461921294"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1730260084]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 320.0, "npi": [1295397974]}]}]}, {"tin": {"type": "ein", "value": "462300121"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 611.0, "npi": [1336220771]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 611.0, "npi": [1336220771]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 115.35, "providers": [{"billed_charge": 329.0, "npi": [1437618097, 1245913599]}]}, {"allowed_amount": 135.71, "providers": [{"billed_charge": 329.0, "npi": [1114507522]}]}, {"allowed_amount": 142.1, "providers": [{"billed_charge": 329.0, "npi": [1720668551]}]}]}, {"tin": {"type": "ein", "value": "462404937"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 125.0, "npi": [1649265067]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 125.0, "npi": [1649265067]}]}]}, {"tin": {"type": "ein", "value": "462718719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.94, "providers": [{"billed_charge": 918.36, "npi": [1811453103]}]}]}, {"tin": {"type": "ein", "value": "462842081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.67, "providers": [{"billed_charge": 1400.0, "npi": [1780708909]}]}]}, {"tin": {"type": "ein", "value": "462964889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.62, "providers": [{"billed_charge": 250.0, "npi": [1992271084]}]}]}, {"tin": {"type": "ein", "value": "463077526"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 700.0, "npi": [1730683129, 1558591891, 1114125572]}]}, {"allowed_amount": 169.68, "providers": [{"billed_charge": 700.0, "npi": [1114125572]}]}]}, {"tin": {"type": "ein", "value": "463581525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 175.0, "npi": [1871789487]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "providers": [{"billed_charge": 252.0, "npi": [1972693679]}]}]}, {"tin": {"type": "ein", "value": "463705561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.0, "providers": [{"billed_charge": 107.0, "npi": [1619230612]}]}]}, {"tin": {"type": "ein", "value": "463744196"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 151.85, "npi": [1619153541]}]}]}, {"tin": {"type": "ein", "value": "463756071"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 238.02, "npi": [1699038109, 1174564231]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 238.02, "npi": [1699038109]}]}]}, {"tin": {"type": "ein", "value": "464225758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.86, "providers": [{"billed_charge": 307.0, "npi": [1679156806, 1376577619, 1548836182]}]}]}, {"tin": {"type": "ein", "value": "464258971"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1194799387]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1194799387]}]}]}, {"tin": {"type": "ein", "value": "464387189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 144.0, "npi": [1598720039]}]}]}, {"tin": {"type": "ein", "value": "464648465"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.81, "providers": [{"billed_charge": 204.0, "npi": [1508344474]}]}]}, {"tin": {"type": "ein", "value": "464677951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 135.0, "npi": [1265815336]}]}, {"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1265815336]}]}]}, {"tin": {"type": "ein", "value": "464713792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.22, "providers": [{"billed_charge": 159.7, "npi": [1912177023]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 165.0, "npi": [1285054536, 1003081472, 1215106216, 1114347655]}]}, {"allowed_amount": 84.97, "providers": [{"billed_charge": 142.0, "npi": [1154640100, 1518249317, 1588105704, 1669446449, 1932276177, 1740240571]}]}, {"allowed_amount": 88.67, "providers": [{"billed_charge": 165.0, "npi": [1184823825, 1417989468]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 142.0, "npi": [1821741216, 1154640100, 1144304197, 1710074182, 1366847147, 1447883756, 1316432784, 1669446449, 1174775696, 1669196754, 1932276177, 1013341080, 1912102104]}, {"billed_charge": 165.0, "npi": [1417989468, 1871273326]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 165.0, "npi": [1447781877]}]}, {"allowed_amount": 102.37, "providers": [{"billed_charge": 142.0, "npi": [1821741216, 1467096321, 1447883756, 1316432784, 1669196754, 1013341080]}]}, {"allowed_amount": 142.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 142.0, "npi": [1912102104, 1710074182]}]}, {"allowed_amount": 152.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 165.0, "npi": [1811048531, 1033538707, 1366080855]}]}]}, {"tin": {"type": "ein", "value": "464916622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.97, "providers": [{"billed_charge": 269.0, "npi": [1619230612, 1437148574]}]}]}, {"tin": {"type": "ein", "value": "464956960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 120.0, "npi": [1972765089]}]}]}, {"tin": {"type": "ein", "value": "465091853"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 142.0, "npi": [1881687507]}]}]}, {"tin": {"type": "ein", "value": "465123983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.54, "providers": [{"billed_charge": 160.0, "npi": [1528225232]}]}]}, {"tin": {"type": "ein", "value": "465292740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.47, "providers": [{"billed_charge": 208.0, "npi": [1154945087]}]}]}, {"tin": {"type": "ein", "value": "465297583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 114.06, "npi": [1245490184]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 114.06, "npi": [1245490184]}]}]}, {"tin": {"type": "ein", "value": "465318844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 743.0, "npi": [1225270416]}]}]}, {"tin": {"type": "ein", "value": "465449716"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 115.0, "npi": [1184673444]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 115.0, "npi": [1184673444]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.12, "providers": [{"billed_charge": 223.0, "npi": [1730773367]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 68.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 135.0, "npi": [1730506866, 1619382397]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 135.0, "npi": [1104277888, 1588754055, 1295137545, 1528228913, 1730506866]}]}, {"allowed_amount": 114.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 135.0, "npi": [1194728360, 1104277888, 1588754055]}]}]}, {"tin": {"type": "ein", "value": "471346318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.04, "providers": [{"billed_charge": 169.0, "npi": [1871041210]}]}]}, {"tin": {"type": "ein", "value": "471428918"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.72, "providers": [{"billed_charge": 150.0, "npi": [1952301426]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1952301426]}]}]}, {"tin": {"type": "ein", "value": "471682283"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 200.0, "npi": [1962475111]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 200.0, "npi": [1962475111]}]}]}, {"tin": {"type": "ein", "value": "471739920"}, "billing_class": "professional", "service_codes": ["55"], "payments": [{"allowed_amount": 57.31, "providers": [{"billed_charge": 250.0, "npi": [1770108813]}]}, {"allowed_amount": 209.32, "providers": [{"billed_charge": 250.0, "npi": [1770108813]}]}]}, {"tin": {"type": "ein", "value": "471823381"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 179.75, "npi": [1043480361]}]}]}, {"tin": {"type": "ein", "value": "471859521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 250.0, "npi": [1275088700]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 250.0, "npi": [1275088700]}]}]}, {"tin": {"type": "ein", "value": "472003432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 140.8, "npi": [1366883365, 1144301854]}]}, {"allowed_amount": 84.97, "providers": [{"billed_charge": 140.8, "npi": [1851775860]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 140.8, "npi": [1417101411, 1366883365, 1285165068, 1053832691, 1851775860, 1144301854]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 140.8, "npi": [1497149116, 1285165068, 1689878134]}]}, {"allowed_amount": 140.8, "providers": [{"billed_charge": 140.8, "npi": [1417101411, 1104002054]}]}]}, {"tin": {"type": "ein", "value": "472221436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.62, "providers": [{"billed_charge": 181.0, "npi": [1225031842]}]}, {"allowed_amount": 73.62, "providers": [{"billed_charge": 181.0, "npi": [1104833698, 1821388893, 1760480701]}]}, {"allowed_amount": 124.24, "providers": [{"billed_charge": 181.0, "npi": [1790861631]}]}]}, {"tin": {"type": "ein", "value": "472504666"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 350.0, "npi": [1689909343]}]}]}, {"tin": {"type": "ein", "value": "472619488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.27, "providers": [{"billed_charge": 200.0, "npi": [1992987770]}]}]}, {"tin": {"type": "ein", "value": "472734629"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 148.0, "npi": [1457526311]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 177.0, "npi": [1609215771]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 177.0, "npi": [1609215771]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 177.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "473553486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.51, "providers": [{"billed_charge": 307.0, "npi": [1003349853]}]}]}, {"tin": {"type": "ein", "value": "473660763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 200.0, "npi": [1174830178]}]}]}, {"tin": {"type": "ein", "value": "474276880"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.46, "providers": [{"billed_charge": 150.0, "npi": [1578968699]}]}]}, {"tin": {"type": "ein", "value": "474291574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 224.7, "npi": [1659366060]}]}]}, {"tin": {"type": "ein", "value": "474464147"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 151.0, "npi": [1588910343]}]}, {"allowed_amount": 89.88, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 151.0, "npi": [1588910343]}]}]}, {"tin": {"type": "ein", "value": "474913206"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.28, "providers": [{"billed_charge": 224.42, "npi": [1912326521]}]}]}, {"tin": {"type": "ein", "value": "474966216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 608.52, "npi": [1487954723]}]}]}, {"tin": {"type": "ein", "value": "475142345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.85, "providers": [{"billed_charge": 196.48, "npi": [1659711554]}]}]}, {"tin": {"type": "ein", "value": "475143607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 144.0, "npi": [1487646501]}]}, {"allowed_amount": 112.16, "providers": [{"billed_charge": 144.0, "npi": [1487646501]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 369.0, "npi": [1629335674]}]}, {"allowed_amount": 202.46, "providers": [{"billed_charge": 369.0, "npi": [1962844944]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.55, "providers": [{"billed_charge": 207.0, "npi": [1619428364]}]}, {"allowed_amount": 82.0, "providers": [{"billed_charge": 207.0, "npi": [1659354736]}]}]}, {"tin": {"type": "ein", "value": "510103684"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 96.64, "providers": [{"billed_charge": 228.55, "npi": [1215312848]}]}, {"allowed_amount": 113.69, "providers": [{"billed_charge": 213.6, "npi": [1528631231]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.18, "providers": [{"billed_charge": 205.0, "npi": [1417375692]}]}]}, {"tin": {"type": "ein", "value": "520913438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.67, "providers": [{"billed_charge": 185.0, "npi": [1043673031]}]}]}, {"tin": {"type": "ein", "value": "522315129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.76, "providers": [{"billed_charge": 205.0, "npi": [1861812174]}]}]}, {"tin": {"type": "ein", "value": "542063146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 255.0, "npi": [1699706937]}]}]}, {"tin": {"type": "ein", "value": "542066908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.46, "providers": [{"billed_charge": 375.0, "npi": [1417985888]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 312.0, "npi": [1437167129, 1659494854, 1952351694]}]}, {"allowed_amount": 81.32, "providers": [{"billed_charge": 312.0, "npi": [1770239113]}]}, {"allowed_amount": 88.67, "providers": [{"billed_charge": 312.0, "npi": [1114914348]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 312.0, "npi": [1114914348, 1659494854, 1952351694]}]}, {"allowed_amount": 92.46, "providers": [{"billed_charge": 312.0, "npi": [1194447730, 1235835166]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 312.0, "npi": [1700853884, 1760402820, 1083241020]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 312.0, "npi": [1700853884, 1083241020, 1730509068]}]}]}, {"tin": {"type": "ein", "value": "542129332"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.72, "providers": [{"billed_charge": 232.0, "npi": [1871084970, 1013111491, 1801022421]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 232.0, "npi": [1871084970, 1013111491, 1801022421]}]}]}, {"tin": {"type": "ein", "value": "550829983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.12, "providers": [{"billed_charge": 772.0, "npi": [1720282098]}]}, {"allowed_amount": 146.24, "providers": [{"billed_charge": 772.0, "npi": [1609036284]}]}, {"allowed_amount": 199.05, "providers": [{"billed_charge": 772.0, "npi": [1306214564]}]}]}, {"tin": {"type": "ein", "value": "550836056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 115.0, "npi": [1720262959]}]}]}, {"tin": {"type": "ein", "value": "550891794"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 130.0, "npi": [1518992106]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 130.0, "npi": [1518992106]}]}]}, {"tin": {"type": "ein", "value": "550893915"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.66, "providers": [{"billed_charge": 128.0, "npi": [1053390047]}]}]}, {"tin": {"type": "ein", "value": "561150163"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.13, "providers": [{"billed_charge": 300.0, "npi": [1316937352]}]}, {"allowed_amount": 131.46, "providers": [{"billed_charge": 300.0, "npi": [1104903566]}]}]}, {"tin": {"type": "ein", "value": "561230452"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.69, "providers": [{"billed_charge": 111.0, "npi": [1174960058, 1427051804]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.13, "providers": [{"billed_charge": 225.0, "npi": [1376079624]}]}]}, {"tin": {"type": "ein", "value": "562466775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "providers": [{"billed_charge": 102.0, "npi": [1962484378]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.82, "providers": [{"billed_charge": 265.0, "npi": [1780242834]}]}, {"allowed_amount": 111.55, "providers": [{"billed_charge": 265.0, "npi": [1013595578, 1962663963, 1578671442]}]}]}, {"tin": {"type": "ein", "value": "581537752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.48, "providers": [{"billed_charge": 221.0, "npi": [1073834693, 1841687357]}]}, {"allowed_amount": 127.54, "providers": [{"billed_charge": 221.0, "npi": [1255891321]}]}]}, {"tin": {"type": "ein", "value": "581627802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.54, "providers": [{"billed_charge": 221.0, "npi": [1548260458, 1902407877]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.69, "providers": [{"billed_charge": 200.0, "npi": [1194045575]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.62, "providers": [{"billed_charge": 308.0, "npi": [1417747056]}]}, {"allowed_amount": 127.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 308.0, "npi": [1467566174]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.42, "providers": [{"billed_charge": 168.0, "npi": [1245764042]}]}, {"allowed_amount": 104.7, "providers": [{"billed_charge": 168.0, "npi": [1922635762]}]}]}, {"tin": {"type": "ein", "value": "582307485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.24, "providers": [{"billed_charge": 298.0, "npi": [1457978660]}]}]}, {"tin": {"type": "ein", "value": "582540964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.54, "providers": [{"billed_charge": 249.0, "npi": [1679917488]}]}]}, {"tin": {"type": "ein", "value": "582651479"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1770858953]}]}, {"allowed_amount": 115.36, "providers": [{"billed_charge": 150.0, "npi": [1770858953]}]}, {"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1770858953]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.66, "providers": [{"billed_charge": 409.0, "npi": [1720541584]}]}, {"allowed_amount": 117.2, "providers": [{"billed_charge": 409.0, "npi": [1972514495]}]}, {"allowed_amount": 169.68, "providers": [{"billed_charge": 409.0, "npi": [1083971808]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 636.0, "npi": [1588624191]}]}, {"allowed_amount": 66.5, "providers": [{"billed_charge": 636.0, "npi": [1275775736, 1518351410]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 636.0, "npi": [1932410370, 1053817734, 1649660424, 1942295563, 1528066958, 1952995342, 1174257430, 1417538711, 1538730262, 1548426398, 1639428394, 1588001325, 1447487152, 1144481201, 1912289588, 1295313591, 1043750839, 1013295161, 1093120958, 1346525128, 1235585225, 1497216204, 1164172383, 1902272099, 1013336171, 1508229360, 1639565047, 1275775736, 1053760249]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 636.0, "npi": [1518351410]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 636.0, "npi": [1235585225]}]}, {"allowed_amount": 114.94, "providers": [{"billed_charge": 636.0, "npi": [1386234979, 1548044837]}]}, {"allowed_amount": 117.49, "providers": [{"billed_charge": 636.0, "npi": [1487064283]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 636.0, "npi": [1205331196, 1285619221, 1053817734]}]}, {"allowed_amount": 136.7, "providers": [{"billed_charge": 636.0, "npi": [1902251721, 1639565047]}]}, {"allowed_amount": 170.83, "providers": [{"billed_charge": 636.0, "npi": [1356741417]}]}, {"allowed_amount": 172.9, "providers": [{"billed_charge": 636.0, "npi": [1174257430, 1992935852, 1588001325, 1457095218, 1821272758, 1871169342, 1932859840, 1871053249, 1477505873, 1912342866, 1508203225, 1306423645, 1255576286, 1003565151, 1760125793, 1902272099, 1639564263, 1104113786, 1003010174]}]}]}, {"tin": {"type": "ein", "value": "590704934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 133.0, "npi": [1548455686]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1376653881]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 777.0, "npi": [1144813536]}]}]}, {"tin": {"type": "ein", "value": "591553509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.97, "providers": [{"billed_charge": 143.8, "npi": [1609875350]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 265.0, "npi": [1902244197, 1669498952, 1578797486, 1952582579, 1295060119]}]}, {"allowed_amount": 127.3, "providers": [{"billed_charge": 265.0, "npi": [1578797486]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.94, "providers": [{"billed_charge": 308.0, "npi": [1750730792]}]}, {"allowed_amount": 147.4, "providers": [{"billed_charge": 308.0, "npi": [1205863271, 1366679656, 1598128969, 1164719530, 1154853323, 1043255839, 1912579863, 1538680590, 1568841971, 1235525429, 1760003479, 1457745499, 1124220991]}]}, {"allowed_amount": 165.62, "providers": [{"billed_charge": 308.0, "npi": [1497320162, 1831847615]}]}]}, {"tin": {"type": "ein", "value": "591773262"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 154.0, "npi": [1215139498]}]}]}, {"tin": {"type": "ein", "value": "591784470"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 200.0, "npi": [1083024715, 1205106796, 1760728406]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 200.0, "npi": [1154640779, 1205106796, 1760825004, 1538515853, 1154633675]}]}, {"allowed_amount": 94.19, "providers": [{"billed_charge": 200.0, "npi": [1164621447]}]}, {"allowed_amount": 111.45, "providers": [{"billed_charge": 200.0, "npi": [1821304353, 1154633675, 1376074286]}]}]}, {"tin": {"type": "ein", "value": "591797855"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 150.0, "npi": [1316548811]}]}]}, {"tin": {"type": "ein", "value": "591803105"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.0, "providers": [{"billed_charge": 85.0, "npi": [1417191891]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 190.0, "npi": [1881950210, 1790751907, 1760458186, 1407822828, 1194353037, 1053570358, 1255657979]}]}, {"allowed_amount": 87.0, "providers": [{"billed_charge": 190.0, "npi": [1568805729]}]}, {"allowed_amount": 94.19, "providers": [{"billed_charge": 190.0, "npi": [1669437273, 1215461322]}]}, {"allowed_amount": 99.94, "providers": [{"billed_charge": 190.0, "npi": [1972708881, 1841640786, 1730155797, 1780788950, 1710210745]}]}, {"allowed_amount": 100.66, "providers": [{"billed_charge": 190.0, "npi": [1295121812]}, {"billed_charge": 288.0, "npi": [1740784966]}]}, {"allowed_amount": 110.01, "providers": [{"billed_charge": 190.0, "npi": [1437715547]}]}, {"allowed_amount": 114.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1588034995, 1124745351]}]}, {"allowed_amount": 190.0, "providers": [{"billed_charge": 190.0, "npi": [1962961938]}]}]}, {"tin": {"type": "ein", "value": "591884842"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.0, "providers": [{"billed_charge": 85.0, "npi": [1497847206]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 154.12, "npi": [1073950200, 1083061246, 1114587599]}]}, {"allowed_amount": 94.19, "providers": [{"billed_charge": 154.12, "npi": [1164470811, 1801474374]}]}, {"allowed_amount": 111.45, "providers": [{"billed_charge": 154.12, "npi": [1205241478]}]}, {"allowed_amount": 154.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 154.12, "npi": [1144170085, 1538346796, 1053982355, 1700194966, 1063143832, 1730616988, 1871243006]}]}]}, {"tin": {"type": "ein", "value": "591923037"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 147.0, "npi": [1861493538]}]}]}, {"tin": {"type": "ein", "value": "591935045"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.46, "providers": [{"billed_charge": 195.05, "npi": [1134520380]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 195.05, "npi": [1134520380]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 152.0, "npi": [1275538944, 1760700348]}]}, {"allowed_amount": 75.37, "providers": [{"billed_charge": 152.0, "npi": [1629096995]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 152.0, "npi": [1629096995, 1205327244, 1215919733, 1760700348, 1760773246]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 152.0, "npi": [1205327244]}]}, {"allowed_amount": 152.0, "providers": [{"billed_charge": 152.0, "npi": [1831284132, 1760773246]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 90.0, "npi": [1326011545]}]}, {"allowed_amount": 89.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 90.0, "npi": [1851616783]}]}, {"allowed_amount": 90.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 90.0, "npi": [1326011545, 1851616783]}]}]}, {"tin": {"type": "ein", "value": "591943602"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.23, "providers": [{"billed_charge": 237.0, "npi": [1346564267]}]}]}, {"tin": {"type": "ein", "value": "592005970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 160.0, "npi": [1871856492]}]}, {"allowed_amount": 110.73, "providers": [{"billed_charge": 160.0, "npi": [1740235498]}]}, {"allowed_amount": 111.45, "providers": [{"billed_charge": 160.0, "npi": [1679919724, 1295984748]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1235227133, 1316289606, 1023547031]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 54.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 689.0, "npi": [1952313173]}]}, {"allowed_amount": 84.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 689.0, "npi": [1285684597, 1952313173, 1629262126]}]}, {"allowed_amount": 88.67, "providers": [{"billed_charge": 689.0, "npi": [1083077507, 1669637419, 1578958443, 1386633774, 1396108635, 1275809469, 1225323678]}]}, {"allowed_amount": 89.41, "providers": [{"billed_charge": 689.0, "npi": [1003072760]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 689.0, "npi": [1578958443, 1063615516, 1629262126, 1679072367, 1053389650, 1700837044, 1285684597, 1164564696, 1699836858, 1962852251, 1457778748]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 689.0, "npi": [1457778748]}]}, {"allowed_amount": 155.91, "providers": [{"billed_charge": 689.0, "npi": [1053389650, 1679072367]}]}]}, {"tin": {"type": "ein", "value": "592189059"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 192.5, "npi": [1558426049]}]}]}, {"tin": {"type": "ein", "value": "592291897"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 124.0, "npi": [1659570851]}]}]}, {"tin": {"type": "ein", "value": "592292041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 236.0, "npi": [1780188904]}]}, {"allowed_amount": 116.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 236.0, "npi": [1780188904]}]}]}, {"tin": {"type": "ein", "value": "592313481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 231.0, "npi": [1801113576]}]}]}, {"tin": {"type": "ein", "value": "592319380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 265.0, "npi": [1568806222, 1346347887]}]}, {"allowed_amount": 98.5, "providers": [{"billed_charge": 265.0, "npi": [1568806222, 1346347887]}]}, {"allowed_amount": 168.25, "providers": [{"billed_charge": 265.0, "npi": [1700310851]}]}]}, {"tin": {"type": "ein", "value": "592319823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 193.0, "npi": [1306945993, 1427157494]}]}]}, {"tin": {"type": "ein", "value": "592348526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 90.0, "npi": [1114335023]}]}]}, {"tin": {"type": "ein", "value": "592412674"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 177.07, "npi": [1477882223]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 177.07, "npi": [1164541801]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.37, "providers": [{"billed_charge": 238.59, "npi": [1255422127]}]}, {"allowed_amount": 84.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 238.59, "npi": [1922199843, 1629150123, 1790096972, 1336468198]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 238.59, "npi": [1922199843, 1336468198, 1629150123, 1790096972, 1255422127]}]}]}, {"tin": {"type": "ein", "value": "592577628"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 126.0, "npi": [1992782577]}]}, {"allowed_amount": 117.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 126.0, "npi": [1992782577]}]}, {"allowed_amount": 117.49, "providers": [{"billed_charge": 126.0, "npi": [1992782577]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 125.83, "providers": [{"billed_charge": 180.0, "npi": [1164765608, 1861456790]}]}]}, {"tin": {"type": "ein", "value": "592693323"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 110.0, "npi": [1497719611]}]}]}, {"tin": {"type": "ein", "value": "592713805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.15, "providers": [{"billed_charge": 120.0, "npi": [1639132897]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 120.0, "npi": [1639132897]}]}]}, {"tin": {"type": "ein", "value": "592830195"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.01, "providers": [{"billed_charge": 200.0, "npi": [1710073648]}]}]}, {"tin": {"type": "ein", "value": "592898487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.37, "providers": [{"billed_charge": 232.0, "npi": [1275067688, 1679258818, 1659954592]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 155.0, "npi": [1265427728, 1205821170, 1770595571, 1649385733]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 155.0, "npi": [1205821170, 1710972435, 1649385733]}]}]}, {"tin": {"type": "ein", "value": "593072368"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.5, "providers": [{"billed_charge": 177.0, "npi": [1184667198]}]}, {"allowed_amount": 125.83, "providers": [{"billed_charge": 177.0, "npi": [1164510566]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["22", "61", "21"], "payments": [{"allowed_amount": 61.12, "providers": [{"billed_charge": 130.0, "npi": [1992271233, 1255026050, 1487229449, 1922801034, 1679207450, 1598437667, 1679249320, 1609963305, 1457731119, 1104476464, 1487438131, 1154992311, 1023181245, 1205524543, 1285767103, 1790401479, 1730833492, 1396272340, 1336911080, 1407204845, 1962954990, 1578179453]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 130.0, "npi": [1992271233, 1487229449, 1265034763, 1184408460, 1093474835, 1780839449, 1679207450, 1437813664, 1598437667, 1679249320, 1205065513, 1609963305, 1104476464, 1154992311, 1023181245, 1790401479, 1801877576, 1902824139, 1134896079, 1932093010, 1396272340, 1730833492, 1588295901, 1568800613, 1407204845, 1952653180, 1578179453]}]}, {"allowed_amount": 107.85, "providers": [{"billed_charge": 130.0, "npi": [1336911080, 1447809744, 1215475157, 1952653180, 1023181245]}]}, {"allowed_amount": 111.84, "providers": [{"billed_charge": 130.0, "npi": [1568800613]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 180.0, "npi": [1033641436, 1568999548, 1306938774, 1114937075]}]}, {"allowed_amount": 106.41, "providers": [{"billed_charge": 180.0, "npi": [1780812297]}]}, {"allowed_amount": 107.85, "providers": [{"billed_charge": 180.0, "npi": [1306957816, 1992777551]}]}, {"allowed_amount": 125.83, "providers": [{"billed_charge": 180.0, "npi": [1376840157, 1912312794, 1811065949]}]}]}, {"tin": {"type": "ein", "value": "593214635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 320.0, "npi": [1790044725]}]}]}, {"tin": {"type": "ein", "value": "593215680"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 320.0, "npi": [1770571846]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.83, "providers": [{"billed_charge": 162.0, "npi": [1679096085]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 240.0, "npi": [1518257633, 1093003394, 1942614565, 1528248234, 1083841035, 1033160718, 1295266740, 1992157812, 1982050589, 1679890719]}]}, {"allowed_amount": 102.1, "providers": [{"billed_charge": 240.0, "npi": [1982050589, 1063671709, 1568758167]}]}, {"allowed_amount": 103.54, "providers": [{"billed_charge": 240.0, "npi": [1174818058]}]}, {"allowed_amount": 114.32, "providers": [{"billed_charge": 240.0, "npi": [1912184730, 1164842415]}]}]}, {"tin": {"type": "ein", "value": "593285626"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.09, "providers": [{"billed_charge": 100.0, "npi": [1790869006]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 100.0, "npi": [1285085399]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1235425158]}]}]}, {"tin": {"type": "ein", "value": "593311794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 200.0, "npi": [1174510358]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.12, "providers": [{"billed_charge": 335.0, "npi": [1801667464, 1184205775, 1538646047, 1275271215]}]}, {"allowed_amount": 68.31, "providers": [{"billed_charge": 335.0, "npi": [1508358656]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 335.0, "npi": [1821060443, 1548640915, 1245763291, 1952733719]}]}]}, {"tin": {"type": "ein", "value": "593360315"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 180.0, "npi": [1407004708]}]}, {"allowed_amount": 96.35, "providers": [{"billed_charge": 180.0, "npi": [1104166339]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.66, "providers": [{"billed_charge": 432.0, "npi": [1003898982]}]}]}, {"tin": {"type": "ein", "value": "593380987"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 186.0, "npi": [1568802825, 1720466444, 1629489455, 1578191185, 1063745107, 1508445107, 1972658292, 1073507000, 1255623070]}]}, {"allowed_amount": 94.19, "providers": [{"billed_charge": 186.0, "npi": [1265676290, 1285167973]}]}, {"allowed_amount": 147.4, "providers": [{"billed_charge": 186.0, "npi": [1912999665, 1508445107, 1922321868]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.18, "providers": [{"billed_charge": 473.0, "npi": [1265792733, 1073025615]}]}, {"allowed_amount": 235.5, "providers": [{"billed_charge": 473.0, "npi": [1578178638, 1093768772, 1922492206]}]}]}, {"tin": {"type": "ein", "value": "593433619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 90.0, "npi": [1063500692]}]}]}, {"tin": {"type": "ein", "value": "593530305"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 61.12, "providers": [{"billed_charge": 149.0, "npi": [1891176384, 1336792589]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 149.0, "npi": [1942680517, 1336792589, 1851554158]}]}]}, {"tin": {"type": "ein", "value": "593573936"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 120.0, "npi": [1477661825]}]}]}, {"tin": {"type": "ein", "value": "593577370"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 183.4, "npi": [1861498131]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 183.4, "npi": [1689819534]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 22.47, "providers": [{"billed_charge": 180.0, "npi": [1790033157, 1598750085]}]}, {"allowed_amount": 68.31, "providers": [{"billed_charge": 180.0, "npi": [1033401856, 1598750085, 1538471438, 1447483151, 1720614670, 1881662096, 1811382682, 1063867554, 1902218274, 1629488804, 1255543849, 1346771508, 1457607988, 1750377784, 1487601209, 1336552249, 1174049340, 1417181249, 1306229059, 1689023814, 1013443654, 1356752331, 1336448976, 1235364563, 1962740183, 1689105116, 1952713695, 1366670432, 1922427236, 1053746156, 1477972974, 1205808623, 1265953905, 1386107514, 1467643387, 1215499389]}]}, {"allowed_amount": 82.69, "providers": [{"billed_charge": 180.0, "npi": [1811192388, 1619940715, 1639531601, 1003918673, 1326232216, 1598963290]}]}, {"allowed_amount": 87.0, "providers": [{"billed_charge": 180.0, "npi": [1689080475, 1023030012]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 180.0, "npi": [1790033157, 1871590539, 1538471438, 1447483151, 1538327952, 1689314833, 1134488851, 1740245018, 1275914269, 1609189539, 1902555428, 1629488804, 1467687590, 1255543849, 1831696939, 1346771508, 1487072948, 1457607988, 1679728695, 1750377784, 1336552249, 1225472954, 1245736123, 1225262397, 1306229059, 1811192388, 1912534595, 1265962443, 1598991184, 1336448976, 1235364563, 1598963290, 1689105116, 1952713695, 1720515679, 1619940715, 1053746156, 1205808623, 1386204915, 1306192372, 1477847671, 1023030012]}]}, {"allowed_amount": 107.85, "providers": [{"billed_charge": 180.0, "npi": [1720515679]}]}, {"allowed_amount": 147.4, "providers": [{"billed_charge": 180.0, "npi": [1386204915]}]}]}, {"tin": {"type": "ein", "value": "593687303"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.0, "npi": [1043524176, 1548555956]}]}, {"allowed_amount": 111.45, "providers": [{"billed_charge": 155.0, "npi": [1043524176]}]}, {"allowed_amount": 125.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.0, "npi": [1548555956]}]}]}, {"tin": {"type": "ein", "value": "593725900"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.35, "providers": [{"billed_charge": 110.0, "npi": [1972721629]}]}]}, {"tin": {"type": "ein", "value": "593730782"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1619906260]}]}]}, {"tin": {"type": "ein", "value": "594142476"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.69, "providers": [{"billed_charge": 200.0, "npi": [1740244805]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 200.0, "npi": [1740244805]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.81, "providers": [{"billed_charge": 230.0, "npi": [1841369410]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 230.0, "npi": [1073901179, 1063073021]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 230.0, "npi": [1447492913, 1568776771]}]}, {"allowed_amount": 152.62, "providers": [{"billed_charge": 230.0, "npi": [1073901179, 1063073021]}]}, {"allowed_amount": 179.55, "providers": [{"billed_charge": 230.0, "npi": [1891336079]}]}]}, {"tin": {"type": "ein", "value": "598052198"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1093035065]}]}, {"allowed_amount": 84.87, "providers": [{"billed_charge": 153.0, "npi": [1093035065]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 153.0, "npi": [1093035065]}]}]}, {"tin": {"type": "ein", "value": "600099763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 120.0, "npi": [1710990908]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.7, "providers": [{"billed_charge": 300.0, "npi": [1356801039]}]}]}, {"tin": {"type": "ein", "value": "611922162"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 205.0, "providers": [{"billed_charge": 395.1, "npi": [1972360188]}]}]}, {"tin": {"type": "ein", "value": "612037805"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 160.0, "npi": [1023285095, 1740898667, 1750027819, 1972009967, 1609156975, 1114658770, 1063862357, 1205586070, 1487688503, 1972022648, 1992754329, 1235639543, 1508516477]}]}, {"allowed_amount": 94.19, "providers": [{"billed_charge": 160.0, "npi": [1346999562, 1487688503, 1972009967]}]}, {"allowed_amount": 121.51, "providers": [{"billed_charge": 160.0, "npi": [1750027819, 1508516477]}]}, {"allowed_amount": 125.83, "providers": [{"billed_charge": 160.0, "npi": [1346999562, 1992725048, 1609156975, 1205586070, 1972022648, 1992754329, 1508516477]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1740003110, 1740898667, 1114658770, 1740916949, 1235639543, 1629666458]}]}]}, {"tin": {"type": "ein", "value": "612299018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 149.0, "npi": [1316138506]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 149.0, "npi": [1316138506]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.0, "providers": [{"billed_charge": 218.0, "npi": [1174765747]}]}]}, {"tin": {"type": "ein", "value": "621529858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.74, "providers": [{"billed_charge": 138.0, "npi": [1508892688]}]}]}, {"tin": {"type": "ein", "value": "621822362"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 182.0, "npi": [1205400827]}, {"billed_charge": 184.0, "npi": [1255761938]}]}]}, {"tin": {"type": "ein", "value": "621868402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 160.0, "npi": [1962898841]}]}]}, {"tin": {"type": "ein", "value": "630809798"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.65, "providers": [{"billed_charge": 125.0, "npi": [1326781048]}]}]}, {"tin": {"type": "ein", "value": "630889615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1316552979]}]}]}, {"tin": {"type": "ein", "value": "630895841"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1063520278]}]}]}, {"tin": {"type": "ein", "value": "631012832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1033158035]}]}]}, {"tin": {"type": "ein", "value": "636000526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.0, "providers": [{"billed_charge": 93.0, "npi": [1568956829]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 636.0, "npi": [1083616320, 1780247908, 1174586853, 1760799050, 1396240396, 1235190414, 1598725558, 1124221882]}]}, {"allowed_amount": 89.41, "providers": [{"billed_charge": 636.0, "npi": [1225329063, 1154520104, 1215496534, 1346431095, 1912170713, 1710149471]}]}, {"allowed_amount": 89.56, "providers": [{"billed_charge": 636.0, "npi": [1912170713]}]}, {"allowed_amount": 89.81, "providers": [{"billed_charge": 636.0, "npi": [1518321751]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 636.0, "npi": [1649665761, 1235494402, 1225329063, 1629518279, 1316213895, 1760799050, 1396240396, 1528001740, 1477873230, 1003818188, 1164652624, 1255642831, 1699883538, 1437643699, 1518321751, 1245232602, 1962031930]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 636.0, "npi": [1851355523, 1124349220, 1356439855]}]}, {"allowed_amount": 152.62, "providers": [{"billed_charge": 636.0, "npi": [1932644432, 1760085427]}]}]}, {"tin": {"type": "ein", "value": "650057755"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 501.36, "npi": [1780721837]}]}]}, {"tin": {"type": "ein", "value": "650063092"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 180.0, "npi": [1558361543]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 180.0, "npi": [1558361543]}]}]}, {"tin": {"type": "ein", "value": "650084769"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.72, "providers": [{"billed_charge": 96.93, "npi": [1558960393]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 96.93, "npi": [1558960393]}]}]}, {"tin": {"type": "ein", "value": "650130324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 114.15, "npi": [1033151113]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 114.15, "npi": [1033151113]}]}, {"allowed_amount": 114.15, "providers": [{"billed_charge": 114.15, "npi": [1033151113]}]}]}, {"tin": {"type": "ein", "value": "650136946"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 2000.0, "npi": [1710993258]}]}]}, {"tin": {"type": "ein", "value": "650158744"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 110.0, "npi": [1093709859, 1013474188]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 110.0, "npi": [1093709859, 1962663070]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 110.0, "npi": [1962663070]}]}]}, {"tin": {"type": "ein", "value": "650202995"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 440.0, "npi": [1134231368, 1538271762]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 440.0, "npi": [1386811255]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 440.0, "npi": [1386811255]}]}, {"allowed_amount": 129.31, "providers": [{"billed_charge": 440.0, "npi": [1114365855]}]}]}, {"tin": {"type": "ein", "value": "650217209"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 175.0, "npi": [1831154319]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 175.0, "npi": [1831154319]}]}]}, {"tin": {"type": "ein", "value": "650234567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 200.0, "npi": [1407828320]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 200.0, "npi": [1407828320]}]}]}, {"tin": {"type": "ein", "value": "650236433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 159.22, "npi": [1184629800]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 159.22, "npi": [1184629800]}]}]}, {"tin": {"type": "ein", "value": "650262189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 150.0, "npi": [1700831088, 1326050105, 1558317594]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1700831088, 1558317594]}]}]}, {"tin": {"type": "ein", "value": "650264851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 120.0, "npi": [1548283427]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 120.0, "npi": [1548283427]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 314.0, "npi": [1780085548]}]}, {"allowed_amount": 92.46, "providers": [{"billed_charge": 314.0, "npi": [1790329001, 1972877603]}]}, {"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 314.0, "npi": [1972877603, 1780085548, 1528856309]}]}]}, {"tin": {"type": "ein", "value": "650298964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 160.0, "npi": [1841438751]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 160.0, "npi": [1417939141]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 160.0, "npi": [1417939141]}, {"billed_charge": 175.0, "npi": [1417939141]}]}]}, {"tin": {"type": "ein", "value": "650310039"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.01, "providers": [{"billed_charge": 152.0, "npi": [1972569341]}]}]}, {"tin": {"type": "ein", "value": "650311858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 324.0, "npi": [1508354861]}]}]}, {"tin": {"type": "ein", "value": "650332593"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 125.0, "npi": [1295881365]}]}]}, {"tin": {"type": "ein", "value": "650336999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.14, "providers": [{"billed_charge": 125.0, "npi": [1689293151]}]}]}, {"tin": {"type": "ein", "value": "650366342"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 75.37, "providers": [{"billed_charge": 100.0, "npi": [1649384157]}]}, {"allowed_amount": 81.28, "providers": [{"billed_charge": 100.0, "npi": [1063775674]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 100.0, "npi": [1922112440, 1063775674, 1649384157]}]}]}, {"tin": {"type": "ein", "value": "650378641"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 145.0, "npi": [1629040787]}]}]}, {"tin": {"type": "ein", "value": "650432710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 154.0, "npi": [1912170077]}]}]}, {"tin": {"type": "ein", "value": "650450142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 435.0, "npi": [1487692711]}]}]}, {"tin": {"type": "ein", "value": "650450662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 191.0, "npi": [1346363967]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 191.0, "npi": [1346363967]}]}]}, {"tin": {"type": "ein", "value": "650454934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 110.0, "npi": [1306821350]}]}]}, {"tin": {"type": "ein", "value": "650496711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 110.0, "npi": [1154323871]}]}]}, {"tin": {"type": "ein", "value": "650507012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 151.0, "npi": [1720131998]}]}]}, {"tin": {"type": "ein", "value": "650523388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 95.0, "npi": [1366883365]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 95.0, "npi": [1285165068, 1366883365]}]}, {"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1295029635, 1285165068]}]}]}, {"tin": {"type": "ein", "value": "650525731"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 166.0, "npi": [1275533705]}]}]}, {"tin": {"type": "ein", "value": "650532000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.97, "providers": [{"billed_charge": 110.0, "npi": [1679612055]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 110.0, "npi": [1679612055]}]}]}, {"tin": {"type": "ein", "value": "650532318"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1063434371]}]}]}, {"tin": {"type": "ein", "value": "650579690"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.31, "providers": [{"billed_charge": 250.0, "npi": [1912485822]}]}, {"allowed_amount": 241.97, "providers": [{"billed_charge": 250.0, "npi": [1912485822]}]}]}, {"tin": {"type": "ein", "value": "650580501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 159.0, "npi": [1114923703]}]}, {"allowed_amount": 159.0, "providers": [{"billed_charge": 159.0, "npi": [1114923703]}]}]}, {"tin": {"type": "ein", "value": "650589189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 280.0, "npi": [1518066695]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 280.0, "npi": [1518066695]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 285.77, "providers": [{"billed_charge": 414.0, "npi": [1326715418]}, {"billed_charge": 435.0, "npi": [1427054311]}]}]}, {"tin": {"type": "ein", "value": "650661983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 110.0, "npi": [1699863183]}]}, {"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1699863183]}]}]}, {"tin": {"type": "ein", "value": "650672369"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 228.0, "npi": [1801805734]}]}]}, {"tin": {"type": "ein", "value": "650672834"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 105.0, "npi": [1760687842]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 105.0, "npi": [1760687842]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 347.77, "npi": [1003839309, 1851500847, 1821317264, 1699234864, 1215956115, 1548528342, 1558637272]}]}, {"allowed_amount": 96.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 347.77, "npi": [1700104874, 1003839309, 1699234864, 1821317264, 1215956115, 1548528342, 1558637272]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 347.77, "npi": [1699234864, 1851500847]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 347.77, "npi": [1699207241]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 347.77, "npi": [1699207241]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 347.77, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "650683662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 175.0, "npi": [1134263163]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 155.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650696665"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 165.0, "npi": [1861448243]}]}]}, {"tin": {"type": "ein", "value": "650701512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 347.77, "npi": [1003902214]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 347.77, "npi": [1003902214]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 347.77, "npi": [1053407205]}]}]}, {"tin": {"type": "ein", "value": "650701827"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 66.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1255837191]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1205097904]}]}, {"allowed_amount": 117.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1326047432]}]}, {"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1427554856, 1861267890, 1285296251, 1114138815]}]}]}, {"tin": {"type": "ein", "value": "650710550"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 83.32, "providers": [{"billed_charge": 158.0, "npi": [1205815529]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 158.0, "npi": [1205815529]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 158.0, "npi": [1205815529]}]}]}, {"tin": {"type": "ein", "value": "650713133"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 219.0, "npi": [1356091821]}]}]}, {"tin": {"type": "ein", "value": "650770715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1164430716]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 150.0, "npi": [1164430716]}]}]}, {"tin": {"type": "ein", "value": "650790741"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1497959092, 1932267663]}]}, {"allowed_amount": 93.15, "providers": [{"billed_charge": 150.0, "npi": [1497959092]}]}, {"allowed_amount": 94.12, "providers": [{"billed_charge": 150.0, "npi": [1316135320, 1104913185]}]}]}, {"tin": {"type": "ein", "value": "650804844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 89.0, "npi": [1124069992, 1497905269]}]}]}, {"tin": {"type": "ein", "value": "650851352"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 300.0, "npi": [1437184843]}]}]}, {"tin": {"type": "ein", "value": "650856170"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 110.0, "npi": [1750342689]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 110.0, "npi": [1750342689]}]}]}, {"tin": {"type": "ein", "value": "650863823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 150.0, "npi": [1609980531]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1609980531]}]}]}, {"tin": {"type": "ein", "value": "650867203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.18, "providers": [{"billed_charge": 200.0, "npi": [1205809670]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 200.0, "npi": [1205809670]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.49, "providers": [{"billed_charge": 232.0, "npi": [1760477269, 1629235247]}]}]}, {"tin": {"type": "ein", "value": "650868331"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 145.0, "npi": [1578537817]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 145.0, "npi": [1578537817]}]}]}, {"tin": {"type": "ein", "value": "650870793"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 125.0, "npi": [1699881672]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 125.0, "npi": [1699881672]}]}]}, {"tin": {"type": "ein", "value": "650882367"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.4, "providers": [{"billed_charge": 600.0, "npi": [1205879350]}, {"billed_charge": 1188.0, "npi": [1801835418]}]}]}, {"tin": {"type": "ein", "value": "650895895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1124751474, 1376035683, 1336123231]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1124751474]}]}]}, {"tin": {"type": "ein", "value": "650899241"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 146.26, "npi": [1619084456]}]}]}, {"tin": {"type": "ein", "value": "650909168"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 200.0, "npi": [1609828938]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 175.0, "npi": [1912964156]}, {"billed_charge": 200.0, "npi": [1609828938]}]}]}, {"tin": {"type": "ein", "value": "650923588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.12, "providers": [{"billed_charge": 150.0, "npi": [1497919039]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 150.0, "npi": [1497743744, 1497919039]}]}]}, {"tin": {"type": "ein", "value": "650949692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.44, "providers": [{"billed_charge": 464.0, "npi": [1568459048]}]}, {"allowed_amount": 84.87, "providers": [{"billed_charge": 464.0, "npi": [1568459048]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 464.0, "npi": [1568459048]}]}]}, {"tin": {"type": "ein", "value": "650958737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 200.0, "npi": [1013959246]}]}]}, {"tin": {"type": "ein", "value": "650967376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 220.0, "npi": [1134394067, 1881806206]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 220.0, "npi": [1134394067, 1881806206]}]}]}, {"tin": {"type": "ein", "value": "650977950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 190.0, "npi": [1730192758]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 190.0, "npi": [1730192758]}]}]}, {"tin": {"type": "ein", "value": "650980625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 161.0, "npi": [1336233204]}]}]}, {"tin": {"type": "ein", "value": "650983923"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.16, "providers": [{"billed_charge": 139.0, "npi": [1720089204]}]}]}, {"tin": {"type": "ein", "value": "651002459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.37, "providers": [{"billed_charge": 550.0, "npi": [1720737059]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 550.0, "npi": [1720737059, 1447050091]}]}, {"allowed_amount": 100.49, "providers": [{"billed_charge": 550.0, "npi": [1447050091, 1235131103]}]}, {"allowed_amount": 170.83, "providers": [{"billed_charge": 550.0, "npi": [1093332090, 1063413748]}]}]}, {"tin": {"type": "ein", "value": "651002758"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 325.0, "npi": [1649292012]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 325.0, "npi": [1649292012]}]}]}, {"tin": {"type": "ein", "value": "651009275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 150.0, "npi": [1194759928]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1194759928]}]}]}, {"tin": {"type": "ein", "value": "651015825"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.81, "providers": [{"billed_charge": 95.0, "npi": [1720231459, 1063522332]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 95.0, "npi": [1720231459, 1063522332]}]}]}, {"tin": {"type": "ein", "value": "651036209"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 148.0, "npi": [1457015646]}]}, {"allowed_amount": 148.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 148.0, "npi": [1457015646]}]}]}, {"tin": {"type": "ein", "value": "651040252"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 200.0, "npi": [1750438974]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 200.0, "npi": [1750438974]}]}]}, {"tin": {"type": "ein", "value": "651053029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 300.0, "npi": [1811345978]}, {"billed_charge": 500.0, "npi": [1811345978]}, {"billed_charge": 600.0, "npi": [1811345978]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 196.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 124.0, "npi": [1104104264, 1457329450, 1700232667, 1457329468]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 124.0, "npi": [1346745312, 1689295792, 1972686327]}]}, {"allowed_amount": 99.01, "providers": [{"billed_charge": 124.0, "npi": [1689295792]}]}, {"allowed_amount": 124.0, "providers": [{"billed_charge": 124.0, "npi": [1346745312, 1457329450, 1447681846, 1972686327, 1700232667, 1457329468]}]}, {"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1457329450]}]}]}, {"tin": {"type": "ein", "value": "651061342"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.46, "providers": [{"billed_charge": 73.46, "npi": [1730119181]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1669596201]}]}, {"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1669596201]}]}]}, {"tin": {"type": "ein", "value": "651086216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 100.0, "npi": [1609821610]}]}]}, {"tin": {"type": "ein", "value": "651086616"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 550.0, "npi": [1649498635]}]}]}, {"tin": {"type": "ein", "value": "651102146"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1164482782]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 150.0, "npi": [1164482782]}]}]}, {"tin": {"type": "ein", "value": "651157149"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 100.0, "npi": [1689743445]}]}]}, {"tin": {"type": "ein", "value": "651206443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.0, "providers": [{"billed_charge": 148.0, "npi": [1922505866]}]}]}, {"tin": {"type": "ein", "value": "660580501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 159.0, "npi": [1609857598]}]}]}, {"tin": {"type": "ein", "value": "710290019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 135.0, "npi": [1558010561, 1144962002]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 149.0, "npi": [1457303224]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.77, "providers": [{"billed_charge": 162.0, "npi": [1609296649]}]}]}, {"tin": {"type": "ein", "value": "743257962"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 173.0, "npi": [1538337191]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 173.0, "npi": [1538337191]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.35, "providers": [{"billed_charge": 146.0, "npi": [1942581913, 1225003676]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.82, "providers": [{"billed_charge": 177.0, "npi": [1760662282]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.2, "providers": [{"billed_charge": 200.0, "npi": [1235363862]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.98, "providers": [{"billed_charge": 200.0, "npi": [1285308197]}]}]}, {"tin": {"type": "ein", "value": "760617615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.01, "providers": [{"billed_charge": 278.0, "npi": [1124198049]}]}]}, {"tin": {"type": "ein", "value": "770631940"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 300.0, "npi": [1225057193]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 300.0, "npi": [1225057193]}]}]}, {"tin": {"type": "ein", "value": "800006481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.54, "providers": [{"billed_charge": 111.3, "npi": [1013956473]}]}]}, {"tin": {"type": "ein", "value": "800608796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 175.0, "npi": [1285725515]}]}]}, {"tin": {"type": "ein", "value": "800674849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 159.06, "npi": [1144679739]}]}, {"allowed_amount": 99.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 159.06, "npi": [1437492394]}]}]}, {"tin": {"type": "ein", "value": "800841009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.0, "providers": [{"billed_charge": 160.0, "npi": [1245438076]}]}]}, {"tin": {"type": "ein", "value": "800926662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.83, "providers": [{"billed_charge": 144.0, "npi": [1457309411]}]}]}, {"tin": {"type": "ein", "value": "810977823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 125.0, "npi": [1306046214]}]}, {"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1306046214]}]}]}, {"tin": {"type": "ein", "value": "811291017"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 257.0, "npi": [1215160627]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.0, "providers": [{"billed_charge": 105.0, "npi": [1487794715, 1851617021, 1700114998, 1073780987]}]}]}, {"tin": {"type": "ein", "value": "811849493"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 5050.0, "npi": [1437315652]}]}]}, {"tin": {"type": "ein", "value": "812108721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.9, "providers": [{"billed_charge": 148.17, "npi": [1063294197]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 148.17, "npi": [1750562724, 1023829439]}]}, {"allowed_amount": 98.5, "providers": [{"billed_charge": 148.17, "npi": [1639119597]}]}, {"allowed_amount": 106.95, "providers": [{"billed_charge": 148.17, "npi": [1750562724]}]}, {"allowed_amount": 148.17, "providers": [{"billed_charge": 148.17, "npi": [1740077890, 1023829439]}]}]}, {"tin": {"type": "ein", "value": "812611928"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 113.0, "npi": [1932548880]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 0.52, "providers": [{"billed_charge": 307.0, "npi": [1275160970]}]}, {"allowed_amount": 68.31, "providers": [{"billed_charge": 307.0, "npi": [1013591528]}]}, {"allowed_amount": 84.79, "providers": [{"billed_charge": 307.0, "npi": [1144815408]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 263.0, "npi": [1568844017]}, {"billed_charge": 307.0, "npi": [1326350307, 1528446564, 1154523397, 1558317701, 1710318472, 1326785098, 1306596119, 1104168525, 1811048622, 1417323791, 1376924308, 1720584758, 1790930998, 1730310137, 1477815165, 1356460190]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 307.0, "npi": [1164862215, 1275160970, 1699962639, 1902433295, 1619996436, 1639735962, 1043819675, 1598144669, 1871925792, 1184042921, 1144815408, 1164965182, 1578907200, 1336621135, 1093376980, 1881065175, 1083985121, 1992334817, 1235870452]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 307.0, "npi": [1578907200, 1992334817, 1083985121, 1184042921, 1275160970, 1902433295, 1235870452, 1619996436, 1598144669, 1639735962, 1407115389]}]}, {"allowed_amount": 102.37, "providers": [{"billed_charge": 307.0, "npi": [1871925792, 1164862215, 1659789261, 1881065175, 1093839128, 1164965182]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 307.0, "npi": [1083985121, 1619996436, 1164965182]}]}, {"allowed_amount": 125.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 307.0, "npi": [1699425553]}]}, {"allowed_amount": 147.4, "providers": [{"billed_charge": 307.0, "npi": [1639116619]}]}, {"allowed_amount": 165.62, "providers": [{"billed_charge": 307.0, "npi": [1558317701]}]}, {"allowed_amount": 166.23, "providers": [{"billed_charge": 307.0, "npi": [1255220919]}]}, {"allowed_amount": 168.97, "providers": [{"billed_charge": 263.0, "npi": [1750887212]}]}, {"allowed_amount": 169.68, "providers": [{"billed_charge": 307.0, "npi": [1326350307, 1528446564, 1790198000, 1710482161, 1376924308, 1720584758, 1194799288, 1174919898, 1477815165, 1003235359]}]}, {"allowed_amount": 172.9, "providers": [{"billed_charge": 273.0, "npi": [1073254066]}]}]}, {"tin": {"type": "ein", "value": "812753865"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 230.0, "npi": [1801069893]}, {"billed_charge": 255.0, "npi": [1801069893]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 255.0, "npi": [1801069893]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 255.0, "npi": [1801069893]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 230.0, "npi": [1801069893]}, {"billed_charge": 255.0, "npi": [1801069893]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 96.48, "npi": [1497555098, 1275348534, 1235937046]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 96.48, "npi": [1497427322, 1699630939, 1194682732, 1275348534]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.78, "providers": [{"billed_charge": 151.0, "npi": [1043244908, 1578945598, 1255645255]}]}, {"allowed_amount": 29.56, "providers": [{"billed_charge": 151.0, "npi": [1255645255]}]}, {"allowed_amount": 62.81, "providers": [{"billed_charge": 151.0, "npi": [1669467460, 1811978950, 1013229707, 1174554893, 1508847088, 1144781139, 1124120019, 1538321021]}]}, {"allowed_amount": 68.31, "providers": [{"billed_charge": 151.0, "npi": [1023243888, 1245417609, 1295940294]}]}, {"allowed_amount": 77.15, "providers": [{"billed_charge": 151.0, "npi": [1306405840, 1386165793, 1275065492, 1811950132]}]}, {"allowed_amount": 81.28, "providers": [{"billed_charge": 151.0, "npi": [1255645255, 1235624552, 1417391178, 1043244908, 1679772396, 1821190703, 1497943856, 1043312853, 1811929144, 1265462873, 1578945598]}]}, {"allowed_amount": 87.0, "providers": [{"billed_charge": 151.0, "npi": [1285626499, 1134126535]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 151.0, "npi": [1801057096, 1073537650, 1255372199]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 151.0, "npi": [1053352583, 1013229707, 1174554893, 1407887128, 1821190703, 1497943856, 1811929144, 1578945598, 1669467460, 1811978950, 1255645255, 1417391178, 1760643282, 1144781139, 1124120019, 1043312853, 1265462873, 1235624552, 1679772396, 1043244908, 1508847088, 1538321021]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 151.0, "npi": [1386165793, 1871952515, 1811950132, 1275065492]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 151.0, "npi": [1407887128, 1760643282]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 151.0, "npi": [1871952515]}]}, {"allowed_amount": 151.0, "providers": [{"billed_charge": 151.0, "npi": [1801057096, 1124227319, 1255372199]}]}]}, {"tin": {"type": "ein", "value": "812968717"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 175.0, "npi": [1245547223]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 175.0, "npi": [1245547223]}]}]}, {"tin": {"type": "ein", "value": "813080216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 115.0, "npi": [1407815525]}]}]}, {"tin": {"type": "ein", "value": "813158598"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1194815092]}]}]}, {"tin": {"type": "ein", "value": "813505131"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 117.2, "npi": [1619532314, 1447887773]}]}]}, {"tin": {"type": "ein", "value": "813522351"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 720.0, "npi": [1073800520]}]}]}, {"tin": {"type": "ein", "value": "813669955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 201.25, "npi": [1558752618]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 201.25, "npi": [1558752618]}]}]}, {"tin": {"type": "ein", "value": "814015095"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 147.0, "npi": [1467740928, 1043957475, 1912947748]}]}]}, {"tin": {"type": "ein", "value": "814102658"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 145.0, "npi": [1326343534, 1609516863]}]}]}, {"tin": {"type": "ein", "value": "814912881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 200.0, "npi": [1548413024]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 200.0, "npi": [1548413024]}]}]}, {"tin": {"type": "ein", "value": "815026620"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 118.66, "providers": [{"billed_charge": 200.0, "npi": [1871976589]}]}]}, {"tin": {"type": "ein", "value": "815038483"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 159.7, "npi": [1316995129]}]}]}, {"tin": {"type": "ein", "value": "815094291"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 292.0, "npi": [1407433816, 1346551777]}]}]}, {"tin": {"type": "ein", "value": "820821946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 360.0, "npi": [1366430274, 1083880926]}]}, {"allowed_amount": 155.91, "providers": [{"billed_charge": 360.0, "npi": [1689743239]}]}]}, {"tin": {"type": "ein", "value": "821483853"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 175.0, "npi": [1235497520]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 175.0, "npi": [1235497520]}]}]}, {"tin": {"type": "ein", "value": "821746333"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1861709230]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 150.0, "npi": [1861709230]}]}]}, {"tin": {"type": "ein", "value": "821837954"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 250.0, "npi": [1629283460]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 250.0, "npi": [1629283460]}]}]}, {"tin": {"type": "ein", "value": "822030201"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 341.0, "npi": [1649598715]}]}]}, {"tin": {"type": "ein", "value": "822304431"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 250.0, "npi": [1629164439]}]}]}, {"tin": {"type": "ein", "value": "822847999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 280.0, "npi": [1801151899, 1326021197]}]}]}, {"tin": {"type": "ein", "value": "823235514"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 108.0, "npi": [1841491503]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 108.0, "npi": [1841491503]}]}]}, {"tin": {"type": "ein", "value": "823273210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.4, "providers": [{"billed_charge": 110.0, "npi": [1396794186]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 108.0, "npi": [1174848147]}, {"billed_charge": 110.0, "npi": [1174848147]}]}]}, {"tin": {"type": "ein", "value": "823352623"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.24, "providers": [{"billed_charge": 249.0, "npi": [1427001452]}]}]}, {"tin": {"type": "ein", "value": "823362725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 614.19, "npi": [1710281027, 1386225332, 1104908581, 1205578150]}]}]}, {"tin": {"type": "ein", "value": "823782639"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 125.0, "npi": [1275589764]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 125.0, "npi": [1275589764]}]}]}, {"tin": {"type": "ein", "value": "824114929"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 175.0, "npi": [1255376778]}]}]}, {"tin": {"type": "ein", "value": "824392391"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 200.0, "npi": [1134407307]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 200.0, "npi": [1134407307]}]}]}, {"tin": {"type": "ein", "value": "824525580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 165.0, "npi": [1609196989]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 165.0, "npi": [1609196989]}]}, {"allowed_amount": 152.62, "providers": [{"billed_charge": 165.0, "npi": [1184333585]}]}]}, {"tin": {"type": "ein", "value": "824681345"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.25, "providers": [{"billed_charge": 214.0, "npi": [1922034156]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["51", "22", "21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 221.0, "npi": [1174085914, 1194465138, 1295301042, 1871955955, 1134105752, 1801080346]}]}, {"allowed_amount": 71.71, "providers": [{"billed_charge": 221.0, "npi": [1790824936]}]}, {"allowed_amount": 82.69, "providers": [{"billed_charge": 221.0, "npi": [1538519640, 1194711515]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 221.0, "npi": [1376830984, 1952503369, 1356534994, 1134105752, 1578146395]}]}, {"allowed_amount": 212.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 221.0, "npi": [1003578931, 1992954820, 1538775366]}]}, {"allowed_amount": 213.31, "providers": [{"billed_charge": 221.0, "npi": [1780873661]}]}, {"allowed_amount": 221.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 221.0, "npi": [1497149793, 1750393237]}]}]}, {"tin": {"type": "ein", "value": "824899271"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.01, "providers": [{"billed_charge": 230.0, "npi": [1093790313]}]}]}, {"tin": {"type": "ein", "value": "825012837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.5, "providers": [{"billed_charge": 150.0, "npi": [1730479387]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1730479387]}]}]}, {"tin": {"type": "ein", "value": "825210774"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 175.0, "npi": [1235180001]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 175.0, "npi": [1235180001]}]}]}, {"tin": {"type": "ein", "value": "825469903"}, "billing_class": "professional", "service_codes": ["52"], "payments": [{"allowed_amount": 57.31, "providers": [{"billed_charge": 235.0, "npi": [1891230876]}]}, {"allowed_amount": 230.66, "providers": [{"billed_charge": 235.0, "npi": [1891230876]}]}]}, {"tin": {"type": "ein", "value": "825477267"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 104.89, "providers": [{"billed_charge": 728.92, "npi": [1346707783]}]}]}, {"tin": {"type": "ein", "value": "830382654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.85, "providers": [{"billed_charge": 132.18, "npi": [1780664441]}]}]}, {"tin": {"type": "ein", "value": "830799959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.15, "providers": [{"billed_charge": 232.0, "npi": [1013386069]}]}, {"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 232.0, "npi": [1558304261, 1366985285, 1578545257, 1770888489, 1114170222, 1033822325, 1013386069, 1417792920, 1306889050]}]}, {"allowed_amount": 99.22, "providers": [{"billed_charge": 232.0, "npi": [1578545257]}]}, {"allowed_amount": 102.1, "providers": [{"billed_charge": 232.0, "npi": [1306889050]}]}, {"allowed_amount": 107.85, "providers": [{"billed_charge": 232.0, "npi": [1700577178, 1033822325]}]}, {"allowed_amount": 111.84, "providers": [{"billed_charge": 232.0, "npi": [1366985285, 1831348333, 1770070898, 1336284660, 1033822325, 1013386069, 1417792920, 1700577178]}]}, {"allowed_amount": 125.9, "providers": [{"billed_charge": 232.0, "npi": [1770888489]}]}, {"allowed_amount": 166.23, "providers": [{"billed_charge": 232.0, "npi": [1710645999]}]}]}, {"tin": {"type": "ein", "value": "831032622"}, "billing_class": "professional", "service_codes": ["51", "55"], "payments": [{"allowed_amount": 142.0, "providers": [{"billed_charge": 142.0, "npi": [1841699659]}]}, {"allowed_amount": 166.0, "providers": [{"billed_charge": 166.0, "npi": [1841699659]}]}]}, {"tin": {"type": "ein", "value": "831159063"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.09, "providers": [{"billed_charge": 107.0, "npi": [1730327099]}]}]}, {"tin": {"type": "ein", "value": "831273357"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 201.25, "npi": [1871833491]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 201.25, "npi": [1871833491]}]}]}, {"tin": {"type": "ein", "value": "831606709"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 150.0, "npi": [1144596057]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1144596057]}]}]}, {"tin": {"type": "ein", "value": "831809129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.87, "providers": [{"billed_charge": 212.0, "npi": [1902989866, 1659786051]}]}]}, {"tin": {"type": "ein", "value": "831912307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 228.0, "npi": [1851611768, 1265453245]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 228.0, "npi": [1851611768, 1265453245]}]}]}, {"tin": {"type": "ein", "value": "831918740"}, "billing_class": "professional", "service_codes": ["02", "56", "55", "21"], "payments": [{"allowed_amount": 57.31, "providers": [{"billed_charge": 250.0, "npi": [1861091308]}]}, {"allowed_amount": 71.71, "providers": [{"billed_charge": 250.0, "npi": [1043299456]}]}, {"allowed_amount": 109.02, "providers": [{"billed_charge": 250.0, "npi": [1043299456]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1043299456]}]}]}, {"tin": {"type": "ein", "value": "832188056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.1, "providers": [{"billed_charge": 250.0, "npi": [1023371796]}]}]}, {"tin": {"type": "ein", "value": "832309162"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 295.0, "npi": [1861435026]}]}]}, {"tin": {"type": "ein", "value": "833126409"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.83, "providers": [{"billed_charge": 144.0, "npi": [1922276153]}]}]}, {"tin": {"type": "ein", "value": "833150521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.66, "providers": [{"billed_charge": 295.0, "npi": [1073719084]}]}]}, {"tin": {"type": "ein", "value": "833191371"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 144.0, "npi": [1194150698]}]}, {"allowed_amount": 125.83, "providers": [{"billed_charge": 144.0, "npi": [1194150698]}]}]}, {"tin": {"type": "ein", "value": "833317873"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.4, "providers": [{"billed_charge": 255.0, "npi": [1306858352]}]}]}, {"tin": {"type": "ein", "value": "833546595"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 150.0, "npi": [1528492949]}]}]}, {"tin": {"type": "ein", "value": "833547668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.46, "providers": [{"billed_charge": 1080.0, "npi": [1427877265]}]}]}, {"tin": {"type": "ein", "value": "833553816"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 250.0, "npi": [1902037468]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 250.0, "npi": [1902037468]}]}]}, {"tin": {"type": "ein", "value": "834257679"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.65, "providers": [{"billed_charge": 235.0, "npi": [1710244835]}]}]}, {"tin": {"type": "ein", "value": "834291053"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 120.0, "npi": [1578918470]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 120.0, "npi": [1578918470]}]}]}, {"tin": {"type": "ein", "value": "834594332"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 160.0, "npi": [1457801441]}]}]}, {"tin": {"type": "ein", "value": "841958549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1730112715]}]}]}, {"tin": {"type": "ein", "value": "842123251"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.83, "providers": [{"billed_charge": 355.0, "npi": [1912297920]}]}]}, {"tin": {"type": "ein", "value": "842490149"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.29, "providers": [{"billed_charge": 120.0, "npi": [1740750322]}, {"billed_charge": 200.0, "npi": [1740750322]}]}, {"allowed_amount": 46.02, "providers": [{"billed_charge": 120.0, "npi": [1740750322]}]}, {"allowed_amount": 81.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 120.0, "npi": [1740750322]}, {"billed_charge": 200.0, "npi": [1740750322]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 120.0, "npi": [1740750322]}, {"billed_charge": 200.0, "npi": [1740750322]}]}, {"allowed_amount": 152.94, "providers": [{"billed_charge": 120.0, "npi": [1740750322]}]}]}, {"tin": {"type": "ein", "value": "842805012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 350.0, "npi": [1669863189]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 350.0, "npi": [1669863189]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 350.0, "npi": [1669863189]}]}]}, {"tin": {"type": "ein", "value": "842840521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 113.0, "npi": [1871782268]}]}, {"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1871782268]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.78, "providers": [{"billed_charge": 296.0, "npi": [1699017681, 1154792059]}]}, {"allowed_amount": 69.86, "providers": [{"billed_charge": 296.0, "npi": [1982050688]}]}, {"allowed_amount": 71.71, "providers": [{"billed_charge": 296.0, "npi": [1982050688, 1932844040, 1952791824, 1164918645, 1508001496, 1801121306]}]}, {"allowed_amount": 75.37, "providers": [{"billed_charge": 200.0, "npi": [1801423868, 1952987463]}, {"billed_charge": 296.0, "npi": [1013593425]}]}, {"allowed_amount": 88.67, "providers": [{"billed_charge": 296.0, "npi": [1689096604]}]}, {"allowed_amount": 89.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1114244993, 1326577925, 1104314889, 1083677322, 1417243536, 1669863189, 1942485289, 1760794556, 1104404292, 1871881797, 1801116231, 1952920779, 1467080796, 1619532124, 1548413024, 1699234401, 1114112240, 1487232369, 1154792059]}, {"billed_charge": 296.0, "npi": [1114244993, 1972243970, 1326577925, 1689975310, 1609454479, 1588957328, 1114999695, 1831350933, 1497261721, 1871768861, 1679843494, 1114501038, 1629657135, 1477085744, 1508506163, 1154645430, 1801158969, 1184236473, 1760794556, 1053666495, 1730429762, 1104404292, 1871881797, 1801116231, 1952920779, 1174882906, 1467080796, 1619532124, 1548413024, 1235542507, 1962142828, 1386118511, 1114112240, 1487232369, 1386065142, 1154792059]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 296.0, "npi": [1972243970, 1578541058, 1932844040, 1629714456, 1659990554, 1801121306, 1649665571, 1053761064, 1629657135, 1508506163, 1871881797, 1801116231, 1174882906, 1467080796, 1316180060, 1326301789, 1548413024, 1962142828, 1962039925, 1154792059, 1083677322, 1588957328, 1831350933, 1497261721, 1245693597, 1679843494, 1053666495, 1174792899, 1689253064, 1952920779, 1124475090, 1508284118, 1508001496, 1114504420, 1659663078, 1538491626, 1114112240, 1386065142, 1295115012, 1326577925, 1699962639, 1952791824, 1174800148, 1669863189, 1871768861, 1134625064, 1942485289, 1356636971, 1801158969, 1104566074, 1639273790, 1730429762, 1104404292, 1891114823, 1952987463, 1477752137, 1013593425, 1619532124, 1366683997, 1386118511, 1861462384, 1487232369, 1164918645, 1982050688, 1114244993, 1720665474, 1730717059, 1235534215, 1609454479, 1114999695, 1417243536, 1790425502, 1013180843, 1114501038, 1154645430, 1760794556, 1699017681, 1124006879, 1235542507]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 296.0, "npi": [1720665474]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 296.0, "npi": [1689061681]}]}, {"allowed_amount": 99.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1982050688, 1235534215, 1083677322, 1699962639, 1174800148, 1659990554, 1649665571, 1942485289, 1356636971, 1508506163, 1154645430, 1891114823, 1801116231, 1124475090, 1508001496, 1366683997, 1124006879, 1033605605, 1164918645]}, {"billed_charge": 296.0, "npi": [1982050688, 1578541058, 1235534215, 1932844040, 1083677322, 1699962639, 1952791824, 1174800148, 1831350933, 1497261721, 1659990554, 1588304539, 1801121306, 1245693597, 1790425502, 1649665571, 1053761064, 1942485289, 1356636971, 1497495345, 1154645430, 1104566074, 1639273790, 1174792899, 1891114823, 1477752137, 1124475090, 1508001496, 1316180060, 1366683997, 1124006879, 1750958179, 1538491626, 1861462384, 1164918645, 1962039925, 1952051831]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 296.0, "npi": [1649665571, 1659663078]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 200.0, "npi": [1376216887, 1801416623]}]}, {"allowed_amount": 155.91, "providers": [{"billed_charge": 200.0, "npi": [1013180843]}, {"billed_charge": 296.0, "npi": [1013180843]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1952791824]}]}, {"allowed_amount": 202.46, "providers": [{"billed_charge": 296.0, "npi": [1134625064, 1508284118]}]}, {"allowed_amount": 203.52, "providers": [{"billed_charge": 296.0, "npi": [1265073159]}]}, {"allowed_amount": 271.36, "providers": [{"billed_charge": 296.0, "npi": [1982050688, 1932844040, 1538491626, 1952791824, 1164918645, 1508001496, 1801121306]}]}, {"allowed_amount": 283.62, "providers": [{"billed_charge": 296.0, "npi": [1932844040, 1538491626]}]}]}, {"tin": {"type": "ein", "value": "843260543"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 130.0, "npi": [1063600872]}]}, {"allowed_amount": 84.87, "providers": [{"billed_charge": 130.0, "npi": [1063600872]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 306.12, "npi": [1235148370]}]}]}, {"tin": {"type": "ein", "value": "843467601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.9, "providers": [{"billed_charge": 200.0, "npi": [1063862837]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 200.0, "npi": [1063862837, 1932094414]}]}]}, {"tin": {"type": "ein", "value": "843653826"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 152.0, "npi": [1205260221]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 152.0, "npi": [1205260221]}]}]}, {"tin": {"type": "ein", "value": "843785275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 400.0, "npi": [1760794556]}]}]}, {"tin": {"type": "ein", "value": "843845474"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.46, "providers": [{"billed_charge": 152.0, "npi": [1174125512]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 152.0, "npi": [1174125512]}]}]}, {"tin": {"type": "ein", "value": "844424454"}, "billing_class": "professional", "service_codes": ["22", "61", "21"], "payments": [{"allowed_amount": 61.12, "providers": [{"billed_charge": 221.0, "npi": [1649052994, 1104498997]}]}, {"allowed_amount": 68.31, "providers": [{"billed_charge": 221.0, "npi": [1639174212, 1750791166]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 221.0, "npi": [1356326995, 1457664195]}]}]}, {"tin": {"type": "ein", "value": "844991122"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 230.0, "npi": [1265769822]}, {"billed_charge": 255.0, "npi": [1265769822]}, {"billed_charge": 385.0, "npi": [1265769822]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 230.0, "npi": [1265769822]}, {"billed_charge": 255.0, "npi": [1265769822]}]}]}, {"tin": {"type": "ein", "value": "845050607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 235.0, "npi": [1104469519]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 235.0, "npi": [1104469519]}]}]}, {"tin": {"type": "ein", "value": "845071288"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 205.95, "npi": [1972921617]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 205.95, "npi": [1972921617]}]}]}, {"tin": {"type": "ein", "value": "850548129"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.19, "providers": [{"billed_charge": 143.8, "npi": [1962558171]}]}]}, {"tin": {"type": "ein", "value": "850725636"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 250.0, "npi": [1659754919]}]}]}, {"tin": {"type": "ein", "value": "850808438"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 167.0, "npi": [1932548542]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 167.0, "npi": [1932548542]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 167.0, "npi": [1932548542]}]}]}, {"tin": {"type": "ein", "value": "852012444"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 210.0, "npi": [1033581699]}]}, {"allowed_amount": 111.87, "providers": [{"billed_charge": 210.0, "npi": [1033581699]}]}]}, {"tin": {"type": "ein", "value": "852130594"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.48, "providers": [{"billed_charge": 500.0, "npi": [1780019448, 1134861636]}]}]}, {"tin": {"type": "ein", "value": "852480979"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 145.0, "npi": [1801327572]}]}]}, {"tin": {"type": "ein", "value": "853037814"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 104.15, "npi": [1568927648, 1457839987, 1548794878]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 104.15, "npi": [1568927648, 1073667770, 1457839987, 1548794878]}, {"billed_charge": 190.28, "npi": [1073667770]}]}, {"allowed_amount": 104.15, "providers": [{"billed_charge": 104.15, "npi": [1073667770]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 190.28, "npi": [1073667770]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.2, "providers": [{"billed_charge": 454.0, "npi": [1225520901]}]}, {"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 454.0, "npi": [1225520901, 1215279625, 1427233006, 1174886386, 1972745438]}]}, {"allowed_amount": 100.49, "providers": [{"billed_charge": 454.0, "npi": [1437116308]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 454.0, "npi": [1225520901, 1215279625, 1427233006, 1174886386, 1972745438]}]}]}, {"tin": {"type": "ein", "value": "853271503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 350.0, "npi": [1740801760, 1780225052]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 300.0, "npi": [1437773868, 1922397132, 1396038766]}, {"billed_charge": 350.0, "npi": [1740801760, 1780225052]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 300.0, "npi": [1437773868]}, {"billed_charge": 350.0, "npi": [1740801760]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 300.0, "npi": [1922397132, 1437773868]}, {"billed_charge": 350.0, "npi": [1740702448, 1396038766]}]}]}, {"tin": {"type": "ein", "value": "853646513"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 700.0, "npi": [1205282688, 1356307748, 1639514086, 1164877866, 1538725171, 1134640212, 1952985814, 1669975447, 1174919898, 1033267679]}]}, {"allowed_amount": 94.19, "providers": [{"billed_charge": 700.0, "npi": [1356307748]}]}, {"allowed_amount": 169.68, "providers": [{"billed_charge": 700.0, "npi": [1093859746, 1275568131, 1417452707, 1942733258, 1164622155, 1801233077, 1790930998]}]}]}, {"tin": {"type": "ein", "value": "853888725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 185.0, "npi": [1558801159]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 185.0, "npi": [1558801159]}]}]}, {"tin": {"type": "ein", "value": "861112292"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.84, "providers": [{"billed_charge": 120.0, "npi": [1861402505]}]}]}, {"tin": {"type": "ein", "value": "861978414"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 150.0, "npi": [1831786516]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1831786516]}]}]}, {"tin": {"type": "ein", "value": "862458650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 169.0, "npi": [1396286225, 1902629124]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 169.0, "npi": [1396286225, 1902629124]}]}]}, {"tin": {"type": "ein", "value": "863265908"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 150.0, "npi": [1407092562, 1306069562]}]}, {"allowed_amount": 89.88, "providers": [{"billed_charge": 150.0, "npi": [1407092562]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 304.0, "npi": [1417396193, 1023436235, 1417274481, 1619214707, 1225527898]}]}]}, {"tin": {"type": "ein", "value": "863616061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 131.0, "npi": [1629538442]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 131.0, "npi": [1629538442]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 131.0, "npi": [1629538442]}]}, {"allowed_amount": 131.0, "providers": [{"billed_charge": 131.0, "npi": [1629538442]}]}]}, {"tin": {"type": "ein", "value": "871278138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 135.0, "npi": [1821048968]}, {"billed_charge": 200.0, "npi": [1821048968]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 135.0, "npi": [1821048968]}, {"billed_charge": 200.0, "npi": [1821048968]}]}]}, {"tin": {"type": "ein", "value": "871439061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 120.0, "npi": [1023451713]}]}]}, {"tin": {"type": "ein", "value": "872481943"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 165.18, "npi": [1487933685]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 165.18, "npi": [1487933685]}]}]}, {"tin": {"type": "ein", "value": "873049307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.01, "providers": [{"billed_charge": 150.0, "npi": [1487219721]}]}]}, {"tin": {"type": "ein", "value": "873529370"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 130.0, "npi": [1295773307]}]}]}, {"tin": {"type": "ein", "value": "873722274"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.45, "providers": [{"billed_charge": 120.0, "npi": [1023329992]}]}]}, {"tin": {"type": "ein", "value": "873773831"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 240.0, "npi": [1508272295]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.57, "providers": [{"billed_charge": 255.0, "npi": [1710227954]}]}, {"allowed_amount": 118.66, "providers": [{"billed_charge": 255.0, "npi": [1407167919]}]}]}, {"tin": {"type": "ein", "value": "880633471"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 398.0, "npi": [1811444110, 1336601343]}]}, {"allowed_amount": 100.66, "providers": [{"billed_charge": 398.0, "npi": [1730494741, 1053677047]}]}]}, {"tin": {"type": "ein", "value": "880770500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.97, "providers": [{"billed_charge": 149.0, "npi": [1346771912]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 149.0, "npi": [1346771912]}]}]}, {"tin": {"type": "ein", "value": "880976503"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 230.0, "npi": [1912464710]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 230.0, "npi": [1568927648, 1912464710]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 171.0, "npi": [1649418104, 1578650362, 1174813133]}]}, {"allowed_amount": 142.47, "providers": [{"billed_charge": 171.0, "npi": [1174813133]}]}]}, {"tin": {"type": "ein", "value": "881133167"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 200.0, "npi": [1104357946]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 200.0, "npi": [1104357946]}]}]}, {"tin": {"type": "ein", "value": "881407702"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.01, "providers": [{"billed_charge": 200.0, "npi": [1922565027]}]}]}, {"tin": {"type": "ein", "value": "881463522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 238.59, "npi": [1699304956]}]}]}, {"tin": {"type": "ein", "value": "881882871"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 158.6, "npi": [1417261611]}]}, {"allowed_amount": 99.22, "providers": [{"billed_charge": 158.6, "npi": [1639482391]}]}]}, {"tin": {"type": "ein", "value": "882357751"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 152.0, "npi": [1265993232]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 152.0, "npi": [1265993232]}]}]}, {"tin": {"type": "ein", "value": "882780773"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.4, "providers": [{"billed_charge": 240.0, "npi": [1720222102]}]}]}, {"tin": {"type": "ein", "value": "882783330"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.07, "providers": [{"billed_charge": 154.12, "npi": [1285089649, 1750745188]}]}]}, {"tin": {"type": "ein", "value": "883157983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.14, "providers": [{"billed_charge": 145.0, "npi": [1184337818]}]}, {"allowed_amount": 84.87, "providers": [{"billed_charge": 145.0, "npi": [1295782209]}]}]}, {"tin": {"type": "ein", "value": "883503551"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 160.0, "npi": [1457467045]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1245010008]}]}]}, {"tin": {"type": "ein", "value": "884138898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 369.44, "npi": [1174886386]}]}, {"allowed_amount": 123.4, "providers": [{"billed_charge": 369.44, "npi": [1174886386]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 270.0, "npi": [1568586162]}]}]}, {"tin": {"type": "ein", "value": "900040953"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 120.0, "npi": [1669468864]}]}, {"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1669468864]}]}]}, {"tin": {"type": "ein", "value": "900123960"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.77, "providers": [{"billed_charge": 128.0, "npi": [1174288427]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.32, "providers": [{"billed_charge": 201.0, "npi": [1235313461]}]}, {"allowed_amount": 135.71, "providers": [{"billed_charge": 201.0, "npi": [1518025675]}]}, {"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1578641825, 1013370964, 1598387789]}]}]}, {"tin": {"type": "ein", "value": "900730397"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.9, "providers": [{"billed_charge": 237.0, "npi": [1730140781]}]}]}, {"tin": {"type": "ein", "value": "900743550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.0, "providers": [{"billed_charge": 132.0, "npi": [1649408659, 1508324351]}]}]}, {"tin": {"type": "ein", "value": "901116751"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.9, "providers": [{"billed_charge": 237.0, "npi": [1992067672, 1255620019]}]}]}, {"tin": {"type": "ein", "value": "912073120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.2, "providers": [{"billed_charge": 299.0, "npi": [1184245128]}]}]}, {"tin": {"type": "ein", "value": "920504952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 163.41, "npi": [1376898122]}]}]}, {"tin": {"type": "ein", "value": "920741055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.15, "providers": [{"billed_charge": 190.0, "npi": [1174906861]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 190.0, "npi": [1174906861]}]}]}, {"tin": {"type": "ein", "value": "920813815"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 312.0, "npi": [1861697948]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 244.0, "npi": [1215565536, 1871578088]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 244.0, "npi": [1295935120, 1457096893]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 244.0, "npi": [1194979591, 1518522572, 1134418668, 1437773868, 1578555249, 1902158934, 1326159385, 1801151899]}]}, {"allowed_amount": 98.93, "providers": [{"billed_charge": 244.0, "npi": [1265105472]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 244.0, "npi": [1194979591, 1467871863, 1518522572, 1437773868, 1598087280, 1578555249, 1902158934, 1144885526, 1801151899]}]}]}, {"tin": {"type": "ein", "value": "921409318"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 101.25, "providers": [{"billed_charge": 200.0, "npi": [1235723297]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.32, "providers": [{"billed_charge": 398.0, "npi": [1609586734]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 398.0, "npi": [1588145932]}]}]}, {"tin": {"type": "ein", "value": "922116659"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 398.0, "npi": [1306586151]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 398.0, "npi": [1386030716, 1255999470, 1053994855]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 398.0, "npi": [1689061681, 1033452677]}]}, {"allowed_amount": 102.1, "providers": [{"billed_charge": 398.0, "npi": [1477937829]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 398.0, "npi": [1376865923, 1033452677, 1508506288, 1689061681, 1063916690, 1477182806, 1972243608, 1073263067]}]}, {"allowed_amount": 136.7, "providers": [{"billed_charge": 398.0, "npi": [1578144952]}]}, {"allowed_amount": 166.23, "providers": [{"billed_charge": 398.0, "npi": [1144620972]}]}, {"allowed_amount": 168.25, "providers": [{"billed_charge": 398.0, "npi": [1962030684]}]}, {"allowed_amount": 168.97, "providers": [{"billed_charge": 398.0, "npi": [1801275276]}]}, {"allowed_amount": 169.68, "providers": [{"billed_charge": 398.0, "npi": [1780205740]}]}, {"allowed_amount": 172.9, "providers": [{"billed_charge": 398.0, "npi": [1295475697]}]}, {"allowed_amount": 241.52, "providers": [{"billed_charge": 398.0, "npi": [1558386920]}]}]}, {"tin": {"type": "ein", "value": "922137152"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 100.66, "providers": [{"billed_charge": 398.0, "npi": [1982066346]}]}]}, {"tin": {"type": "ein", "value": "922342411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 154.5, "npi": [1902419294]}]}, {"allowed_amount": 154.5, "providers": [{"billed_charge": 154.5, "npi": [1609119577]}]}]}, {"tin": {"type": "ein", "value": "922850612"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 175.0, "npi": [1679732374]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 175.0, "npi": [1679732374]}]}]}, {"tin": {"type": "ein", "value": "923260946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 230.0, "npi": [1992016497, 1689814493]}]}, {"allowed_amount": 115.73, "providers": [{"billed_charge": 230.0, "npi": [1992016497]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 230.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "923470549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.46, "providers": [{"billed_charge": 120.0, "npi": [1972904324]}, {"billed_charge": 200.0, "npi": [1972904324]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 200.0, "npi": [1972904324]}]}]}, {"tin": {"type": "ein", "value": "923498310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 154.3, "npi": [1720574411]}]}]}, {"tin": {"type": "ein", "value": "923763921"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.3, "providers": [{"billed_charge": 504.0, "npi": [1376907196]}]}]}, {"tin": {"type": "ein", "value": "931357152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 10100.0, "npi": [1508285941]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 10100.0, "npi": [1508285941]}]}]}, {"tin": {"type": "ein", "value": "931523968"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 157.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "931655647"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 157.0, "npi": [1346864931]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 157.0, "npi": [1346864931]}]}]}, {"tin": {"type": "ein", "value": "931879238"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 224.0, "npi": [1689061681]}]}]}, {"tin": {"type": "ein", "value": "931884363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 110.84, "npi": [1083952493]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 110.84, "npi": [1083952493]}]}]}, {"tin": {"type": "ein", "value": "932033486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 221.67, "npi": [1144540386]}]}, {"allowed_amount": 134.48, "providers": [{"billed_charge": 221.67, "npi": [1144540386]}]}]}, {"tin": {"type": "ein", "value": "932247745"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 130.0, "npi": [1972008944]}]}]}, {"tin": {"type": "ein", "value": "932313410"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.86, "providers": [{"billed_charge": 347.0, "npi": [1093148769]}]}]}, {"tin": {"type": "ein", "value": "932430595"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.1, "providers": [{"billed_charge": 125.0, "npi": [1518160266]}]}]}, {"tin": {"type": "ein", "value": "933832553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 148.0, "npi": [1598905754]}]}]}, {"tin": {"type": "ein", "value": "934267912"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.86, "providers": [{"billed_charge": 147.72, "npi": [1235106154]}]}]}, {"tin": {"type": "ein", "value": "943192446"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.29, "providers": [{"billed_charge": 285.0, "npi": [1851592844]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 476.0, "npi": [1851898662, 1013463785, 1518247600, 1538482260, 1093342677, 1881818037, 1104576636]}]}, {"allowed_amount": 109.13, "providers": [{"billed_charge": 476.0, "npi": [1477900421]}]}, {"allowed_amount": 144.23, "providers": [{"billed_charge": 476.0, "npi": [1083291330]}]}, {"allowed_amount": 168.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 476.0, "npi": [1689134496, 1992371173, 1144884040, 1083666762, 1093014318, 1457871378, 1578531513, 1093342677, 1912587510, 1417449273, 1568923514]}]}, {"allowed_amount": 169.68, "providers": [{"billed_charge": 476.0, "npi": [1669102356]}]}, {"allowed_amount": 476.0, "providers": [{"billed_charge": 476.0, "npi": [1568923514, 1912587510]}]}]}, {"tin": {"type": "ein", "value": "943439188"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 165.0, "npi": [1649683566]}]}, {"allowed_amount": 98.5, "providers": [{"billed_charge": 165.0, "npi": [1942706536, 1417342817, 1508950692, 1235592510]}]}, {"allowed_amount": 165.0, "providers": [{"billed_charge": 165.0, "npi": [1649683566]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.48, "providers": [{"billed_charge": 284.0, "npi": [1255502506]}]}]}, {"tin": {"type": "ein", "value": "990403826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 170.0, "npi": [1992902753]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 170.0, "npi": [1992902753]}]}]}, {"tin": {"type": "ein", "value": "990685574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 170.0, "npi": [1053374017]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 170.0, "npi": [1053374017]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1669849741]}]}]}, {"tin": {"type": "ein", "value": "991437415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "providers": [{"billed_charge": 222.0, "npi": [1225520901]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1987.06, "npi": [1043751449, 1356766554, 1699081117, 1194258350]}]}, {"allowed_amount": 123.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1987.06, "npi": [1356766554, 1699081117, 1194258350]}]}]}, {"tin": {"type": "ein", "value": "991683336"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.75, "providers": [{"billed_charge": 200.0, "npi": [1245770163]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 109.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 142.0, "npi": [1982283073, 1629197041, 1538398540, 1033639687]}]}]}, {"tin": {"type": "ein", "value": "992527322"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.87, "providers": [{"billed_charge": 720.0, "npi": [1174866339]}]}]}, {"tin": {"type": "ein", "value": "992536327"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.88, "providers": [{"billed_charge": 395.1, "npi": [1548819584, 1851921928, 1265953137, 1831801216]}]}, {"allowed_amount": 125.83, "providers": [{"billed_charge": 395.1, "npi": [1265953137]}]}, {"allowed_amount": 166.23, "providers": [{"billed_charge": 395.1, "npi": [1851921928, 1831801216]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 81.28, "providers": [{"billed_charge": 270.0, "npi": [1801226956]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 270.0, "npi": [1386752962, 1821633603, 1003649476, 1104195973, 1447820006, 1689081119, 1841691656, 1801324645, 1376306597, 1619777612, 1255951695, 1659726289, 1780689331, 1801050356, 1154859544, 1477103323, 1881012060, 1225324767]}]}, {"allowed_amount": 96.06, "providers": [{"billed_charge": 270.0, "npi": [1356582381]}]}, {"allowed_amount": 99.75, "providers": [{"billed_charge": 270.0, "npi": [1659900082]}]}, {"allowed_amount": 100.49, "providers": [{"billed_charge": 270.0, "npi": [1801859202]}]}, {"allowed_amount": 103.63, "providers": [{"billed_charge": 270.0, "npi": [1427469873]}]}, {"allowed_amount": 110.84, "providers": [{"billed_charge": 270.0, "npi": [1225324767]}]}, {"allowed_amount": 121.18, "providers": [{"billed_charge": 270.0, "npi": [1780160457]}]}, {"allowed_amount": 147.6, "providers": [{"billed_charge": 270.0, "npi": [1063932192, 1750021580]}]}, {"allowed_amount": 170.83, "providers": [{"billed_charge": 270.0, "npi": [1821633603, 1619777612, 1477103323]}]}, {"allowed_amount": 173.64, "providers": [{"billed_charge": 270.0, "npi": [1437140480, 1144216078, 1255957775, 1417352592, 1689081119, 1346256419, 1255080115, 1326542135, 1336674233, 1083900476, 1508494014, 1356331714, 1689007171, 1841421534, 1033315940, 1134431463, 1346477288, 1982723821, 1295972206, 1932293883]}]}]}, {"tin": {"type": "ein", "value": "992902671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.41, "providers": [{"billed_charge": 150.0, "npi": [1700826807]}]}, {"allowed_amount": 92.36, "providers": [{"billed_charge": 150.0, "npi": [1700826807]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 150.0, "npi": [1700826807]}]}, {"allowed_amount": 135.01, "providers": [{"billed_charge": 150.0, "npi": [1700826807]}]}]}, {"tin": {"type": "ein", "value": "994517180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1700826807]}]}, {"allowed_amount": 96.44, "providers": [{"billed_charge": 230.0, "npi": [1083600803]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.44, "providers": [{"billed_charge": 250.0, "npi": [1306158191]}]}]}]}, {"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": "010651490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.26, "providers": [{"billed_charge": 70.0, "npi": [1528355922]}]}]}, {"tin": {"type": "ein", "value": "010962025"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1497420509]}]}]}, {"tin": {"type": "ein", "value": "050577791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.33, "providers": [{"billed_charge": 100.0, "npi": [1053378893]}]}]}, {"tin": {"type": "ein", "value": "061330992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.26, "providers": [{"billed_charge": 149.0, "npi": [1205349669, 1497932867, 1033153093]}]}, {"allowed_amount": 74.42, "providers": [{"billed_charge": 149.0, "npi": [1639743792, 1093452682]}]}]}, {"tin": {"type": "ein", "value": "112781622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.75, "providers": [{"billed_charge": 100.0, "npi": [1437654662]}]}]}, {"tin": {"type": "ein", "value": "119800956"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.4, "providers": [{"billed_charge": 100.0, "npi": [1770591638]}]}]}, {"tin": {"type": "ein", "value": "134290167"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.79, "providers": [{"billed_charge": 72.0, "npi": [1972595536]}]}]}, {"tin": {"type": "ein", "value": "200060013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.26, "providers": [{"billed_charge": 105.0, "npi": [1750470316]}]}]}, {"tin": {"type": "ein", "value": "200758009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 300.0, "npi": [1336310572]}]}]}, {"tin": {"type": "ein", "value": "201132386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 200.0, "npi": [1114952413]}]}]}, {"tin": {"type": "ein", "value": "201271870"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.33, "providers": [{"billed_charge": 80.0, "npi": [1720165012]}]}]}, {"tin": {"type": "ein", "value": "201357375"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.29, "providers": [{"billed_charge": 102.0, "npi": [1972256287]}]}]}, {"tin": {"type": "ein", "value": "202364772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 105.0, "npi": [1518157601]}]}]}, {"tin": {"type": "ein", "value": "202396250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 150.0, "npi": [1720037690]}]}]}, {"tin": {"type": "ein", "value": "203059260"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.02, "providers": [{"billed_charge": 109.0, "npi": [1467609446]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 159.0, "npi": [1740028687]}]}, {"allowed_amount": 103.84, "providers": [{"billed_charge": 159.0, "npi": [1336863414]}]}]}, {"tin": {"type": "ein", "value": "204366463"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 124.0, "npi": [1194715607]}]}]}, {"tin": {"type": "ein", "value": "204389641"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 75.89, "npi": [1942894837]}]}]}, {"tin": {"type": "ein", "value": "204600646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.36, "providers": [{"billed_charge": 110.36, "npi": [1023234689, 1932707197]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.28, "providers": [{"billed_charge": 193.0, "npi": [1972182103]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.57, "providers": [{"billed_charge": 171.0, "npi": [1609809011, 1356081236]}]}, {"allowed_amount": 64.22, "providers": [{"billed_charge": 171.0, "npi": [1659789261]}]}]}, {"tin": {"type": "ein", "value": "204865588"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1265788079]}]}]}, {"tin": {"type": "ein", "value": "205106086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.98, "providers": [{"billed_charge": 150.0, "npi": [1821037110]}]}, {"allowed_amount": 72.21, "providers": [{"billed_charge": 146.0, "npi": [1740663319]}]}]}, {"tin": {"type": "ein", "value": "205155995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 154.0, "npi": [1285260141]}]}]}, {"tin": {"type": "ein", "value": "205733575"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 109.0, "npi": [1558181958]}]}]}, {"tin": {"type": "ein", "value": "208411663"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 81.0, "npi": [1902808298]}]}]}, {"tin": {"type": "ein", "value": "222170196"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.67, "providers": [{"billed_charge": 130.0, "npi": [1073761375]}]}]}, {"tin": {"type": "ein", "value": "223371727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.89, "providers": [{"billed_charge": 309.0, "npi": [1609002708]}]}, {"allowed_amount": 82.64, "providers": [{"billed_charge": 309.0, "npi": [1184345449]}]}]}, {"tin": {"type": "ein", "value": "223837962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.67, "providers": [{"billed_charge": 870.66, "npi": [1295984300]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.94, "providers": [{"billed_charge": 75.0, "npi": [1750644704]}]}]}, {"tin": {"type": "ein", "value": "232922437"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 55.07, "providers": [{"billed_charge": 100.0, "npi": [1942941190]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1942941190]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.61, "providers": [{"billed_charge": 270.0, "npi": [1750379475]}]}]}, {"tin": {"type": "ein", "value": "237155946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.2, "providers": [{"billed_charge": 206.0, "npi": [1184374019]}]}]}, {"tin": {"type": "ein", "value": "260229265"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.84, "providers": [{"billed_charge": 100.0, "npi": [1427371632]}]}]}, {"tin": {"type": "ein", "value": "261619141"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 100.0, "npi": [1598210858]}]}, {"allowed_amount": 64.22, "providers": [{"billed_charge": 100.0, "npi": [1689143422]}]}]}, {"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.54, "providers": [{"billed_charge": 69.0, "npi": [1497174775]}]}, {"allowed_amount": 34.7, "providers": [{"billed_charge": 69.0, "npi": [1881100121, 1487390878]}]}, {"allowed_amount": 42.73, "providers": [{"billed_charge": 69.0, "npi": [1487390878]}]}, {"allowed_amount": 43.86, "providers": [{"billed_charge": 69.0, "npi": [1881100121, 1568912889, 1467600866, 1487390878]}]}, {"allowed_amount": 53.35, "providers": [{"billed_charge": 69.0, "npi": [1366614927, 1831415223]}, {"billed_charge": 106.0, "npi": [1871703942, 1831415223]}]}, {"allowed_amount": 53.65, "providers": [{"billed_charge": 69.0, "npi": [1366614927]}]}, {"allowed_amount": 55.07, "providers": [{"billed_charge": 69.0, "npi": [1558767392, 1871872994, 1467600866, 1508430406, 1194212555, 1114135001, 1366614927, 1750791281, 1790908564, 1497174775, 1467890392, 1881100121]}]}, {"allowed_amount": 60.63, "providers": [{"billed_charge": 69.0, "npi": [1043712425, 1871703942, 1831415223]}]}, {"allowed_amount": 69.0, "providers": [{"billed_charge": 69.0, "npi": [1558767392, 1528709060, 1194212555, 1366614927, 1114135001, 1487390878]}]}, {"allowed_amount": 106.0, "providers": [{"billed_charge": 106.0, "npi": [1871872994, 1194212555, 1366614927, 1881803732, 1114135001, 1245790971, 1487390878]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 57.6, "providers": [{"billed_charge": 128.0, "npi": [1447494901, 1962701599]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.3, "providers": [{"billed_charge": 242.55, "npi": [1912922881]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 242.55, "npi": [1376003467, 1598283327]}]}, {"allowed_amount": 62.57, "providers": [{"billed_charge": 242.55, "npi": [1730543638, 1598283327]}]}, {"allowed_amount": 77.4, "providers": [{"billed_charge": 242.55, "npi": [1457396814]}]}]}, {"tin": {"type": "ein", "value": "263792403"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.86, "providers": [{"billed_charge": 101.0, "npi": [1205829009]}]}]}, {"tin": {"type": "ein", "value": "264312435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.05, "providers": [{"billed_charge": 67.0, "npi": [1891008074]}]}]}, {"tin": {"type": "ein", "value": "264698302"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 140.21, "npi": [1841252657]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 75.0, "npi": [1366714958, 1821757022]}]}, {"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1326148495]}]}]}, {"tin": {"type": "ein", "value": "266697467"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 75.0, "npi": [1093704348]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 75.0, "npi": [1093704348]}]}]}, {"tin": {"type": "ein", "value": "270194300"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 340.0, "npi": [1235159344]}]}]}, {"tin": {"type": "ein", "value": "270720873"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 76.96, "providers": [{"billed_charge": 230.0, "npi": [1578795332]}]}]}, {"tin": {"type": "ein", "value": "271602881"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.06, "providers": [{"billed_charge": 97.74, "npi": [1760977243]}]}]}, {"tin": {"type": "ein", "value": "272582397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.08, "providers": [{"billed_charge": 500.0, "npi": [1306000211]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.86, "providers": [{"billed_charge": 104.0, "npi": [1750551123]}]}, {"allowed_amount": 79.83, "providers": [{"billed_charge": 104.0, "npi": [1558514232]}]}, {"allowed_amount": 82.97, "providers": [{"billed_charge": 104.0, "npi": [1861440216, 1780909879]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.03, "providers": [{"billed_charge": 90.0, "npi": [1396769717]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 81.0, "npi": [1689832107]}]}]}, {"tin": {"type": "ein", "value": "332916607"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.72, "providers": [{"billed_charge": 98.0, "npi": [1013365758]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 98.0, "npi": [1013365758]}]}]}, {"tin": {"type": "ein", "value": "333168508"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.08, "providers": [{"billed_charge": 272.0, "npi": [1669992590]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.67, "providers": [{"billed_charge": 400.0, "npi": [1659338598]}]}]}, {"tin": {"type": "ein", "value": "351488175"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.42, "providers": [{"billed_charge": 75.0, "npi": [1770080301]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 77.4, "providers": [{"billed_charge": 79.0, "npi": [1720292741]}]}]}, {"tin": {"type": "ein", "value": "352325524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 65.0, "npi": [1841445905, 1962297622]}]}, {"allowed_amount": 64.22, "providers": [{"billed_charge": 65.0, "npi": [1841445905]}]}]}, {"tin": {"type": "ein", "value": "383589214"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.05, "providers": [{"billed_charge": 67.0, "npi": [1881189520]}]}]}, {"tin": {"type": "ein", "value": "393624856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 92.7, "npi": [1154678811]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.82, "providers": [{"billed_charge": 110.0, "npi": [1083652366]}]}]}, {"tin": {"type": "ein", "value": "451152247"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 56.08, "providers": [{"billed_charge": 157.69, "npi": [1114075785, 1306133988]}]}, {"allowed_amount": 62.57, "providers": [{"billed_charge": 157.69, "npi": [1306133988]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 57.6, "providers": [{"billed_charge": 128.0, "npi": [1568802304, 1770969859, 1053845768, 1568695468, 1902057326, 1003098799, 1578913174, 1518199702, 1366893976]}]}]}, {"tin": {"type": "ein", "value": "452317099"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.22, "providers": [{"billed_charge": 180.0, "npi": [1487334306, 1164006615]}]}]}, {"tin": {"type": "ein", "value": "454266710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 5000.0, "npi": [1356517767]}]}]}, {"tin": {"type": "ein", "value": "454404568"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.83, "providers": [{"billed_charge": 44.83, "npi": [1861795049]}]}]}, {"tin": {"type": "ein", "value": "454944358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 100.0, "npi": [1265654263]}]}]}, {"tin": {"type": "ein", "value": "460759101"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.15, "providers": [{"billed_charge": 167.0, "npi": [1487048864]}]}]}, {"tin": {"type": "ein", "value": "460829877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 95.0, "npi": [1366936866, 1497224588]}]}, {"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1962109389]}]}]}, {"tin": {"type": "ein", "value": "461243081"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.49, "providers": [{"billed_charge": 102.0, "npi": [1780047464]}]}, {"allowed_amount": 56.35, "providers": [{"billed_charge": 102.0, "npi": [1356441968, 1861205395, 1164407417, 1700437050, 1285043901]}]}, {"allowed_amount": 70.12, "providers": [{"billed_charge": 102.0, "npi": [1316389075]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.05, "providers": [{"billed_charge": 208.0, "npi": [1720668551]}]}]}, {"tin": {"type": "ein", "value": "463595436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 115.88, "npi": [1598822090]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 53.35, "providers": [{"billed_charge": 105.0, "npi": [1003081472]}]}, {"allowed_amount": 55.62, "providers": [{"billed_charge": 105.0, "npi": [1417989468]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 77.0, "npi": [1669446449]}, {"billed_charge": 105.0, "npi": [1033538707, 1497786891, 1417989468, 1578983847]}]}, {"allowed_amount": 60.63, "providers": [{"billed_charge": 105.0, "npi": [1215106216]}]}, {"allowed_amount": 64.22, "providers": [{"billed_charge": 77.0, "npi": [1013341080, 1821741216]}]}, {"allowed_amount": 77.0, "providers": [{"billed_charge": 77.0, "npi": [1912102104, 1710074182]}]}, {"allowed_amount": 95.74, "providers": [{"billed_charge": 105.0, "npi": [1497786891, 1871273326]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.4, "providers": [{"billed_charge": 139.0, "npi": [1730773367]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 96.0, "npi": [1528228913]}]}]}, {"tin": {"type": "ein", "value": "471584533"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1760564207]}]}]}, {"tin": {"type": "ein", "value": "471859521"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.12, "providers": [{"billed_charge": 154.0, "npi": [1275088700]}]}]}, {"tin": {"type": "ein", "value": "473124584"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 135.0, "npi": [1609215771]}]}]}, {"tin": {"type": "ein", "value": "474291574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 119.67, "npi": [1659366060]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.31, "providers": [{"billed_charge": 130.0, "npi": [1578843918]}]}]}, {"tin": {"type": "ein", "value": "520913438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.26, "providers": [{"billed_charge": 140.0, "npi": [1528328721, 1962794818, 1043673031]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 166.0, "npi": [1578537791]}, {"billed_charge": 171.0, "npi": [1952351694]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 166.0, "npi": [1578537791]}]}, {"allowed_amount": 70.33, "providers": [{"billed_charge": 166.0, "npi": [1700853884]}]}]}, {"tin": {"type": "ein", "value": "561079264"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.57, "providers": [{"billed_charge": 93.99, "npi": [1487002770]}]}]}, {"tin": {"type": "ein", "value": "581791069"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1477658268]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.61, "providers": [{"billed_charge": 97.0, "npi": [1922635762]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.96, "providers": [{"billed_charge": 225.0, "npi": [1225317365, 1487698957]}]}]}, {"tin": {"type": "ein", "value": "582498791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.98, "providers": [{"billed_charge": 57.0, "npi": [1902861917]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 400.0, "npi": [1659862241, 1679728091]}]}, {"allowed_amount": 76.48, "providers": [{"billed_charge": 400.0, "npi": [1386906550]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 203.0, "npi": [1376653881, 1952697559]}]}]}, {"tin": {"type": "ein", "value": "591205165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 279.0, "npi": [1316525207]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 158.0, "npi": [1588084073]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.84, "providers": [{"billed_charge": 118.0, "npi": [1154883114]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.41, "providers": [{"billed_charge": 191.0, "npi": [1114587896, 1164719530]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 42.83, "providers": [{"billed_charge": 117.0, "npi": [1760458186, 1154032746, 1588034995]}]}, {"allowed_amount": 54.55, "providers": [{"billed_charge": 117.0, "npi": [1174686695]}]}, {"allowed_amount": 59.05, "providers": [{"billed_charge": 117.0, "npi": [1316385727]}]}, {"allowed_amount": 63.11, "providers": [{"billed_charge": 117.0, "npi": [1972863876, 1245625748]}, {"billed_charge": 180.0, "npi": [1245625748]}]}, {"allowed_amount": 71.68, "providers": [{"billed_charge": 117.0, "npi": [1821468240]}]}, {"allowed_amount": 92.41, "providers": [{"billed_charge": 117.0, "npi": [1396394003]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.4, "providers": [{"billed_charge": 95.4, "npi": [1730616988]}]}]}, {"tin": {"type": "ein", "value": "591935343"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.72, "providers": [{"billed_charge": 82.0, "npi": [1275538944]}]}]}, {"tin": {"type": "ein", "value": "591936615"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 50.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 65.0, "npi": [1326011545]}]}, {"allowed_amount": 56.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 65.0, "npi": [1851616783]}]}, {"allowed_amount": 57.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 65.0, "npi": [1326011545, 1851616783]}]}]}, {"tin": {"type": "ein", "value": "591943602"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.11, "providers": [{"billed_charge": 131.0, "npi": [1346564267]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1649275249, 1285684597]}]}, {"allowed_amount": 53.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1649275249, 1952313173, 1285684597]}]}, {"allowed_amount": 57.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1699724195, 1700469350, 1598840167, 1629270574, 1093778318, 1306152400, 1245506161, 1952313173]}]}, {"allowed_amount": 60.63, "providers": [{"billed_charge": 376.0, "npi": [1306334628, 1437147931, 1295056380]}]}, {"allowed_amount": 63.96, "providers": [{"billed_charge": 376.0, "npi": [1982656799]}]}, {"allowed_amount": 69.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 376.0, "npi": [1619097169, 1669637419, 1962852251]}]}, {"allowed_amount": 100.18, "providers": [{"billed_charge": 376.0, "npi": [1639724040]}]}]}, {"tin": {"type": "ein", "value": "592111544"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 150.0, "npi": [1306907407]}]}]}, {"tin": {"type": "ein", "value": "592122578"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.32, "providers": [{"billed_charge": 55.0, "npi": [1982651337]}]}, {"allowed_amount": 55.0, "providers": [{"billed_charge": 55.0, "npi": [1003023581]}]}]}, {"tin": {"type": "ein", "value": "592193856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 70.0, "npi": [1427051010]}]}, {"allowed_amount": 69.87, "providers": [{"billed_charge": 70.0, "npi": [1164405965]}]}]}, {"tin": {"type": "ein", "value": "592475432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.3, "providers": [{"billed_charge": 147.57, "npi": [1790096972]}]}]}, {"tin": {"type": "ein", "value": "592579826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.29, "providers": [{"billed_charge": 149.0, "npi": [1295998441]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 113.0, "npi": [1164765608]}]}, {"allowed_amount": 78.89, "providers": [{"billed_charge": 113.0, "npi": [1184836876]}]}]}, {"tin": {"type": "ein", "value": "593068073"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 54.55, "providers": [{"billed_charge": 101.18, "npi": [1265427728, 1205821170]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 70.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.32, "providers": [{"billed_charge": 70.0, "npi": [1295610145, 1255026050, 1235301284, 1396272340, 1386120087, 1679207450]}]}, {"allowed_amount": 56.35, "providers": [{"billed_charge": 70.0, "npi": [1215475157, 1780839449, 1407204845, 1366461543]}]}]}, {"tin": {"type": "ein", "value": "593140335"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 113.0, "npi": [1306055009, 1336118686]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 152.0, "npi": [1710913306]}]}, {"allowed_amount": 62.21, "providers": [{"billed_charge": 152.0, "npi": [1962899476]}]}]}, {"tin": {"type": "ein", "value": "593285626"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.59, "providers": [{"billed_charge": 55.0, "npi": [1790869006]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.55, "providers": [{"billed_charge": 206.0, "npi": [1609361757]}]}, {"allowed_amount": 63.11, "providers": [{"billed_charge": 206.0, "npi": [1053577395]}]}]}, {"tin": {"type": "ein", "value": "593338654"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 152.0, "npi": [1629845128]}]}]}, {"tin": {"type": "ein", "value": "593366100"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 63.11, "providers": [{"billed_charge": 271.0, "npi": [1972983625, 1003898982, 1245288471]}]}]}, {"tin": {"type": "ein", "value": "593379430"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 121.0, "npi": [1265589774]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.4, "providers": [{"billed_charge": 185.0, "npi": [1073025615]}]}, {"allowed_amount": 148.71, "providers": [{"billed_charge": 185.0, "npi": [1578178638]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.83, "providers": [{"billed_charge": 113.0, "npi": [1013443654]}]}, {"allowed_amount": 51.84, "providers": [{"billed_charge": 113.0, "npi": [1639531601]}]}, {"allowed_amount": 56.35, "providers": [{"billed_charge": 113.0, "npi": [1639531601, 1255543849, 1790033157]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 128.0, "npi": [1063073021]}]}, {"allowed_amount": 95.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 128.0, "npi": [1043635899]}]}]}, {"tin": {"type": "ein", "value": "620646012"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.6, "providers": [{"billed_charge": 137.0, "npi": [1255563128]}]}]}, {"tin": {"type": "ein", "value": "621526296"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.7, "providers": [{"billed_charge": 147.42, "npi": [1184913022]}]}]}, {"tin": {"type": "ein", "value": "621529858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1679143291]}]}]}, {"tin": {"type": "ein", "value": "631012832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.93, "providers": [{"billed_charge": 72.0, "npi": [1033158035]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 400.0, "npi": [1437695053]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.61, "providers": [{"billed_charge": 324.0, "npi": [1962834671]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 400.0, "npi": [1750816153]}]}, {"allowed_amount": 108.46, "providers": [{"billed_charge": 400.0, "npi": [1669606109]}]}]}, {"tin": {"type": "ein", "value": "650057755"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 275.75, "npi": [1780721837]}]}, {"allowed_amount": 80.03, "providers": [{"billed_charge": 275.75, "npi": [1780721837]}]}]}, {"tin": {"type": "ein", "value": "650085794"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 75.0, "npi": [1407882483]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 75.0, "npi": [1407882483]}]}]}, {"tin": {"type": "ein", "value": "650130324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.35, "providers": [{"billed_charge": 63.83, "npi": [1033151113]}]}, {"allowed_amount": 60.63, "providers": [{"billed_charge": 63.83, "npi": [1033151113]}]}, {"allowed_amount": 63.83, "providers": [{"billed_charge": 63.83, "npi": [1033151113]}]}]}, {"tin": {"type": "ein", "value": "650202995"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 220.0, "npi": [1538271762, 1114365855]}]}, {"allowed_amount": 81.11, "providers": [{"billed_charge": 220.0, "npi": [1114365855]}]}]}, {"tin": {"type": "ein", "value": "650236433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 100.76, "npi": [1184629800]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 100.76, "npi": [1184629800]}]}]}, {"tin": {"type": "ein", "value": "650289047"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.12, "providers": [{"billed_charge": 166.0, "npi": [1780085548]}]}, {"allowed_amount": 60.63, "providers": [{"billed_charge": 166.0, "npi": [1972877603]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 213.95, "providers": [{"billed_charge": 279.0, "npi": [1114303526]}]}]}, {"tin": {"type": "ein", "value": "650661983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 75.0, "npi": [1699863183]}]}]}, {"tin": {"type": "ein", "value": "650675980"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 235.51, "npi": [1851500847]}]}, {"allowed_amount": 60.26, "providers": [{"billed_charge": 222.76, "npi": [1003839309]}]}, {"allowed_amount": 77.4, "providers": [{"billed_charge": 235.51, "npi": [1851500847]}]}]}, {"tin": {"type": "ein", "value": "650677844"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 222.76, "npi": [1699207241]}]}, {"allowed_amount": 77.4, "providers": [{"billed_charge": 235.51, "npi": [1699207241]}]}]}, {"tin": {"type": "ein", "value": "650685788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 85.0, "npi": [1790741783]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.95, "providers": [{"billed_charge": 279.0, "npi": [1598098428]}]}]}, {"tin": {"type": "ein", "value": "650747893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 92.7, "npi": [1699773341]}, {"billed_charge": 180.0, "npi": [1699773341]}]}, {"allowed_amount": 60.26, "providers": [{"billed_charge": 92.7, "npi": [1699773341]}]}]}, {"tin": {"type": "ein", "value": "650867203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 110.0, "npi": [1205809670]}]}]}, {"tin": {"type": "ein", "value": "650867498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 129.0, "npi": [1760477269, 1629235247]}]}, {"allowed_amount": 73.7, "providers": [{"billed_charge": 129.0, "npi": [1760477269, 1629235247]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.35, "providers": [{"billed_charge": 109.0, "npi": [1457463010]}]}, {"allowed_amount": 60.63, "providers": [{"billed_charge": 109.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 79.0, "npi": [1457329450]}]}, {"allowed_amount": 60.63, "providers": [{"billed_charge": 79.0, "npi": [1346745312]}]}, {"allowed_amount": 79.0, "providers": [{"billed_charge": 79.0, "npi": [1346745312, 1972686327]}]}]}, {"tin": {"type": "ein", "value": "651063720"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 125.0, "npi": [1669596201]}]}, {"allowed_amount": 97.8, "providers": [{"billed_charge": 125.0, "npi": [1669596201]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 94.0, "npi": [1164693347]}]}]}, {"tin": {"type": "ein", "value": "800674849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 98.38, "npi": [1588785240, 1164758082]}]}, {"allowed_amount": 62.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 98.38, "npi": [1437492394]}]}, {"allowed_amount": 64.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 98.38, "npi": [1487285714]}]}]}, {"tin": {"type": "ein", "value": "800690174"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.82, "providers": [{"billed_charge": 113.0, "npi": [1497862353]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.0, "providers": [{"billed_charge": 64.0, "npi": [1851617021]}]}]}, {"tin": {"type": "ein", "value": "812108721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.76, "providers": [{"billed_charge": 97.0, "npi": [1639119597]}]}]}, {"tin": {"type": "ein", "value": "812660368"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 163.0, "npi": [1932655560, 1659789261]}]}]}, {"tin": {"type": "ein", "value": "812854031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.12, "providers": [{"billed_charge": 60.47, "npi": [1902633134, 1275348534, 1720598006, 1235937046, 1497555098, 1699630939]}]}, {"allowed_amount": 60.47, "providers": [{"billed_charge": 60.47, "npi": [1386504298, 1851101067, 1194682732, 1275348534, 1720598006, 1497427322, 1699630939]}]}]}, {"tin": {"type": "ein", "value": "812861365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.4, "providers": [{"billed_charge": 93.0, "npi": [1669467460]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 93.0, "npi": [1821190703]}]}, {"allowed_amount": 93.0, "providers": [{"billed_charge": 93.0, "npi": [1255372199]}]}]}, {"tin": {"type": "ein", "value": "813669955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.99, "providers": [{"billed_charge": 127.65, "npi": [1558752618]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 127.65, "npi": [1558752618]}]}]}, {"tin": {"type": "ein", "value": "822030201"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.35, "providers": [{"billed_charge": 239.0, "npi": [1649598715]}]}]}, {"tin": {"type": "ein", "value": "824525580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 105.0, "npi": [1609196989]}]}]}, {"tin": {"type": "ein", "value": "830799959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 144.0, "npi": [1770070898, 1831348333, 1114170222]}]}, {"allowed_amount": 64.01, "providers": [{"billed_charge": 144.0, "npi": [1306889050]}]}, {"allowed_amount": 70.12, "providers": [{"billed_charge": 144.0, "npi": [1417792920, 1831348333]}]}]}, {"tin": {"type": "ein", "value": "832447582"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.04, "providers": [{"billed_charge": 1049.0, "npi": [1932104049]}]}]}, {"tin": {"type": "ein", "value": "833126409"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.89, "providers": [{"billed_charge": 90.0, "npi": [1922276153]}]}]}, {"tin": {"type": "ein", "value": "841795983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.04, "providers": [{"billed_charge": 85.0, "npi": [1629654637]}]}]}, {"tin": {"type": "ein", "value": "843235850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.57, "providers": [{"billed_charge": 125.0, "npi": [1982050688, 1649665571, 1952791824, 1174800148, 1154645430]}, {"billed_charge": 185.0, "npi": [1861462384]}]}]}, {"tin": {"type": "ein", "value": "843514418"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.05, "providers": [{"billed_charge": 96.0, "npi": [1295487452]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 280.0, "npi": [1215028220]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 402.0, "npi": [1972745438]}]}, {"allowed_amount": 77.4, "providers": [{"billed_charge": 402.0, "npi": [1972745438]}]}]}, {"tin": {"type": "ein", "value": "853737205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.12, "providers": [{"billed_charge": 206.0, "npi": [1083041214]}]}, {"allowed_amount": 67.2, "providers": [{"billed_charge": 206.0, "npi": [1265432942]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.15, "providers": [{"billed_charge": 167.0, "npi": [1619214707, 1538424007]}]}]}, {"tin": {"type": "ein", "value": "863916317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 31.75, "providers": [{"billed_charge": 188.0, "npi": [1962191049]}]}]}, {"tin": {"type": "ein", "value": "871439061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.49, "providers": [{"billed_charge": 80.0, "npi": [1023451713]}]}]}, {"tin": {"type": "ein", "value": "882051065"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.0, "providers": [{"billed_charge": 116.0, "npi": [1902289457, 1669678058, 1932631249, 1790731974]}]}]}, {"tin": {"type": "ein", "value": "900603487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.02, "providers": [{"billed_charge": 126.0, "npi": [1235313461]}]}]}, {"tin": {"type": "ein", "value": "921174273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.22, "providers": [{"billed_charge": 96.0, "npi": [1457169245, 1285356782]}]}, {"allowed_amount": 67.62, "providers": [{"billed_charge": 96.0, "npi": [1902891617]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 51.12, "providers": [{"billed_charge": 217.0, "npi": [1588145932, 1609586734]}]}, {"allowed_amount": 60.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 217.0, "npi": [1588145932, 1609586734]}]}]}, {"tin": {"type": "ein", "value": "923260946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.63, "providers": [{"billed_charge": 120.0, "npi": [1992016497, 1689814493]}]}, {"allowed_amount": 84.88, "providers": [{"billed_charge": 120.0, "npi": [1992016497]}]}]}, {"tin": {"type": "ein", "value": "943432525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.58, "providers": [{"billed_charge": 80.0, "npi": [1588631378]}]}]}, {"tin": {"type": "ein", "value": "943439188"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 110.0, "npi": [1649683566]}]}]}, {"tin": {"type": "ein", "value": "990685574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.08, "providers": [{"billed_charge": 100.0, "npi": [1053374017]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 100.0, "npi": [1053374017]}]}]}, {"tin": {"type": "ein", "value": "990918445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1669849741]}]}]}, {"tin": {"type": "ein", "value": "992536327"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.35, "providers": [{"billed_charge": 249.2, "npi": [1851921928, 1265953137, 1831801216]}]}, {"allowed_amount": 78.89, "providers": [{"billed_charge": 249.2, "npi": [1265953137]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 147.0, "npi": [1629221528]}]}, {"allowed_amount": 69.53, "providers": [{"billed_charge": 147.0, "npi": [1225324767]}]}, {"allowed_amount": 108.92, "providers": [{"billed_charge": 147.0, "npi": [1982723821, 1144216078, 1417539479]}]}]}, {"tin": {"type": "ein", "value": "992902671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.08, "providers": [{"billed_charge": 100.0, "npi": [1700826807]}]}]}, {"tin": {"type": "ein", "value": "994517180"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.35, "providers": [{"billed_charge": 120.0, "npi": [1700826807]}]}]}]}, {"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": "161774386"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 845.77, "providers": [{"billed_charge": 1640.0, "npi": [1770945198]}]}]}, {"tin": {"type": "ein", "value": "521182593"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 564.86, "providers": [{"billed_charge": 1256.0, "npi": [1891902912]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 558.08, "providers": [{"billed_charge": 1125.0, "npi": [1003290214]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 349.01, "providers": [{"billed_charge": 3806.0, "npi": [1427467497]}]}, {"allowed_amount": 420.4, "providers": [{"billed_charge": 3806.0, "npi": [1548561186, 1235625443, 1245506161, 1972908978, 1003872409, 1164488698]}]}, {"allowed_amount": 423.9, "providers": [{"billed_charge": 3806.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 454.25, "providers": [{"billed_charge": 3806.0, "npi": [1437391331, 1427467497, 1881645711, 1124262290, 1366561847, 1780639609, 1932340155, 1295056380, 1700164670]}]}, {"allowed_amount": 462.21, "providers": [{"billed_charge": 3806.0, "npi": [1306893813, 1730165655]}]}, {"allowed_amount": 472.95, "providers": [{"billed_charge": 3806.0, "npi": [1548561186, 1477015139, 1235625443, 1598840167, 1306152400, 1154580561, 1972908978, 1275569683, 1417223728, 1972169779, 1215228374, 1003872409, 1164488698, 1396900924, 1417210527]}]}, {"allowed_amount": 490.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3806.0, "npi": [1427467497, 1124262290, 1932340155, 1700164670]}]}, {"allowed_amount": 525.5, "providers": [{"billed_charge": 3806.0, "npi": [1154708550, 1417223728, 1972169779, 1760821235, 1215228374, 1992782742, 1417210527]}]}, {"allowed_amount": 545.1, "providers": [{"billed_charge": 3806.0, "npi": [1932340155]}]}, {"allowed_amount": 635.95, "providers": [{"billed_charge": 3806.0, "npi": [1386807857, 1497714109]}]}, {"allowed_amount": 698.02, "providers": [{"billed_charge": 3806.0, "npi": [1366561847]}]}]}]}, {"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": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.92, "providers": [{"billed_charge": 340.0, "npi": [1003290214]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 1256.0, "npi": [1720582182, 1043240617, 1003872409, 1700164670]}]}, {"allowed_amount": 126.55, "providers": [{"billed_charge": 1256.0, "npi": [1548561186, 1235625443, 1245506161, 1972908978, 1003872409, 1164488698, 1639445851]}]}, {"allowed_amount": 127.61, "providers": [{"billed_charge": 1256.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 136.9, "providers": [{"billed_charge": 1256.0, "npi": [1699724195, 1437391331, 1427467497, 1881645711, 1124262290, 1366561847, 1780639609, 1932340155, 1295056380, 1700164670, 1982656799]}]}, {"allowed_amount": 139.08, "providers": [{"billed_charge": 1256.0, "npi": [1730165655]}]}, {"allowed_amount": 142.37, "providers": [{"billed_charge": 1256.0, "npi": [1093778318, 1275569683, 1003872409, 1306068507, 1417210527, 1548561186, 1972908978, 1881076412, 1396900924, 1114118478, 1154580561, 1639445851, 1427408863, 1710263009, 1477015139, 1598840167, 1477515112, 1245506161, 1164488698]}]}, {"allowed_amount": 147.85, "providers": [{"billed_charge": 1256.0, "npi": [1427467497, 1124262290, 1366561847, 1932340155, 1295056380, 1497714109, 1700164670]}]}, {"allowed_amount": 158.19, "providers": [{"billed_charge": 1256.0, "npi": [1477015139, 1417223728, 1972169779, 1760821235, 1992782742, 1215228374]}]}, {"allowed_amount": 191.66, "providers": [{"billed_charge": 1256.0, "npi": [1386807857, 1497714109]}]}, {"allowed_amount": 210.64, "providers": [{"billed_charge": 1256.0, "npi": [1437391331, 1366561847]}]}, {"allowed_amount": 222.52, "providers": [{"billed_charge": 1256.0, "npi": [1396900924, 1093778318, 1598840167]}]}]}]}, {"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": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.41, "providers": [{"billed_charge": 400.0, "npi": [1568421220, 1003290214]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.03, "providers": [{"billed_charge": 1309.0, "npi": [1982899399]}]}, {"allowed_amount": 131.38, "providers": [{"billed_charge": 1309.0, "npi": [1548561186, 1235625443, 1982899399, 1245506161, 1972908978, 1144514738, 1003872409, 1164488698, 1639445851]}]}, {"allowed_amount": 132.47, "providers": [{"billed_charge": 1309.0, "npi": [1306152400, 1699836858]}]}, {"allowed_amount": 141.95, "providers": [{"billed_charge": 1309.0, "npi": [1437391331, 1427467497, 1124262290, 1366561847, 1932340155, 1295056380, 1700164670]}]}, {"allowed_amount": 144.45, "providers": [{"billed_charge": 1309.0, "npi": [1235195272, 1700849387]}]}, {"allowed_amount": 147.8, "providers": [{"billed_charge": 1309.0, "npi": [1093778318, 1275569683, 1992782742, 1003872409, 1306068507, 1629621917, 1417210527, 1548561186, 1699724195, 1417223728, 1972908978, 1396900924, 1881076412, 1982899399, 1114118478, 1639445851, 1770556508, 1710263009, 1477015139, 1235625443, 1598840167, 1760821235, 1164488698]}]}, {"allowed_amount": 153.31, "providers": [{"billed_charge": 1309.0, "npi": [1427467497, 1124262290, 1366561847, 1932340155, 1700164670]}]}, {"allowed_amount": 164.22, "providers": [{"billed_charge": 1309.0, "npi": [1710263009, 1477015139, 1154708550, 1760821235, 1972169779, 1215228374, 1992782742, 1003872409, 1417210527]}]}, {"allowed_amount": 198.73, "providers": [{"billed_charge": 1309.0, "npi": [1386807857, 1497714109]}]}, {"allowed_amount": 226.13, "providers": [{"billed_charge": 1309.0, "npi": [1821058587]}]}, {"allowed_amount": 231.0, "providers": [{"billed_charge": 1309.0, "npi": [1396900924]}]}, {"allowed_amount": 327.09, "providers": [{"billed_charge": 1309.0, "npi": [1417223728]}]}]}, {"tin": {"type": "ein", "value": "592347217"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.64, "providers": [{"billed_charge": 1309.0, "npi": [1215228374]}]}]}]}, {"name": "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99309", "billing_code_type_version": "2022", "description": "SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "271608375"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 97.67, "providers": [{"billed_charge": 312.0, "npi": [1316485220]}]}]}, {"tin": {"type": "ein", "value": "452650383"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 138.65, "providers": [{"billed_charge": 140.0, "npi": [1356515019]}]}, {"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1356515019]}]}]}, {"tin": {"type": "ein", "value": "471346318"}, "billing_class": "professional", "service_codes": ["32", "31"], "payments": [{"allowed_amount": 154.49, "providers": [{"billed_charge": 335.0, "npi": [1871041210, 1508284118]}]}, {"allowed_amount": 216.28, "providers": [{"billed_charge": 335.0, "npi": [1215440284]}]}, {"allowed_amount": 335.0, "providers": [{"billed_charge": 335.0, "npi": [1508284118]}]}]}, {"tin": {"type": "ein", "value": "824700551"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 84.64, "providers": [{"billed_charge": 279.0, "npi": [1770380396]}]}]}, {"tin": {"type": "ein", "value": "843937974"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 148.68, "providers": [{"billed_charge": 253.0, "npi": [1245978345, 1720598006]}]}, {"allowed_amount": 154.49, "providers": [{"billed_charge": 253.0, "npi": [1245978345]}]}]}, {"tin": {"type": "ein", "value": "922233103"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 143.63, "providers": [{"billed_charge": 204.0, "npi": [1235216888]}]}]}, {"tin": {"type": "ein", "value": "992066565"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 112.67, "providers": [{"billed_charge": 195.0, "npi": [1043990591]}]}]}]}, {"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": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.53, "providers": [{"billed_charge": 412.0, "npi": [1023732609]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.74, "providers": [{"billed_charge": 11.74, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.5, "providers": [{"billed_charge": 290.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.06, "providers": [{"billed_charge": 18.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.09, "providers": [{"billed_charge": 16.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.34, "providers": [{"billed_charge": 13.34, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "411949230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.9, "providers": [{"billed_charge": 105.28, "npi": [1508885633]}]}]}, {"tin": {"type": "ein", "value": "471358089"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.01, "providers": [{"billed_charge": 50.0, "npi": [1861913576]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.73, "providers": [{"billed_charge": 181.62, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 63.0, "npi": [1568402485]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.5, "providers": [{"billed_charge": 290.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 243.88, "npi": [1265916266]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 194.21, "npi": [1245720820]}]}, {"allowed_amount": 10.03, "providers": [{"billed_charge": 194.21, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.83, "providers": [{"billed_charge": 22.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.18, "providers": [{"billed_charge": 51.49, "npi": [1487657573]}]}, {"allowed_amount": 8.65, "providers": [{"billed_charge": 51.49, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.05, "providers": [{"billed_charge": 8.65, "npi": [1831228709]}]}, {"allowed_amount": 8.65, "providers": [{"billed_charge": 8.65, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "661031927"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.65, "providers": [{"billed_charge": 17.3, "npi": [1285497743]}]}, {"allowed_amount": 12.54, "providers": [{"billed_charge": 17.3, "npi": [1285497743]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.01, "providers": [{"billed_charge": 104.0, "npi": [1982606992]}]}]}]}, {"name": "Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)", "billing_code_type": "CPT", "billing_code": "86592", "billing_code_type_version": "2022", "description": "SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "131974191"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.7, "providers": [{"billed_charge": 9.39, "npi": [1417027558]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.99, "providers": [{"billed_charge": 17.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "223620531"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.99, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 10.68, "npi": [1376587113]}]}]}, {"tin": {"type": "ein", "value": "362170133"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.98, "providers": [{"billed_charge": 9.12, "npi": [1962425611]}]}]}, {"tin": {"type": "ein", "value": "383730230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.05, "providers": [{"billed_charge": 831.0, "npi": [1528101284]}]}]}, {"tin": {"type": "ein", "value": "383738197"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.88, "providers": [{"billed_charge": 119.0, "npi": [1518018191]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.92, "providers": [{"billed_charge": 10.0, "npi": [1619394376]}]}]}, {"tin": {"type": "ein", "value": "474332775"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.99, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 29.89, "npi": [1285018523, 1134277494]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.48, "providers": [{"billed_charge": 143.29, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.7, "providers": [{"billed_charge": 218.79, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.72, "providers": [{"billed_charge": 112.0, "npi": [1467473579]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.1, "providers": [{"billed_charge": 423.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "880455713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.05, "providers": [{"billed_charge": 831.0, "npi": [1770626426]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.54, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 39.3, "npi": [1366150773]}]}, {"allowed_amount": 4.27, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 39.3, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "910565546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.05, "providers": [{"billed_charge": 68.04, "npi": [1518912609]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.66, "providers": [{"billed_charge": 215.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.52, "providers": [{"billed_charge": 53.0, "npi": [1427806025]}]}]}]}, {"name": "Targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes (eg, ALK, BRAF, CDKN2A, CEBPA, DNMT3A, EGFR, ERBB2, EZH2, FLT3, IDH1, IDH2, JAK2, KIT, KRAS, MET, MLL, NOTCH1, NPM1, NRAS, PDGFRA, PDGFRB, PGR, PIK3CA, PTEN, RET), interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis", "billing_code_type": "CPT", "billing_code": "81455", "billing_code_type_version": "2022", "description": "TGSAP SO/HEMATOLYMPHOID NEO/DO 51/>DNA/DNA&RNA", "allowed_amounts": [{"tin": {"type": "ein", "value": "271316416"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5065.9, "providers": [{"billed_charge": 5800.0, "npi": [1720688054]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 2423.27, "providers": [{"billed_charge": 5000.0, "npi": [1396408829]}]}, {"allowed_amount": 2919.6, "providers": [{"billed_charge": 5000.0, "npi": [1396408829]}, {"billed_charge": 7300.0, "npi": [1396408829]}]}, {"allowed_amount": 4729.75, "providers": [{"billed_charge": 5000.0, "npi": [1447437355]}, {"billed_charge": 7300.0, "npi": [1447437355]}]}]}]}, {"name": "Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth", "billing_code_type": "CPT", "billing_code": "G0427", "billing_code_type_version": "2022", "description": "Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth", "allowed_amounts": [{"tin": {"type": "ein", "value": "261869328"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 193.8, "providers": [{"billed_charge": 388.0, "npi": [1689029480, 1992292106, 1336896687, 1902385008, 1215335922, 1275159733]}]}, {"allowed_amount": 248.22, "providers": [{"billed_charge": 388.0, "npi": [1689029480, 1992292106, 1336896687, 1902385008, 1215335922]}]}]}, {"tin": {"type": "ein", "value": "462718719"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 193.92, "providers": [{"billed_charge": 2153.4, "npi": [1851742100, 1023162559]}]}, {"allowed_amount": 200.91, "providers": [{"billed_charge": 2153.4, "npi": [1821006172, 1881832780]}]}, {"allowed_amount": 202.73, "providers": [{"billed_charge": 2153.4, "npi": [1346700739, 1952405318]}]}, {"allowed_amount": 231.82, "providers": [{"billed_charge": 2153.4, "npi": [1669427332, 1952405318, 1881832780, 1851822670, 1184004046, 1417247792]}]}, {"allowed_amount": 237.99, "providers": [{"billed_charge": 2153.4, "npi": [1417247792, 1083857866, 1184004046, 1023162559]}]}, {"allowed_amount": 240.41, "providers": [{"billed_charge": 2153.4, "npi": [1346700739, 1669427332, 1184284846, 1417247792, 1003255357, 1649898974]}]}, {"allowed_amount": 255.62, "providers": [{"billed_charge": 2153.4, "npi": [1508151762]}]}, {"allowed_amount": 266.61, "providers": [{"billed_charge": 2153.4, "npi": [1346700739]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 263.98, "providers": [{"billed_charge": 691.0, "npi": [1932339660]}]}]}]}, {"name": "Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use", "billing_code_type": "CPT", "billing_code": "90714", "billing_code_type_version": "2022", "description": "TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE", "allowed_amounts": [{"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 50.0, "npi": [1982309795]}]}, {"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1437636503]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.97, "providers": [{"billed_charge": 100.0, "npi": [1659958304]}]}, {"allowed_amount": 40.92, "providers": [{"billed_charge": 100.0, "npi": [1942418579, 1144990557]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 65.0, "npi": [1902003635]}]}, {"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 80.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.94, "providers": [{"billed_charge": 27.94, "npi": [1285780387]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.94, "providers": [{"billed_charge": 27.94, "npi": [1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.94, "providers": [{"billed_charge": 27.94, "npi": [1285780387, 1710947940, 1235796277]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.94, "providers": [{"billed_charge": 27.94, "npi": [1194822353]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 110.0, "npi": [1407650658, 1699117903]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.94, "providers": [{"billed_charge": 27.94, "npi": [1942457692]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.94, "providers": [{"billed_charge": 27.94, "npi": [1689816191]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1457705618]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 74.81, "npi": [1417819806]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.0, "providers": [{"billed_charge": 28.0, "npi": [1558182824]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 70.0, "npi": [1265167217]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 50.0, "npi": [1639868664]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 273.98, "npi": [1538663760]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.67, "providers": [{"billed_charge": 174.0, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 94.16, "providers": [{"billed_charge": 136.0, "npi": [1205276201]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 90.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 75.0, "npi": [1891735544]}]}, {"allowed_amount": 68.2, "providers": [{"billed_charge": 75.0, "npi": [1891735544]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.18, "providers": [{"billed_charge": 67.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.95, "providers": [{"billed_charge": 257.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "825131052"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 42.62, "providers": [{"billed_charge": 65.0, "npi": [1164433256]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.92, "providers": [{"billed_charge": 160.0, "npi": [1205061744, 1992043715, 1154054260, 1780567255]}]}, {"allowed_amount": 63.16, "providers": [{"billed_charge": 160.0, "npi": [1780567255]}]}, {"allowed_amount": 63.52, "providers": [{"billed_charge": 160.0, "npi": [1568899961]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 99.0, "providers": [{"billed_charge": 99.0, "npi": [1154480218]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1952040552]}]}]}]}, {"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": "020769966"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 102.0, "providers": [{"billed_charge": 102.0, "npi": [1316058217]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.67, "providers": [{"billed_charge": 75.0, "npi": [1730631482]}]}, {"allowed_amount": 59.54, "providers": [{"billed_charge": 75.0, "npi": [1396933057]}]}]}, {"tin": {"type": "ein", "value": "204913106"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 64.69, "providers": [{"billed_charge": 95.0, "npi": [1801768577]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.64, "providers": [{"billed_charge": 35.64, "npi": [1285780387, 1710947940, 1790906154, 1891725164, 1194285486, 1043313232, 1235796277, 1457715096, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.64, "providers": [{"billed_charge": 35.64, "npi": [1669737953, 1174586465, 1508108390, 1508137670, 1194822353, 1669919155]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.64, "providers": [{"billed_charge": 35.64, "npi": [1285780387, 1710947940, 1700011335, 1891725164, 1912961293, 1649538828, 1669919155, 1497258164, 1073833653, 1699926774]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.64, "providers": [{"billed_charge": 35.64, "npi": [1174586465, 1710947940, 1780632612, 1508108390, 1700011335, 1790906154, 1558395434, 1396774956, 1912961293, 1043313232, 1194822353, 1073833653, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.64, "providers": [{"billed_charge": 35.64, "npi": [1508137670, 1508108390, 1710175526, 1790906154, 1396774956, 1912961293, 1346206257, 1073833653, 1235796277, 1558724377, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "264626264"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 278.76, "providers": [{"billed_charge": 597.68, "npi": [1437482817]}]}]}, {"tin": {"type": "ein", "value": "273371022"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.35, "providers": [{"billed_charge": 94.0, "npi": [1093735425]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.64, "providers": [{"billed_charge": 35.64, "npi": [1467073254, 1508108390, 1508137670, 1669919155, 1073833653, 1528022332, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1417535881]}]}]}, {"tin": {"type": "ein", "value": "460714837"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 61.59, "providers": [{"billed_charge": 75.0, "npi": [1184971558]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.77, "providers": [{"billed_charge": 73.77, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.39, "providers": [{"billed_charge": 218.73, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562136828"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1285364406]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.19, "providers": [{"billed_charge": 149.3, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.67, "providers": [{"billed_charge": 290.23, "npi": [1396267753, 1801231451]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 256.35, "providers": [{"billed_charge": 947.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 98.0, "providers": [{"billed_charge": 98.0, "npi": [1750353132]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.67, "providers": [{"billed_charge": 290.23, "npi": [1841722360, 1518277946]}, {"billed_charge": 339.57, "npi": [1518277946]}]}, {"allowed_amount": 107.96, "providers": [{"billed_charge": 339.57, "npi": [1427286715]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 256.35, "providers": [{"billed_charge": 947.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 256.35, "providers": [{"billed_charge": 947.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.67, "providers": [{"billed_charge": 91.0, "npi": [1225899826, 1811798275]}]}, {"allowed_amount": 56.76, "providers": [{"billed_charge": 91.0, "npi": [1114498730, 1225899826]}]}, {"allowed_amount": 91.0, "providers": [{"billed_charge": 91.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "830230892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 63.96, "providers": [{"billed_charge": 70.0, "npi": [1942648365]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.08, "providers": [{"billed_charge": 242.08, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.45, "providers": [{"billed_charge": 280.4, "npi": [1457057671]}]}, {"allowed_amount": 41.67, "providers": [{"billed_charge": 280.4, "npi": [1023650793]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 47.77, "providers": [{"billed_charge": 100.0, "npi": [1871681999]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.67, "providers": [{"billed_charge": 300.0, "npi": [1770084022]}]}, {"allowed_amount": 57.55, "providers": [{"billed_charge": 300.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 63.96, "providers": [{"billed_charge": 83.0, "npi": [1548221674]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.67, "providers": [{"billed_charge": 123.0, "npi": [1114696176, 1922436922]}]}, {"allowed_amount": 48.02, "providers": [{"billed_charge": 123.0, "npi": [1205156643]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 41.67, "providers": [{"billed_charge": 167.0, "npi": [1386487593, 1306332333]}]}, {"allowed_amount": 64.69, "providers": [{"billed_charge": 167.0, "npi": [1386487593]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 69.46, "providers": [{"billed_charge": 100.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "934104475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 101.0, "providers": [{"billed_charge": 101.0, "npi": [1134380678]}]}]}]}, {"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": "042769210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 382.0, "npi": [1134227606]}]}]}, {"tin": {"type": "ein", "value": "043314093"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 193.0, "npi": [1346218294]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 150.0, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.97, "providers": [{"billed_charge": 206.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "060250773"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 133.0, "npi": [1467517235]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 151.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.02, "providers": [{"billed_charge": 505.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.09, "providers": [{"billed_charge": 433.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "111631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 159.48, "npi": [1700886322]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 149.14, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "111667761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.1, "providers": [{"billed_charge": 801.0, "npi": [1457369381]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 1800.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 697.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "133964321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 463.0, "npi": [1932280666]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.49, "providers": [{"billed_charge": 501.38, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "160743187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 100.0, "npi": [1790727543]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 73.0, "npi": [1902003635]}]}, {"allowed_amount": 45.59, "providers": [{"billed_charge": 73.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.75, "providers": [{"billed_charge": 391.0, "npi": [1164478442]}]}, {"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 880.63, "npi": [1215003348, 1316992134]}]}]}, {"tin": {"type": "ein", "value": "204560540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.96, "providers": [{"billed_charge": 106.4, "npi": [1952409765]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 524.06, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 21.39, "npi": [1558724377, 1891725164, 1508137670, 1467073254]}]}, {"allowed_amount": 21.39, "providers": [{"billed_charge": 21.39, "npi": [1285780387, 1710947940, 1891725164, 1194285486, 1457715096]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 21.39, "npi": [1174586465, 1669737953, 1710947940, 1508108390, 1669919155]}]}, {"allowed_amount": 21.39, "providers": [{"billed_charge": 21.39, "npi": [1285780387]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 21.39, "npi": [1780632612, 1912961293]}]}, {"allowed_amount": 21.39, "providers": [{"billed_charge": 21.39, "npi": [1891725164, 1790906154, 1528022332, 1649538828]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 21.39, "npi": [1396774956]}]}, {"allowed_amount": 21.39, "providers": [{"billed_charge": 21.39, "npi": [1194822353, 1669919155, 1073833653]}]}]}, {"tin": {"type": "ein", "value": "210662542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.65, "providers": [{"billed_charge": 380.0, "npi": [1053382697]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.98, "providers": [{"billed_charge": 461.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "221487602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.08, "providers": [{"billed_charge": 566.0, "npi": [1669462420]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.88, "providers": [{"billed_charge": 199.92, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.08, "providers": [{"billed_charge": 520.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.88, "providers": [{"billed_charge": 556.0, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "223452412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 200.27, "providers": [{"billed_charge": 520.0, "npi": [1609983790]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 520.0, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.85, "providers": [{"billed_charge": 282.0, "npi": [1811992084]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.12, "providers": [{"billed_charge": 374.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "232896725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.28, "providers": [{"billed_charge": 454.0, "npi": [1487640207]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.5, "providers": [{"billed_charge": 651.0, "npi": [1417947490, 1770150914]}]}, {"allowed_amount": 108.51, "providers": [{"billed_charge": 651.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "240795682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.33, "providers": [{"billed_charge": 201.0, "npi": [1730173154]}]}]}, {"tin": {"type": "ein", "value": "250965429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.5, "providers": [{"billed_charge": 339.0, "npi": [1881695146]}]}]}, {"tin": {"type": "ein", "value": "250965588"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.5, "providers": [{"billed_charge": 167.0, "npi": [1871594127]}]}]}, {"tin": {"type": "ein", "value": "251925187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.89, "providers": [{"billed_charge": 338.0, "npi": [1568403111]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.06, "providers": [{"billed_charge": 601.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 21.39, "npi": [1710947940, 1467073254, 1790906154, 1346206257, 1669919155]}]}, {"allowed_amount": 21.39, "providers": [{"billed_charge": 21.39, "npi": [1710175526, 1790906154, 1467073254]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.67, "providers": [{"billed_charge": 169.2, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "270036484"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 279.0, "npi": [1154355188]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.44, "providers": [{"billed_charge": 279.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "272844632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 222.0, "npi": [1760794044]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.43, "providers": [{"billed_charge": 59.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.1, "providers": [{"billed_charge": 359.0, "npi": [1982784534]}]}, {"allowed_amount": 74.5, "providers": [{"billed_charge": 359.0, "npi": [1417037045]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.02, "providers": [{"billed_charge": 172.27, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.32, "providers": [{"billed_charge": 275.0, "npi": [1538164090]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.5, "providers": [{"billed_charge": 319.0, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "320579508"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 1406.25, "npi": [1790250959]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 21.39, "npi": [1669737953, 1700011335, 1790906154, 1497258164, 1528022332]}]}, {"allowed_amount": 21.39, "providers": [{"billed_charge": 21.39, "npi": [1699926774, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.69, "providers": [{"billed_charge": 318.0, "npi": [1679525919]}]}]}, {"tin": {"type": "ein", "value": "340714593"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.03, "providers": [{"billed_charge": 318.0, "npi": [1902858152]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.69, "providers": [{"billed_charge": 318.0, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.66, "providers": [{"billed_charge": 437.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "341883132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.47, "providers": [{"billed_charge": 394.0, "npi": [1598765539]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.69, "providers": [{"billed_charge": 318.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.98, "providers": [{"billed_charge": 166.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "350868130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.49, "providers": [{"billed_charge": 178.0, "npi": [1770679201]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 378.0, "npi": [1306898960]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.03, "providers": [{"billed_charge": 164.0, "npi": [1700883717]}]}]}, {"tin": {"type": "ein", "value": "351151208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 348.6, "npi": [1699757401]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 464.0, "npi": [1144266024]}]}, {"allowed_amount": 105.03, "providers": [{"billed_charge": 464.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 248.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 476.0, "npi": [1396882205]}]}]}, {"tin": {"type": "ein", "value": "356001540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.03, "providers": [{"billed_charge": 189.0, "npi": [1740268846]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.78, "providers": [{"billed_charge": 268.83, "npi": [1558368449]}]}, {"allowed_amount": 141.51, "providers": [{"billed_charge": 278.12, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.25, "providers": [{"billed_charge": 306.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.25, "providers": [{"billed_charge": 561.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.25, "providers": [{"billed_charge": 310.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.77, "providers": [{"billed_charge": 431.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.25, "providers": [{"billed_charge": 561.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "371119538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.25, "providers": [{"billed_charge": 368.0, "npi": [1013071653]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 102.5, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.46, "providers": [{"billed_charge": 213.0, "npi": [1831132133]}]}]}, {"tin": {"type": "ein", "value": "383176536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 333.0, "npi": [1053356352]}]}]}, {"tin": {"type": "ein", "value": "421672810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.29, "providers": [{"billed_charge": 480.0, "npi": [1902844988]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.82, "providers": [{"billed_charge": 85.0, "npi": [1790740363]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.19, "providers": [{"billed_charge": 364.0, "npi": [1871665380, 1962572396]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.25, "providers": [{"billed_charge": 321.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.11, "providers": [{"billed_charge": 296.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.15, "providers": [{"billed_charge": 115.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.15, "providers": [{"billed_charge": 48.0, "npi": [1093700346]}]}, {"allowed_amount": 28.21, "providers": [{"billed_charge": 48.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "470379755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.73, "providers": [{"billed_charge": 300.0, "npi": [1336184019]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.92, "providers": [{"billed_charge": 195.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.44, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473923087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 266.33, "npi": [1366815144]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.34, "providers": [{"billed_charge": 212.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.42, "providers": [{"billed_charge": 465.0, "npi": [1255684460]}]}, {"allowed_amount": 161.43, "providers": [{"billed_charge": 465.0, "npi": [1255684460]}]}, {"allowed_amount": 161.44, "providers": [{"billed_charge": 465.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.4, "providers": [{"billed_charge": 687.0, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 57.0, "npi": [1417432840, 1487866315, 1346297892]}]}]}, {"tin": {"type": "ein", "value": "560532309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.03, "providers": [{"billed_charge": 311.0, "npi": [1396746228]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 371.0, "npi": [1881647204]}]}, {"allowed_amount": 139.25, "providers": [{"billed_charge": 371.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "560619359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 362.0, "npi": [1013918960]}]}]}, {"tin": {"type": "ein", "value": "561376368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 371.0, "npi": [1063463156]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.95, "providers": [{"billed_charge": 57.0, "npi": [1376985135]}]}, {"allowed_amount": 139.23, "providers": [{"billed_charge": 57.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "570370242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 346.0, "npi": [1699756221]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 113.0, "npi": [1659435840]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.5, "providers": [{"billed_charge": 401.0, "npi": [1609807122]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.06, "providers": [{"billed_charge": 343.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 343.0, "npi": [1588640692]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.06, "providers": [{"billed_charge": 343.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "580568702"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.39, "providers": [{"billed_charge": 372.0, "npi": [1063406684]}]}]}, {"tin": {"type": "ein", "value": "581157005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.55, "providers": [{"billed_charge": 305.0, "npi": [1245248624]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.22, "providers": [{"billed_charge": 519.0, "npi": [1528056066]}, {"billed_charge": 545.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.76, "providers": [{"billed_charge": 401.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.43, "providers": [{"billed_charge": 116.34, "npi": [1598784720]}]}, {"allowed_amount": 86.44, "providers": [{"billed_charge": 116.34, "npi": [1598784720]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.99, "providers": [{"billed_charge": 339.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.45, "providers": [{"billed_charge": 564.0, "npi": [1225050396]}]}, {"allowed_amount": 106.06, "providers": [{"billed_charge": 564.0, "npi": [1457396079]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.73, "providers": [{"billed_charge": 343.0, "npi": [1093716979]}]}, {"allowed_amount": 104.74, "providers": [{"billed_charge": 343.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.45, "providers": [{"billed_charge": 322.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582095884"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.45, "providers": [{"billed_charge": 322.0, "npi": [1457329435]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 524.06, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.6, "providers": [{"billed_charge": 162.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.44, "providers": [{"billed_charge": 165.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 524.06, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "586002659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.35, "providers": [{"billed_charge": 173.0, "npi": [1861615304]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.01, "providers": [{"billed_charge": 221.95, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.67, "providers": [{"billed_charge": 169.2, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.05, "providers": [{"billed_charge": 349.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 398.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 280.9, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.28, "providers": [{"billed_charge": 229.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 343.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 641.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 274.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.31, "providers": [{"billed_charge": 337.86, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 305.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591205441"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.34, "providers": [{"billed_charge": 170.0, "npi": [1528387842]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 204.0, "npi": [1396992475]}]}, {"allowed_amount": 204.0, "providers": [{"billed_charge": 204.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 376.35, "providers": [{"billed_charge": 896.08, "npi": [1841237930]}]}, {"allowed_amount": 443.0, "providers": [{"billed_charge": 1054.75, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.17, "providers": [{"billed_charge": 391.0, "npi": [1184709057]}]}, {"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.18, "providers": [{"billed_charge": 444.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.53, "providers": [{"billed_charge": 343.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 697.08, "npi": [1821186313]}, {"billed_charge": 697.09, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.67, "providers": [{"billed_charge": 169.2, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.4, "providers": [{"billed_charge": 398.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.76, "providers": [{"billed_charge": 315.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.49, "providers": [{"billed_charge": 305.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.47, "providers": [{"billed_charge": 322.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.04, "providers": [{"billed_charge": 142.14, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.67, "providers": [{"billed_charge": 300.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.15, "providers": [{"billed_charge": 458.18, "npi": [1265539498]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.42, "providers": [{"billed_charge": 490.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.75, "providers": [{"billed_charge": 565.0, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "611334601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.95, "providers": [{"billed_charge": 158.0, "npi": [1447457775]}]}]}, {"tin": {"type": "ein", "value": "620475842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.55, "providers": [{"billed_charge": 186.6, "npi": [1164590386]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.32, "providers": [{"billed_charge": 222.0, "npi": [1558365890]}]}, {"allowed_amount": 73.33, "providers": [{"billed_charge": 222.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.55, "providers": [{"billed_charge": 785.61, "npi": [1982650024]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.32, "providers": [{"billed_charge": 75.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621619857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 510.63, "npi": [1811942238]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.18, "providers": [{"billed_charge": 157.7, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621682198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 593.73, "npi": [1689628984]}]}]}, {"tin": {"type": "ein", "value": "621740235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.22, "providers": [{"billed_charge": 448.63, "npi": [1770674350]}]}]}, {"tin": {"type": "ein", "value": "621753289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.17, "providers": [{"billed_charge": 322.0, "npi": [1699765453]}]}]}, {"tin": {"type": "ein", "value": "621762412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.64, "providers": [{"billed_charge": 558.0, "npi": [1801830500]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.25, "providers": [{"billed_charge": 452.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.6, "providers": [{"billed_charge": 476.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.85, "providers": [{"billed_charge": 711.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.17, "providers": [{"billed_charge": 366.28, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "630891904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.17, "providers": [{"billed_charge": 231.81, "npi": [1447303227]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.07, "providers": [{"billed_charge": 248.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 200.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.49, "providers": [{"billed_charge": 179.74, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.02, "providers": [{"billed_charge": 35.02, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.89, "providers": [{"billed_charge": 293.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.17, "providers": [{"billed_charge": 106.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "720880258"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.89, "providers": [{"billed_charge": 120.0, "npi": [1518924109]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.51, "providers": [{"billed_charge": 651.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "726014606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.19, "providers": [{"billed_charge": 127.0, "npi": [1295716637]}]}]}, {"tin": {"type": "ein", "value": "730579285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.34, "providers": [{"billed_charge": 388.0, "npi": [1184721722]}]}]}, {"tin": {"type": "ein", "value": "730700090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.34, "providers": [{"billed_charge": 380.4, "npi": [1144228487]}]}]}, {"tin": {"type": "ein", "value": "730731338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.63, "providers": [{"billed_charge": 326.0, "npi": [1467473579]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.35, "providers": [{"billed_charge": 336.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.31, "providers": [{"billed_charge": 500.0, "npi": [1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 560.0, "npi": [1447883301]}]}, {"allowed_amount": 143.47, "providers": [{"billed_charge": 489.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 567.5, "npi": [1730132234]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 576.75, "npi": [1982666111]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 590.0, "npi": [1942294939]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 358.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.65, "providers": [{"billed_charge": 279.0, "npi": [1770536120]}]}, {"allowed_amount": 110.25, "providers": [{"billed_charge": 315.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.78, "providers": [{"billed_charge": 467.94, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 461.0, "npi": [1528027786]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752302928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.19, "providers": [{"billed_charge": 241.0, "npi": [1740273994]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 333.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 633.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 1367.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 322.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.91, "providers": [{"billed_charge": 235.0, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.51, "providers": [{"billed_charge": 651.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.08, "providers": [{"billed_charge": 319.0, "npi": [1982150009]}]}]}, {"tin": {"type": "ein", "value": "814015190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 401.0, "npi": [1881144889]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.08, "providers": [{"billed_charge": 514.5, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "814584169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 793.1, "npi": [1376064295]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 730.0, "providers": [{"billed_charge": 385.0, "npi": [1134152549]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.6, "providers": [{"billed_charge": 258.0, "npi": [1992798409]}]}]}, {"tin": {"type": "ein", "value": "823166379"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.73, "providers": [{"billed_charge": 182.0, "npi": [1407367030]}]}]}, {"tin": {"type": "ein", "value": "831294232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.39, "providers": [{"billed_charge": 401.0, "npi": [1083174973]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.58, "providers": [{"billed_charge": 438.13, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.44, "providers": [{"billed_charge": 438.13, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840398876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.16, "providers": [{"billed_charge": 216.0, "npi": [1790787307]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 910.11, "npi": [1891709192]}]}]}, {"tin": {"type": "ein", "value": "840446259"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.15, "providers": [{"billed_charge": 321.0, "npi": [1982668133]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.0, "providers": [{"billed_charge": 147.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.72, "providers": [{"billed_charge": 423.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.79, "providers": [{"billed_charge": 127.79, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.31, "providers": [{"billed_charge": 523.79, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.29, "providers": [{"billed_charge": 131.79, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.44, "providers": [{"billed_charge": 215.0, "npi": [1073576740]}]}, {"allowed_amount": 82.45, "providers": [{"billed_charge": 430.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.23, "providers": [{"billed_charge": 30.01, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.17, "providers": [{"billed_charge": 132.6, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "880455713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.51, "providers": [{"billed_charge": 728.0, "npi": [1770626426]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.0, "providers": [{"billed_charge": 109.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.09, "providers": [{"billed_charge": 33.21, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.51, "providers": [{"billed_charge": 397.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "900412842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.44, "providers": [{"billed_charge": 279.0, "npi": [1124341672]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.28, "providers": [{"billed_charge": 178.0, "npi": [1306883228]}]}]}, {"tin": {"type": "ein", "value": "910565546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.31, "providers": [{"billed_charge": 531.48, "npi": [1518912609]}]}]}, {"tin": {"type": "ein", "value": "910652651"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.29, "providers": [{"billed_charge": 210.0, "npi": [1861432726]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "932759167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 1406.25, "npi": [1396600151]}]}]}, {"tin": {"type": "ein", "value": "934555562"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 569.0, "npi": [1841069044]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 577.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.0, "providers": [{"billed_charge": 540.0, "npi": [1063582989]}]}, {"allowed_amount": 661.33, "providers": [{"billed_charge": 380.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.52, "providers": [{"billed_charge": 166.19, "npi": [1851530984]}]}]}, {"tin": {"type": "ein", "value": "943167314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.25, "providers": [{"billed_charge": 963.0, "npi": [1093712374]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.0, "providers": [{"billed_charge": 935.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.94, "providers": [{"billed_charge": 137.94, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951643360"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.33, "providers": [{"billed_charge": 271.0, "npi": [1992752315]}]}]}, {"tin": {"type": "ein", "value": "951644600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.33, "providers": [{"billed_charge": 1289.07, "npi": [1639172372]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.0, "providers": [{"billed_charge": 285.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.33, "providers": [{"billed_charge": 1702.68, "npi": [1659359446, 1700829199]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.46, "providers": [{"billed_charge": 402.0, "npi": [1457382483]}]}, {"allowed_amount": 96.47, "providers": [{"billed_charge": 402.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.27, "providers": [{"billed_charge": 440.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 392.0, "npi": [1427806025]}, {"billed_charge": 416.0, "npi": [1427806025, 1780429076, 1366281750]}]}, {"allowed_amount": 416.0, "providers": [{"billed_charge": 416.0, "npi": [1427806025]}]}, {"allowed_amount": 632.34, "providers": [{"billed_charge": 416.0, "npi": [1780429076]}]}, {"allowed_amount": 781.49, "providers": [{"billed_charge": 416.0, "npi": [1780429076]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.37, "providers": [{"billed_charge": 634.0, "npi": [1255171096]}]}]}]}, {"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": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.75, "providers": [{"billed_charge": 391.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.78, "providers": [{"billed_charge": 268.83, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.85, "providers": [{"billed_charge": 285.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.4, "providers": [{"billed_charge": 312.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.37, "providers": [{"billed_charge": 119.48, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.75, "providers": [{"billed_charge": 565.0, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.65, "providers": [{"billed_charge": 279.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.84, "providers": [{"billed_charge": 391.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.65, "providers": [{"billed_charge": 219.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.0, "providers": [{"billed_charge": 168.0, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 545.0, "providers": [{"billed_charge": 545.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.0, "providers": [{"billed_charge": 370.0, "npi": [1508859323]}]}]}]}, {"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": "010238552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.12, "providers": [{"billed_charge": 412.4, "npi": [1760436216]}]}]}, {"tin": {"type": "ein", "value": "030219309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.25, "providers": [{"billed_charge": 352.0, "npi": [1568419976]}]}]}, {"tin": {"type": "ein", "value": "042103881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 305.0, "npi": [1548202641]}]}]}, {"tin": {"type": "ein", "value": "042769210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 486.0, "npi": [1134227606]}]}]}, {"tin": {"type": "ein", "value": "043314093"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 692.0, "npi": [1346218294]}]}]}, {"tin": {"type": "ein", "value": "043320571"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 210.0, "npi": [1487603585]}]}]}, {"tin": {"type": "ein", "value": "043400617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 521.0, "npi": [1730132515]}]}]}, {"tin": {"type": "ein", "value": "060250773"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.58, "providers": [{"billed_charge": 671.0, "npi": [1467517235]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.58, "providers": [{"billed_charge": 768.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060646715"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.58, "providers": [{"billed_charge": 671.24, "npi": [1427007848]}]}]}, {"tin": {"type": "ein", "value": "061562701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 977.08, "providers": [{"billed_charge": 516.0, "npi": [1982663423]}]}]}, {"tin": {"type": "ein", "value": "066068853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.58, "providers": [{"billed_charge": 505.0, "npi": [1427041581]}]}]}, {"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 977.08, "providers": [{"billed_charge": 1693.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "111665825"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 767.97, "npi": [1346274537]}]}]}, {"tin": {"type": "ein", "value": "111667761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 977.08, "providers": [{"billed_charge": 1333.0, "npi": [1457369381]}]}]}, {"tin": {"type": "ein", "value": "112241326"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 960.77, "providers": [{"billed_charge": 1447.0, "npi": [1346603107]}]}]}, {"tin": {"type": "ein", "value": "112868878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 2768.5, "npi": [1407877137]}]}]}, {"tin": {"type": "ein", "value": "131624070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 2344.33, "npi": [1477616571]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 2000.0, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 661.62, "npi": [1801803903]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 711.0, "npi": [1952332801, 1194832477]}]}]}, {"tin": {"type": "ein", "value": "133964321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 965.0, "npi": [1932280666]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.13, "providers": [{"billed_charge": 1343.23, "npi": [1427616002, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "141348692"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 302.0, "npi": [1497701106]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 196.0, "npi": [1518998699]}]}]}, {"tin": {"type": "ein", "value": "161533232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 326.0, "npi": [1639209596]}]}]}, {"tin": {"type": "ein", "value": "202844893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.35, "providers": [{"billed_charge": 342.72, "npi": [1568551455]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.14, "providers": [{"billed_charge": 695.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204401957"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1379.37, "providers": [{"billed_charge": 884.13, "npi": [1215003348, 1316992134]}]}]}, {"tin": {"type": "ein", "value": "204560540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.19, "providers": [{"billed_charge": 116.5, "npi": [1952409765]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 586.5, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 671.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.05, "providers": [{"billed_charge": 53.86, "npi": [1467073254, 1790906154, 1891725164, 1457715096, 1558724377]}]}, {"allowed_amount": 53.86, "providers": [{"billed_charge": 53.86, "npi": [1285780387, 1710947940, 1891725164, 1457715096, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.05, "providers": [{"billed_charge": 53.86, "npi": [1669737953, 1174586465, 1710947940, 1508108390, 1669919155]}]}, {"allowed_amount": 53.86, "providers": [{"billed_charge": 53.86, "npi": [1285780387, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.05, "providers": [{"billed_charge": 53.86, "npi": [1245352491, 1780632612, 1073833653, 1881271310]}]}, {"allowed_amount": 53.86, "providers": [{"billed_charge": 53.86, "npi": [1891725164, 1649538828, 1073833653, 1942457692, 1528022332]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.05, "providers": [{"billed_charge": 53.86, "npi": [1396774956]}]}, {"allowed_amount": 53.86, "providers": [{"billed_charge": 53.86, "npi": [1194822353, 1669919155, 1073833653, 1528493350]}]}]}, {"tin": {"type": "ein", "value": "210634549"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 861.52, "providers": [{"billed_charge": 416.0, "npi": [1013919315]}]}]}, {"tin": {"type": "ein", "value": "210635009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 890.16, "providers": [{"billed_charge": 1264.0, "npi": [1689714255]}]}]}, {"tin": {"type": "ein", "value": "210662542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 861.52, "providers": [{"billed_charge": 487.0, "npi": [1053382697]}]}]}, {"tin": {"type": "ein", "value": "221487173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 654.49, "providers": [{"billed_charge": 1210.0, "npi": [1083612881]}]}]}, {"tin": {"type": "ein", "value": "221487243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 878.27, "providers": [{"billed_charge": 745.0, "npi": [1003236878]}]}]}, {"tin": {"type": "ein", "value": "221487330"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 890.16, "providers": [{"billed_charge": 1170.0, "npi": [1114924834]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 654.49, "providers": [{"billed_charge": 715.0, "npi": [1730692344]}]}]}, {"tin": {"type": "ein", "value": "221494440"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 671.78, "providers": [{"billed_charge": 685.0, "npi": [1396857488]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 671.78, "providers": [{"billed_charge": 765.0, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 446.46, "providers": [{"billed_charge": 382.2, "npi": [1962422733]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 654.49, "providers": [{"billed_charge": 562.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "223452311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 671.78, "providers": [{"billed_charge": 685.0, "npi": [1215027966]}]}]}, {"tin": {"type": "ein", "value": "223452412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 909.76, "providers": [{"billed_charge": 562.0, "npi": [1609983790]}]}]}, {"tin": {"type": "ein", "value": "223548695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 660.5, "providers": [{"billed_charge": 2162.0, "npi": [1275583726]}]}]}, {"tin": {"type": "ein", "value": "223601678"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 648.53, "providers": [{"billed_charge": 562.0, "npi": [1770583999]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 703.42, "providers": [{"billed_charge": 651.0, "npi": [1811992084]}]}]}, {"tin": {"type": "ein", "value": "231352213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 749.72, "providers": [{"billed_charge": 843.0, "npi": [1376339226]}]}]}, {"tin": {"type": "ein", "value": "231913910"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 772.77, "providers": [{"billed_charge": 393.0, "npi": [1780686931]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 856.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "232896725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.71, "providers": [{"billed_charge": 506.0, "npi": [1487640207]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 642.0, "npi": [1417947490, 1770150914]}]}]}, {"tin": {"type": "ein", "value": "240795682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 414.84, "providers": [{"billed_charge": 906.0, "npi": [1730173154]}]}]}, {"tin": {"type": "ein", "value": "250965429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 424.72, "providers": [{"billed_charge": 339.0, "npi": [1881695146]}]}]}, {"tin": {"type": "ein", "value": "250965588"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 424.72, "providers": [{"billed_charge": 538.0, "npi": [1871594127]}]}]}, {"tin": {"type": "ein", "value": "251925187"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 408.31, "providers": [{"billed_charge": 338.0, "npi": [1568403111]}]}]}, {"tin": {"type": "ein", "value": "261512163"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1635.75, "npi": [1740450121]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.79, "providers": [{"billed_charge": 725.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.05, "providers": [{"billed_charge": 53.86, "npi": [1467073254, 1790906154, 1346206257, 1669919155, 1942457692]}]}, {"allowed_amount": 53.86, "providers": [{"billed_charge": 53.86, "npi": [1790906154, 1669919155, 1710175526, 1467073254]}]}]}, {"tin": {"type": "ein", "value": "263359979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.72, "providers": [{"billed_charge": 651.0, "npi": [1386896306]}]}]}, {"tin": {"type": "ein", "value": "264019868"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.89, "providers": [{"billed_charge": 245.82, "npi": [1730494816]}]}]}, {"tin": {"type": "ein", "value": "270036499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 505.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "272814378"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 332.69, "npi": [1841562709]}]}]}, {"tin": {"type": "ein", "value": "272844563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.28, "providers": [{"billed_charge": 483.0, "npi": [1922310200]}]}]}, {"tin": {"type": "ein", "value": "272844632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.28, "providers": [{"billed_charge": 347.0, "npi": [1760794044]}]}]}, {"tin": {"type": "ein", "value": "300754305"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 1015.0, "npi": [1407191984]}]}]}, {"tin": {"type": "ein", "value": "300811171"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 786.04, "providers": [{"billed_charge": 699.69, "npi": [1023435898]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 1044.65, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "300975387"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 493.41, "providers": [{"billed_charge": 99.0, "npi": [1336289552]}]}]}, {"tin": {"type": "ein", "value": "310564121"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.22, "providers": [{"billed_charge": 352.0, "npi": [1053339507]}]}]}, {"tin": {"type": "ein", "value": "310621866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.22, "providers": [{"billed_charge": 352.0, "npi": [1043233984]}]}]}, {"tin": {"type": "ein", "value": "311439334"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.03, "providers": [{"billed_charge": 635.0, "npi": [1982784534]}]}, {"allowed_amount": 338.4, "providers": [{"billed_charge": 635.0, "npi": [1417037045]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.91, "providers": [{"billed_charge": 857.57, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "311626179"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.1, "providers": [{"billed_charge": 507.0, "npi": [1538164090]}]}]}, {"tin": {"type": "ein", "value": "314379509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.03, "providers": [{"billed_charge": 488.58, "npi": [1215936927]}]}]}, {"tin": {"type": "ein", "value": "314379519"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.4, "providers": [{"billed_charge": 300.85, "npi": [1568446755]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.4, "providers": [{"billed_charge": 349.0, "npi": [1801937008, 1467484972, 1255377149]}]}, {"allowed_amount": 787.02, "providers": [{"billed_charge": 349.0, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.05, "providers": [{"billed_charge": 53.86, "npi": [1669737953, 1700011335, 1790906154, 1497258164, 1528022332, 1689816191]}]}, {"allowed_amount": 53.86, "providers": [{"billed_charge": 53.86, "npi": [1528022332, 1073833653, 1699926774, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "340505560"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.66, "providers": [{"billed_charge": 725.0, "npi": [1790868982]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.66, "providers": [{"billed_charge": 1454.0, "npi": [1679525919]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.66, "providers": [{"billed_charge": 1454.0, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.66, "providers": [{"billed_charge": 437.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "341105619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 347.95, "providers": [{"billed_charge": 227.0, "npi": [1811939887]}]}]}, {"tin": {"type": "ein", "value": "341883132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.23, "providers": [{"billed_charge": 1180.0, "npi": [1598765539]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.66, "providers": [{"billed_charge": 1454.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "344441792"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 365.19, "providers": [{"billed_charge": 470.0, "npi": [1922079532]}]}]}, {"tin": {"type": "ein", "value": "350868130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.96, "providers": [{"billed_charge": 419.0, "npi": [1770679201]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 537.0, "npi": [1306898960]}]}]}, {"tin": {"type": "ein", "value": "351128943"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 798.0, "npi": [1700883717]}]}]}, {"tin": {"type": "ein", "value": "351151208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 393.75, "npi": [1699757401]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 464.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 721.89, "providers": [{"billed_charge": 248.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "352528741"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.44, "providers": [{"billed_charge": 645.0, "npi": [1396882205]}]}]}, {"tin": {"type": "ein", "value": "356001540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 555.0, "npi": [1740268846]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 1109.89, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 146.7, "providers": [{"billed_charge": 288.34, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 993.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 415.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.47, "providers": [{"billed_charge": 431.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362379649"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 384.0, "npi": [1831170232]}]}]}, {"tin": {"type": "ein", "value": "371119538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.12, "providers": [{"billed_charge": 693.0, "npi": [1013071653]}]}]}, {"tin": {"type": "ein", "value": "381426919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.28, "providers": [{"billed_charge": 619.0, "npi": [1336183367]}]}]}, {"tin": {"type": "ein", "value": "381428164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.28, "providers": [{"billed_charge": 184.7, "npi": [1376564088]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.98, "providers": [{"billed_charge": 284.0, "npi": [1831132133]}]}]}, {"tin": {"type": "ein", "value": "383176536"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.28, "providers": [{"billed_charge": 511.0, "npi": [1053356352]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.8, "providers": [{"billed_charge": 300.4, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.38, "providers": [{"billed_charge": 240.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "420504780"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.99, "providers": [{"billed_charge": 562.42, "npi": [1083708226]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.64, "providers": [{"billed_charge": 868.96, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.0, "providers": [{"billed_charge": 132.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "421672810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3003.8, "providers": [{"billed_charge": 613.0, "npi": [1902844988]}]}]}, {"tin": {"type": "ein", "value": "430887928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.16, "providers": [{"billed_charge": 410.0, "npi": [1790740363]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.14, "providers": [{"billed_charge": 475.0, "npi": [1962572396, 1871665380]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.63, "providers": [{"billed_charge": 340.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "446005758"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.16, "providers": [{"billed_charge": 250.0, "npi": [1831115641]}]}]}, {"tin": {"type": "ein", "value": "452528314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.1, "providers": [{"billed_charge": 958.62, "npi": [1972576247]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.83, "providers": [{"billed_charge": 170.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 335.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.36, "providers": [{"billed_charge": 122.0, "npi": [1093700346]}]}, {"allowed_amount": 67.71, "providers": [{"billed_charge": 122.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "470379755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 525.67, "providers": [{"billed_charge": 770.0, "npi": [1336184019]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.9, "providers": [{"billed_charge": 239.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 538.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473923087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 393.38, "npi": [1366815144]}]}]}, {"tin": {"type": "ein", "value": "474196634"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.14, "providers": [{"billed_charge": 486.0, "npi": [1942685920]}]}]}, {"tin": {"type": "ein", "value": "480637331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.42, "providers": [{"billed_charge": 571.81, "npi": [1023171634]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.42, "providers": [{"billed_charge": 340.0, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "510382045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 621.0, "npi": [1023060472]}]}]}, {"tin": {"type": "ein", "value": "510603966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 506.12, "providers": [{"billed_charge": 398.0, "npi": [1699819003]}]}]}, {"tin": {"type": "ein", "value": "521958352"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 648.53, "providers": [{"billed_charge": 1026.0, "npi": [1790789212]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 699.79, "providers": [{"billed_charge": 534.0, "npi": [1376564302]}]}, {"allowed_amount": 733.31, "providers": [{"billed_charge": 534.0, "npi": [1255684460]}]}]}, {"tin": {"type": "ein", "value": "541779911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 678.61, "providers": [{"billed_charge": 687.0, "npi": [1598708513]}]}]}, {"tin": {"type": "ein", "value": "550675666"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 432.56, "providers": [{"billed_charge": 320.3, "npi": [1073518007]}]}]}, {"tin": {"type": "ein", "value": "560529945"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.5, "providers": [{"billed_charge": 292.0, "npi": [1417432840, 1487866315, 1346297892]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.5, "providers": [{"billed_charge": 371.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "560619359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.5, "providers": [{"billed_charge": 425.0, "npi": [1013918960]}]}]}, {"tin": {"type": "ein", "value": "561376368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.5, "providers": [{"billed_charge": 371.0, "npi": [1063463156]}]}]}, {"tin": {"type": "ein", "value": "561398929"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.13, "providers": [{"billed_charge": 292.0, "npi": [1376985135]}]}, {"allowed_amount": 632.5, "providers": [{"billed_charge": 292.0, "npi": [1295789907]}]}]}, {"tin": {"type": "ein", "value": "562070036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 342.87, "providers": [{"billed_charge": 357.0, "npi": [1871592113]}]}]}, {"tin": {"type": "ein", "value": "562084959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 733.95, "providers": [{"billed_charge": 394.0, "npi": [1144247982]}]}]}, {"tin": {"type": "ein", "value": "570370242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.4, "providers": [{"billed_charge": 388.0, "npi": [1699756221]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.4, "providers": [{"billed_charge": 132.0, "npi": [1659435840]}]}]}, {"tin": {"type": "ein", "value": "576000934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 465.62, "providers": [{"billed_charge": 494.0, "npi": [1609807122]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.79, "providers": [{"billed_charge": 620.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580566213"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.74, "providers": [{"billed_charge": 586.5, "npi": [1962461681]}]}]}, {"tin": {"type": "ein", "value": "580566223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.74, "providers": [{"billed_charge": 335.0, "npi": [1871556621]}]}]}, {"tin": {"type": "ein", "value": "580566256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 620.0, "npi": [1588640692]}]}]}, {"tin": {"type": "ein", "value": "580566257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.79, "providers": [{"billed_charge": 620.0, "npi": [1679664395]}]}]}, {"tin": {"type": "ein", "value": "580568702"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.38, "providers": [{"billed_charge": 502.0, "npi": [1063406684]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.38, "providers": [{"billed_charge": 502.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "580968382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.22, "providers": [{"billed_charge": 786.0, "npi": [1467420448]}]}]}, {"tin": {"type": "ein", "value": "581157005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.3, "providers": [{"billed_charge": 152.5, "npi": [1245248624]}]}]}, {"tin": {"type": "ein", "value": "581519911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.46, "providers": [{"billed_charge": 613.0, "npi": [1528056066]}, {"billed_charge": 644.0, "npi": [1528056066]}]}]}, {"tin": {"type": "ein", "value": "581685139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 558.83, "providers": [{"billed_charge": 452.19, "npi": [1255401519]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.74, "providers": [{"billed_charge": 401.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581734026"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 499.88, "providers": [{"billed_charge": 617.0, "npi": [1659376630]}]}]}, {"tin": {"type": "ein", "value": "581790149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 477.0, "npi": [1801883780]}]}]}, {"tin": {"type": "ein", "value": "581911751"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.64, "providers": [{"billed_charge": 470.1, "npi": [1598784720]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.9, "providers": [{"billed_charge": 339.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.22, "providers": [{"billed_charge": 597.0, "npi": [1225050396]}]}, {"allowed_amount": 475.77, "providers": [{"billed_charge": 597.0, "npi": [1952340994]}]}, {"allowed_amount": 481.79, "providers": [{"billed_charge": 597.0, "npi": [1457396079]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 620.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.22, "providers": [{"billed_charge": 786.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.23, "providers": [{"billed_charge": 417.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582155150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 586.5, "npi": [1760498588]}]}]}, {"tin": {"type": "ein", "value": "582190713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 357.05, "providers": [{"billed_charge": 360.0, "npi": [1265486278]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 439.58, "providers": [{"billed_charge": 377.0, "npi": [1326043548]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 586.5, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "586025393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 445.17, "providers": [{"billed_charge": 221.95, "npi": [1487684122]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.89, "providers": [{"billed_charge": 245.82, "npi": [1295702728, 1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.11, "providers": [{"billed_charge": 493.58, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1145.6, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1216.8, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1218.21, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1324.05, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1332.72, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1628.04, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 1818.0, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}, {"allowed_amount": 2662.48, "providers": [{"billed_charge": 1818.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 563.21, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.81, "providers": [{"billed_charge": 335.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590675143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 809.0, "npi": [1144211020]}]}]}, {"tin": {"type": "ein", "value": "590683252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 559.74, "providers": [{"billed_charge": 424.0, "npi": [1427114099]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1379.37, "providers": [{"billed_charge": 498.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 500.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.02, "providers": [{"billed_charge": 447.34, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 728.0, "npi": [1578620449]}]}, {"allowed_amount": 1134.07, "providers": [{"billed_charge": 728.0, "npi": [1578620449]}]}, {"allowed_amount": 1137.35, "providers": [{"billed_charge": 728.0, "npi": [1578620449]}]}, {"allowed_amount": 1390.3, "providers": [{"billed_charge": 728.0, "npi": [1578620449]}]}, {"allowed_amount": 1443.29, "providers": [{"billed_charge": 728.0, "npi": [1578620449]}]}, {"allowed_amount": 1506.03, "providers": [{"billed_charge": 728.0, "npi": [1578620449]}]}, {"allowed_amount": 1556.3, "providers": [{"billed_charge": 728.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.02, "providers": [{"billed_charge": 809.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.0, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 721.89, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 926.43, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 1137.47, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 1170.0, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 1183.36, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 1224.24, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 1405.37, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}, {"allowed_amount": 1967.73, "providers": [{"billed_charge": 224.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 379.79, "providers": [{"billed_charge": 904.26, "npi": [1841237930]}]}, {"allowed_amount": 410.17, "providers": [{"billed_charge": 976.59, "npi": [1841237930]}]}, {"allowed_amount": 443.0, "providers": [{"billed_charge": 1054.75, "npi": [1841237930]}]}, {"allowed_amount": 443.06, "providers": [{"billed_charge": 1054.91, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.63, "providers": [{"billed_charge": 695.0, "npi": [1184709057]}]}, {"allowed_amount": 188.14, "providers": [{"billed_charge": 695.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 486.44, "providers": [{"billed_charge": 714.0, "npi": [1437177664]}]}, {"allowed_amount": 972.89, "providers": [{"billed_charge": 714.0, "npi": [1437177664]}]}, {"allowed_amount": 1393.65, "providers": [{"billed_charge": 714.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.85, "providers": [{"billed_charge": 809.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.37, "providers": [{"billed_charge": 697.09, "npi": [1821186313]}]}, {"allowed_amount": 810.74, "providers": [{"billed_charge": 697.08, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.89, "providers": [{"billed_charge": 245.82, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "592496294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.72, "providers": [{"billed_charge": 1818.0, "npi": [1376512988]}]}]}, {"tin": {"type": "ein", "value": "592650456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.12, "providers": [{"billed_charge": 521.0, "npi": [1144228446]}]}, {"allowed_amount": 1587.02, "providers": [{"billed_charge": 521.0, "npi": [1144228446]}]}, {"allowed_amount": 1793.79, "providers": [{"billed_charge": 521.0, "npi": [1144228446]}]}, {"allowed_amount": 2317.65, "providers": [{"billed_charge": 521.0, "npi": [1144228446]}]}, {"allowed_amount": 2937.94, "providers": [{"billed_charge": 521.0, "npi": [1144228446]}]}]}, {"tin": {"type": "ein", "value": "592980620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.74, "providers": [{"billed_charge": 728.0, "npi": [1821155912]}]}, {"allowed_amount": 1160.02, "providers": [{"billed_charge": 728.0, "npi": [1821155912]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.14, "providers": [{"billed_charge": 695.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593527036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.45, "providers": [{"billed_charge": 809.0, "npi": [1740276518]}]}]}, {"tin": {"type": "ein", "value": "596001217"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.88, "providers": [{"billed_charge": 550.0, "npi": [1811991227]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.53, "providers": [{"billed_charge": 407.0, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 396.9, "npi": [1285662239]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.89, "providers": [{"billed_charge": 463.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.11, "providers": [{"billed_charge": 546.67, "npi": [1265539498]}]}, {"allowed_amount": 464.34, "providers": [{"billed_charge": 546.67, "npi": [1689282147]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 439.43, "providers": [{"billed_charge": 846.01, "npi": [1154365062]}]}]}, {"tin": {"type": "ein", "value": "610703799"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.07, "providers": [{"billed_charge": 490.0, "npi": [1952307027]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.1, "providers": [{"billed_charge": 566.0, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 126.01, "providers": [{"billed_charge": 360.04, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "611334601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 440.39, "providers": [{"billed_charge": 350.0, "npi": [1447457775]}]}]}, {"tin": {"type": "ein", "value": "611786722"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.96, "providers": [{"billed_charge": 506.0, "npi": [1154876985]}]}]}, {"tin": {"type": "ein", "value": "620475842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.35, "providers": [{"billed_charge": 425.8, "npi": [1164590386]}]}, {"allowed_amount": 1123.52, "providers": [{"billed_charge": 425.8, "npi": [1164590386]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.05, "providers": [{"billed_charge": 222.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 520.35, "providers": [{"billed_charge": 1213.03, "npi": [1982650024]}, {"billed_charge": 1327.41, "npi": [1023055126]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.1, "providers": [{"billed_charge": 326.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.5, "providers": [{"billed_charge": 250.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 500.0, "npi": [1104870187]}]}]}, {"tin": {"type": "ein", "value": "621619857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 510.63, "npi": [1811942238]}]}]}, {"tin": {"type": "ein", "value": "621656022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 636.74, "providers": [{"billed_charge": 316.57, "npi": [1619924719]}]}]}, {"tin": {"type": "ein", "value": "621682198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 582.5, "npi": [1689628984]}]}]}, {"tin": {"type": "ein", "value": "621753289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 495.96, "providers": [{"billed_charge": 373.0, "npi": [1699765453]}]}]}, {"tin": {"type": "ein", "value": "621762412"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.41, "providers": [{"billed_charge": 2508.0, "npi": [1801830500]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.6, "providers": [{"billed_charge": 476.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.85, "providers": [{"billed_charge": 711.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.0, "providers": [{"billed_charge": 560.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.52, "providers": [{"billed_charge": 1061.49, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "621801359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1070.12, "npi": [1174576698]}]}]}, {"tin": {"type": "ein", "value": "621801361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 512.19, "npi": [1962455816]}]}]}, {"tin": {"type": "ein", "value": "621811285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 864.0, "npi": [1326022765]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.77, "providers": [{"billed_charge": 848.04, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "621861200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.41, "providers": [{"billed_charge": 1235.0, "npi": [1740252592]}]}]}, {"tin": {"type": "ein", "value": "630891904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.77, "providers": [{"billed_charge": 408.5, "npi": [1447303227]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.45, "providers": [{"billed_charge": 506.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "631159023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 388.64, "providers": [{"billed_charge": 613.13, "npi": [1720039712]}]}]}, {"tin": {"type": "ein", "value": "650543088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 377.3, "providers": [{"billed_charge": 382.0, "npi": [1760419527]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 410.92, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 1008.19, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 1275.32, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 1555.58, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 1629.3, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 1660.54, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 1707.27, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 1872.2, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 2030.46, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 2153.31, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 2264.13, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 2266.65, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 2337.44, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 3004.16, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}, {"allowed_amount": 4635.38, "providers": [{"billed_charge": 238.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "650905661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 701.78, "providers": [{"billed_charge": 492.16, "npi": [1619922077]}]}]}, {"tin": {"type": "ein", "value": "711045290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.12, "providers": [{"billed_charge": 678.0, "npi": [1962435792]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 408.31, "providers": [{"billed_charge": 300.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "720502505"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.28, "providers": [{"billed_charge": 306.0, "npi": [1811973100]}]}]}, {"tin": {"type": "ein", "value": "720880258"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 408.31, "providers": [{"billed_charge": 500.0, "npi": [1518924109]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 674.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "726014606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.28, "providers": [{"billed_charge": 277.0, "npi": [1295716637]}]}]}, {"tin": {"type": "ein", "value": "730579285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 568.0, "npi": [1184721722]}]}]}, {"tin": {"type": "ein", "value": "730657693"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 531.0, "npi": [1700471497]}]}]}, {"tin": {"type": "ein", "value": "730700090"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 465.6, "npi": [1144228487]}]}]}, {"tin": {"type": "ein", "value": "731034824"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 563.0, "npi": [1831103654]}]}]}, {"tin": {"type": "ein", "value": "731605613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 641.0, "npi": [1306865357]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 396.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 860.0, "npi": [1619115383, 1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 513.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 636.5, "npi": [1730132234, 1295843787]}, {"billed_charge": 647.0, "npi": [1982666111]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 334.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1414.0, "npi": [1942294939]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 373.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 850.63, "providers": [{"billed_charge": 1063.29, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 351.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.58, "providers": [{"billed_charge": 521.65, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 601.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "750800661"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 461.0, "npi": [1528027786]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 506.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 457.0, "npi": [1871619254]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1367.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "770465765"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3435.2, "providers": [{"billed_charge": 1411.0, "npi": [1871543215]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.14, "providers": [{"billed_charge": 695.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810864789"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 786.0, "npi": [1972535318]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.44, "providers": [{"billed_charge": 786.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "810935368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 412.93, "providers": [{"billed_charge": 595.5, "npi": [1093171860]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 642.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "811723202"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.62, "providers": [{"billed_charge": 377.0, "npi": [1649726738]}]}, {"allowed_amount": 431.93, "providers": [{"billed_charge": 377.0, "npi": [1447706569]}]}, {"allowed_amount": 461.44, "providers": [{"billed_charge": 377.0, "npi": [1063968196]}]}]}, {"tin": {"type": "ein", "value": "813935393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.44, "providers": [{"billed_charge": 872.1, "npi": [1861994808]}]}]}, {"tin": {"type": "ein", "value": "814015190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 401.0, "npi": [1881144889]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.26, "providers": [{"billed_charge": 1120.75, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "814322087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 466.0, "npi": [1386188837]}]}]}, {"tin": {"type": "ein", "value": "814584169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1035.49, "npi": [1376064295]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3316.07, "providers": [{"billed_charge": 768.0, "npi": [1134152549]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 357.0, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.06, "providers": [{"billed_charge": 398.0, "npi": [1992798409]}]}]}, {"tin": {"type": "ein", "value": "821349955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 729.73, "npi": [1750819025]}]}]}, {"tin": {"type": "ein", "value": "821885403"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.69, "providers": [{"billed_charge": 506.0, "npi": [1891294518]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.65, "providers": [{"billed_charge": 299.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "823166379"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 498.43, "providers": [{"billed_charge": 269.0, "npi": [1407367030]}]}]}, {"tin": {"type": "ein", "value": "831294232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 483.33, "providers": [{"billed_charge": 401.0, "npi": [1083174973]}]}]}, {"tin": {"type": "ein", "value": "831683025"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.99, "providers": [{"billed_charge": 449.0, "npi": [1972071991]}]}]}, {"tin": {"type": "ein", "value": "832048706"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 733.95, "providers": [{"billed_charge": 478.27, "npi": [1962987677]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.73, "providers": [{"billed_charge": 478.27, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.58, "providers": [{"billed_charge": 886.56, "npi": [1043915523]}]}, {"allowed_amount": 509.46, "providers": [{"billed_charge": 726.74, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.96, "providers": [{"billed_charge": 914.4, "npi": [1891709192]}]}]}, {"tin": {"type": "ein", "value": "840446259"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 509.46, "providers": [{"billed_charge": 328.0, "npi": [1982668133]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.69, "providers": [{"billed_charge": 505.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841262971"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.69, "providers": [{"billed_charge": 320.0, "npi": [1760492714]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 299.73, "providers": [{"billed_charge": 856.38, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "842569909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.88, "providers": [{"billed_charge": 550.0, "npi": [1003465097]}]}]}, {"tin": {"type": "ein", "value": "843065045"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 659.95, "providers": [{"billed_charge": 1805.0, "npi": [1104461276]}]}]}, {"tin": {"type": "ein", "value": "846014785"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.43, "providers": [{"billed_charge": 208.43, "npi": [1063430346]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 446.41, "providers": [{"billed_charge": 616.0, "npi": [1982799375]}]}]}, {"tin": {"type": "ein", "value": "850983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.08, "providers": [{"billed_charge": 400.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 889.95, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "852276567"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.58, "providers": [{"billed_charge": 125.0, "npi": [1467097352]}]}]}, {"tin": {"type": "ein", "value": "852556972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.89, "providers": [{"billed_charge": 415.97, "npi": [1790376564]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.1, "providers": [{"billed_charge": 224.56, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 527.0, "npi": [1528169125]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.23, "providers": [{"billed_charge": 321.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 430.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.1, "providers": [{"billed_charge": 569.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.07, "providers": [{"billed_charge": 71.35, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "873454381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.71, "providers": [{"billed_charge": 448.2, "npi": [1487740957]}]}]}, {"tin": {"type": "ein", "value": "874714839"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.3, "providers": [{"billed_charge": 587.0, "npi": [1144096553]}]}]}, {"tin": {"type": "ein", "value": "880455713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 728.0, "npi": [1770626426]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 569.0, "providers": [{"billed_charge": 569.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.86, "providers": [{"billed_charge": 80.9, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.9, "providers": [{"billed_charge": 815.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "900412842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 505.0, "npi": [1124341672]}]}]}, {"tin": {"type": "ein", "value": "910171250"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.42, "providers": [{"billed_charge": 807.0, "npi": [1306883228]}]}]}, {"tin": {"type": "ein", "value": "910565546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 519.27, "providers": [{"billed_charge": 621.83, "npi": [1518912609]}]}]}, {"tin": {"type": "ein", "value": "910652651"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.64, "providers": [{"billed_charge": 424.0, "npi": [1861432726]}]}]}, {"tin": {"type": "ein", "value": "911267921"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.64, "providers": [{"billed_charge": 621.83, "npi": [1093713091]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "930223960"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 571.23, "providers": [{"billed_charge": 1322.0, "npi": [1770587107]}]}]}, {"tin": {"type": "ein", "value": "930591528"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.21, "providers": [{"billed_charge": 428.0, "npi": [1255354700]}]}]}, {"tin": {"type": "ein", "value": "932228808"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 624.16, "providers": [{"billed_charge": 400.0, "npi": [1750142121]}]}]}, {"tin": {"type": "ein", "value": "933040761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.24, "providers": [{"billed_charge": 801.15, "npi": [1407637531]}]}]}, {"tin": {"type": "ein", "value": "934555562"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.4, "providers": [{"billed_charge": 568.0, "npi": [1841069044]}]}]}, {"tin": {"type": "ein", "value": "934580630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.4, "providers": [{"billed_charge": 899.0, "npi": [1205605409]}]}]}, {"tin": {"type": "ein", "value": "940562680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 647.0, "providers": [{"billed_charge": 647.0, "npi": [1740348929]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 930.0, "providers": [{"billed_charge": 930.0, "npi": [1063582989]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.58, "providers": [{"billed_charge": 350.34, "npi": [1043220650]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 633.0, "npi": [1265423917]}]}]}, {"tin": {"type": "ein", "value": "943167314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3435.2, "providers": [{"billed_charge": 1299.0, "npi": [1093712374]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3375.91, "providers": [{"billed_charge": 431.0, "npi": [1083648810]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1177.0, "providers": [{"billed_charge": 1177.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.39, "providers": [{"billed_charge": 523.39, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "951644600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3003.8, "providers": [{"billed_charge": 2019.08, "npi": [1639172372]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.0, "providers": [{"billed_charge": 285.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "951684089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3003.8, "providers": [{"billed_charge": 1812.53, "npi": [1659359446, 1700829199]}]}]}, {"tin": {"type": "ein", "value": "953561198"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.2, "providers": [{"billed_charge": 402.0, "npi": [1457382483]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 840.0, "providers": [{"billed_charge": 840.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 724.11, "providers": [{"billed_charge": 724.11, "npi": [1023010113]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.0, "providers": [{"billed_charge": 416.0, "npi": [1427806025]}]}, {"allowed_amount": 828.14, "providers": [{"billed_charge": 416.0, "npi": [1366281750]}]}, {"allowed_amount": 901.45, "providers": [{"billed_charge": 416.0, "npi": [1427806025]}]}, {"allowed_amount": 1317.12, "providers": [{"billed_charge": 416.0, "npi": [1427806025]}]}, {"allowed_amount": 1379.37, "providers": [{"billed_charge": 392.0, "npi": [1427806025]}, {"billed_charge": 416.0, "npi": [1427806025, 1780429076, 1366281750]}]}, {"allowed_amount": 1458.68, "providers": [{"billed_charge": 416.0, "npi": [1427806025]}]}, {"allowed_amount": 1602.79, "providers": [{"billed_charge": 416.0, "npi": [1427806025]}]}, {"allowed_amount": 1603.42, "providers": [{"billed_charge": 416.0, "npi": [1427806025]}]}, {"allowed_amount": 1707.76, "providers": [{"billed_charge": 416.0, "npi": [1780429076]}]}, {"allowed_amount": 1878.07, "providers": [{"billed_charge": 416.0, "npi": [1427806025, 1780429076]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.77, "providers": [{"billed_charge": 672.0, "npi": [1255171096]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 774.13, "npi": [1306679378]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 479.93, "providers": [{"billed_charge": 1371.22, "npi": [1669578324, 1801992631]}]}]}, {"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 67.0, "npi": [1447842356, 1679357701]}]}, {"allowed_amount": 23.52, "providers": [{"billed_charge": 67.0, "npi": [1801608138, 1962234898, 1982309795, 1629680814]}]}, {"allowed_amount": 26.48, "providers": [{"billed_charge": 67.0, "npi": [1134832926]}]}]}, {"tin": {"type": "ein", "value": "200737321"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 45.0, "npi": [1770717530]}]}, {"allowed_amount": 34.96, "providers": [{"billed_charge": 45.0, "npi": [1023732609]}]}, {"allowed_amount": 40.98, "providers": [{"billed_charge": 45.0, "npi": [1730391343]}]}]}, {"tin": {"type": "ein", "value": "200760917"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 48.5, "npi": [1922298454]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.85, "providers": [{"billed_charge": 45.36, "npi": [1407116544, 1396933057, 1629763552, 1972068708, 1992109896, 1750084265, 1568097129, 1881293868]}]}, {"allowed_amount": 18.9, "providers": [{"billed_charge": 45.36, "npi": [1629763552, 1972068708, 1568097129, 1518375435, 1942418579, 1902664568, 1730631482, 1659116861, 1568792893]}]}, {"allowed_amount": 45.36, "providers": [{"billed_charge": 45.36, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "202935692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.1, "providers": [{"billed_charge": 43.0, "npi": [1700350444]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.33, "providers": [{"billed_charge": 55.0, "npi": [1902003635]}]}, {"allowed_amount": 44.39, "providers": [{"billed_charge": 55.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203587332"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1619670072]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 338.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.65, "providers": [{"billed_charge": 60.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "205456726"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1801825401]}]}]}, {"tin": {"type": "ein", "value": "208708762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.32, "providers": [{"billed_charge": 23.0, "npi": [1467073254, 1790906154, 1891725164, 1881271310, 1104182799, 1194285486, 1669919155, 1073833653, 1457715096, 1558724377]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 23.0, "npi": [1285780387, 1710947940, 1467073254, 1790906154, 1891725164, 1194285486, 1104182799, 1881271310, 1346206257, 1669919155, 1073833653, 1457715096, 1558724377]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1669737953, 1285780387, 1710947940, 1467073254, 1790906154, 1891725164, 1194285486, 1104182799, 1669919155, 1235796277, 1073833653, 1457715096, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708785"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.32, "providers": [{"billed_charge": 23.0, "npi": [1174586465, 1669737953, 1508137670, 1508108390, 1346206257]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 23.0, "npi": [1174586465, 1710947940, 1508137670, 1508108390, 1912961293, 1346206257, 1669919155, 1558724377, 1942457692]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1174586465, 1508108390, 1508137670, 1558395434, 1104182799, 1043313232, 1669919155, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208708809"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.32, "providers": [{"billed_charge": 23.0, "npi": [1285780387, 1700011335, 1891725164, 1528022332, 1942457692]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 23.0, "npi": [1285780387, 1467073254, 1700011335, 1225353766, 1790906154, 1245352491, 1891725164, 1912961293, 1881271310, 1023645041, 1073833653, 1235796277, 1528022332]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1669737953, 1285780387, 1710947940, 1528493350, 1790906154, 1649538828, 1891725164, 1023645041, 1669919155, 1497258164, 1073833653, 1528022332, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.65, "providers": [{"billed_charge": 48.28, "npi": [1316960578]}]}]}, {"tin": {"type": "ein", "value": "208959895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.32, "providers": [{"billed_charge": 23.0, "npi": [1780632612, 1508137670, 1225353766, 1790906154, 1245352491, 1396774956, 1558395434, 1043313232, 1194822353, 1346206257]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 23.0, "npi": [1710947940, 1780632612, 1508137670, 1467073254, 1508108390, 1700011335, 1558395434, 1396774956, 1912961293, 1104182799, 1346206257, 1194822353, 1235796277, 1073833653, 1942457692]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1780632612, 1710947940, 1467073254, 1225353766, 1790906154, 1245352491, 1558395434, 1396774956, 1043313232, 1194822353, 1669919155, 1235796277, 1073833653, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "250969492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.5, "providers": [{"billed_charge": 285.0, "npi": [1639579212]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 40.0, "npi": [1427436229, 1952884074, 1346087350, 1821649021, 1720655582]}]}, {"allowed_amount": 34.96, "providers": [{"billed_charge": 40.0, "npi": [1407650658, 1952884074, 1699117903, 1346087350, 1033830427]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.77, "providers": [{"billed_charge": 93.84, "npi": [1801321104]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 55.0, "npi": [1194298331]}]}, {"allowed_amount": 21.84, "providers": [{"billed_charge": 55.0, "npi": [1912750597]}, {"billed_charge": 100.0, "npi": [1548938491]}]}, {"allowed_amount": 27.5, "providers": [{"billed_charge": 27.5, "npi": [1811391352]}]}, {"allowed_amount": 36.44, "providers": [{"billed_charge": 55.0, "npi": [1811391352]}]}]}, {"tin": {"type": "ein", "value": "262942626"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.32, "providers": [{"billed_charge": 23.0, "npi": [1669737953, 1780632612, 1508108390, 1467073254, 1225353766, 1710175526, 1790906154, 1881271310, 1669919155, 1205086139, 1528022332]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 23.0, "npi": [1669737953, 1780632612, 1225353766, 1710175526, 1508108390, 1467073254, 1508137670, 1790906154, 1669919155, 1699926774, 1528022332]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1669737953, 1710947940, 1780632612, 1225353766, 1508108390, 1467073254, 1710175526, 1790906154, 1891725164, 1912961293, 1043313232, 1669919155, 1073833653, 1235796277, 1699926774, 1558724377, 1942457692]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.84, "providers": [{"billed_charge": 14.84, "npi": [1235529116]}]}, {"allowed_amount": 19.16, "providers": [{"billed_charge": 95.0, "npi": [1982273678]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 34.98, "npi": [1497419923, 1871676668]}, {"billed_charge": 64.98, "npi": [1235529116]}, {"billed_charge": 74.98, "npi": [1871676668]}]}, {"allowed_amount": 32.55, "providers": [{"billed_charge": 50.0, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 32.55, "providers": [{"billed_charge": 45.36, "npi": [1326573270]}]}]}, {"tin": {"type": "ein", "value": "270636387"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 334.97, "providers": [{"billed_charge": 207.61, "npi": [1114239068]}]}]}, {"tin": {"type": "ein", "value": "271033537"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.66, "providers": [{"billed_charge": 63.0, "npi": [1295818417]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.77, "providers": [{"billed_charge": 90.0, "npi": [1407839905]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.29, "providers": [{"billed_charge": 430.2, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 29.0, "npi": [1801317219]}]}, {"allowed_amount": 23.52, "providers": [{"billed_charge": 29.0, "npi": [1801317219]}]}]}, {"tin": {"type": "ein", "value": "330599494"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.0, "providers": [{"billed_charge": 438.0, "npi": [1184722779]}]}]}, {"tin": {"type": "ein", "value": "331553237"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.32, "providers": [{"billed_charge": 23.0, "npi": [1669737953, 1467073254, 1508108390, 1497258164, 1073833653, 1528022332, 1689816191]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 23.0, "npi": [1669737953, 1790906154, 1912961293, 1497258164, 1528022332, 1689816191]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1710947940, 1508108390, 1225353766, 1700011335, 1790906154, 1891725164, 1912961293, 1669919155, 1073833653, 1528022332, 1942457692, 1689816191]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 36.88, "providers": [{"billed_charge": 40.0, "npi": [1104776962]}]}]}, {"tin": {"type": "ein", "value": "341105619"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.78, "providers": [{"billed_charge": 140.0, "npi": [1811939887]}]}]}, {"tin": {"type": "ein", "value": "363305449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.75, "providers": [{"billed_charge": 178.97, "npi": [1871581314]}]}]}, {"tin": {"type": "ein", "value": "383584702"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 35.0, "npi": [1215021472]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 79.0, "npi": [1851844104]}]}, {"allowed_amount": 24.3, "providers": [{"billed_charge": 79.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 38.0, "npi": [1164803078, 1174007991]}]}, {"allowed_amount": 32.55, "providers": [{"billed_charge": 38.0, "npi": [1174007991]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.77, "providers": [{"billed_charge": 117.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 39.0, "npi": [1154295913]}]}, {"allowed_amount": 34.96, "providers": [{"billed_charge": 39.0, "npi": [1164151197]}]}, {"allowed_amount": 39.0, "providers": [{"billed_charge": 39.0, "npi": [1417321969]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 65.0, "npi": [1386460756, 1184441719]}]}, {"allowed_amount": 36.44, "providers": [{"billed_charge": 65.0, "npi": [1386460756]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 86.0, "npi": [1194518241, 1588533509, 1558182824, 1417535881, 1831840396, 1629670286, 1407682255, 1386334928, 1215675988, 1447735030, 1700752599, 1780373209]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 86.0, "npi": [1386334928, 1538051990, 1164803078]}]}, {"allowed_amount": 21.84, "providers": [{"billed_charge": 86.0, "npi": [1558182824, 1780373209, 1588533509, 1407682255]}]}, {"allowed_amount": 24.51, "providers": [{"billed_charge": 86.0, "npi": [1831840396, 1700752599]}]}, {"allowed_amount": 32.55, "providers": [{"billed_charge": 86.0, "npi": [1285507392, 1194518241, 1417535881, 1831840396, 1629670286, 1215675988, 1447735030]}]}]}, {"tin": {"type": "ein", "value": "460360899"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.25, "providers": [{"billed_charge": 125.0, "npi": [1871560516]}]}]}, {"tin": {"type": "ein", "value": "460933667"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 45.0, "npi": [1205375623]}]}]}, {"tin": {"type": "ein", "value": "461470761"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.11, "providers": [{"billed_charge": 40.0, "npi": [1689083537]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 29.1, "npi": [1326017468]}]}, {"allowed_amount": 29.1, "providers": [{"billed_charge": 29.1, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "463562590"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.76, "providers": [{"billed_charge": 46.56, "npi": [1023447943]}]}]}, {"tin": {"type": "ein", "value": "464828405"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 38.75, "npi": [1356358402]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.58, "providers": [{"billed_charge": 29.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 20.0, "npi": [1669179636]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1669179636]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.28, "providers": [{"billed_charge": 50.0, "npi": [1689244063]}]}, {"allowed_amount": 18.9, "providers": [{"billed_charge": 50.0, "npi": [1932602406]}]}, {"allowed_amount": 19.35, "providers": [{"billed_charge": 50.0, "npi": [1942186648]}]}, {"allowed_amount": 34.83, "providers": [{"billed_charge": 50.0, "npi": [1528858784]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.41, "providers": [{"billed_charge": 45.0, "npi": [1629665419]}]}, {"allowed_amount": 21.47, "providers": [{"billed_charge": 45.0, "npi": [1861685034]}]}, {"allowed_amount": 23.52, "providers": [{"billed_charge": 45.0, "npi": [1629665419]}]}]}, {"tin": {"type": "ein", "value": "474782014"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.35, "providers": [{"billed_charge": 41.14, "npi": [1568229664]}]}]}, {"tin": {"type": "ein", "value": "561463611"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.86, "providers": [{"billed_charge": 40.0, "npi": [1659043685]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.5, "providers": [{"billed_charge": 470.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 288.0, "providers": [{"billed_charge": 288.0, "npi": [1962403865, 1093716979]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.67, "providers": [{"billed_charge": 139.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 430.2, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582380955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.68, "providers": [{"billed_charge": 90.0, "npi": [1144279670]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.22, "providers": [{"billed_charge": 258.0, "npi": [1912964768]}]}, {"allowed_amount": 57.5, "providers": [{"billed_charge": 258.0, "npi": [1912964768]}]}, {"allowed_amount": 116.1, "providers": [{"billed_charge": 258.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 541.5, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}, {"allowed_amount": 637.82, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}, {"allowed_amount": 758.8, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}, {"allowed_amount": 1082.99, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}, {"allowed_amount": 1183.22, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}, {"allowed_amount": 1502.15, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}, {"allowed_amount": 5877.36, "providers": [{"billed_charge": 614.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.3, "providers": [{"billed_charge": 191.0, "npi": [1972664530]}]}, {"allowed_amount": 93.49, "providers": [{"billed_charge": 191.0, "npi": [1972664530]}]}, {"allowed_amount": 242.09, "providers": [{"billed_charge": 191.0, "npi": [1972664530]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.74, "providers": [{"billed_charge": 278.7, "npi": [1275511651]}]}, {"allowed_amount": 776.38, "providers": [{"billed_charge": 278.7, "npi": [1275511651]}]}, {"allowed_amount": 1208.64, "providers": [{"billed_charge": 320.5, "npi": [1083692594]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 760.06, "providers": [{"billed_charge": 298.0, "npi": [1578620449]}]}, {"allowed_amount": 761.32, "providers": [{"billed_charge": 298.0, "npi": [1578620449]}]}, {"allowed_amount": 797.14, "providers": [{"billed_charge": 298.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 187.0, "npi": [1184387367]}]}, {"allowed_amount": 21.47, "providers": [{"billed_charge": 317.0, "npi": [1598198012]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 338.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.51, "providers": [{"billed_charge": 443.0, "npi": [1437177664]}]}, {"allowed_amount": 704.51, "providers": [{"billed_charge": 443.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 27.14, "npi": [1780251546]}]}, {"allowed_amount": 27.14, "providers": [{"billed_charge": 27.14, "npi": [1265406185, 1407634298, 1821729914, 1780098095]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.85, "providers": [{"billed_charge": 262.41, "npi": [1518457357, 1629544358, 1396338877]}]}, {"allowed_amount": 18.9, "providers": [{"billed_charge": 262.41, "npi": [1073001673, 1821674474, 1265916266, 1942567375, 1053831032, 1730620188]}]}, {"allowed_amount": 41.13, "providers": [{"billed_charge": 262.41, "npi": [1114377728, 1770169476, 1073001673, 1417533902, 1255868279, 1992209852]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 338.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 61.0, "npi": [1275627622]}]}, {"allowed_amount": 26.46, "providers": [{"billed_charge": 61.0, "npi": [1598750648]}]}]}, {"tin": {"type": "ein", "value": "593591435"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.36, "providers": [{"billed_charge": 45.0, "npi": [1568782662]}]}]}, {"tin": {"type": "ein", "value": "593622226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 45.0, "npi": [1366611899, 1740277805]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.02, "providers": [{"billed_charge": 108.15, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 57.0, "npi": [1205276201, 1689173155]}]}, {"allowed_amount": 32.55, "providers": [{"billed_charge": 57.0, "npi": [1205276201, 1689173155]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 126.02, "providers": [{"billed_charge": 360.04, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "611355320"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.17, "providers": [{"billed_charge": 30.0, "npi": [1659384865]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.25, "providers": [{"billed_charge": 175.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.6, "providers": [{"billed_charge": 256.0, "npi": [1821667973]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.7, "providers": [{"billed_charge": 222.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 760.06, "providers": [{"billed_charge": 614.0, "npi": [1083644033]}]}, {"allowed_amount": 761.32, "providers": [{"billed_charge": 614.0, "npi": [1083644033]}]}, {"allowed_amount": 1660.54, "providers": [{"billed_charge": 614.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "721561131"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 408.0, "providers": [{"billed_charge": 408.0, "npi": [1467560599]}]}]}, {"tin": {"type": "ein", "value": "730725208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.68, "providers": [{"billed_charge": 141.0, "npi": [1144205360]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 20.0, "npi": [1902994908]}, {"billed_charge": 30.0, "npi": [1902994908]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1902994908]}]}, {"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1902994908]}]}, {"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1902994908]}]}, {"allowed_amount": 43.75, "providers": [{"billed_charge": 43.75, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.33, "providers": [{"billed_charge": 36.53, "npi": [1023759875, 1902912454, 1508115825, 1194060756, 1891735544]}]}, {"allowed_amount": 28.46, "providers": [{"billed_charge": 36.53, "npi": [1023759875, 1902912454, 1225176209, 1508115825, 1891735544]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.16, "providers": [{"billed_charge": 40.0, "npi": [1942335492]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 40.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812381044"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.54, "providers": [{"billed_charge": 50.0, "npi": [1790825008]}]}]}, {"tin": {"type": "ein", "value": "812690613"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 80.0, "npi": [1447771670]}]}]}, {"tin": {"type": "ein", "value": "812704779"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.82, "providers": [{"billed_charge": 77.0, "npi": [1548702616]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 74.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.82, "providers": [{"billed_charge": 50.0, "npi": [1497895387]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.16, "providers": [{"billed_charge": 38.0, "npi": [1114498730, 1811798275, 1225899826]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 38.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 32.55, "providers": [{"billed_charge": 38.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.35, "providers": [{"billed_charge": 133.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "821550918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.9, "providers": [{"billed_charge": 83.9, "npi": [1730183658]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.95, "providers": [{"billed_charge": 357.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "822146009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1164614079]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.21, "providers": [{"billed_charge": 30.0, "npi": [1912482282]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 29.0, "npi": [1245813708]}]}, {"allowed_amount": 22.85, "providers": [{"billed_charge": 39.0, "npi": [1245813708]}, {"billed_charge": 40.0, "npi": [1245813708]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 29.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "830705469"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1659721975]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 66.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.19, "providers": [{"billed_charge": 520.54, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "841335382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.01, "providers": [{"billed_charge": 172.05, "npi": [1013544014]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 31.52, "npi": [1366828089]}]}, {"allowed_amount": 19.07, "providers": [{"billed_charge": 31.52, "npi": [1942281142]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 31.52, "npi": [1164973442, 1457057671, 1023650793, 1508489972, 1366828089]}, {"billed_charge": 126.08, "npi": [1023650793]}]}, {"allowed_amount": 31.52, "providers": [{"billed_charge": 31.52, "npi": [1366828089, 1023650793, 1629277686, 1457057671]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.91, "providers": [{"billed_charge": 60.0, "npi": [1033303771]}]}, {"allowed_amount": 19.07, "providers": [{"billed_charge": 60.0, "npi": [1700405818, 1871681999]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 60.0, "npi": [1336613603, 1093315947, 1871681999, 1922735695, 1851799282, 1366953242]}]}, {"allowed_amount": 23.64, "providers": [{"billed_charge": 60.0, "npi": [1659389229]}]}, {"allowed_amount": 32.55, "providers": [{"billed_charge": 60.0, "npi": [1386324051, 1093315947]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "851768009"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 25.0, "npi": [1891724704]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.08, "providers": [{"billed_charge": 120.0, "npi": [1205061744]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 120.0, "npi": [1205061744, 1154054260, 1578631925]}]}, {"allowed_amount": 21.28, "providers": [{"billed_charge": 120.0, "npi": [1205061744]}]}, {"allowed_amount": 21.84, "providers": [{"billed_charge": 120.0, "npi": [1154054260, 1275669780]}]}, {"allowed_amount": 36.44, "providers": [{"billed_charge": 120.0, "npi": [1578631925]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.07, "providers": [{"billed_charge": 205.0, "npi": [1205156643]}]}, {"allowed_amount": 19.16, "providers": [{"billed_charge": 205.0, "npi": [1114696176, 1922436922, 1154480218]}]}, {"allowed_amount": 19.7, "providers": [{"billed_charge": 205.0, "npi": [1114696176, 1922436922, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "862126493"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.98, "providers": [{"billed_charge": 40.0, "npi": [1184465643]}]}]}, {"tin": {"type": "ein", "value": "870692261"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 337.0, "providers": [{"billed_charge": 337.0, "npi": [1689769911]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 40.0, "npi": [1669156121]}]}, {"allowed_amount": 21.84, "providers": [{"billed_charge": 40.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 75.0, "npi": [1093670945, 1568031219, 1740036516]}]}, {"allowed_amount": 21.84, "providers": [{"billed_charge": 75.0, "npi": [1568031219, 1194609198]}]}, {"allowed_amount": 36.44, "providers": [{"billed_charge": 75.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.46, "providers": [{"billed_charge": 29.23, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.9, "providers": [{"billed_charge": 27.0, "npi": [1649028697, 1720963028, 1376329110]}]}, {"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1952040552, 1649028697, 1720963028, 1376329110]}]}]}, {"tin": {"type": "ein", "value": "881580452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.68, "providers": [{"billed_charge": 50.0, "npi": [1417278516]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.77, "providers": [{"billed_charge": 28.22, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 564.45, "providers": [{"billed_charge": 286.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 34.96, "providers": [{"billed_charge": 61.4, "npi": [1720686116]}]}]}, {"tin": {"type": "ein", "value": "911641797"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.83, "providers": [{"billed_charge": 51.0, "npi": [1437302247]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.49, "providers": [{"billed_charge": 66.0, "npi": [1740932318]}]}, {"allowed_amount": 20.32, "providers": [{"billed_charge": 66.0, "npi": [1174729446]}]}, {"allowed_amount": 20.33, "providers": [{"billed_charge": 66.0, "npi": [1740932318, 1174729446]}]}, {"allowed_amount": 44.39, "providers": [{"billed_charge": 66.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 30.0, "npi": [1598185472, 1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 21.84, "providers": [{"billed_charge": 30.0, "npi": [1386487593, 1306332333, 1932680022]}]}, {"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1598185472]}]}]}, {"tin": {"type": "ein", "value": "930635514"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.18, "providers": [{"billed_charge": 35.0, "npi": [1023582673]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.7, "providers": [{"billed_charge": 21.04, "npi": [1992825152]}]}, {"allowed_amount": 21.04, "providers": [{"billed_charge": 21.04, "npi": [1992825152]}]}]}, {"tin": {"type": "ein", "value": "934104475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.21, "providers": [{"billed_charge": 42.93, "npi": [1972782159]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 325.0, "providers": [{"billed_charge": 325.0, "npi": [1366896300]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.67, "providers": [{"billed_charge": 270.67, "npi": [1023010113]}]}]}, {"tin": {"type": "ein", "value": "956001880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 160.5, "providers": [{"billed_charge": 160.5, "npi": [1194711952]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.41, "providers": [{"billed_charge": 392.0, "npi": [1780429076]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.1, "providers": [{"billed_charge": 61.0, "npi": [1841402369]}]}, {"allowed_amount": 37.04, "providers": [{"billed_charge": 61.0, "npi": [1407235955]}]}]}]}, {"name": "Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance", "billing_code_type": "CPT", "billing_code": "32555", "billing_code_type_version": "2022", "description": "THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING", "allowed_amounts": [{"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 223.42, "providers": [{"billed_charge": 338.0, "npi": [1740028687]}]}, {"allowed_amount": 338.0, "providers": [{"billed_charge": 338.0, "npi": [1336863414]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 447.85, "providers": [{"billed_charge": 913.0, "npi": [1598724403]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.8, "providers": [{"billed_charge": 384.0, "npi": [1922000314, 1770969859]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.83, "providers": [{"billed_charge": 455.0, "npi": [1235532474, 1619730199]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.13, "providers": [{"billed_charge": 265.0, "npi": [1235517558, 1538588207]}]}, {"allowed_amount": 265.0, "providers": [{"billed_charge": 265.0, "npi": [1700315025]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.94, "providers": [{"billed_charge": 2513.0, "npi": [1447784616]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 229.91, "providers": [{"billed_charge": 644.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.47, "providers": [{"billed_charge": 375.0, "npi": [1023468709]}]}, {"allowed_amount": 112.12, "providers": [{"billed_charge": 375.0, "npi": [1134509284]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 206.47, "providers": [{"billed_charge": 700.0, "npi": [1477883189]}]}, {"allowed_amount": 229.91, "providers": [{"billed_charge": 700.0, "npi": [1780662700]}]}, {"allowed_amount": 309.7, "providers": [{"billed_charge": 1400.0, "npi": [1477883189]}]}, {"allowed_amount": 344.86, "providers": [{"billed_charge": 1400.0, "npi": [1780662700]}]}, {"allowed_amount": 447.85, "providers": [{"billed_charge": 700.0, "npi": [1205815289, 1477883189]}]}, {"allowed_amount": 671.77, "providers": [{"billed_charge": 1400.0, "npi": [1780662700, 1477883189]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 452.0, "npi": [1760056527]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.78, "providers": [{"billed_charge": 62.23, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 277.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.61, "providers": [{"billed_charge": 130.92, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.01, "providers": [{"billed_charge": 102.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "521341890"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.75, "providers": [{"billed_charge": 16.75, "npi": [1790700904]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.03, "providers": [{"billed_charge": 115.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.3, "providers": [{"billed_charge": 351.78, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 388.26, "providers": [{"billed_charge": 924.43, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 277.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.34, "providers": [{"billed_charge": 70.04, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.32, "providers": [{"billed_charge": 16.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.5, "providers": [{"billed_charge": 730.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 30.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 277.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 120.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.97, "providers": [{"billed_charge": 29.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.74, "providers": [{"billed_charge": 21.0, "npi": [1053372912, 1982804340, 1952362949, 1467679399]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.99, "providers": [{"billed_charge": 34.0, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "946000533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.0, "providers": [{"billed_charge": 54.0, "npi": [1063406551]}]}]}]}, {"name": "Thyroid stimulating hormone (TSH)", "billing_code_type": "CPT", "billing_code": "84443", "billing_code_type_version": "2022", "description": "ASSAY OF THYROID STIMULATING HORMONE TSH", "allowed_amounts": [{"tin": {"type": "ein", "value": "161660256"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 33.6, "npi": [1033281324]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.8, "providers": [{"billed_charge": 280.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.79, "providers": [{"billed_charge": 51.79, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.15, "providers": [{"billed_charge": 262.55, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 19.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 471.56, "providers": [{"billed_charge": 1122.77, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1396044574, 1497727895]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 377.43, "npi": [1245720820]}]}, {"allowed_amount": 19.49, "providers": [{"billed_charge": 377.43, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.8, "providers": [{"billed_charge": 280.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 16.8, "npi": [1518983642]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.94, "providers": [{"billed_charge": 135.85, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 16.8, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.0, "providers": [{"billed_charge": 380.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.94, "providers": [{"billed_charge": 95.2, "npi": [1609596907]}]}, {"allowed_amount": 16.8, "providers": [{"billed_charge": 95.2, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.22, "providers": [{"billed_charge": 202.0, "npi": [1982606992]}]}]}]}, {"name": "Thyroxine; free", "billing_code_type": "CPT", "billing_code": "84439", "billing_code_type_version": "2022", "description": "ASSAY OF FREE THYROXINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.31, "providers": [{"billed_charge": 36.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.62, "providers": [{"billed_charge": 187.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.47, "providers": [{"billed_charge": 238.82, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.02, "providers": [{"billed_charge": 202.67, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "620846885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.98, "providers": [{"billed_charge": 27.0, "npi": [1427024397]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.31, "providers": [{"billed_charge": 9.02, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.62, "providers": [{"billed_charge": 187.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "883286578"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.49, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 30.0, "npi": [1366150773]}]}, {"allowed_amount": 9.02, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 30.0, "npi": [1366150773]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.02, "providers": [{"billed_charge": 51.08, "npi": [1609596907]}]}]}]}, {"name": "Thyroxine; requiring elution (eg, neonatal)", "billing_code_type": "CPT", "billing_code": "84437", "billing_code_type_version": "2022", "description": "ASSAY OF THYROXINE REQUIRING ELUTION", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.47, "providers": [{"billed_charge": 6.47, "npi": [1518983642]}]}]}]}, {"name": "Tissue culture for neoplastic disorders; bone marrow, blood cells", "billing_code_type": "CPT", "billing_code": "88237", "billing_code_type_version": "2022", "description": "TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS", "allowed_amounts": [{"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81", "22", "21"], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 296.0, "npi": [1396408829]}]}, {"allowed_amount": 143.75, "providers": [{"billed_charge": 296.0, "npi": [1396408829]}]}, {"allowed_amount": 232.88, "providers": [{"billed_charge": 296.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "911789357"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 232.88, "providers": [{"billed_charge": 503.12, "npi": [1841375094]}]}]}]}, {"name": "Tissue expander placement in breast reconstruction, including subsequent expansion(s)", "billing_code_type": "CPT", "billing_code": "19357", "billing_code_type_version": "2022", "description": "TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION", "allowed_amounts": [{"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 196.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 5287.0, "npi": [1588723373]}]}]}, {"tin": {"type": "ein", "value": "462842081"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1786.68, "providers": [{"billed_charge": 17500.0, "npi": [1780708909]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.12, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1533.0, "npi": [1821704552]}]}, {"allowed_amount": 196.16, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1533.0, "npi": [1821704552]}]}, {"allowed_amount": 219.48, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1533.0, "npi": [1629696786]}]}, {"allowed_amount": 294.24, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1533.0, "npi": [1821704552]}]}, {"allowed_amount": 329.22, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1533.0, "npi": [1215698196, 1992672646]}]}]}, {"tin": {"type": "ein", "value": "473033715"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 329.22, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 110300.0, "npi": [1184427007]}]}, {"allowed_amount": 691.64, "providers": [{"billed_charge": 55150.0, "npi": [1134353345]}]}, {"allowed_amount": 1152.73, "providers": [{"billed_charge": 110300.0, "npi": [1639581770]}]}, {"allowed_amount": 1498.55, "providers": [{"billed_charge": 110300.0, "npi": [1639581770]}]}, {"allowed_amount": 1570.26, "providers": [{"billed_charge": 110300.0, "npi": [1639581770]}]}, {"allowed_amount": 2420.73, "providers": [{"billed_charge": 110300.0, "npi": [1326542739]}]}]}, {"tin": {"type": "ein", "value": "592508722"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1289.4, "providers": [{"billed_charge": 10439.82, "npi": [1861502353]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 117.3, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1847.0, "npi": [1760862510]}]}, {"allowed_amount": 147.12, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1847.0, "npi": [1184338238]}]}, {"allowed_amount": 219.48, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1847.0, "npi": [1184338238]}]}, {"allowed_amount": 279.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1847.0, "npi": [1992755714]}]}, {"allowed_amount": 351.91, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1847.0, "npi": [1679124861]}]}]}]}, {"name": "Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);", "billing_code_type": "CPT", "billing_code": "58150", "billing_code_type_version": "2022", "description": "TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY", "allowed_amounts": [{"tin": {"type": "ein", "value": "043735278"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 313.0, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2405.26, "npi": [1699716670]}]}]}, {"tin": {"type": "ein", "value": "204401536"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 175.03, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3563.0, "npi": [1588723373]}]}, {"allowed_amount": 195.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3563.0, "npi": [1659641595, 1588723373]}]}]}, {"tin": {"type": "ein", "value": "364699511"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.56, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3562.38, "npi": [1093728602]}]}]}, {"tin": {"type": "ein", "value": "383603423"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1249.67, "providers": [{"billed_charge": 2479.0, "npi": [1164862033]}]}]}, {"tin": {"type": "ein", "value": "392505456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.92, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 9018.0, "npi": [1396416673]}]}]}, {"tin": {"type": "ein", "value": "461652956"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 199.51, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 10295.0, "npi": [1659499341]}]}]}, {"tin": {"type": "ein", "value": "472493325"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1356.0, "npi": [1629696786]}]}, {"allowed_amount": 332.93, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1356.0, "npi": [1972502714, 1386230670]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1229.64, "providers": [{"billed_charge": 2962.0, "npi": [1457463010]}]}, {"allowed_amount": 1564.99, "providers": [{"billed_charge": 2962.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "651067056"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 86.07, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1477193878]}]}, {"allowed_amount": 97.92, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1609343821]}]}, {"allowed_amount": 146.88, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1700776572]}]}, {"allowed_amount": 158.4, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1275047698]}]}, {"allowed_amount": 164.95, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1447792387, 1982080099]}]}, {"allowed_amount": 172.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1861122194, 1205694221, 1184391302]}]}, {"allowed_amount": 175.03, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1104074152]}]}, {"allowed_amount": 195.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1114796331, 1780400523, 1184338238]}]}, {"allowed_amount": 212.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1588108930, 1245691260, 1205694221]}]}, {"allowed_amount": 332.93, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1247.0, "npi": [1215207956]}]}]}, {"tin": {"type": "ein", "value": "651205955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1337.14, "providers": [{"billed_charge": 2500.0, "npi": [1730189697]}]}]}, {"tin": {"type": "ein", "value": "853095264"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.84, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 15420.0, "npi": [1427288455]}]}]}]}, {"name": "Transcranial Doppler study of the intracranial arteries; complete study", "billing_code_type": "CPT", "billing_code": "93886", "billing_code_type_version": "2022", "description": "TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL", "allowed_amounts": [{"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 143.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1528098555, 1770532012, 1912980079]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1245.6, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "542107535"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1175.0, "npi": [1326001280]}]}]}]}, {"name": "Transferase; alanine amino (ALT) (SGPT)", "billing_code_type": "CPT", "billing_code": "84460", "billing_code_type_version": "2022", "description": "TRANSFERASE ALANINE AMINO ALT SGPT", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.24, "providers": [{"billed_charge": 104.97, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.3, "providers": [{"billed_charge": 118.91, "npi": [1245720820]}]}, {"allowed_amount": 6.15, "providers": [{"billed_charge": 118.91, "npi": [1245720820]}]}, {"allowed_amount": 7.95, "providers": [{"billed_charge": 118.91, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.3, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 9.28, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.59, "providers": [{"billed_charge": 64.0, "npi": [1982606992]}]}]}]}, {"name": "Transferase; aspartate amino (AST) (SGOT)", "billing_code_type": "CPT", "billing_code": "84450", "billing_code_type_version": "2022", "description": "TRANSFERASE ASPARTATE AMINO AST SGOT", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.65, "providers": [{"billed_charge": 108.11, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 116.25, "npi": [1245720820]}]}, {"allowed_amount": 6.01, "providers": [{"billed_charge": 116.25, "npi": [1245720820]}]}, {"allowed_amount": 7.77, "providers": [{"billed_charge": 116.25, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.18, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 9.07, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 63.0, "npi": [1982606992]}]}]}]}, {"name": "Transferrin", "billing_code_type": "CPT", "billing_code": "84466", "billing_code_type_version": "2022", "description": "ASSAY OF TRANSFERRIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.64, "providers": [{"billed_charge": 28.08, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1396044574]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.67, "providers": [{"billed_charge": 154.0, "npi": [1982606992]}]}]}]}, {"name": "Transplantation medicine, quantification of donor-derived cell-free DNA using next-generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine probability of rejection", "billing_code_type": "CPT", "billing_code": "0540U", "billing_code_type_version": "2022", "description": "TRNSPLJ MEDICINE QUAN DD-CFDNA NGS ALYS PLASMA", "allowed_amounts": [{"tin": {"type": "ein", "value": "943316839"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1995.0, "providers": [{"billed_charge": 3990.0, "npi": [1689607384]}]}, {"allowed_amount": 2753.25, "providers": [{"billed_charge": 3990.0, "npi": [1689607384]}]}, {"allowed_amount": 3990.0, "providers": [{"billed_charge": 3990.0, "npi": [1689607384]}]}]}]}, {"name": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code": "64488", "billing_code_type_version": "2022", "description": "TAP BLOCK BILATERAL BY INJECTION(S)", "allowed_amounts": [{"tin": {"type": "ein", "value": "270531373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.67, "providers": [{"billed_charge": 1600.0, "npi": [1811428808]}]}]}, {"tin": {"type": "ein", "value": "383176445"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.53, "providers": [{"billed_charge": 170.0, "npi": [1407845258]}]}]}, {"tin": {"type": "ein", "value": "590971075"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 205.39, "providers": [{"billed_charge": 501.0, "npi": [1770977688, 1861940694]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.39, "providers": [{"billed_charge": 616.0, "npi": [1205898111]}]}, {"allowed_amount": 295.74, "providers": [{"billed_charge": 616.0, "npi": [1326001454]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.0, "providers": [{"billed_charge": 158.0, "npi": [1730683533]}]}]}, {"tin": {"type": "ein", "value": "850908631"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.21, "providers": [{"billed_charge": 505.0, "npi": [1699704684]}]}]}, {"tin": {"type": "ein", "value": "880539798"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1740276112, 1750366589, 1669468112]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 102.69, "providers": [{"billed_charge": 229.0, "npi": [1033403407]}]}, {"allowed_amount": 205.39, "providers": [{"billed_charge": 229.0, "npi": [1669000972, 1689100398, 1235418831, 1033403407, 1356314033, 1932176468, 1922488568]}]}, {"allowed_amount": 229.0, "providers": [{"billed_charge": 229.0, "npi": [1669000972, 1710711759, 1912971664, 1356314033, 1932176468, 1891362166]}]}]}]}, {"name": "Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled", "billing_code_type": "CPT", "billing_code": "P9603", "billing_code_type_version": "2022", "description": "Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled", "allowed_amounts": [{"tin": {"type": "ein", "value": "161660256"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 1.2, "npi": [1033281324]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 1.2, "npi": [1710358932, 1831228709]}]}]}]}, {"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": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.89, "providers": [{"billed_charge": 131.12, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.17, "providers": [{"billed_charge": 475.17, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.88, "providers": [{"billed_charge": 465.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.9, "providers": [{"billed_charge": 313.63, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 473.9, "providers": [{"billed_charge": 1354.0, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "420782518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 304.0, "providers": [{"billed_charge": 304.0, "npi": [1699856260]}]}]}, {"tin": {"type": "ein", "value": "450231183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.67, "providers": [{"billed_charge": 124.0, "npi": [1902824576]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.52, "providers": [{"billed_charge": 146.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "453765471"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.71, "providers": [{"billed_charge": 113.0, "npi": [1114923406]}]}]}, {"tin": {"type": "ein", "value": "520486540"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.32, "providers": [{"billed_charge": 86.32, "npi": [1285672204]}]}]}, {"tin": {"type": "ein", "value": "520608007"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.5, "providers": [{"billed_charge": 53.5, "npi": [1184712085]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.74, "providers": [{"billed_charge": 58.74, "npi": [1669417838]}]}, {"allowed_amount": 73.42, "providers": [{"billed_charge": 73.42, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.75, "providers": [{"billed_charge": 76.75, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "562112733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.62, "providers": [{"billed_charge": 308.0, "npi": [1053375253]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.36, "providers": [{"billed_charge": 205.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.76, "providers": [{"billed_charge": 377.24, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.0, "providers": [{"billed_charge": 243.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.93, "providers": [{"billed_charge": 780.84, "npi": [1841237930]}]}, {"allowed_amount": 327.95, "providers": [{"billed_charge": 780.84, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.18, "providers": [{"billed_charge": 465.0, "npi": [1184709057]}]}, {"allowed_amount": 125.88, "providers": [{"billed_charge": 465.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596001321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1538108725]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.04, "providers": [{"billed_charge": 143.69, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596031176"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.0, "providers": [{"billed_charge": 168.0, "npi": [1366431702]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.17, "providers": [{"billed_charge": 38.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.4, "providers": [{"billed_charge": 524.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.9, "providers": [{"billed_charge": 1554.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.6, "providers": [{"billed_charge": 1016.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "660776102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1003185455]}]}]}, {"tin": {"type": "ein", "value": "743048428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.55, "providers": [{"billed_charge": 673.0, "npi": [1457306359]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.73, "providers": [{"billed_charge": 15.0, "npi": [1700074143]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1700074143]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.0, "providers": [{"billed_charge": 103.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.88, "providers": [{"billed_charge": 465.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.12, "providers": [{"billed_charge": 488.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 249.36, "providers": [{"billed_charge": 712.46, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.0, "providers": [{"billed_charge": 138.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.4, "providers": [{"billed_charge": 325.31, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "844580729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.76, "providers": [{"billed_charge": 331.0, "npi": [1376175687]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.0, "providers": [{"billed_charge": 273.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "910511770"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 20.2, "providers": [{"billed_charge": 52.0, "npi": [1326145061]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.47, "providers": [{"billed_charge": 75.0, "npi": [1457007478]}]}, {"allowed_amount": 21.82, "providers": [{"billed_charge": 75.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 365.0, "providers": [{"billed_charge": 365.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.0, "providers": [{"billed_charge": 463.0, "npi": [1366896300]}]}]}, {"tin": {"type": "ein", "value": "951643373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 930.0, "providers": [{"billed_charge": 930.0, "npi": [1235290818]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 412.05, "providers": [{"billed_charge": 412.05, "npi": [1811099674]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 587.63, "providers": [{"billed_charge": 163.0, "npi": [1427806025]}]}, {"allowed_amount": 831.79, "providers": [{"billed_charge": 163.0, "npi": [1427806025]}]}, {"allowed_amount": 1435.89, "providers": [{"billed_charge": 163.0, "npi": [1366281750]}]}]}]}, {"name": "Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code": "76942", "billing_code_type_version": "2022", "description": "US GUIDANCE NEEDLE PLACEMENT IMG S&I", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.65, "npi": [1710182407]}]}]}, {"tin": {"type": "ein", "value": "270293215"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 39.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1952114241, 1588037865]}, {"billed_charge": 800.0, "npi": [1588037865]}]}, {"allowed_amount": 41.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1922583699]}]}, {"allowed_amount": 44.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1588037865]}]}, {"allowed_amount": 91.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1588037865]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1558757880]}]}]}, {"tin": {"type": "ein", "value": "271725488"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 39.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1588037865, 1275364804, 1629809447]}]}, {"allowed_amount": 41.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1922583699]}]}, {"allowed_amount": 44.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1073370193, 1275364804, 1629809447]}]}]}, {"tin": {"type": "ein", "value": "473150013"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 41.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2100.0, "npi": [1659140283]}]}, {"allowed_amount": 89.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2100.0, "npi": [1164404968]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1700315025, 1235517558]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 47.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1851594931]}]}, {"allowed_amount": 47.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1871152447]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 42.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1447372131, 1497131734]}]}, {"allowed_amount": 98.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1306135777]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.32, "npi": [1578023354, 1922896604]}]}]}, {"tin": {"type": "ein", "value": "593589566"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 41.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1588132617, 1093282279]}]}, {"allowed_amount": 44.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1588132617]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 43.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1053376756]}]}, {"allowed_amount": 74.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1578817219, 1053376822]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 43.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1962834671]}]}, {"allowed_amount": 74.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1205815289]}]}]}, {"tin": {"type": "ein", "value": "921099597"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 44.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1356873210]}]}]}]}, {"name": "Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "76937", "billing_code_type_version": "2022", "description": "US VASC ACCESS SITS VSL PATENCY NDL ENTRY", "allowed_amounts": [{"tin": {"type": "ein", "value": "010732587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1003894601]}]}]}, {"tin": {"type": "ein", "value": "030397735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1366721789]}]}]}, {"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1356394936]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1740028687]}]}]}, {"tin": {"type": "ein", "value": "204595671"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1093244964]}]}, {"allowed_amount": 19.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1093244964]}]}]}, {"tin": {"type": "ein", "value": "204734313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.38, "npi": [1184841835]}]}]}, {"tin": {"type": "ein", "value": "223146927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1629655931]}]}]}, {"tin": {"type": "ein", "value": "261122951"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1780173708]}]}]}, {"tin": {"type": "ein", "value": "263031635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.62, "npi": [1760495998, 1689878134, 1619959186]}]}, {"allowed_amount": 18.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.62, "npi": [1891761128]}]}, {"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.62, "npi": [1508266081, 1295185189, 1598208647, 1184120172, 1740226190, 1124392378, 1932558202]}]}, {"allowed_amount": 39.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.62, "npi": [1427586346]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1497900831]}]}]}, {"tin": {"type": "ein", "value": "270539587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1083844278]}]}, {"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1083844278]}]}, {"allowed_amount": 20.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1083844278]}]}]}, {"tin": {"type": "ein", "value": "331075317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1194111930]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1033141692]}]}]}, {"tin": {"type": "ein", "value": "381973203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1194788943]}]}]}, {"tin": {"type": "ein", "value": "421557400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1750743183]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1619217049]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1508210832]}]}]}, {"tin": {"type": "ein", "value": "470854466"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.72, "providers": [{"billed_charge": 72.0, "npi": [1619382397]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1619497567, 1538588207]}]}, {"allowed_amount": 20.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1235517558]}]}, {"allowed_amount": 20.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1104288836]}]}, {"allowed_amount": 22.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1104288836]}]}]}, {"tin": {"type": "ein", "value": "475569548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1912971607]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1053327114]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1962853945]}]}]}, {"tin": {"type": "ein", "value": "590944132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1023434834, 1922341437]}]}, {"allowed_amount": 71.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1023434834, 1922341437]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1982832572]}]}, {"allowed_amount": 44.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1023570827, 1417158452, 1427580331]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1346714128]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1497929954]}]}, {"allowed_amount": 33.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1588084073]}]}, {"allowed_amount": 26.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1588084073]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1184690893, 1023468709]}]}, {"allowed_amount": 25.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1811903867]}]}]}, {"tin": {"type": "ein", "value": "591608089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1669498952]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1891836391]}]}, {"allowed_amount": 27.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1518126523, 1386090702]}]}, {"allowed_amount": 69.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1760961312]}]}]}, {"tin": {"type": "ein", "value": "592905984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1578302253]}]}, {"allowed_amount": 69.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1902394257, 1114212859, 1265427561]}]}]}, {"tin": {"type": "ein", "value": "593096688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1124215249]}]}]}, {"tin": {"type": "ein", "value": "593411711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1861473225, 1053425678]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1326240417]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1780662700, 1962834671]}]}, {"allowed_amount": 33.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1780662700, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "823430528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1811346737, 1154854404, 1982967535]}]}, {"allowed_amount": 41.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1982967535]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.74, "npi": [1225520901]}]}, {"allowed_amount": 56.54, "providers": [{"billed_charge": 91.74, "npi": [1942445895]}]}]}, {"tin": {"type": "ein", "value": "863355115"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1487996518, 1538424007, 1417274481, 1619214707, 1225527898]}]}]}, {"tin": {"type": "ein", "value": "922099035"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1033403407, 1942694559]}]}, {"allowed_amount": 39.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1346744034]}]}, {"allowed_amount": 46.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1356314033]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1770293102]}]}, {"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1215517537]}]}]}, {"tin": {"type": "ein", "value": "932497563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1518163658]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1093.1, "npi": [1194258350]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1669722765]}]}]}, {"tin": {"type": "ein", "value": "994875851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1306158191]}]}, {"allowed_amount": 20.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1306158191]}]}]}]}, {"name": "Ultrasound, abdominal, real time with image documentation; complete", "billing_code_type": "CPT", "billing_code": "76700", "billing_code_type_version": "2022", "description": "US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "061562701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.24, "providers": [{"billed_charge": 1286.0, "npi": [1982663423]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 53.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.0, "npi": [1225069776, 1538196977, 1447250618, 1851569701]}]}, {"allowed_amount": 57.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.0, "npi": [1538196977, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "232664784"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 55.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1366508236]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.25, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 8.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1053383786]}]}, {"allowed_amount": 52.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1053383786, 1013969294]}]}, {"allowed_amount": 70.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1053383786, 1265457485, 1013969294, 1225089428, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 380.0, "npi": [1609070945, 1831312099]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 98.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1336347335, 1578079562, 1043474190, 1841675642, 1952593170, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 594.0, "providers": [{"billed_charge": 594.0, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1497752240]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1386646438]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 50.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1700315025, 1104288836, 1235517558, 1538588207]}]}, {"allowed_amount": 53.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1700315025]}]}, {"allowed_amount": 54.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1700315025, 1104288836, 1235517558]}]}, {"allowed_amount": 57.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1700315025, 1104288836]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1134480288]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.44, "providers": [{"billed_charge": 1336.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 750.71, "providers": [{"billed_charge": 1668.24, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 2485.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 50.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1932182219, 1710179676]}]}, {"allowed_amount": 118.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1750516720, 1588610026, 1932182219]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 50.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 554.0, "npi": [1083696561]}]}, {"allowed_amount": 52.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 554.0, "npi": [1043287311]}]}, {"allowed_amount": 88.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 554.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1508245424]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1497929954]}]}, {"allowed_amount": 88.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 163.09, "providers": [{"billed_charge": 1559.0, "npi": [1154332120, 1326545906, 1184899700, 1588283352, 1255080057, 1316501851]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 118.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1457553034, 1942769286]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1528333887]}]}]}, {"tin": {"type": "ein", "value": "621237566"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1033191986]}]}]}, {"tin": {"type": "ein", "value": "631041806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1235635053]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 356.0, "npi": [1063533412]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19"], "payments": [{"allowed_amount": 52.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1124293568, 1083693352, 1649764531, 1235578980]}]}, {"allowed_amount": 88.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1235578980, 1780662700, 1477754349, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 53.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 57.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1225533433]}]}, {"allowed_amount": 80.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 2148.0, "npi": [1427806025]}]}]}]}, {"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": "010750853"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1467553321]}]}]}, {"tin": {"type": "ein", "value": "042790311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.43, "providers": [{"billed_charge": 932.0, "npi": [1487655064]}]}]}, {"tin": {"type": "ein", "value": "042888373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1518935691]}]}]}, {"tin": {"type": "ein", "value": "060646844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.7, "providers": [{"billed_charge": 953.0, "npi": [1760426969]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1205367992]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 39.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1780864033, 1801899042, 1851569701, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 42.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 51.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1851569701]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1225069776, 1447250618]}]}, {"allowed_amount": 122.72, "providers": [{"billed_charge": 271.0, "npi": [1265428908]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1346235801, 1215983085]}]}, {"allowed_amount": 86.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1821417296, 1477991156]}]}]}, {"tin": {"type": "ein", "value": "205174181"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1316203532]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.68, "providers": [{"billed_charge": 1020.0, "npi": [1457456279]}]}]}, {"tin": {"type": "ein", "value": "221487602"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.68, "providers": [{"billed_charge": 1233.0, "npi": [1669462420]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1407353568, 1053603100, 1619381704]}]}]}, {"tin": {"type": "ein", "value": "231352152"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 345.73, "providers": [{"billed_charge": 1653.0, "npi": [1811992084]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1295706307]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1962815563]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 46.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1326197393]}]}]}, {"tin": {"type": "ein", "value": "250815795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1366488496]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1265999585]}]}, {"allowed_amount": 39.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1730716721, 1962083642, 1104846773]}]}, {"allowed_amount": 79.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1790003051, 1376561100, 1245783117, 1962083642, 1730618653]}]}]}, {"tin": {"type": "ein", "value": "261956698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1982779716]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 422.85, "npi": [1851734354, 1710211701]}]}, {"allowed_amount": 51.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 422.85, "npi": [1497762801, 1851675276, 1578756524]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1184120008, 1598724403, 1720617590]}]}, {"allowed_amount": 77.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1720617590, 1942267182]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.05, "npi": [1164059416]}]}]}, {"tin": {"type": "ein", "value": "274495916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1457863904]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1285626770]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1891737714]}]}]}, {"tin": {"type": "ein", "value": "311480941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.4, "providers": [{"billed_charge": 631.51, "npi": [1598868655]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1447613005]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1386694040]}]}, {"allowed_amount": 51.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1013900117]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.49, "providers": [{"billed_charge": 549.0, "npi": [1306898960]}]}]}, {"tin": {"type": "ein", "value": "351955872"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.49, "providers": [{"billed_charge": 429.0, "npi": [1144266024]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 411.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1447593116]}]}]}, {"tin": {"type": "ein", "value": "383738197"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1476.37, "providers": [{"billed_charge": 3328.0, "npi": [1518018191]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 409.0, "npi": [1205937547]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.14, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 584.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1477086593, 1710306857]}]}]}, {"tin": {"type": "ein", "value": "432032442"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1992814842]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.15, "providers": [{"billed_charge": 287.0, "npi": [1770969859]}]}]}, {"tin": {"type": "ein", "value": "451649781"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 44.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1124762026]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.62, "npi": [1629210588]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 71.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1326343716, 1093122277, 1336347335, 1578079562, 1043474190, 1043438898, 1952593170, 1659767093, 1841675642, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1386904704]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1972767556, 1770743908, 1952426983, 1457619017, 1669708715, 1760694285, 1477015956, 1720177207, 1073595740]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 106.93, "providers": [{"billed_charge": 237.61, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "463490058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.03, "npi": [1548910334]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.3, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 34.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1053585380]}]}, {"allowed_amount": 36.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1053585380]}]}, {"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1053585380, 1013063908, 1851569701, 1104288836, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1073017174, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1104288836, 1053585380, 1851826440, 1700315025, 1619497567]}]}, {"allowed_amount": 39.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1104288836, 1851569701, 1053585380, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1073017174, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 39.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1073017174, 1770646457]}]}, {"allowed_amount": 42.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 48.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1851569701]}]}, {"allowed_amount": 51.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 611.1, "providers": [{"billed_charge": 611.1, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1093707457]}]}]}, {"tin": {"type": "ein", "value": "522111102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1699713941]}]}]}, {"tin": {"type": "ein", "value": "550492006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1710324157]}]}]}, {"tin": {"type": "ein", "value": "550643304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.4, "providers": [{"billed_charge": 941.0, "npi": [1841271459]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.0, "npi": [1942266986, 1831184415]}]}]}, {"tin": {"type": "ein", "value": "580568702"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.86, "providers": [{"billed_charge": 742.0, "npi": [1063406684]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1275093031]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1588692081, 1174020127]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.81, "providers": [{"billed_charge": 1258.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1144297326]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.29, "providers": [{"billed_charge": 833.0, "npi": [1295702728]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 508.62, "providers": [{"billed_charge": 1130.27, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 343.0, "npi": [1972824969, 1972361756]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590638499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 1658.6, "npi": [1033001748]}]}, {"allowed_amount": 568.36, "providers": [{"billed_charge": 1658.6, "npi": [1033001748]}]}]}, {"tin": {"type": "ein", "value": "590683252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 275.11, "providers": [{"billed_charge": 920.0, "npi": [1427114099]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 2044.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590714831"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 890.0, "npi": [1891782470]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1817.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.34, "providers": [{"billed_charge": 1515.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1588610026, 1023570827, 1710179676, 1033608922, 1679006555, 1215164348]}]}, {"allowed_amount": 62.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1033608922]}]}, {"allowed_amount": 86.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1861726952, 1427580331, 1457334732, 1932182219, 1497131734, 1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1720024680, 1083696561, 1255580627, 1518974260, 1528555869]}]}, {"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1609220300, 1043287311]}]}, {"allowed_amount": 39.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1265488035]}]}, {"allowed_amount": 51.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1609220300]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1801185897, 1285923292, 1801026893, 1740271121]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 31.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1578507588]}]}, {"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1093701161, 1932408358]}]}, {"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1568953065, 1659341139, 1023052990]}]}, {"allowed_amount": 51.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1902243009, 1306263751, 1508319815, 1447815089, 1811151996]}]}, {"allowed_amount": 86.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1578551321, 1174029870]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1487151536, 1285016733]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 1096.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1952373730]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 122.72, "providers": [{"billed_charge": 798.0, "npi": [1912170556, 1881191807]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1477085504]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.1, "providers": [{"billed_charge": 829.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1638.81, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1740229368]}]}]}, {"tin": {"type": "ein", "value": "592650464"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1548202757]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1235194168, 1013177120, 1093827214, 1528333887]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1053494674]}]}, {"allowed_amount": 62.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1336136076, 1194068460]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 23.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1750782041, 1376911453, 1326689910, 1417575887]}]}, {"allowed_amount": 31.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1366609570, 1184680852]}]}]}, {"tin": {"type": "ein", "value": "593425191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1427437961]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 789.0, "npi": [1679893960]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.2, "providers": [{"billed_charge": 2586.28, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.77, "providers": [{"billed_charge": 2755.92, "npi": [1982650024]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1011.15, "providers": [{"billed_charge": 2889.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1245261783]}]}, {"allowed_amount": 61.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1467430082]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 34.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1770890147]}]}, {"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1770890147, 1457579559, 1235394990, 1447889423, 1184112468, 1053376822, 1275530198]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1063533412, 1437671062, 1346696663]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1124202916, 1497722342]}]}]}, {"tin": {"type": "ein", "value": "720408970"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 200.7, "providers": [{"billed_charge": 1306.0, "npi": [1295723229]}]}]}, {"tin": {"type": "ein", "value": "720891412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1790960144]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1205248770, 1154950343]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.27, "providers": [{"billed_charge": 4915.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 1398.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 924.22, "providers": [{"billed_charge": 1155.27, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1568412518]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1568680080]}]}, {"allowed_amount": 106.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1508249889]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 2053.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "751292603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1033313093]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 55.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1932441276, 1710279245]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 116.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1730717570, 1659734804]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 39.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 42.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1225533433]}]}, {"allowed_amount": 58.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "820651263"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.74, "providers": [{"billed_charge": 1892.0, "npi": [1780125005]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1093742694, 1114258191, 1316366776, 1659509305, 1508204348, 1194847038]}]}, {"allowed_amount": 51.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1194847038]}]}, {"allowed_amount": 65.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1548496912, 1609997121, 1508204348, 1194847038]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1447608286]}]}]}, {"tin": {"type": "ein", "value": "834721282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1588911259]}]}]}, {"tin": {"type": "ein", "value": "842640890"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 159.08, "providers": [{"billed_charge": 172.96, "npi": [1184398521]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1760825814]}]}]}, {"tin": {"type": "ein", "value": "851762276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1588253058]}]}]}, {"tin": {"type": "ein", "value": "853229768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2768.62, "npi": [1427233006]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 900.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1518062413]}]}, {"allowed_amount": 42.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1053474080]}]}, {"allowed_amount": 51.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1265457485]}]}, {"allowed_amount": 60.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1356339188]}]}]}, {"tin": {"type": "ein", "value": "871439061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1215170790]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 159.08, "providers": [{"billed_charge": 175.52, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "874362493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1932168887]}]}]}, {"tin": {"type": "ein", "value": "880119638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1245260132]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 578.0, "npi": [1184853004, 1104311174]}]}, {"allowed_amount": 79.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 578.0, "npi": [1255080073, 1104311174, 1184853004, 1841754678]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1649684051]}]}, {"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1841754678]}]}, {"allowed_amount": 39.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1306473624, 1891324745, 1902435027, 1083243885]}, {"billed_charge": 547.0, "npi": [1043956022]}]}, {"allowed_amount": 79.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1902435027, 1144960758, 1225665003]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 122.72, "providers": [{"billed_charge": 323.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "930593249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 904.64, "providers": [{"billed_charge": 816.0, "npi": [1225016561]}]}]}, {"tin": {"type": "ein", "value": "932759167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 4003.0, "npi": [1396600151]}]}]}, {"tin": {"type": "ein", "value": "933040761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.34, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2482.2, "npi": [1407637531]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1215498720]}]}]}, {"tin": {"type": "ein", "value": "943167314"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1688.39, "providers": [{"billed_charge": 3132.0, "npi": [1093712374]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2275.0, "providers": [{"billed_charge": 2275.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "952669833"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1568889921]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 37.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1033102124]}]}, {"allowed_amount": 62.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1033153663]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2444.44, "npi": [1356766554, 1699081117]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1528237971]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 1652.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1457221533]}]}]}]}, {"name": "Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete", "billing_code_type": "CPT", "billing_code": "76641", "billing_code_type_version": "2022", "description": "US BREAST UNI REAL TIME WITH IMAGE COMPLETE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1225069776, 1447250618, 1851569701]}]}, {"allowed_amount": 52.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1225069776, 1447250618]}]}, {"allowed_amount": 73.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1225069776]}]}, {"allowed_amount": 78.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1225069776, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1508186131]}]}]}, {"tin": {"type": "ein", "value": "205589716"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 153.44, "providers": [{"billed_charge": 273.0, "npi": [1205063039]}]}, {"allowed_amount": 230.16, "providers": [{"billed_charge": 273.0, "npi": [1205063039]}]}]}, {"tin": {"type": "ein", "value": "221904530"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 76.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1902847254]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 47.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1053383786, 1013969294]}]}, {"allowed_amount": 63.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1053383786, 1013969294]}]}, {"allowed_amount": 70.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1225089428, 1013969294]}]}, {"allowed_amount": 95.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 34.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1801002324]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 31.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 505.0, "npi": [1841723434]}]}, {"allowed_amount": 42.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 505.0, "npi": [1841723434]}]}, {"allowed_amount": 52.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 505.0, "npi": [1376575910]}]}, {"allowed_amount": 63.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1010.0, "npi": [1841723434]}]}, {"allowed_amount": 78.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1010.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1033307137]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 45.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1235194168]}]}, {"allowed_amount": 72.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1457349458]}]}, {"allowed_amount": 120.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "603505659"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 81.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1649739418]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 23.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 47.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 52.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1083693352]}]}, {"allowed_amount": 60.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 80.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1083693352, 1477754349]}]}]}]}, {"name": "Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited", "billing_code_type": "CPT", "billing_code": "76642", "billing_code_type_version": "2022", "description": "US BREAST UNI REAL TIME WITH IMAGE LIMITED", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.58, "npi": [1225069776]}]}, {"allowed_amount": 45.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.58, "npi": [1225069776]}]}, {"allowed_amount": 48.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.58, "npi": [1225069776, 1780864033]}]}, {"allowed_amount": 59.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.58, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "204722218"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1871598474]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 89.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.0, "npi": [1013969294]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 90.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1952593170, 1043438898, 1578079562]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 21.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1770646457]}]}, {"allowed_amount": 34.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1891996047]}]}, {"allowed_amount": 42.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1770646457, 1619497567, 1073017174, 1891996047]}]}, {"allowed_amount": 43.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1053585380, 1538588207, 1891996047]}]}, {"allowed_amount": 45.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1235517558]}]}, {"allowed_amount": 45.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1851826440, 1770646457, 1891996047]}]}, {"allowed_amount": 48.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1235517558, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1255355350]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.9, "providers": [{"billed_charge": 782.01, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.8, "providers": [{"billed_charge": 760.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 42.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1306135777, 1447372131, 1861726952, 1750516720, 1710179676]}]}, {"allowed_amount": 54.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1710179676]}]}, {"allowed_amount": 64.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1588610026]}]}, {"allowed_amount": 99.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1306135777, 1033608922]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 39.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 517.0, "npi": [1841723434]}]}, {"allowed_amount": 48.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 517.0, "npi": [1376575910]}]}, {"allowed_amount": 73.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1034.0, "npi": [1376575910]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 64.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 299.0, "npi": [1265438287]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19", "21"], "payments": [{"allowed_amount": 43.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1083693352, 1477754349]}]}, {"allowed_amount": 56.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1083693352]}]}, {"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1083693352]}]}]}]}, {"name": "Ultrasound, chest (includes mediastinum), real time with image documentation", "billing_code_type": "CPT", "billing_code": "76604", "billing_code_type_version": "2022", "description": "US CHEST REAL TIME W/IMAGE DOCUMENTATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 515.0, "npi": [1427553742]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1295700466]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 40.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1538196977, 1801899042]}]}, {"allowed_amount": 43.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1225069776, 1780864033, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1326197393]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1265999585]}]}, {"allowed_amount": 40.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1730716721, 1104846773]}]}, {"allowed_amount": 82.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1376561100, 1245783117, 1730716721, 1942242649, 1962083642, 1487738654]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1184120008, 1760904056, 1720617590]}]}, {"allowed_amount": 79.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1730152646]}]}]}, {"tin": {"type": "ein", "value": "333984600"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.15, "npi": [1659559334]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1477086593, 1710306857]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.15, "providers": [{"billed_charge": 287.0, "npi": [1770969859]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1952593170, 1255364378]}]}]}, {"tin": {"type": "ein", "value": "463490058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.69, "npi": [1548910334]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 35.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1053585380]}]}, {"allowed_amount": 37.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1053585380]}]}, {"allowed_amount": 37.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1619497567]}]}, {"allowed_amount": 40.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1104288836, 1053585380, 1851826440, 1891996047, 1538588207, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 40.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1851826440, 1215024971, 1538588207, 1770646457, 1619497567]}]}, {"allowed_amount": 43.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1851826440, 1700315025, 1538588207]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.38, "providers": [{"billed_charge": 705.28, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1023570827]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 389.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1902243009]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.06, "npi": [1205358645]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1700356201, 1376911453, 1417575887]}]}, {"allowed_amount": 37.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1710173265, 1962816579, 1700356201]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 680.0, "npi": [1679893960]}]}]}, {"tin": {"type": "ein", "value": "611029626"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 244.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1174822332]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1447889423]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 66.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1124293568]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 301.0, "npi": [1730717570, 1659734804]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "860415065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1750960597]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 961.0, "npi": [1841754678]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1902435027, 1801258884]}]}]}, {"tin": {"type": "ein", "value": "991493813"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1611.77, "npi": [1356766554, 1699081117]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1457221533]}]}]}]}, {"name": "Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation", "billing_code_type": "CPT", "billing_code": "76882", "billing_code_type_version": "2022", "description": "US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG", "allowed_amounts": [{"tin": {"type": "ein", "value": "043194547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1124889142]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1225069776, 1538196977, 1851569701]}]}, {"allowed_amount": 49.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1225069776, 1780864033]}]}, {"allowed_amount": 60.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1376561100]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.1, "providers": [{"billed_charge": 315.65, "npi": [1982650842]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1760904056]}]}, {"allowed_amount": 40.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1346954088]}]}, {"allowed_amount": 44.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1922427368, 1114504305, 1154711547, 1720433725]}]}, {"allowed_amount": 91.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1720617590]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 44.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1225089428]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 49.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1952593170, 1255364378, 1043474190, 1841675642]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 40.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380]}]}, {"allowed_amount": 43.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380]}]}, {"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1235517558]}]}, {"allowed_amount": 46.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1104288836, 1013063908, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 46.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1104288836, 1235517558]}]}, {"allowed_amount": 49.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1104288836, 1619497567, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "475273455"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1881443729]}]}]}, {"tin": {"type": "ein", "value": "570935917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1639267669]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 272.97, "providers": [{"billed_charge": 606.61, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1669521803, 1528555869]}]}, {"allowed_amount": 44.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1043287311]}]}, {"allowed_amount": 49.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1376575910]}]}, {"allowed_amount": 60.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1598266017]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1801026893]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1306043831]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1417941832]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.86, "npi": [1578023354]}]}, {"allowed_amount": 88.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.86, "npi": [1174840904]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.74, "npi": [1265886626]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 44.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1235578980, 1083693352, 1780662700, 1477754349, 1962834671]}]}, {"allowed_amount": 76.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1235578980, 1083693352, 1477754349, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.8, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1891839718]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 46.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "833817826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1922198704]}]}]}, {"tin": {"type": "ein", "value": "921056696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.8, "npi": [1255330833]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 473.0, "npi": [1710400353, 1184853004, 1841754678]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1548899271]}]}, {"allowed_amount": 46.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1962631648, 1619585510]}]}, {"allowed_amount": 91.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1841754678, 1891435087]}]}, {"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1962631648, 1952988131, 1619585510, 1386267474, 1902435027, 1043956022, 1386799039]}, {"billed_charge": 343.0, "npi": [1841861820]}]}]}]}, {"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": "010574210"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 989.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "150532254"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 699.0, "npi": [1508815333]}]}]}, {"tin": {"type": "ein", "value": "160988763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1124010038]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 24.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1225069776]}]}, {"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1780864033, 1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 50.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 52.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1225069776]}]}, {"allowed_amount": 60.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1851569701]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 149.97, "providers": [{"billed_charge": 318.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1770532012]}]}, {"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1346235801, 1508186131]}]}]}, {"tin": {"type": "ein", "value": "204820187"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1750732376]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1003841875]}]}]}, {"tin": {"type": "ein", "value": "205077249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 1606.0, "npi": [1134133002]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.4, "providers": [{"billed_charge": 3030.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "260799572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1902897200]}]}]}, {"tin": {"type": "ein", "value": "261956698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1326256678]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 510.95, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 347.0, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1598750747, 1619268182]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1558450023, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.84, "providers": [{"billed_charge": 1290.0, "npi": [1548375082]}]}]}, {"tin": {"type": "ein", "value": "381877512"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1801109731]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1386976207]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 83.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1326343716, 1093122277, 1336347335, 1578079562, 1043474190, 1841675642, 1952593170, 1396852851, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1023125531]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1265667620]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "470526763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1962531210]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 40.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380]}]}, {"allowed_amount": 43.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380]}]}, {"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1104288836, 1851569701, 1053585380, 1851826440, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380]}]}, {"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1013063908, 1104288836, 1053585380, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1235767062, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 47.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1851826440, 1215024971, 1891996047, 1700315025, 1770646457, 1619497567]}]}, {"allowed_amount": 50.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1851569701]}]}, {"allowed_amount": 60.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 594.36, "providers": [{"billed_charge": 594.36, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "521495113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1134414527]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1154325553]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1801002324, 1669458246]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1295850386, 1952746802]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1033191093]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1487281341]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 1606.0, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1669835351]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 564.08, "providers": [{"billed_charge": 1253.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.87, "providers": [{"billed_charge": 2216.0, "npi": [1972664530]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 3161.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1457334732, 1710179676, 1427580331]}]}, {"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1780846204, 1215164348, 1710179676, 1982832572]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1003296146, 1669521803]}]}, {"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1043287311]}]}, {"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1750801031]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1891159992, 1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1316981996]}, {"billed_charge": 140.0, "npi": [1902066129, 1770800062, 1093701161]}]}, {"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1558789115]}]}, {"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1447815089]}]}, {"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1245728591]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1295729689, 1811903867]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 601.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1952373730]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.16, "providers": [{"billed_charge": 1493.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1922149988]}]}, {"allowed_amount": 59.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.34, "npi": [1720280530, 1710060595]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1710196753]}]}, {"allowed_amount": 29.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1417538216]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 59.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1528333887]}]}, {"allowed_amount": 68.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1235194168]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1770905085]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.46, "providers": [{"billed_charge": 542.81, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.95, "providers": [{"billed_charge": 1149.23, "npi": [1265539498]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.79, "providers": [{"billed_charge": 1293.69, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 454.15, "providers": [{"billed_charge": 1297.57, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "621801361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 5845.45, "npi": [1962455816]}]}]}, {"tin": {"type": "ein", "value": "621811413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.26, "providers": [{"billed_charge": 4048.73, "npi": [1053382655]}]}]}, {"tin": {"type": "ein", "value": "631041806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1235635053]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1265438287]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1063533412]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1124090782]}]}, {"allowed_amount": 50.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1538243555]}]}]}, {"tin": {"type": "ein", "value": "721367427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1306258751]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 713.75, "npi": [1619115383]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 1992.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1932194263]}]}, {"allowed_amount": 125.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1790059921]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1851895718]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 1417.0, "npi": [1629021845]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1962295782]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.27, "providers": [{"billed_charge": 5227.0, "npi": [1376198028]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1427019728]}]}, {"allowed_amount": 50.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1225533433]}]}, {"allowed_amount": 70.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1194847038]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1104855733]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 1639.0, "npi": [1114744752]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1093742553]}]}]}, {"tin": {"type": "ein", "value": "870622942"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1205501046]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1649684051]}]}]}, {"tin": {"type": "ein", "value": "942188987"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1720041379]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1457586562]}]}]}]}, {"name": "Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)", "billing_code_type": "CPT", "billing_code": "76857", "billing_code_type_version": "2022", "description": "US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U", "allowed_amounts": [{"tin": {"type": "ein", "value": "042807148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1376991901]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 34.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1801899042, 1851569701, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 36.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1225069776, 1538196977, 1447250618, 1780864033]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1730716721, 1962083642]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1154711547, 1457496572]}]}, {"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1114504305]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1053383786, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1013900117, 1740780535]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.65, "providers": [{"billed_charge": 734.0, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1952593170, 1578079562, 1336347335]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 29.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1053585380]}]}, {"allowed_amount": 31.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1053585380]}]}, {"allowed_amount": 32.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1013063908, 1538588207, 1891996047, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 34.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1104288836, 1013063908, 1053585380, 1851826440, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 34.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1770646457]}]}, {"allowed_amount": 36.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1235517558, 1770646457, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "540958905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1831777275]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.38, "providers": [{"billed_charge": 985.28, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590634433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1063654531]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 32.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1427580331]}]}, {"allowed_amount": 75.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1497190946]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 56.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1497929954]}]}, {"allowed_amount": 56.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1033307137]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1851404107, 1821592999]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.96, "npi": [1336889948]}]}]}, {"tin": {"type": "ein", "value": "610981548"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1295091148]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1306334404, 1932188174, 1235394990, 1184112468, 1043419351]}]}, {"allowed_amount": 56.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1457579559, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "21"], "payments": [{"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1205815289, 1962834671]}]}, {"allowed_amount": 56.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1477754349]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 96.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1427708890]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1417190323, 1508204348, 1306307525]}]}, {"allowed_amount": 45.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1457589699, 1700229523]}]}, {"allowed_amount": 56.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1609997121, 1205026374]}]}, {"allowed_amount": 58.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1306307525]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1801982251]}]}]}, {"tin": {"type": "ein", "value": "880307447"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1154556314]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1649684051]}]}, {"allowed_amount": 33.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1841754678]}]}, {"allowed_amount": 34.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1194245464, 1083243885]}]}, {"allowed_amount": 69.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1952988131, 1619585510, 1891324745, 1891324778, 1386267474]}]}]}]}, {"name": "Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation", "billing_code_type": "CPT", "billing_code": "76805", "billing_code_type_version": "2022", "description": "US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1225069776, 1538196977]}]}, {"allowed_amount": 72.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1225069776, 1538196977, 1598913980]}]}, {"allowed_amount": 87.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1851569701]}]}, {"allowed_amount": 111.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "262525968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.0, "providers": [{"billed_charge": 1060.0, "npi": [1124272547]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 65.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.8, "npi": [1710211701]}]}, {"allowed_amount": 88.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 653.3, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "270284846"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1821229568]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1013969294]}]}, {"allowed_amount": 65.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1053383786]}]}, {"allowed_amount": 88.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1265457485, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "453072990"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.95, "providers": [{"billed_charge": 1055.0, "npi": [1962462226]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1043474190]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 1713.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.27, "providers": [{"billed_charge": 1267.27, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 88.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 637.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 601.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1659494334]}]}]}, {"tin": {"type": "ein", "value": "752918966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1514.03, "providers": [{"billed_charge": 4811.0, "npi": [1992736599]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.27, "providers": [{"billed_charge": 2018.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 518.0, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "874362493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1891936795]}]}]}]}, {"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": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 731.0, "npi": [1194832477]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1225069776]}]}, {"allowed_amount": 66.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1225069776, 1538196977, 1265428908, 1851569701]}]}, {"allowed_amount": 71.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 86.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1851569701]}]}, {"allowed_amount": 110.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1346235801]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.4, "providers": [{"billed_charge": 1267.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "260799572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1750817284, 1861549743]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 566.5, "npi": [1710182407]}]}, {"allowed_amount": 87.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 566.5, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "274206597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1174773113]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 765.31, "providers": [{"billed_charge": 956.64, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1922097278, 1669415022]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 463.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1093748840, 1053383786, 1265457485]}]}, {"allowed_amount": 87.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1558450023, 1093748840, 1053383786, 1265457485, 1013969294]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 436.0, "npi": [1700011582]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.71, "providers": [{"billed_charge": 864.0, "npi": [1700828852]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1831431253]}]}, {"allowed_amount": 114.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1205192507]}]}]}, {"tin": {"type": "ein", "value": "350869066"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.49, "providers": [{"billed_charge": 797.0, "npi": [1306898960]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.0, "providers": [{"billed_charge": 231.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.0, "providers": [{"billed_charge": 1344.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.0, "npi": [1992913263]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1609070945]}]}]}, {"tin": {"type": "ein", "value": "412181939"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 71.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1578782892]}]}]}, {"tin": {"type": "ein", "value": "421672810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1476.37, "providers": [{"billed_charge": 1115.0, "npi": [1902844988]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1326343716, 1336347335, 1578079562, 1043474190, 1841675642, 1952593170, 1396852851, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1487826624, 1821148743]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.04, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 61.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1053585380]}]}, {"allowed_amount": 63.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1215024971, 1891996047]}]}, {"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1851826440, 1891996047]}]}, {"allowed_amount": 66.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 67.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1770646457, 1215024971, 1538588207]}]}, {"allowed_amount": 71.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1770646457, 1700315025, 1235517558, 1891996047]}]}, {"allowed_amount": 110.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1104288836]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 983.0, "npi": [1962403865]}]}]}, {"tin": {"type": "ein", "value": "582032904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.81, "providers": [{"billed_charge": 1383.0, "npi": [1649248626]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.88, "providers": [{"billed_charge": 872.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1144297326]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.15, "providers": [{"billed_charge": 1027.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.87, "providers": [{"billed_charge": 1008.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.25, "providers": [{"billed_charge": 446.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 63.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1033608922, 1457334732]}]}, {"allowed_amount": 146.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1750516720, 1497190946, 1710179676, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1407275118]}]}, {"allowed_amount": 110.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1285051441]}]}, {"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1578704342]}]}, {"allowed_amount": 87.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1558789115]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1811903867]}]}, {"allowed_amount": 95.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 601.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 64.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1710210745]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1659665016, 1649478702, 1003376823]}]}, {"allowed_amount": 106.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1497072292]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.76, "providers": [{"billed_charge": 340.93, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 35.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1497739056, 1770878001]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.77, "providers": [{"billed_charge": 1762.9, "npi": [1023055126]}]}]}, {"tin": {"type": "ein", "value": "621801359"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 1435.23, "npi": [1174576698]}]}]}, {"tin": {"type": "ein", "value": "621828139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 726.0, "npi": [1669422630]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1124293568, 1477754349, 1962834671]}]}, {"allowed_amount": 71.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1235578980]}]}, {"allowed_amount": 110.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 336.0, "npi": [1124293568, 1235578980, 1083693352, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1558433870]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 1521.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.74, "providers": [{"billed_charge": 1232.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2605.0, "npi": [1730132234]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 407.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1770945073, 1841498821]}]}, {"allowed_amount": 50.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1851667026]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 681.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 3408.0, "npi": [1871619254]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 66.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1225533433]}]}, {"allowed_amount": 99.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1346566734]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.42, "providers": [{"billed_charge": 1212.0, "npi": [1982799375]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1265428254]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1417416371]}]}]}, {"tin": {"type": "ein", "value": "900054201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 535.0, "npi": [1720011810]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1649684051]}]}]}, {"tin": {"type": "ein", "value": "930593249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 365.93, "providers": [{"billed_charge": 681.0, "npi": [1225016561]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 1058.0, "npi": [1427806025, 1366281750]}]}]}]}, {"name": "Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus", "billing_code_type": "CPT", "billing_code": "76816", "billing_code_type_version": "2022", "description": "US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 58.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1225069776]}]}, {"allowed_amount": 62.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1225069776, 1598913980]}]}, {"allowed_amount": 75.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 279.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1093748840]}]}]}, {"tin": {"type": "ein", "value": "371704041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 68.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1184652703]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 285.0, "npi": [1457640328]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1700315025]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1407275118]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 55.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1205055027]}]}, {"allowed_amount": 92.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1912084955]}]}]}]}, {"name": "Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses", "billing_code_type": "CPT", "billing_code": "76815", "billing_code_type_version": "2022", "description": "US PREGNANT UTERUS LIMITED 1/> FETUSES", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 284.0, "npi": [1922191162]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1588548770, 1780854703]}]}]}, {"tin": {"type": "ein", "value": "141741641"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1740237502]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 48.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1538196977]}]}, {"allowed_amount": 57.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 232.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1346235801]}]}]}, {"tin": {"type": "ein", "value": "208031441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1609894708]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1740237502]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1306853338]}]}, {"allowed_amount": 90.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1487738654]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 393.6, "npi": [1710211701]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1578906624, 1114504305]}]}, {"allowed_amount": 87.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1578906624]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1619268182]}]}, {"allowed_amount": 58.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1508819970, 1619268182]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1013969294]}]}, {"allowed_amount": 58.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1013969294, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "362664075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1902880834]}]}]}, {"tin": {"type": "ein", "value": "371704041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1649491028]}]}]}, {"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.85, "npi": [1497919641]}]}]}, {"tin": {"type": "ein", "value": "452480633"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.85, "npi": [1235165200]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1255364378, 1043474190, 1336347335]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 38.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1053585380]}]}, {"allowed_amount": 41.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1053585380]}]}, {"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1013063908, 1104288836, 1053585380, 1851569701, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1235517558, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1770646457, 1053585380, 1891996047]}]}, {"allowed_amount": 44.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 44.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1700315025, 1073017174, 1235517558, 1770646457]}]}, {"allowed_amount": 48.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1851826440, 1215024971, 1891996047, 1538588207, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 54.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1851569701]}]}, {"allowed_amount": 57.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1851569701]}]}, {"allowed_amount": 73.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1215024971]}]}]}, {"tin": {"type": "ein", "value": "581126891"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1942238084]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1134104334]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1073033858]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.62, "providers": [{"billed_charge": 781.38, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1215164348, 1497131734]}]}, {"allowed_amount": 97.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1033608922, 1497190946]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 23.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1093782070]}]}, {"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1669521803, 1780900365, 1255580627]}]}, {"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1043287311]}]}, {"allowed_amount": 48.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1265488035]}]}, {"allowed_amount": 97.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1669521803]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1659324275, 1811191661]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1497929954, 1407275118]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1225010564]}, {"billed_charge": 137.0, "npi": [1225026073]}]}, {"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1568953065]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1811903867, 1821228396, 1285016733]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.06, "npi": [1710060595]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1437378742]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1568469146, 1205055027]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 437.45, "providers": [{"billed_charge": 1616.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "593398308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1063471092, 1528358397]}]}]}, {"tin": {"type": "ein", "value": "620817096"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1932150604]}]}]}, {"tin": {"type": "ein", "value": "631034703"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1508848607]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1235578980, 1962834671]}]}, {"allowed_amount": 73.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1083693352, 1205815289, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650044211"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1457791295]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1558554097, 1366446890]}]}, {"allowed_amount": 62.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1073777249]}]}, {"allowed_amount": 115.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1568680080, 1508249889, 1699006304]}]}, {"allowed_amount": 119.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1548752231]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1376954446]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 437.45, "providers": [{"billed_charge": 1616.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1093742694, 1386936623]}]}, {"allowed_amount": 73.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1417190323, 1508204348, 1457589699, 1386665719]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1326246059]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1851467781]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1699060582]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1649684051]}]}, {"allowed_amount": 39.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1710579198]}]}, {"allowed_amount": 44.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1649684051, 1801258884, 1225665003]}]}, {"allowed_amount": 87.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1306412671]}]}, {"allowed_amount": 90.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1457552531, 1801258884, 1043956022]}]}, {"allowed_amount": 103.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1588240345]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1710030689]}]}, {"allowed_amount": 56.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1366429383]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1316990328]}]}]}, {"tin": {"type": "ein", "value": "991380793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1992264212]}]}]}]}, {"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": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 312.0, "npi": [1922191162]}]}]}, {"tin": {"type": "ein", "value": "135598093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1588548770, 1780854703]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 51.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1780864033, 1851569701, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 54.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1225069776, 1538196977, 1598913980, 1780864033]}]}, {"allowed_amount": 66.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1851569701]}]}, {"allowed_amount": 84.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1508186131, 1528098555]}]}, {"allowed_amount": 111.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1215983085, 1962451237]}]}]}, {"tin": {"type": "ein", "value": "222095812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1740237502]}]}]}, {"tin": {"type": "ein", "value": "233049652"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1891355038]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.0, "npi": [1891101887]}]}, {"allowed_amount": 49.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.0, "npi": [1083288807]}]}]}, {"tin": {"type": "ein", "value": "260799572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1750817284]}]}]}, {"tin": {"type": "ein", "value": "274206597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1174773113]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 608.0, "npi": [1659448967]}]}]}, {"tin": {"type": "ein", "value": "310796089"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1669415022, 1922097278]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1619268182]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1093748840, 1053383786, 1225089428]}]}, {"allowed_amount": 67.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1558450023, 1093748840, 1265457485, 1013969294, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1538130265]}]}]}, {"tin": {"type": "ein", "value": "346004382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1831431253]}]}, {"allowed_amount": 87.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1205192507]}]}]}, {"tin": {"type": "ein", "value": "358823027"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1699160671]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1992913263]}]}]}, {"tin": {"type": "ein", "value": "371704041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 59.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1649491028, 1184652703]}]}]}, {"tin": {"type": "ein", "value": "392703582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1376527382]}]}, {"allowed_amount": 54.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1609070945]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1093122277, 1578079562, 1043474190, 1952593170, 1396852851, 1841675642, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1528024882]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1487826624, 1821148743]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1053585380]}]}, {"allowed_amount": 47.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1053585380]}]}, {"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1891996047, 1073017174, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1700315025]}]}, {"allowed_amount": 51.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1053585380, 1013063908, 1851826440, 1215024971, 1891996047, 1770646457, 1619497567]}]}, {"allowed_amount": 51.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1104288836, 1013063908, 1215024971, 1891996047, 1235767062, 1235517558, 1619497567]}]}, {"allowed_amount": 53.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1891996047]}]}, {"allowed_amount": 54.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1861443327]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1134104334]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1073033858]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1144297326]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.45, "providers": [{"billed_charge": 1029.89, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1457334732, 1215164348]}]}, {"allowed_amount": 111.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1497190946, 1215164348, 1750516720, 1710179676, 1982832572]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 608.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1659324275]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 84.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1285051441]}]}, {"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1578704342]}]}, {"allowed_amount": 67.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1558789115]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1811903867]}]}, {"allowed_amount": 73.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1487151536]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 437.45, "providers": [{"billed_charge": 1616.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.5, "npi": [1710060595]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 48.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1659665016, 1205055027, 1003376823]}]}, {"allowed_amount": 50.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1013225317]}]}, {"allowed_amount": 80.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1497072292]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 437.45, "providers": [{"billed_charge": 1616.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1124293568, 1235578980, 1962834671]}]}, {"allowed_amount": 54.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1235578980]}]}, {"allowed_amount": 84.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1124293568, 1235578980, 1477754349, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1497722342]}]}, {"allowed_amount": 54.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1952711145, 1740549245]}]}]}, {"tin": {"type": "ein", "value": "721367427"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 54.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1306258751]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1770945073, 1841498821]}]}, {"allowed_amount": 38.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1851667026]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 437.45, "providers": [{"billed_charge": 1616.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810889110"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 44.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1619908555]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1093742694, 1386936623]}]}, {"allowed_amount": 84.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1417190323, 1508204348, 1457589699, 1386665719]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1265428254]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1649684051]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1316990328]}]}]}]}, {"name": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete", "billing_code_type": "CPT", "billing_code": "76770", "billing_code_type_version": "2022", "description": "US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 307.0, "npi": [1457444622]}]}]}, {"tin": {"type": "ein", "value": "161165049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1574.0, "npi": [1518998699]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 49.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1801899042, 1851569701, 1265428908, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 52.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 63.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1851569701]}]}, {"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 341.0, "npi": [1225069776, 1447250618]}]}]}, {"tin": {"type": "ein", "value": "204360799"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1902016496]}]}]}, {"tin": {"type": "ein", "value": "262824776"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1932151628]}]}]}, {"tin": {"type": "ein", "value": "331804183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1710354352]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1922088392, 1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1558450023, 1053383786, 1265457485, 1013969294, 1386694040]}]}, {"allowed_amount": 64.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1093748840, 1053383786, 1265457485, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1851394944]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 90.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1336347335, 1578079562, 1437326956, 1043474190, 1841675642, 1952593170, 1659767093, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 32.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1215024971]}]}, {"allowed_amount": 42.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1053585380]}]}, {"allowed_amount": 45.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1053585380]}]}, {"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1104288836, 1053585380, 1013063908, 1891996047, 1538588207, 1700315025, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1215024971, 1104288836]}]}, {"allowed_amount": 49.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1104288836, 1053585380, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 49.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1538588207, 1891996047, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 52.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1700315025, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 60.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1851569701]}]}, {"allowed_amount": 63.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.66, "providers": [{"billed_charge": 622.66, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "521495113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1134414527]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1891288973]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 649.04, "providers": [{"billed_charge": 1442.3, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 2035.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 243.0, "npi": [1861726952, 1497190946, 1710179676]}]}, {"allowed_amount": 51.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 243.0, "npi": [1457334732]}]}, {"allowed_amount": 107.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 243.0, "npi": [1457334732, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 542.0, "npi": [1720024680]}]}, {"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 542.0, "npi": [1609220300, 1043287311]}]}, {"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 542.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1801185897]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1629357207]}]}, {"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1306263751]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1487151536, 1285016733]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 151.29, "providers": [{"billed_charge": 827.0, "npi": [1154332120, 1225149891, 1285900456, 1588283352]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 107.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1457553034, 1942769286, 1548717846]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.34, "npi": [1710060595]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 62.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1528333887]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1346696663]}]}, {"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1275530198, 1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "21"], "payments": [{"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1235578980, 1083693352, 1477754349, 1962834671, 1649764531]}]}, {"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1649764531, 1780662700, 1477754349, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 542.0, "npi": [1316142797]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 49.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 52.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1225533433]}]}, {"allowed_amount": 73.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 47.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1508204348, 1306307525]}]}, {"allowed_amount": 81.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1508204348]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.42, "providers": [{"billed_charge": 450.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1689678393]}]}]}, {"tin": {"type": "ein", "value": "851762276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1588253058]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.0, "npi": [1184853004]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1316990328]}]}]}]}, {"name": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited", "billing_code_type": "CPT", "billing_code": "76775", "billing_code_type_version": "2022", "description": "US RETROPERITONEAL REAL TIME W/IMAGE LIMITED", "allowed_amounts": [{"tin": {"type": "ein", "value": "030219309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1891053146]}]}]}, {"tin": {"type": "ein", "value": "043466314"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1124085444]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 38.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1225069776, 1851569701]}]}, {"allowed_amount": 41.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1225069776, 1538196977]}]}]}, {"tin": {"type": "ein", "value": "261869104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1316912157]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1730152646]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1053383786]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 72.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1326343716, 1336347335, 1578079562, 1952593170, 1043438898, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1952426983]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 36.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1053585380]}]}, {"allowed_amount": 36.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1851826440, 1891996047]}]}, {"allowed_amount": 38.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1891996047, 1053585380, 1538588207, 1619497567]}]}, {"allowed_amount": 39.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1770646457]}]}, {"allowed_amount": 41.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1619497567, 1104288836, 1235517558, 1891996047]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 580.95, "providers": [{"billed_charge": 1291.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1023570827]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 394.0, "npi": [1669521803]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 37.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1497929954]}]}, {"allowed_amount": 64.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 36.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1770800062]}]}, {"allowed_amount": 51.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1023052990]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1811962129]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1437378742, 1528333887]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 37.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1205815289, 1649764531, 1962834671]}]}, {"allowed_amount": 41.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1649764531]}]}, {"allowed_amount": 64.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1083693352, 1780662700, 1477754349, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "650825319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1801474630]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1073072930]}]}]}, {"tin": {"type": "ein", "value": "921600563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 396.0, "npi": [1184853004]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1952988131]}, {"billed_charge": 353.0, "npi": [1043956022]}]}, {"allowed_amount": 76.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1144960758]}]}, {"allowed_amount": 78.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1225665003, 1902435027]}]}]}]}, {"name": "Ultrasound, scrotum and contents", "billing_code_type": "CPT", "billing_code": "76870", "billing_code_type_version": "2022", "description": "US SCROTUM & CONTENTS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 43.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 314.0, "npi": [1225069776, 1538196977, 1801899042, 1851569701]}]}, {"allowed_amount": 46.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 314.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}, {"allowed_amount": 71.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 314.0, "npi": [1225069776]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "221968226"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1356546048]}]}]}, {"tin": {"type": "ein", "value": "262824776"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1124092986]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 486.9, "npi": [1447243878]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1750126017]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 441.0, "npi": [1942757349]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1386694040, 1053383786, 1265457485]}]}, {"allowed_amount": 56.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1437125077, 1265457485]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1952450025]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 80.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 179.0, "npi": [1326343716, 1578079562, 1043474190, 1952593170, 1396852851, 1255364378]}]}]}, {"tin": {"type": "ein", "value": "463490509"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 37.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1053585380]}]}, {"allowed_amount": 40.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1053585380]}]}, {"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1891996047, 1215024971, 1619497567]}]}, {"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1851826440]}]}, {"allowed_amount": 43.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1053585380, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 43.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1013063908, 1104288836, 1851826440, 1538588207, 1891996047, 1235767062, 1770646457]}]}, {"allowed_amount": 46.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1235517558, 1619497567]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1821557141]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 484.94, "providers": [{"billed_charge": 1077.65, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1033608922, 1023570827]}]}, {"allowed_amount": 94.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1457334732]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 441.0, "npi": [1669521803]}]}, {"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 441.0, "npi": [1609220300, 1043287311]}]}, {"allowed_amount": 56.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 441.0, "npi": [1962021774]}]}, {"allowed_amount": 71.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 441.0, "npi": [1043287311]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1679956817]}]}, {"allowed_amount": 54.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1184940330]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1457886046, 1710230982]}]}, {"allowed_amount": 56.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1114187457]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1003027376]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 140.68, "providers": [{"billed_charge": 607.0, "npi": [1518229046]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1235104969]}]}]}, {"tin": {"type": "ein", "value": "592579847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1710056858]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1013177120]}]}, {"allowed_amount": 63.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1457349458]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1659665016]}]}, {"allowed_amount": 68.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1285976431]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1982854527]}]}]}, {"tin": {"type": "ein", "value": "611029626"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1689877730]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1457579559]}]}, {"allowed_amount": 71.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1043419351]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23", "21"], "payments": [{"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1235578980, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289, 1174714299]}]}, {"allowed_amount": 71.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1649764531, 1477754349, 1962834671]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1588079693]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1427019728, 1225533433]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1508204348]}]}, {"allowed_amount": 71.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1508204348, 1093957037]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1962409953, 1437268695]}]}]}]}, {"name": "Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation", "billing_code_type": "CPT", "billing_code": "76536", "billing_code_type_version": "2022", "description": "US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1699947515]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 38.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1225069776, 1538196977, 1447250618, 1801899042]}]}, {"allowed_amount": 40.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1225069776, 1447250618]}]}, {"allowed_amount": 62.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1447250618]}]}]}, {"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 401.0, "npi": [1780002733]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1053383786, 1225089428]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1578079562, 1952593170, 1255364378, 1841675642]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 33.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1053585380]}]}, {"allowed_amount": 35.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1053585380]}]}, {"allowed_amount": 35.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1700315025, 1770646457, 1891996047]}]}, {"allowed_amount": 38.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1053585380, 1104288836, 1891996047, 1538588207, 1700315025, 1235517558, 1619497567]}]}, {"allowed_amount": 38.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1013063908, 1104288836, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 40.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1104288836, 1013063908, 1215024971, 1538588207, 1700315025, 1235517558, 1770646457]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.08, "providers": [{"billed_charge": 1113.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1023570827, 1033608922, 1932182219, 1215164348]}]}, {"allowed_amount": 83.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1861726952, 1932182219, 1215164348]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 401.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 19.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1497929954]}]}, {"allowed_amount": 36.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1497929954]}]}, {"allowed_amount": 62.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1821592999]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 154.22, "providers": [{"billed_charge": 594.0, "npi": [1477627842, 1679872584, 1316436272, 1164668497, 1962665174, 1588283352, 1154332120, 1578838843]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.78, "npi": [1447895487]}]}]}, {"tin": {"type": "ein", "value": "631041806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1679545438]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1063533412, 1275530198]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "21"], "payments": [{"allowed_amount": 36.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531]}]}, {"allowed_amount": 62.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1124293568, 1235578980, 1780662700, 1477754349, 1962834671, 1649764531]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 38.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1427019728]}]}, {"allowed_amount": 40.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1225533433]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1497332647]}]}, {"allowed_amount": 77.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1902435027]}]}]}]}, {"name": "Ultrasound, transvaginal", "billing_code_type": "CPT", "billing_code": "76830", "billing_code_type_version": "2022", "description": "US TRANSVAGINAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "010574210"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1639146640]}]}]}, {"tin": {"type": "ein", "value": "060646668"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.7, "providers": [{"billed_charge": 413.0, "npi": [1770696643]}]}]}, {"tin": {"type": "ein", "value": "060775886"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1699709758]}]}]}, {"tin": {"type": "ein", "value": "131740126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 894.0, "npi": [1578526695]}]}]}, {"tin": {"type": "ein", "value": "133957095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "providers": [{"billed_charge": 979.0, "npi": [1952332801]}]}]}, {"tin": {"type": "ein", "value": "141338413"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 396.0, "npi": [1871606764]}]}]}, {"tin": {"type": "ein", "value": "200239257"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1578738852]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1578738852]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 314.0, "npi": [1801899042, 1851569701, 1225069776, 1538196977, 1447250618]}]}, {"allowed_amount": 50.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 314.0, "npi": [1780864033, 1225069776, 1538196977, 1447250618, 1598913980]}]}]}, {"tin": {"type": "ein", "value": "203972695"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1528098555, 1770532012]}]}, {"allowed_amount": 65.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1962405852]}]}, {"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1508186131]}]}]}, {"tin": {"type": "ein", "value": "204820187"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1750732376]}]}]}, {"tin": {"type": "ein", "value": "205060581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1003841875]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.4, "providers": [{"billed_charge": 2751.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "221775306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 330.19, "providers": [{"billed_charge": 500.82, "npi": [1215998323]}]}]}, {"tin": {"type": "ein", "value": "221899118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1861455271]}]}]}, {"tin": {"type": "ein", "value": "222783298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.68, "providers": [{"billed_charge": 1069.0, "npi": [1689744856]}]}]}, {"tin": {"type": "ein", "value": "261956698"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1326256678]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 573.9, "npi": [1447216924]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1306486196]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 658.0, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1922088392]}]}, {"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1598750747]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1093748840, 1053383786, 1013969294, 1225089428, 1437125077, 1386694040]}]}, {"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1093748840, 1053383786, 1265457485, 1013969294, 1225089428, 1437125077, 1386694040]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1013900117, 1740780535]}]}]}, {"tin": {"type": "ein", "value": "340714771"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.65, "providers": [{"billed_charge": 734.0, "npi": [1871606921]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.84, "providers": [{"billed_charge": 1280.0, "npi": [1548375082]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1992054829]}]}]}, {"tin": {"type": "ein", "value": "381877512"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1801109731]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1407245301]}]}]}, {"tin": {"type": "ein", "value": "453583216"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 83.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1093122277, 1336347335, 1578079562, 1437326956, 1841675642, 1043474190, 1952593170, 1396852851, 1255364378, 1376032607]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1023125531]}]}]}, {"tin": {"type": "ein", "value": "462333282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1265667620]}]}]}, {"tin": {"type": "ein", "value": "462439952"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1063578995]}]}]}, {"tin": {"type": "ein", "value": "470376604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 395.16, "providers": [{"billed_charge": 887.0, "npi": [1336470558]}]}]}, {"tin": {"type": "ein", "value": "470526763"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1962531210]}]}]}, {"tin": {"type": "ein", "value": "474441319"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 40.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380]}]}, {"allowed_amount": 43.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380]}]}, {"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1013063908, 1104288836, 1851569701, 1053585380, 1851826440, 1891996047, 1538588207, 1700315025, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1053585380, 1104288836, 1013063908, 1851826440, 1215024971, 1891996047, 1538588207, 1235517558, 1770646457, 1619497567]}]}, {"allowed_amount": 47.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1851826440, 1215024971, 1891996047, 1700315025, 1073017174, 1235767062, 1770646457, 1619497567]}]}, {"allowed_amount": 50.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1013063908, 1104288836, 1851826440, 1215024971, 1891996047, 1700315025, 1235517558, 1073017174, 1770646457, 1619497567]}]}, {"allowed_amount": 57.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1851569701]}]}, {"allowed_amount": 60.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1851569701]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 707.53, "providers": [{"billed_charge": 707.53, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "521495113"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1134414527]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1154325553]}]}]}, {"tin": {"type": "ein", "value": "562303936"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1801002324, 1669458246]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.8, "providers": [{"billed_charge": 1898.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1295850386]}]}]}, {"tin": {"type": "ein", "value": "581717812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1033191093]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1487281341]}]}]}, {"tin": {"type": "ein", "value": "582239077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1669835351]}]}]}, {"tin": {"type": "ein", "value": "590624371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.44, "providers": [{"billed_charge": 936.0, "npi": [1386940823]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 465.98, "providers": [{"billed_charge": 1035.5, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 655.02, "providers": [{"billed_charge": 918.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.87, "providers": [{"billed_charge": 992.0, "npi": [1972664530]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1800.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1457334732, 1427580331, 1710179676]}]}, {"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1780846204, 1982832572, 1215164348, 1710179676]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["19", "23", "21"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1003296146]}]}, {"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1043287311]}]}, {"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1750801031]}]}, {"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1609220300]}]}]}, {"tin": {"type": "ein", "value": "591262719"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1891159992, 1104145366]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1497929954, 1407275118]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1497929954]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1770800062]}, {"billed_charge": 144.0, "npi": [1558822890, 1174994636]}]}, {"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1447815089]}]}, {"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1245728591]}]}]}, {"tin": {"type": "ein", "value": "591293424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1295729689, 1811903867, 1821592999]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1801281605]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.81, "providers": [{"billed_charge": 1887.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1013123447]}]}, {"allowed_amount": 102.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1942769286]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.16, "providers": [{"billed_charge": 1435.0, "npi": [1437177664]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.04, "npi": [1922149988]}]}]}, {"tin": {"type": "ein", "value": "591943502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.1, "providers": [{"billed_charge": 1030.0, "npi": [1699874248]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.47, "providers": [{"billed_charge": 1693.98, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "592985048"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1013177120]}]}, {"allowed_amount": 59.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1528333887]}]}, {"allowed_amount": 69.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1235194168, 1457349458]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1770905085]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 402.0, "npi": [1184680852]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.95, "providers": [{"billed_charge": 1149.23, "npi": [1265539498]}]}]}, {"tin": {"type": "ein", "value": "610981548"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1295091148]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.13, "providers": [{"billed_charge": 788.94, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621682201"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 3260.15, "npi": [1134172406]}]}]}, {"tin": {"type": "ein", "value": "621682210"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2477.27, "npi": [1255384533]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.56, "providers": [{"billed_charge": 1321.6, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "631041806"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1235635053]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1265438287, 1306334404, 1235394990, 1043419351]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1043419351, 1063533412, 1457579559]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "19", "23"], "payments": [{"allowed_amount": 13.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1649764531]}]}, {"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1124293568, 1235578980, 1083693352, 1780662700, 1477754349, 1962834671, 1649764531, 1205815289]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.96, "providers": [{"billed_charge": 918.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "651098250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1538243555]}]}]}, {"tin": {"type": "ein", "value": "711045290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.0, "providers": [{"billed_charge": 606.0, "npi": [1962435792]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 738.0, "npi": [1619115383]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2365.75, "npi": [1982666111]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 1809.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 1030.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1932194263]}]}, {"allowed_amount": 125.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1790059921]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1851895718]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 1139.0, "npi": [1629021845]}]}]}, {"tin": {"type": "ein", "value": "760459500"}, "billing_class": "professional", "service_codes": ["19", "23"], "payments": [{"allowed_amount": 66.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1235248964, 1962295782]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.27, "providers": [{"billed_charge": 5227.0, "npi": [1376198028]}]}]}, {"tin": {"type": "ein", "value": "811255379"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 46.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1427019728, 1225533433]}]}, {"allowed_amount": 50.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1225533433]}]}, {"allowed_amount": 70.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1427019728]}]}]}, {"tin": {"type": "ein", "value": "821349955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2916.68, "npi": [1750819025]}]}]}, {"tin": {"type": "ein", "value": "821803735"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1417190323, 1508204348, 1306307525, 1194847038]}]}, {"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1700229523]}]}, {"allowed_amount": 77.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1609997121, 1205026374]}]}, {"allowed_amount": 79.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1306307525]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 818.14, "providers": [{"billed_charge": 2337.55, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "844522008"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1063476414]}]}]}, {"tin": {"type": "ein", "value": "852166597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1104855733]}]}]}, {"tin": {"type": "ein", "value": "854354835"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.89, "providers": [{"billed_charge": 1875.0, "npi": [1942895081]}]}]}, {"tin": {"type": "ein", "value": "861212843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1104273549]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1801982251]}]}]}, {"tin": {"type": "ein", "value": "870622942"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1205501046]}]}]}, {"tin": {"type": "ein", "value": "880307447"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1154556314]}]}]}, {"tin": {"type": "ein", "value": "942188987"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1720041379]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.95, "providers": [{"billed_charge": 1843.0, "npi": [1427806025, 1780429076]}]}]}]}, {"name": "Unclassified drugs", "billing_code_type": "CPT", "billing_code": "J3490", "billing_code_type_version": "2022", "description": "Unclassified drugs", "allowed_amounts": [{"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.05, "providers": [{"billed_charge": 63.0, "npi": [1801992631]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.25, "providers": [{"billed_charge": 35.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.03, "providers": [{"billed_charge": 1.03, "npi": [1063463958]}]}, {"allowed_amount": 4.66, "providers": [{"billed_charge": 4.67, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.05, "providers": [{"billed_charge": 9.0, "npi": [1912964768]}]}, {"allowed_amount": 6.85, "providers": [{"billed_charge": 15.23, "npi": [1912964768]}]}, {"allowed_amount": 14.65, "providers": [{"billed_charge": 32.56, "npi": [1912964768]}]}, {"allowed_amount": 15.02, "providers": [{"billed_charge": 33.38, "npi": [1912964768]}]}, {"allowed_amount": 183.79, "providers": [{"billed_charge": 408.42, "npi": [1912964768]}]}, {"allowed_amount": 192.97, "providers": [{"billed_charge": 428.82, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "760215922"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 1941.71, "providers": [{"billed_charge": 3883.41, "npi": [1386674067]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.5, "providers": [{"billed_charge": 25.0, "npi": [1457812273]}]}]}]}, {"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": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.95, "providers": [{"billed_charge": 88.63, "npi": [1245720820]}]}, {"allowed_amount": 4.58, "providers": [{"billed_charge": 88.63, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.95, "providers": [{"billed_charge": 30.0, "npi": [1457812273]}]}, {"allowed_amount": 6.91, "providers": [{"billed_charge": 30.0, "npi": [1457007478]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1134274897]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.4, "providers": [{"billed_charge": 48.0, "npi": [1982606992]}]}]}]}, {"name": "Uric acid; blood", "billing_code_type": "CPT", "billing_code": "84550", "billing_code_type_version": "2022", "description": "ASSAY OF BLOOD/URIC ACID", "allowed_amounts": [{"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.65, "providers": [{"billed_charge": 137.0, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.52, "providers": [{"billed_charge": 101.49, "npi": [1245720820]}]}, {"allowed_amount": 5.24, "providers": [{"billed_charge": 101.49, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.52, "providers": [{"billed_charge": 20.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 7.91, "providers": [{"billed_charge": 20.0, "npi": [1457007478]}]}, {"allowed_amount": 12.34, "providers": [{"billed_charge": 20.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.32, "providers": [{"billed_charge": 55.0, "npi": [1982606992]}]}]}]}, {"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": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.94, "providers": [{"billed_charge": 15.04, "npi": [1801803903]}]}]}, {"tin": {"type": "ein", "value": "133971298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.65, "providers": [{"billed_charge": 30.43, "npi": [1831910355]}]}, {"allowed_amount": 23.71, "providers": [{"billed_charge": 67.73, "npi": [1427616002]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628]}]}, {"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.22, "providers": [{"billed_charge": 12.68, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.0, "providers": [{"billed_charge": 394.0, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.77, "providers": [{"billed_charge": 158.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "223405845"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.22, "providers": [{"billed_charge": 6.0, "npi": [1407885056]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.32, "providers": [{"billed_charge": 155.4, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.18, "providers": [{"billed_charge": 210.9, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "330751869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.04, "providers": [{"billed_charge": 477.25, "npi": [1114971660]}]}]}, {"tin": {"type": "ein", "value": "352445106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.75, "providers": [{"billed_charge": 24.75, "npi": [1124374079]}]}]}, {"tin": {"type": "ein", "value": "383426063"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.85, "providers": [{"billed_charge": 54.0, "npi": [1073568978]}]}]}, {"tin": {"type": "ein", "value": "390869788"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.34, "providers": [{"billed_charge": 18.2, "npi": [1538127220]}]}]}, {"tin": {"type": "ein", "value": "410919153"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.27, "providers": [{"billed_charge": 128.0, "npi": [1568401016]}]}]}, {"tin": {"type": "ein", "value": "450409348"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.61, "providers": [{"billed_charge": 76.0, "npi": [1043218753]}]}]}, {"tin": {"type": "ein", "value": "470841285"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.97, "providers": [{"billed_charge": 71.0, "npi": [1063463958]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.22, "providers": [{"billed_charge": 26.22, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520591658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.24, "providers": [{"billed_charge": 33.24, "npi": [1144282583]}]}]}, {"tin": {"type": "ein", "value": "520607949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.34, "providers": [{"billed_charge": 29.34, "npi": [1942281266]}]}, {"allowed_amount": 31.95, "providers": [{"billed_charge": 31.95, "npi": [1942281266]}]}]}, {"tin": {"type": "ein", "value": "520646893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.05, "providers": [{"billed_charge": 24.05, "npi": [1114922341]}]}]}, {"tin": {"type": "ein", "value": "520738041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.79, "providers": [{"billed_charge": 18.79, "npi": [1245655638]}]}, {"allowed_amount": 26.43, "providers": [{"billed_charge": 26.43, "npi": [1669417838]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.48, "providers": [{"billed_charge": 24.48, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "570712623"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.2, "providers": [{"billed_charge": 232.0, "npi": [1376597997]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.82, "providers": [{"billed_charge": 119.49, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "582149128"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.58, "providers": [{"billed_charge": 77.0, "npi": [1043270564]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.38, "providers": [{"billed_charge": 359.79, "npi": [1912964768]}]}, {"allowed_amount": 147.19, "providers": [{"billed_charge": 327.08, "npi": [1912964768]}]}, {"allowed_amount": 154.54, "providers": [{"billed_charge": 343.44, "npi": [1912964768]}]}, {"allowed_amount": 161.91, "providers": [{"billed_charge": 359.79, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.0, "providers": [{"billed_charge": 88.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.62, "providers": [{"billed_charge": 59.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1192.71, "providers": [{"billed_charge": 199.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591460239"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 192.0, "npi": [1396992475]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.94, "providers": [{"billed_charge": 847.48, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.55, "providers": [{"billed_charge": 158.0, "npi": [1184709057]}]}, {"allowed_amount": 42.77, "providers": [{"billed_charge": 158.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1.72, "providers": [{"billed_charge": 6.34, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.68, "providers": [{"billed_charge": 71.22, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "593322533"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.77, "providers": [{"billed_charge": 158.0, "npi": [1336221019]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.35, "providers": [{"billed_charge": 88.58, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "610859329"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.09, "providers": [{"billed_charge": 348.83, "npi": [1427095488]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 160.65, "providers": [{"billed_charge": 459.0, "npi": [1104870187]}]}]}, {"tin": {"type": "ein", "value": "621650573"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.01, "providers": [{"billed_charge": 180.02, "npi": [1164469243]}]}]}, {"tin": {"type": "ein", "value": "621762537"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.5, "providers": [{"billed_charge": 750.0, "npi": [1861439952]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.75, "providers": [{"billed_charge": 385.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.0, "providers": [{"billed_charge": 540.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "621777534"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.99, "providers": [{"billed_charge": 337.1, "npi": [1053363853]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.22, "providers": [{"billed_charge": 3.17, "npi": [1831228709]}]}, {"allowed_amount": 3.17, "providers": [{"billed_charge": 3.17, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.9, "providers": [{"billed_charge": 43.31, "npi": [1487699047]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.06, "providers": [{"billed_charge": 247.58, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.3, "providers": [{"billed_charge": 658.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.42, "providers": [{"billed_charge": 466.92, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "770258013"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1144237272]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.77, "providers": [{"billed_charge": 158.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810875069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.09, "providers": [{"billed_charge": 160.0, "npi": [1619997079]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.49, "providers": [{"billed_charge": 84.25, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "820436622"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.59, "providers": [{"billed_charge": 135.97, "npi": [1225082209]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.1, "providers": [{"billed_charge": 66.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "830249710"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.0, "providers": [{"billed_charge": 55.0, "npi": [1265469506]}]}]}, {"tin": {"type": "ein", "value": "832053115"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 138.84, "npi": [1023593746]}]}, {"allowed_amount": 75.77, "providers": [{"billed_charge": 149.95, "npi": [1023593746]}]}]}, {"tin": {"type": "ein", "value": "840720309"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.0, "providers": [{"billed_charge": 96.0, "npi": [1518960814]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.92, "providers": [{"billed_charge": 508.35, "npi": [1396790200]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.88, "providers": [{"billed_charge": 15.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "872889222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.52, "providers": [{"billed_charge": 80.07, "npi": [1023774601]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.63, "providers": [{"billed_charge": 17.92, "npi": [1609596907]}]}, {"allowed_amount": 3.17, "providers": [{"billed_charge": 17.92, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.0, "providers": [{"billed_charge": 238.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.14, "providers": [{"billed_charge": 39.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "950651579"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.0, "providers": [{"billed_charge": 122.0, "npi": [1154304475]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.0, "providers": [{"billed_charge": 213.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.89, "providers": [{"billed_charge": 82.89, "npi": [1023010113]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.0, "providers": [{"billed_charge": 61.0, "npi": [1427806025]}]}]}]}, {"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": "061760818"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.12, "providers": [{"billed_charge": 131.76, "npi": [1376876664]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628, 1326270125]}]}]}, {"tin": {"type": "ein", "value": "200277709"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.48, "providers": [{"billed_charge": 6.75, "npi": [1013485044]}]}]}, {"tin": {"type": "ein", "value": "200379196"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 5.0, "npi": [1891743407]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 15.0, "npi": [1629763552, 1407116544, 1972068708, 1477296101, 1972167716, 1992109896, 1568097129, 1750084265, 1952745358, 1942418579, 1053379347, 1245202167, 1902664568, 1013289370, 1659116861]}]}, {"allowed_amount": 2.79, "providers": [{"billed_charge": 15.0, "npi": [1417476714]}]}, {"allowed_amount": 7.29, "providers": [{"billed_charge": 15.0, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 25.0, "npi": [1902003635]}]}, {"allowed_amount": 6.14, "providers": [{"billed_charge": 25.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.46, "providers": [{"billed_charge": 131.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 95.0, "npi": [1316960578]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 30.0, "npi": [1417547233, 1972555811, 1821372772, 1427436229, 1669422341, 1952884074, 1699117903, 1346087350, 1033830427, 1821649021, 1720655582]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 30.0, "npi": [1407650658, 1427436229, 1669422341, 1952884074, 1346087350, 1033830427, 1821649021]}]}, {"allowed_amount": 7.54, "providers": [{"billed_charge": 30.0, "npi": [1497707327]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 8.3, "npi": [1801321104]}, {"billed_charge": 33.0, "npi": [1710333257]}]}]}, {"tin": {"type": "ein", "value": "264104591"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 29.0, "npi": [1992877138]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 73.25, "npi": [1871676668]}]}, {"allowed_amount": 3.22, "providers": [{"billed_charge": 73.25, "npi": [1982273678]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.22, "providers": [{"billed_charge": 15.0, "npi": [1508002882]}]}, {"allowed_amount": 5.47, "providers": [{"billed_charge": 15.0, "npi": [1780624353, 1134518673]}]}]}, {"tin": {"type": "ein", "value": "270123687"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 33.0, "npi": [1801321104]}]}]}, {"tin": {"type": "ein", "value": "270851352"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 10.0, "npi": [1649770769]}]}]}, {"tin": {"type": "ein", "value": "271880312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.27, "providers": [{"billed_charge": 49.0, "npi": [1770590168]}]}]}, {"tin": {"type": "ein", "value": "272207464"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1.58, "providers": [{"billed_charge": 3.0, "npi": [1194099762]}]}]}, {"tin": {"type": "ein", "value": "273371022"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.28, "providers": [{"billed_charge": 8.0, "npi": [1235556606]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.21, "providers": [{"billed_charge": 19.0, "npi": [1932305323]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 9.0, "npi": [1477444545]}]}]}, {"tin": {"type": "ein", "value": "300709677"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 5.06, "npi": [1841648649]}]}]}, {"tin": {"type": "ein", "value": "300885567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.36, "providers": [{"billed_charge": 56.7, "npi": [1154795581]}]}]}, {"tin": {"type": "ein", "value": "320718372"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.12, "providers": [{"billed_charge": 30.0, "npi": [1801317219]}]}]}, {"tin": {"type": "ein", "value": "331095434"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 35.0, "npi": [1912572652]}]}]}, {"tin": {"type": "ein", "value": "331698428"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 10.0, "npi": [1457705618]}]}]}, {"tin": {"type": "ein", "value": "332461082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.38, "providers": [{"billed_charge": 9.0, "npi": [1033998851]}]}]}, {"tin": {"type": "ein", "value": "340864230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.61, "providers": [{"billed_charge": 94.0, "npi": [1801825997]}]}]}, {"tin": {"type": "ein", "value": "356067049"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.35, "providers": [{"billed_charge": 65.56, "npi": [1558368449]}]}]}, {"tin": {"type": "ein", "value": "364223877"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.93, "providers": [{"billed_charge": 49.4, "npi": [1952425035]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.15, "providers": [{"billed_charge": 11.02, "npi": [1891078499]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 17.0, "npi": [1154295913]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 45.0, "npi": [1376783548]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 50.0, "npi": [1194518241, 1356077317, 1588533509, 1558182824, 1417535881, 1689535064, 1629670286, 1407682255, 1386334928, 1215675988, 1447735030, 1700752599, 1538051990, 1780373209, 1013425727]}]}, {"allowed_amount": 2.79, "providers": [{"billed_charge": 50.0, "npi": [1538051990, 1164803078]}]}, {"allowed_amount": 3.67, "providers": [{"billed_charge": 50.0, "npi": [1588533509, 1558182824, 1629670286, 1407682255, 1780373209]}]}, {"allowed_amount": 5.47, "providers": [{"billed_charge": 50.0, "npi": [1194518241, 1417535881, 1386334928, 1215675988, 1447735030, 1679237754]}]}]}, {"tin": {"type": "ein", "value": "460485169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.58, "providers": [{"billed_charge": 38.58, "npi": [1013969179]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 32.0, "npi": [1245123587, 1124713383]}]}]}, {"tin": {"type": "ein", "value": "460933667"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.21, "providers": [{"billed_charge": 27.0, "npi": [1205375623]}]}]}, {"tin": {"type": "ein", "value": "461503904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 9.0, "npi": [1396936738]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 3.0, "npi": [1093700346]}]}, {"allowed_amount": 3.0, "providers": [{"billed_charge": 3.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "470902244"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.68, "providers": [{"billed_charge": 10.0, "npi": [1215813548]}]}, {"allowed_amount": 2.7, "providers": [{"billed_charge": 10.0, "npi": [1902141237]}]}]}, {"tin": {"type": "ein", "value": "471705113"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 22.0, "npi": [1528848025]}]}]}, {"tin": {"type": "ein", "value": "471755891"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 30.0, "npi": [1669179636]}]}, {"allowed_amount": 3.71, "providers": [{"billed_charge": 30.0, "npi": [1962261636]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 30.0, "npi": [1740652106, 1669179636, 1164149597]}]}]}, {"tin": {"type": "ein", "value": "471758444"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.78, "providers": [{"billed_charge": 8.0, "npi": [1306088406]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 22.0, "npi": [1639868664, 1164225827, 1376300467]}]}, {"allowed_amount": 3.17, "providers": [{"billed_charge": 22.0, "npi": [1689244063]}]}, {"allowed_amount": 6.1, "providers": [{"billed_charge": 22.0, "npi": [1114617560]}]}]}, {"tin": {"type": "ein", "value": "473832952"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 12.0, "npi": [1689667164]}]}]}, {"tin": {"type": "ein", "value": "521253920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1598761355]}]}]}, {"tin": {"type": "ein", "value": "540889154"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.55, "providers": [{"billed_charge": 133.0, "npi": [1275570376]}]}]}, {"tin": {"type": "ein", "value": "561463611"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.32, "providers": [{"billed_charge": 20.0, "npi": [1821685991]}]}]}, {"tin": {"type": "ein", "value": "561902501"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.3, "providers": [{"billed_charge": 18.5, "npi": [1699063750]}]}]}, {"tin": {"type": "ein", "value": "582224545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.53, "providers": [{"billed_charge": 63.0, "npi": [1629185285]}]}]}, {"tin": {"type": "ein", "value": "582380955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 20.0, "npi": [1144279670]}]}]}, {"tin": {"type": "ein", "value": "586002830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1306890942]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.48, "providers": [{"billed_charge": 249.96, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590694358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 471.29, "providers": [{"billed_charge": 43.0, "npi": [1720085137]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 19.0, "npi": [1568402485]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.59, "providers": [{"billed_charge": 568.08, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.46, "providers": [{"billed_charge": 131.0, "npi": [1184709057]}]}, {"allowed_amount": 56.58, "providers": [{"billed_charge": 209.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 65.73, "npi": [1275529539, 1265916266, 1942567375, 1861929721, 1740696954]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 65.73, "npi": [1528103843, 1770169476, 1255868279, 1861929721, 1427286715]}]}]}, {"tin": {"type": "ein", "value": "593622226"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.0, "providers": [{"billed_charge": 5.0, "npi": [1649895715]}]}]}, {"tin": {"type": "ein", "value": "596020427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 587.31, "providers": [{"billed_charge": 101.0, "npi": [1053424648]}]}]}, {"tin": {"type": "ein", "value": "610724492"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.97, "providers": [{"billed_charge": 479.91, "npi": [1871547703]}]}]}, {"tin": {"type": "ein", "value": "610920842"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.72, "providers": [{"billed_charge": 9.0, "npi": [1356716575]}]}]}, {"tin": {"type": "ein", "value": "621760148"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.75, "providers": [{"billed_charge": 125.0, "npi": [1619914785]}]}]}, {"tin": {"type": "ein", "value": "621768105"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.8, "providers": [{"billed_charge": 348.0, "npi": [1083668669]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 120.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 6.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "770253877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 3.4, "providers": [{"billed_charge": 3.4, "npi": [1083931489, 1700074143]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.46, "providers": [{"billed_charge": 131.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 6.0, "npi": [1407731177, 1225899826, 1811798275]}]}, {"allowed_amount": 3.22, "providers": [{"billed_charge": 6.0, "npi": [1114498730, 1225899826, 1811798275]}]}, {"allowed_amount": 5.47, "providers": [{"billed_charge": 6.0, "npi": [1407731177]}]}]}, {"tin": {"type": "ein", "value": "820709593"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 10.0, "npi": [1164495107]}]}]}, {"tin": {"type": "ein", "value": "824301751"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 10.0, "npi": [1710858071]}]}, {"allowed_amount": 3.83, "providers": [{"billed_charge": 10.0, "npi": [1740567643]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 5.0, "npi": [1245813708]}, {"billed_charge": 25.0, "npi": [1245813708]}]}, {"allowed_amount": 3.26, "providers": [{"billed_charge": 25.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "830705469"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.91, "providers": [{"billed_charge": 27.0, "npi": [1659721975]}]}]}, {"tin": {"type": "ein", "value": "833011825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 15.0, "npi": [1669713442]}]}]}, {"tin": {"type": "ein", "value": "843460386"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 6.0, "npi": [1942376348]}]}, {"allowed_amount": 3.71, "providers": [{"billed_charge": 6.0, "npi": [1164804779]}]}]}, {"tin": {"type": "ein", "value": "843679279"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 10.0, "npi": [1205908068, 1548772775, 1629776232, 1407079817, 1093291916, 1871681999, 1386324051]}]}, {"allowed_amount": 2.72, "providers": [{"billed_charge": 10.0, "npi": [1871681999, 1134101710, 1639600414]}]}, {"allowed_amount": 3.22, "providers": [{"billed_charge": 10.0, "npi": [1336613603, 1205908068]}]}, {"allowed_amount": 3.38, "providers": [{"billed_charge": 10.0, "npi": [1659389229]}]}, {"allowed_amount": 5.47, "providers": [{"billed_charge": 10.0, "npi": [1386324051]}]}]}, {"tin": {"type": "ein", "value": "844061485"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 25.0, "npi": [1164440392, 1760506240]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 3.26, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 7.29, "providers": [{"billed_charge": 200.0, "npi": [1134629389]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 85.0, "npi": [1992043715, 1205061744, 1154054260, 1578631925, 1780567255]}]}, {"allowed_amount": 2.3, "providers": [{"billed_charge": 85.0, "npi": [1205061744]}]}, {"allowed_amount": 2.48, "providers": [{"billed_charge": 85.0, "npi": [1205061744]}]}, {"allowed_amount": 3.04, "providers": [{"billed_charge": 85.0, "npi": [1205061744]}]}, {"allowed_amount": 3.22, "providers": [{"billed_charge": 85.0, "npi": [1992043715, 1750072583]}]}, {"allowed_amount": 3.67, "providers": [{"billed_charge": 85.0, "npi": [1982200705, 1154054260]}]}, {"allowed_amount": 4.12, "providers": [{"billed_charge": 85.0, "npi": [1235261900]}]}, {"allowed_amount": 5.47, "providers": [{"billed_charge": 85.0, "npi": [1275669780]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 20.0, "npi": [1073676235]}, {"billed_charge": 85.0, "npi": [1578631925, 1275707895]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 23.0, "npi": [1114696176, 1154480218, 1922436922]}]}, {"allowed_amount": 2.72, "providers": [{"billed_charge": 23.0, "npi": [1205156643]}]}, {"allowed_amount": 3.22, "providers": [{"billed_charge": 23.0, "npi": [1114696176, 1619753498, 1922436922, 1154480218]}]}]}, {"tin": {"type": "ein", "value": "863566062"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.32, "providers": [{"billed_charge": 22.0, "npi": [1790342335]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 10.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 10.0, "npi": [1215964291]}]}, {"allowed_amount": 2.72, "providers": [{"billed_charge": 10.0, "npi": [1215964291]}]}]}, {"tin": {"type": "ein", "value": "881239659"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 3.0, "npi": [1649028697, 1720963028]}]}]}, {"tin": {"type": "ein", "value": "881883534"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.64, "providers": [{"billed_charge": 25.0, "npi": [1932189511]}]}]}, {"tin": {"type": "ein", "value": "883046892"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.59, "providers": [{"billed_charge": 10.0, "npi": [1811607724]}]}]}, {"tin": {"type": "ein", "value": "900036573"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 7.65, "npi": [1134628498]}]}]}, {"tin": {"type": "ein", "value": "911641797"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 17.0, "npi": [1437302247]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 10.0, "npi": [1174729446]}]}, {"allowed_amount": 6.14, "providers": [{"billed_charge": 10.0, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "921851283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 10.0, "npi": [1598185472, 1386487593, 1306332333]}]}, {"allowed_amount": 3.67, "providers": [{"billed_charge": 10.0, "npi": [1306332333, 1932680022]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 50.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 6.14, "providers": [{"billed_charge": 50.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "933907132"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.12, "providers": [{"billed_charge": 10.0, "npi": [1992825152]}]}]}, {"tin": {"type": "ein", "value": "934104475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1710591706]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 20.0, "npi": [1679038749]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.25, "providers": [{"billed_charge": 9.0, "npi": [1356893499, 1407235955, 1619989191]}]}, {"allowed_amount": 3.71, "providers": [{"billed_charge": 9.0, "npi": [1962433516]}]}, {"allowed_amount": 5.29, "providers": [{"billed_charge": 9.0, "npi": [1407235955]}]}]}]}, {"name": "Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy", "billing_code_type": "CPT", "billing_code": "81002", "billing_code_type_version": "2022", "description": "URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP", "allowed_amounts": [{"tin": {"type": "ein", "value": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 18.0, "npi": [1649984089, 1245863356, 1679357701]}]}, {"allowed_amount": 6.37, "providers": [{"billed_charge": 18.0, "npi": [1629880067, 1447842356, 1609159813, 1770434078]}]}, {"allowed_amount": 7.17, "providers": [{"billed_charge": 18.0, "npi": [1134832926]}]}]}, {"tin": {"type": "ein", "value": "204371727"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.66, "providers": [{"billed_charge": 22.0, "npi": [1720035181]}]}]}, {"tin": {"type": "ein", "value": "205777216"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.42, "providers": [{"billed_charge": 30.0, "npi": [1639113848]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 30.0, "npi": [1437956588, 1639994510, 1730893496, 1477265114, 1194298331]}]}, {"allowed_amount": 8.46, "providers": [{"billed_charge": 15.0, "npi": [1770053407]}, {"billed_charge": 30.0, "npi": [1639994510]}]}, {"allowed_amount": 9.47, "providers": [{"billed_charge": 30.0, "npi": [1619511672, 1982477956]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.99, "providers": [{"billed_charge": 18.0, "npi": [1740026731]}]}]}, {"tin": {"type": "ein", "value": "320361148"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 8.0, "npi": [1659301109]}]}]}, {"tin": {"type": "ein", "value": "383584702"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.7, "providers": [{"billed_charge": 10.0, "npi": [1215021472]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 15.0, "npi": [1417321969]}]}, {"allowed_amount": 13.5, "providers": [{"billed_charge": 15.0, "npi": [1417321969, 1780604934]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 14.96, "npi": [1255203873, 1306686381, 1386460756, 1184441719, 1376783548]}]}, {"allowed_amount": 9.47, "providers": [{"billed_charge": 14.96, "npi": [1376783548, 1386460756, 1306686381, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.18, "providers": [{"billed_charge": 15.0, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "472516729"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.64, "providers": [{"billed_charge": 25.0, "npi": [1861021735]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.7, "providers": [{"billed_charge": 30.0, "npi": [1861685034, 1619289931, 1629665419, 1891727509]}]}]}, {"tin": {"type": "ein", "value": "541669672"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 7.1, "providers": [{"billed_charge": 25.0, "npi": [1548364771]}]}]}, {"tin": {"type": "ein", "value": "541973284"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.64, "providers": [{"billed_charge": 25.0, "npi": [1952980245]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 23.0, "npi": [1326789751, 1821729914, 1811157969, 1770801359]}]}, {"allowed_amount": 9.43, "providers": [{"billed_charge": 23.0, "npi": [1811157969, 1407634298]}]}]}, {"tin": {"type": "ein", "value": "593364257"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.09, "providers": [{"billed_charge": 11.0, "npi": [1598750648]}]}]}, {"tin": {"type": "ein", "value": "621872100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 6.0, "npi": [1841968799]}]}, {"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1841968799]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650921826"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 80.0, "npi": [1811026354]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 20.0, "npi": [1902994908]}, {"billed_charge": 25.0, "npi": [1902994908]}, {"billed_charge": 30.0, "npi": [1902994908]}]}, {"allowed_amount": 11.28, "providers": [{"billed_charge": 20.0, "npi": [1902994908]}, {"billed_charge": 25.0, "npi": [1902994908]}, {"billed_charge": 30.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 62.5, "npi": [1023759875, 1902912454, 1225176209, 1285359414, 1891735544, 1568500445]}]}, {"allowed_amount": 6.09, "providers": [{"billed_charge": 62.5, "npi": [1023759875, 1902912454, 1225176209, 1508115825, 1194060756, 1891735544, 1568500445]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 15.0, "npi": [1942335492]}]}, {"allowed_amount": 4.98, "providers": [{"billed_charge": 15.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "814477803"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 27.0, "npi": [1467721399]}]}, {"allowed_amount": 5.67, "providers": [{"billed_charge": 27.0, "npi": [1619537677, 1184466799]}]}, {"allowed_amount": 6.37, "providers": [{"billed_charge": 27.0, "npi": [1790384162]}]}, {"allowed_amount": 8.14, "providers": [{"billed_charge": 27.0, "npi": [1467721399]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.05, "providers": [{"billed_charge": 27.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.7, "providers": [{"billed_charge": 75.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 12.0, "npi": [1164973442, 1508489972, 1457057671]}, {"billed_charge": 24.0, "npi": [1023650793, 1164973442, 1366828089, 1457057671]}]}, {"allowed_amount": 8.46, "providers": [{"billed_charge": 24.0, "npi": [1366828089, 1457057671]}]}, {"allowed_amount": 9.54, "providers": [{"billed_charge": 24.0, "npi": [1629277686]}]}]}, {"tin": {"type": "ein", "value": "844261523"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 11.0, "npi": [1891386314]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 35.0, "npi": [1093670945, 1740036516]}]}, {"allowed_amount": 5.67, "providers": [{"billed_charge": 35.0, "npi": [1194609198, 1568031219, 1619848942]}]}, {"allowed_amount": 9.47, "providers": [{"billed_charge": 35.0, "npi": [1740036516]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.64, "providers": [{"billed_charge": 12.0, "npi": [1467804930]}]}]}, {"tin": {"type": "ein", "value": "994492179"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.48, "providers": [{"billed_charge": 7.0, "npi": [1154962645]}]}]}]}, {"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": "141973790"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.76, "providers": [{"billed_charge": 36.0, "npi": [1447842356]}]}]}, {"tin": {"type": "ein", "value": "200253166"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1477608628]}]}]}, {"tin": {"type": "ein", "value": "202013359"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 55.0, "npi": [1013211937, 1972068708, 1477296101, 1750084265, 1568097129, 1952745358, 1053379347, 1245202167, 1013289370]}]}, {"allowed_amount": 10.68, "providers": [{"billed_charge": 55.0, "npi": [1417476714]}]}, {"allowed_amount": 27.9, "providers": [{"billed_charge": 55.0, "npi": [1407893100]}]}]}, {"tin": {"type": "ein", "value": "203264203"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 33.0, "npi": [1902003635]}]}, {"allowed_amount": 23.51, "providers": [{"billed_charge": 33.0, "npi": [1902003635]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 21.53, "npi": [1316960578]}]}]}, {"tin": {"type": "ein", "value": "251924516"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 50.0, "npi": [1417547233, 1952884074, 1699117903, 1346087350, 1033830427, 1720655582]}]}, {"allowed_amount": 23.42, "providers": [{"billed_charge": 50.0, "npi": [1407650658, 1427436229, 1952884074, 1699117903, 1346087350, 1821649021]}]}]}, {"tin": {"type": "ein", "value": "262556798"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 35.0, "npi": [1730893496, 1578252813]}]}, {"allowed_amount": 20.92, "providers": [{"billed_charge": 35.0, "npi": [1770053407]}]}]}, {"tin": {"type": "ein", "value": "264104591"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 38.0, "npi": [1992877138]}]}]}, {"tin": {"type": "ein", "value": "264228460"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 73.25, "npi": [1497419923]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.76, "providers": [{"billed_charge": 34.0, "npi": [1932305323]}]}]}, {"tin": {"type": "ein", "value": "274273517"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 26.0, "npi": [1477444545]}]}]}, {"tin": {"type": "ein", "value": "300709677"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 19.37, "npi": [1841648649]}]}]}, {"tin": {"type": "ein", "value": "300876536"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1174303184]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.82, "providers": [{"billed_charge": 383.8, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "320361148"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 17.0, "npi": [1659301109]}]}]}, {"tin": {"type": "ein", "value": "331095434"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 31.0, "npi": [1912572652]}]}]}, {"tin": {"type": "ein", "value": "331963014"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.33, "providers": [{"billed_charge": 17.0, "npi": [1801050661]}]}]}, {"tin": {"type": "ein", "value": "352226306"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.0, "providers": [{"billed_charge": 184.0, "npi": [1801885413]}]}]}, {"tin": {"type": "ein", "value": "383584702"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 20.0, "npi": [1215021472]}]}]}, {"tin": {"type": "ein", "value": "383878115"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.99, "providers": [{"billed_charge": 35.0, "npi": [1477087658]}]}]}, {"tin": {"type": "ein", "value": "394524173"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 22.0, "npi": [1164803078]}]}]}, {"tin": {"type": "ein", "value": "452207315"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 26.0, "providers": [{"billed_charge": 26.0, "npi": [1780604934]}]}]}, {"tin": {"type": "ein", "value": "452948358"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 35.0, "npi": [1255203873, 1386460756, 1306686381, 1184441719]}]}, {"allowed_amount": 23.42, "providers": [{"billed_charge": 35.0, "npi": [1386460756, 1306686381, 1417819806]}]}]}, {"tin": {"type": "ein", "value": "454460375"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 10.0, "npi": [1588533509, 1417535881, 1629670286, 1407682255, 1215675988, 1447735030, 1700752599, 1538051990]}]}, {"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1194518241, 1629670286, 1407682255, 1447735030, 1780373209]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 42.0, "npi": [1245123587, 1124713383]}]}]}, {"tin": {"type": "ein", "value": "461738525"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.59, "providers": [{"billed_charge": 50.0, "npi": [1326017468]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.33, "providers": [{"billed_charge": 15.0, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "465668304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.07, "providers": [{"billed_charge": 18.0, "npi": [1093700346]}]}]}, {"tin": {"type": "ein", "value": "473524701"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 15.0, "npi": [1639868664, 1376300467]}]}]}, {"tin": {"type": "ein", "value": "474546688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 50.0, "npi": [1861685034, 1629665419, 1891727509]}]}]}, {"tin": {"type": "ein", "value": "521289729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.7, "providers": [{"billed_charge": 30.7, "npi": [1720099286]}]}]}, {"tin": {"type": "ein", "value": "581162801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.31, "providers": [{"billed_charge": 329.47, "npi": [1912951963]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.32, "providers": [{"billed_charge": 156.26, "npi": [1912964768]}]}, {"allowed_amount": 77.35, "providers": [{"billed_charge": 171.89, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 907.56, "providers": [{"billed_charge": 259.0, "npi": [1194790055]}]}]}, {"tin": {"type": "ein", "value": "590747311"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 487.74, "providers": [{"billed_charge": 280.0, "npi": [1578620449]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 57.0, "npi": [1568402485]}]}]}, {"tin": {"type": "ein", "value": "591173832"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 5.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1811962194]}]}, {"allowed_amount": 9.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1811962194]}]}]}, {"tin": {"type": "ein", "value": "591479652"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.76, "providers": [{"billed_charge": 661.34, "npi": [1841237930]}]}]}, {"tin": {"type": "ein", "value": "591559063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1497727895]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 277.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591917016"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 39.0, "npi": [1811157969, 1821729914]}]}, {"allowed_amount": 23.33, "providers": [{"billed_charge": 39.0, "npi": [1811157969, 1407634298]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 152.27, "npi": [1275529539, 1265916266, 1942567375, 1861929721, 1740696954]}]}, {"allowed_amount": 23.42, "providers": [{"billed_charge": 152.27, "npi": [1053831032, 1861929721, 1770169476, 1255868279]}]}]}, {"tin": {"type": "ein", "value": "592477479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1231.91, "providers": [{"billed_charge": 73.1, "npi": [1184691610]}]}]}, {"tin": {"type": "ein", "value": "596002318"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.34, "providers": [{"billed_charge": 46.87, "npi": [1215960315]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 35.0, "npi": [1205276201, 1689173155, 1700656071]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.2, "providers": [{"billed_charge": 512.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "630909073"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.88, "providers": [{"billed_charge": 43.0, "npi": [1184967523]}]}]}, {"tin": {"type": "ein", "value": "650275837"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 7.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1215909536]}]}]}, {"tin": {"type": "ein", "value": "650426759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1689614620]}]}]}, {"tin": {"type": "ein", "value": "650844880"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1161.21, "providers": [{"billed_charge": 40.0, "npi": [1083644033]}]}]}, {"tin": {"type": "ein", "value": "743069996"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 20.0, "npi": [1902994908]}, {"billed_charge": 40.0, "npi": [1902994908]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1902994908]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 277.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810637771"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 93.75, "npi": [1891735544, 1194060756]}]}, {"allowed_amount": 15.07, "providers": [{"billed_charge": 93.75, "npi": [1891735544, 1194060756]}]}]}, {"tin": {"type": "ein", "value": "812115577"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 25.0, "npi": [1942335492]}]}, {"allowed_amount": 12.31, "providers": [{"billed_charge": 25.0, "npi": [1942335492]}]}]}, {"tin": {"type": "ein", "value": "812117336"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 16.0, "npi": [1346118015]}]}]}, {"tin": {"type": "ein", "value": "812644596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 27.0, "npi": [1205389905]}]}]}, {"tin": {"type": "ein", "value": "813196099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 22.0, "npi": [1225899826]}]}]}, {"tin": {"type": "ein", "value": "814223395"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.41, "providers": [{"billed_charge": 169.75, "npi": [1922530468]}]}]}, {"tin": {"type": "ein", "value": "825395475"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.3, "providers": [{"billed_charge": 18.0, "npi": [1245813708]}]}, {"allowed_amount": 8.61, "providers": [{"billed_charge": 18.0, "npi": [1245813708]}]}, {"allowed_amount": 12.48, "providers": [{"billed_charge": 18.0, "npi": [1245813708]}, {"billed_charge": 25.0, "npi": [1245813708]}, {"billed_charge": 28.0, "npi": [1245813708]}]}]}, {"tin": {"type": "ein", "value": "831434926"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 30.0, "npi": [1679677611]}]}]}, {"tin": {"type": "ein", "value": "832057653"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 82.11, "providers": [{"billed_charge": 20.0, "npi": [1326565789]}]}]}, {"tin": {"type": "ein", "value": "833011825"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 18.0, "npi": [1669713442]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 50.0, "npi": [1457057671]}]}, {"allowed_amount": 20.92, "providers": [{"billed_charge": 50.0, "npi": [1457057671]}]}]}, {"tin": {"type": "ein", "value": "844061485"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1760506240]}]}]}, {"tin": {"type": "ein", "value": "850850482"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}, {"allowed_amount": 12.48, "providers": [{"billed_charge": 200.0, "npi": [1134629389, 1770084022]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 85.0, "npi": [1205061744, 1154054260, 1447303672]}]}, {"allowed_amount": 12.31, "providers": [{"billed_charge": 85.0, "npi": [1750072583]}]}, {"allowed_amount": 14.03, "providers": [{"billed_charge": 85.0, "npi": [1154054260]}]}, {"allowed_amount": 23.42, "providers": [{"billed_charge": 35.0, "npi": [1073676235]}]}]}, {"tin": {"type": "ein", "value": "854026585"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 31.0, "npi": [1114696176, 1922436922]}]}, {"allowed_amount": 10.42, "providers": [{"billed_charge": 31.0, "npi": [1205156643]}]}, {"allowed_amount": 12.31, "providers": [{"billed_charge": 31.0, "npi": [1114696176]}]}]}, {"tin": {"type": "ein", "value": "860208451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.72, "providers": [{"billed_charge": 35.0, "npi": [1013060367]}]}]}, {"tin": {"type": "ein", "value": "871656161"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 20.0, "npi": [1669156121]}]}]}, {"tin": {"type": "ein", "value": "871690090"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.03, "providers": [{"billed_charge": 50.0, "npi": [1568031219, 1194609198]}]}]}, {"tin": {"type": "ein", "value": "872135838"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 70.0, "npi": [1023634003]}]}]}, {"tin": {"type": "ein", "value": "872508878"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 15.0, "npi": [1891716908]}]}]}, {"tin": {"type": "ein", "value": "873482663"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 22.0, "npi": [1215964291]}]}]}, {"tin": {"type": "ein", "value": "881740605"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1013603919]}]}]}, {"tin": {"type": "ein", "value": "884275740"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.4, "providers": [{"billed_charge": 200.0, "npi": [1619931409]}]}]}, {"tin": {"type": "ein", "value": "920982564"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 145.58, "npi": [1740932318, 1174729446]}]}, {"allowed_amount": 23.51, "providers": [{"billed_charge": 145.58, "npi": [1174729446]}]}]}, {"tin": {"type": "ein", "value": "923987217"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 50.0, "npi": [1457812273, 1457007478]}]}, {"allowed_amount": 23.51, "providers": [{"billed_charge": 50.0, "npi": [1457812273]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 13.95, "providers": [{"billed_charge": 30.0, "npi": [1467804930]}]}]}, {"tin": {"type": "ein", "value": "954690845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.14, "providers": [{"billed_charge": 176.14, "npi": [1023010113]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.21, "providers": [{"billed_charge": 53.0, "npi": [1427806025]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.61, "providers": [{"billed_charge": 31.0, "npi": [1659866408]}]}]}, {"tin": {"type": "ein", "value": "995053647"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 951.44, "providers": [{"billed_charge": 692.15, "npi": [1235966276]}]}]}]}, {"name": "Urography, retrograde, with or without KUB", "billing_code_type": "CPT", "billing_code": "74420", "billing_code_type_version": "2022", "description": "UROGRAPHY RETROGRADE WITH/WO KUB", "allowed_amounts": [{"tin": {"type": "ein", "value": "232743545"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1245276419]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 27.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1316391105, 1326272873, 1811106321, 1447494901, 1962701599]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.85, "npi": [1851675276]}]}]}, {"tin": {"type": "ein", "value": "264800380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1972700565]}]}]}, {"tin": {"type": "ein", "value": "333730076"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1093748840, 1225089428, 1437125077]}]}, {"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1437125077, 1013969294, 1558450023]}]}]}, {"tin": {"type": "ein", "value": "351910757"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1629301932]}]}]}, {"tin": {"type": "ein", "value": "542129332"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 29.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 401.0, "npi": [1871084970]}, {"billed_charge": 1148.0, "npi": [1871084970, 1801022421]}]}, {"allowed_amount": 35.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1148.0, "npi": [1871084970, 1568433308, 1801022421]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 46.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1679918635]}]}]}, {"tin": {"type": "ein", "value": "590725553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1952697559]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1508319815]}]}]}, {"tin": {"type": "ein", "value": "650023605"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 34.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1235578980]}]}, {"allowed_amount": 58.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1205815289]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5438.94, "providers": [{"billed_charge": 1971.0, "npi": [1134152549]}]}]}, {"tin": {"type": "ein", "value": "921343519"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.13, "providers": [{"billed_charge": 262.0, "npi": [1194979591]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1326570466]}]}]}]}, {"name": "Vaginal delivery only (with or without episiotomy and/or forceps);", "billing_code_type": "CPT", "billing_code": "59409", "billing_code_type_version": "2022", "description": "VAGINAL DELIVERY ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "144943777"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 697.16, "providers": [{"billed_charge": 1923.0, "npi": [1306409248]}]}]}, {"tin": {"type": "ein", "value": "237098532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1063.84, "providers": [{"billed_charge": 3430.0, "npi": [1306154984]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1304.1, "providers": [{"billed_charge": 2475.0, "npi": [1306007463]}]}]}, {"tin": {"type": "ein", "value": "263187119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 956.43, "providers": [{"billed_charge": 4310.0, "npi": [1225039985]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 856.42, "providers": [{"billed_charge": 2481.0, "npi": [1215137328]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1475.55, "providers": [{"billed_charge": 3279.0, "npi": [1588766521, 1164417317]}]}]}, {"tin": {"type": "ein", "value": "464731885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 499.01, "providers": [{"billed_charge": 1835.0, "npi": [1578983847]}]}, {"allowed_amount": 956.43, "providers": [{"billed_charge": 1731.0, "npi": [1518249317, 1740240571, 1144304197]}]}, {"allowed_amount": 1024.65, "providers": [{"billed_charge": 1835.0, "npi": [1215106216, 1669811667]}]}, {"allowed_amount": 1152.29, "providers": [{"billed_charge": 1731.0, "npi": [1316432784, 1467096321, 1447883756, 1013341080]}]}, {"allowed_amount": 1164.35, "providers": [{"billed_charge": 1731.0, "npi": [1821741216, 1467096321, 1518249317, 1710074182, 1700879749, 1366847147, 1447883756, 1316432784, 1932276177, 1669196754, 1669446449, 1912102104]}]}, {"allowed_amount": 1304.1, "providers": [{"billed_charge": 1835.0, "npi": [1427140664, 1215106216]}]}, {"allowed_amount": 1731.0, "providers": [{"billed_charge": 1731.0, "npi": [1912102104]}]}]}, {"tin": {"type": "ein", "value": "581206383"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1170.18, "providers": [{"billed_charge": 2900.0, "npi": [1780608752]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1164.35, "providers": [{"billed_charge": 6323.0, "npi": [1710384235]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 772.2, "providers": [{"billed_charge": 6703.0, "npi": [1629262126]}]}, {"allowed_amount": 956.43, "providers": [{"billed_charge": 6703.0, "npi": [1407901028, 1952313173, 1629262126]}]}, {"allowed_amount": 998.02, "providers": [{"billed_charge": 6703.0, "npi": [1700837044, 1669637419, 1083077507, 1851407431]}]}, {"allowed_amount": 1164.35, "providers": [{"billed_charge": 6703.0, "npi": [1952313173, 1285684597, 1386633774]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 3734.91, "providers": [{"billed_charge": 8535.0, "npi": [1437724051]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1024.65, "providers": [{"billed_charge": 2584.0, "npi": [1457463010]}]}, {"allowed_amount": 1304.1, "providers": [{"billed_charge": 2584.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "811291017"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1247.51, "providers": [{"billed_charge": 4308.0, "npi": [1215160627]}]}]}]}, {"name": "Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care", "billing_code_type": "CPT", "billing_code": "59410", "billing_code_type_version": "2022", "description": "VAGINAL DELIVERY ONLY W/POSTPARTUM CARE", "allowed_amounts": [{"tin": {"type": "ein", "value": "113765171"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4911.96, "providers": [{"billed_charge": 5000.0, "npi": [1073330288]}]}]}, {"tin": {"type": "ein", "value": "208937577"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4348.8, "providers": [{"billed_charge": 4348.8, "npi": [1245987155]}]}, {"allowed_amount": 4753.93, "providers": [{"billed_charge": 4768.31, "npi": [1487301396]}]}, {"allowed_amount": 4764.88, "providers": [{"billed_charge": 4769.98, "npi": [1346997202]}]}]}, {"tin": {"type": "ein", "value": "260609255"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1291.05, "providers": [{"billed_charge": 3262.85, "npi": [1003815317]}]}, {"allowed_amount": 1571.71, "providers": [{"billed_charge": 3262.85, "npi": [1245230358]}]}]}, {"tin": {"type": "ein", "value": "270945036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1821.27, "providers": [{"billed_charge": 4753.93, "npi": [1891448403]}, {"billed_charge": 4911.96, "npi": [1992458590]}]}, {"allowed_amount": 4461.45, "providers": [{"billed_charge": 4461.45, "npi": [1316690928]}]}, {"allowed_amount": 4541.63, "providers": [{"billed_charge": 4541.63, "npi": [1710630314]}]}, {"allowed_amount": 4753.93, "providers": [{"billed_charge": 4753.93, "npi": [1891448403]}]}, {"allowed_amount": 4911.96, "providers": [{"billed_charge": 4911.96, "npi": [1992458590]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1881.04, "providers": [{"billed_charge": 3633.0, "npi": [1134485642]}]}]}, {"tin": {"type": "ein", "value": "591867557"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1471.29, "providers": [{"billed_charge": 4088.0, "npi": [1154435022]}]}]}, {"tin": {"type": "ein", "value": "592013191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1291.05, "providers": [{"billed_charge": 8849.0, "npi": [1285684597, 1649275249, 1952313173, 1043500374]}]}, {"allowed_amount": 1347.18, "providers": [{"billed_charge": 8849.0, "npi": [1386633774]}]}]}, {"tin": {"type": "ein", "value": "611103898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4541.63, "providers": [{"billed_charge": 4541.63, "npi": [1487461679]}]}]}, {"tin": {"type": "ein", "value": "650986441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4911.96, "providers": [{"billed_charge": 5500.0, "npi": [1033863527]}]}]}, {"tin": {"type": "ein", "value": "651053692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1758.47, "providers": [{"billed_charge": 3292.0, "npi": [1457463010]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 789.52, "providers": [{"billed_charge": 3078.0, "npi": [1679691729]}]}]}, {"tin": {"type": "ein", "value": "872135838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 732.16, "providers": [{"billed_charge": 1500.0, "npi": [1023634003]}]}]}]}, {"name": "Very long chain fatty acids", "billing_code_type": "CPT", "billing_code": "82726", "billing_code_type_version": "2022", "description": "VERY LONG CHAIN FATTY ACIDS", "allowed_amounts": [{"tin": {"type": "ein", "value": "593502843"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 19.75, "npi": [1518983642]}]}]}]}, {"name": "Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)", "billing_code_type": "CPT", "billing_code": "G2211", "billing_code_type_version": "2022", "description": "Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)", "allowed_amounts": [{"tin": {"type": "ein", "value": "232664784"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.38, "providers": [{"billed_charge": 45.0, "npi": [1689963332]}]}]}, {"tin": {"type": "ein", "value": "262893302"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 23.4, "providers": [{"billed_charge": 52.0, "npi": [1326272873, 1578503538, 1316391105]}]}]}, {"tin": {"type": "ein", "value": "264069086"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 23.4, "providers": [{"billed_charge": 52.0, "npi": [1730611294, 1528350543]}]}]}, {"tin": {"type": "ein", "value": "451154796"}, "billing_class": "professional", "service_codes": ["11", "22"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 52.0, "npi": [1336540699]}]}, {"allowed_amount": 23.4, "providers": [{"billed_charge": 52.0, "npi": [1093197931, 1215224126]}]}]}, {"tin": {"type": "ein", "value": "592319380"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.97, "providers": [{"billed_charge": 53.0, "npi": [1033278296, 1073610515]}]}]}, {"tin": {"type": "ein", "value": "843548530"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.27, "providers": [{"billed_charge": 35.96, "npi": [1366828089, 1457057671]}]}, {"allowed_amount": 35.96, "providers": [{"billed_charge": 35.96, "npi": [1629277686]}]}]}]}, {"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": "131740114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.64, "providers": [{"billed_charge": 175.0, "npi": [1962039222]}]}, {"allowed_amount": 77.11, "providers": [{"billed_charge": 175.0, "npi": [1437562378, 1841794591]}]}]}, {"tin": {"type": "ein", "value": "201585675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.22, "providers": [{"billed_charge": 90.0, "npi": [1578554408]}]}, {"allowed_amount": 75.8, "providers": [{"billed_charge": 90.0, "npi": [1578554408]}]}]}, {"tin": {"type": "ein", "value": "202364772"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 55.41, "providers": [{"billed_charge": 70.0, "npi": [1518157601, 1467496398, 1588647796, 1285253716, 1508808734]}]}, {"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1518157601, 1467496398, 1588647796, 1285253716, 1215440284, 1508808734]}]}]}, {"tin": {"type": "ein", "value": "260229265"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.4, "providers": [{"billed_charge": 65.0, "npi": [1427371632]}]}, {"allowed_amount": 58.12, "providers": [{"billed_charge": 65.0, "npi": [1992332928]}]}, {"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1427371632, 1992332928]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.59, "providers": [{"billed_charge": 137.0, "npi": [1013215854]}]}, {"allowed_amount": 73.7, "providers": [{"billed_charge": 137.0, "npi": [1023471992]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.41, "providers": [{"billed_charge": 392.0, "npi": [1750346953, 1962467407]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1831683887]}]}]}, {"tin": {"type": "ein", "value": "590637874"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.05, "providers": [{"billed_charge": 392.0, "npi": [1588624191]}]}, {"allowed_amount": 58.76, "providers": [{"billed_charge": 392.0, "npi": [1497383194]}]}, {"allowed_amount": 68.22, "providers": [{"billed_charge": 392.0, "npi": [1144481201, 1356334171]}]}, {"allowed_amount": 99.24, "providers": [{"billed_charge": 392.0, "npi": [1356334171]}]}]}, {"tin": {"type": "ein", "value": "591680273"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.5, "providers": [{"billed_charge": 165.0, "npi": [1538680590]}]}]}, {"tin": {"type": "ein", "value": "592319380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.47, "providers": [{"billed_charge": 130.0, "npi": [1982701421, 1568806222, 1346347887, 1225532625, 1073610515, 1336246875]}]}, {"allowed_amount": 66.0, "providers": [{"billed_charge": 130.0, "npi": [1225532625, 1982701421, 1568806222, 1346347887]}]}, {"allowed_amount": 96.45, "providers": [{"billed_charge": 130.0, "npi": [1700310851]}]}]}, {"tin": {"type": "ein", "value": "593072368"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1164510566, 1184667198]}]}]}, {"tin": {"type": "ein", "value": "593337028"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.4, "providers": [{"billed_charge": 234.0, "npi": [1558859728]}]}]}, {"tin": {"type": "ein", "value": "593388890"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.19, "providers": [{"billed_charge": 43.19, "npi": [1588312680]}]}]}, {"tin": {"type": "ein", "value": "650003177"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 46.65, "providers": [{"billed_charge": 392.0, "npi": [1194353987]}]}, {"allowed_amount": 68.22, "providers": [{"billed_charge": 392.0, "npi": [1164652624, 1104129634, 1194353987, 1790023166]}]}]}, {"tin": {"type": "ein", "value": "650029298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.83, "providers": [{"billed_charge": 392.0, "npi": [1144467515]}]}]}, {"tin": {"type": "ein", "value": "650298964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.25, "providers": [{"billed_charge": 100.0, "npi": [1417939141]}]}, {"allowed_amount": 68.22, "providers": [{"billed_charge": 100.0, "npi": [1417939141]}]}]}, {"tin": {"type": "ein", "value": "650856170"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.05, "providers": [{"billed_charge": 60.0, "npi": [1750342689]}]}]}, {"tin": {"type": "ein", "value": "651055525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.22, "providers": [{"billed_charge": 90.0, "npi": [1104104264, 1457329450, 1700232667, 1457329468]}]}, {"allowed_amount": 71.12, "providers": [{"billed_charge": 90.0, "npi": [1346745312, 1972686327]}]}, {"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1700232667]}]}]}, {"tin": {"type": "ein", "value": "811324691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 147.0, "npi": [1487794715]}]}]}, {"tin": {"type": "ein", "value": "820926850"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1588683007]}]}]}, {"tin": {"type": "ein", "value": "833546595"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.85, "providers": [{"billed_charge": 75.0, "npi": [1528492949]}]}]}, {"tin": {"type": "ein", "value": "880988603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.83, "providers": [{"billed_charge": 85.0, "npi": [1609138213]}]}, {"allowed_amount": 223.47, "providers": [{"billed_charge": 85.0, "npi": [1306589544]}]}, {"allowed_amount": 231.66, "providers": [{"billed_charge": 85.0, "npi": [1609580448]}]}]}, {"tin": {"type": "ein", "value": "883503551"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 49.88, "providers": [{"billed_charge": 50.0, "npi": [1457467045]}, {"billed_charge": 56.0, "npi": [1457467045]}]}, {"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1245010008]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1245010008]}]}]}, {"tin": {"type": "ein", "value": "931884363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.65, "providers": [{"billed_charge": 75.8, "npi": [1083952493]}]}, {"allowed_amount": 68.22, "providers": [{"billed_charge": 75.8, "npi": [1083952493]}]}]}, {"tin": {"type": "ein", "value": "954835743"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.66, "providers": [{"billed_charge": 70.0, "npi": [1821072844]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 62.53, "providers": [{"billed_charge": 91.0, "npi": [1538398540]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.05, "providers": [{"billed_charge": 156.0, "npi": [1316309834, 1386917789]}]}, {"allowed_amount": 68.22, "providers": [{"billed_charge": 156.0, "npi": [1326201682, 1780689331]}]}]}]}, {"name": "Vitamin D; 25 hydroxy, includes fraction(s), if performed", "billing_code_type": "CPT", "billing_code": "82306", "billing_code_type_version": "2022", "description": "25 HYDROXY INCLUDES FRACTIONS IF PERFORMED", "allowed_amounts": [{"tin": {"type": "ein", "value": "203728235"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.22, "providers": [{"billed_charge": 252.0, "npi": [1164478442]}]}]}, {"tin": {"type": "ein", "value": "590624424"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.05, "providers": [{"billed_charge": 120.12, "npi": [1912964768]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.6, "providers": [{"billed_charge": 665.13, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621687140"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.57, "providers": [{"billed_charge": 48.84, "npi": [1487657573]}]}]}, {"tin": {"type": "ein", "value": "651108312"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.72, "providers": [{"billed_charge": 29.6, "npi": [1831228709]}]}]}, {"tin": {"type": "ein", "value": "883455150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.57, "providers": [{"billed_charge": 164.48, "npi": [1609596907]}]}, {"allowed_amount": 29.6, "providers": [{"billed_charge": 88.8, "npi": [1609596907]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.95, "providers": [{"billed_charge": 356.0, "npi": [1982606992]}]}]}]}, {"name": "Walker, folding, wheeled, adjustable or fixed height", "billing_code_type": "CPT", "billing_code": "E0143", "billing_code_type_version": "2022", "description": "Walker, folding, wheeled, adjustable or fixed height", "allowed_amounts": [{"tin": {"type": "ein", "value": "591450889"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 57.85, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 209.4, "npi": [1992785794]}]}]}, {"tin": {"type": "ein", "value": "593279715"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 60.89, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 91.34, "npi": [1932159621]}]}]}, {"tin": {"type": "ein", "value": "752963548"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 59.67, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 110.0, "npi": [1639150600]}]}, {"allowed_amount": 60.89, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 110.0, "npi": [1639150600]}]}]}]}]}