{"reporting_entity_name": "First Choice Next, A Product of SHSC, Inc.","reporting_entity_type": "Exchange","last_updated_on": "2025-04-17","version": "1.0.0","out_of_network":[{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"262597357"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.63,"providers":[{"billed_charge":28.00,"npi":[1013968478]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"352221941"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.63,"providers":[{"billed_charge":30.00,"npi":[1669788170,1730200031]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"560529945"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":261.40,"npi":[1396790325]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":122.00,"npi":[1205889458]},{"billed_charge":126.00,"npi":[1205889458]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"620476282"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":86.00,"npi":[1891973939]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":126.00,"npi":[1427504554,1447706569]}]},{"allowed_amount":17.17,"providers":[{"billed_charge":122.00,"npi":[1447706569]},{"billed_charge":126.00,"npi":[1427504554,1447706569,1649726738,1982150009]}]},{"allowed_amount":20.05,"providers":[{"billed_charge":126.00,"npi":[1639656713]}]},{"allowed_amount":34.34,"providers":[{"billed_charge":252.00,"npi":[1982150009]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"842146032"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.63,"providers":[{"billed_charge":32.00,"npi":[1275739922]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"953561198"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":22.22,"providers":[{"billed_charge":340.00,"npi":[1457382483]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":47.06,"npi":[1538144910]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":48.30,"npi":[1538144910]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"560529945"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":472.20,"npi":[1396790325,1417432840]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":36.22,"providers":[{"billed_charge":230.00,"npi":[1205889458]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"620476282"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":112.00,"npi":[1891973939]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":230.00,"npi":[1427504554,1447706569]}]},{"allowed_amount":23.34,"providers":[{"billed_charge":230.00,"npi":[1427504554,1447706569,1649726738,1982150009]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"842146032"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":45.00,"npi":[1275739922]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"953561198"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":30.20,"providers":[{"billed_charge":807.00,"npi":[1457382483]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"020759583"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":148.59,"providers":[{"billed_charge":1870.00,"npi":[1821477589]}]},{"allowed_amount":166.49,"providers":[{"billed_charge":1870.00,"npi":[1962934117]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":171.22,"providers":[{"billed_charge":1224.00,"npi":[1598994246]}]},{"allowed_amount":223.81,"providers":[{"billed_charge":1224.00,"npi":[1124081534,1235230913,1245686369,1689997694,1790103653,1871762328]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"471345819"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":183.43,"providers":[{"billed_charge":552.00,"npi":[1710248703]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":208.67,"providers":[{"billed_charge":552.00,"npi":[1114580487,1851965677,1912221920]}]},{"allowed_amount":223.81,"providers":[{"billed_charge":552.00,"npi":[1063733053,1174142962,1265791396,1265875140,1467779090,1477723765,1558624726,1568660215,1669687885]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"650691102"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":205.30,"providers":[{"billed_charge":1718.00,"npi":[1861634594]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":1244.32,"providers":[{"billed_charge":2527.00,"npi":[1982150009]}]},{"allowed_amount":1254.40,"providers":[{"billed_charge":2527.00,"npi":[1649726738]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"821910968"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":146.07,"providers":[{"billed_charge":1870.00,"npi":[1871603068]}]},{"allowed_amount":174.81,"providers":[{"billed_charge":1870.00,"npi":[1861912172]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"852357126"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":223.81,"providers":[{"billed_charge":1495.00,"npi":[1336528413]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99285","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"853861695"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":174.51,"providers":[{"billed_charge":657.00,"npi":[1588336697]}]}]}]},{"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 deci","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99284","description":"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 deci","allowed_amounts":[{"tin":{"type":"ein","value":"020759583"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":102.58,"providers":[{"billed_charge":1280.00,"npi":[1578317442]}]},{"allowed_amount":114.89,"providers":[{"billed_charge":935.00,"npi":[1760405369]}]}]}]},{"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 deci","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99284","description":"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 deci","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":118.27,"providers":[{"billed_charge":832.00,"npi":[1346267333,1417298266,1598994246,1700832342]}]}]}]},{"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 deci","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99284","description":"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 deci","allowed_amounts":[{"tin":{"type":"ein","value":"471345819"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":126.56,"providers":[{"billed_charge":368.00,"npi":[1356791966,1477849578,1942292115]}]}]}]},{"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 deci","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99284","description":"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 deci","allowed_amounts":[{"tin":{"type":"ein","value":"560529945"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":114.89,"providers":[{"billed_charge":3069.20,"npi":[1396790325]}]}]}]},{"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 deci","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99284","description":"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 deci","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":154.43,"providers":[{"billed_charge":368.00,"npi":[1174142962,1295297901,1346824315,1851951206,1982801593]}]}]}]},{"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 deci","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99284","description":"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 deci","allowed_amounts":[{"tin":{"type":"ein","value":"821910968"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":99.15,"providers":[{"billed_charge":1280.00,"npi":[1508867698]}]}]}]},{"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 deci","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99284","description":"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 deci","allowed_amounts":[{"tin":{"type":"ein","value":"870997442"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":120.68,"providers":[{"billed_charge":1280.00,"npi":[1740491000]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"510603966"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":114.00,"npi":[1699819003]},{"billed_charge":1151.00,"npi":[1699819003]},{"billed_charge":1363.00,"npi":[1699819003]},{"billed_charge":1387.00,"npi":[1699819003]},{"billed_charge":1492.00,"npi":[1699819003]},{"billed_charge":1691.00,"npi":[1699819003]},{"billed_charge":1818.00,"npi":[1699819003]},{"billed_charge":196.00,"npi":[1699819003]},{"billed_charge":2116.00,"npi":[1699819003]},{"billed_charge":228.00,"npi":[1699819003]},{"billed_charge":244.00,"npi":[1699819003]},{"billed_charge":294.00,"npi":[1699819003]},{"billed_charge":299.00,"npi":[1699819003]},{"billed_charge":399.00,"npi":[1699819003]},{"billed_charge":4059.00,"npi":[1699819003]},{"billed_charge":418.00,"npi":[1699819003]},{"billed_charge":504.00,"npi":[1699819003]},{"billed_charge":5524.00,"npi":[1699819003]},{"billed_charge":7289.00,"npi":[1699819003]},{"billed_charge":798.00,"npi":[1699819003]},{"billed_charge":836.00,"npi":[1699819003]},{"billed_charge":86.00,"npi":[1699819003]}]},{"allowed_amount":9898.20,"providers":[{"billed_charge":10104.00,"npi":[1699819003]}]},{"allowed_amount":12380.86,"providers":[{"billed_charge":5052.00,"npi":[1699819003]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"560529945"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":3.00,"npi":[1417432840]}]},{"allowed_amount":0.95,"providers":[{"billed_charge":3.15,"npi":[1417432840]}]},{"allowed_amount":1.40,"providers":[{"billed_charge":4.65,"npi":[1417432840]}]},{"allowed_amount":1.50,"providers":[{"billed_charge":5.00,"npi":[1417432840]}]},{"allowed_amount":1.52,"providers":[{"billed_charge":5.05,"npi":[1417432840]}]},{"allowed_amount":1.59,"providers":[{"billed_charge":5.30,"npi":[1417432840]}]},{"allowed_amount":1.80,"providers":[{"billed_charge":6.00,"npi":[1417432840]}]},{"allowed_amount":1.89,"providers":[{"billed_charge":6.30,"npi":[1417432840]}]},{"allowed_amount":3.00,"providers":[{"billed_charge":10.00,"npi":[1417432840]}]},{"allowed_amount":4.65,"providers":[{"billed_charge":15.50,"npi":[1417432840]}]},{"allowed_amount":6.72,"providers":[{"billed_charge":22.40,"npi":[1417432840]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":50.60,"npi":[1205889458]},{"billed_charge":6.10,"npi":[1205889458]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"620476282"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":234.00,"npi":[1891973939]},{"billed_charge":49.00,"npi":[1891973939]},{"billed_charge":98.00,"npi":[1891973939]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.60,"npi":[1447706569,1639656713,1649726738,1982150009]},{"billed_charge":1.20,"npi":[1649726738]},{"billed_charge":1.70,"npi":[1447706569]},{"billed_charge":1.80,"npi":[1649726738,1982150009]},{"billed_charge":104.40,"npi":[1649726738]},{"billed_charge":10859.00,"npi":[1982150009]},{"billed_charge":1092.00,"npi":[1982150009]},{"billed_charge":1155.60,"npi":[1982150009]},{"billed_charge":117.00,"npi":[1982150009]},{"billed_charge":118.00,"npi":[1447706569,1982150009]},{"billed_charge":128.40,"npi":[1649726738,1982150009]},{"billed_charge":130.90,"npi":[1982150009]},{"billed_charge":136.30,"npi":[1649726738]},{"billed_charge":136.70,"npi":[1649726738]},{"billed_charge":139.20,"npi":[1982150009]},{"billed_charge":140.00,"npi":[1649726738]},{"billed_charge":147.50,"npi":[1982150009]},{"billed_charge":149.40,"npi":[1649726738]},{"billed_charge":165.00,"npi":[1982150009]},{"billed_charge":171.20,"npi":[1649726738]},{"billed_charge":173.40,"npi":[1982150009]},{"billed_charge":177.00,"npi":[1447706569,1649726738]},{"billed_charge":1778.00,"npi":[1649726738]},{"billed_charge":1800.76,"npi":[1649726738]},{"billed_charge":187.00,"npi":[1649726738,1982150009]},{"billed_charge":190.00,"npi":[1982150009]},{"billed_charge":19068.00,"npi":[1649726738]},{"billed_charge":2.00,"npi":[1982150009]},{"billed_charge":2054.00,"npi":[1982150009]},{"billed_charge":220.00,"npi":[1649726738]},{"billed_charge":233.10,"npi":[1649726738]},{"billed_charge":2349.00,"npi":[1982150009]},{"billed_charge":235.40,"npi":[1982150009]},{"billed_charge":236.00,"npi":[1982150009]},{"billed_charge":248.80,"npi":[1982150009]},{"billed_charge":2527.00,"npi":[1649726738,1982150009]},{"billed_charge":265.50,"npi":[1982150009]},{"billed_charge":2653.60,"npi":[1982150009]},{"billed_charge":27.50,"npi":[1649726738]},{"billed_charge":275.00,"npi":[1982150009]},{"billed_charge":2763.70,"npi":[1447706569]},{"billed_charge":288.00,"npi":[1447706569]},{"billed_charge":29.50,"npi":[1427504554,1447706569,1649726738,1982150009]},{"billed_charge":292.00,"npi":[1649726738]},{"billed_charge":2941.00,"npi":[1982150009]},{"billed_charge":3.10,"npi":[1649726738]},{"billed_charge":301.00,"npi":[1649726738]},{"billed_charge":3031.00,"npi":[1982150009]},{"billed_charge":3180.00,"npi":[1649726738]},{"billed_charge":3203.00,"npi":[1982150009]},{"billed_charge":346.00,"npi":[1447706569]},{"billed_charge":346.80,"npi":[1982150009]},{"billed_charge":36.00,"npi":[1982150009]},{"billed_charge":36.80,"npi":[1427504554]},{"billed_charge":3685.00,"npi":[1982150009]},{"billed_charge":374.00,"npi":[1982150009]},{"billed_charge":385.00,"npi":[1649726738]},{"billed_charge":39.60,"npi":[1649726738,1982150009]},{"billed_charge":4.40,"npi":[1982150009]},{"billed_charge":4.80,"npi":[1982150009]},{"billed_charge":403.00,"npi":[1649726738]},{"billed_charge":42.80,"npi":[1649726738,1982150009]},{"billed_charge":429.00,"npi":[1649726738,1982150009]},{"billed_charge":44.70,"npi":[1982150009]},{"billed_charge":452.40,"npi":[1649726738]},{"billed_charge":454.00,"npi":[1649726738]},{"billed_charge":460.00,"npi":[1982150009]},{"billed_charge":47.70,"npi":[1982150009]},{"billed_charge":519.00,"npi":[1982150009]},{"billed_charge":5262.00,"npi":[1649726738]},{"billed_charge":529.00,"npi":[1649726738]},{"billed_charge":55.00,"npi":[1982150009]},{"billed_charge":5527.50,"npi":[1982150009]},{"billed_charge":554.10,"npi":[1982150009]},{"billed_charge":561.00,"npi":[1982150009]},{"billed_charge":57.80,"npi":[1982150009]},{"billed_charge":59.00,"npi":[1649726738]},{"billed_charge":6075.00,"npi":[1982150009]},{"billed_charge":62.70,"npi":[1649726738]},{"billed_charge":625.80,"npi":[1982150009]},{"billed_charge":627.00,"npi":[1982150009]},{"billed_charge":630.60,"npi":[1982150009]},{"billed_charge":675.00,"npi":[1649726738]},{"billed_charge":70.90,"npi":[1982150009]},{"billed_charge":73.10,"npi":[1649726738]},{"billed_charge":732.00,"npi":[1982150009]},{"billed_charge":8.60,"npi":[1982150009]},{"billed_charge":82.50,"npi":[1982150009]},{"billed_charge":825.00,"npi":[1649726738]},{"billed_charge":845.00,"npi":[1982150009]},{"billed_charge":85.60,"npi":[1649726738,1982150009]},{"billed_charge":8745.00,"npi":[1649726738]},{"billed_charge":88.50,"npi":[1649726738]},{"billed_charge":880.00,"npi":[1982150009]},{"billed_charge":922.00,"npi":[1982150009]},{"billed_charge":9241.00,"npi":[1982150009]},{"billed_charge":938.00,"npi":[1649726738]},{"billed_charge":941.60,"npi":[1982150009]},{"billed_charge":97.00,"npi":[1982150009]},{"billed_charge":99.20,"npi":[1649726738]}]},{"allowed_amount":202.50,"providers":[{"billed_charge":675.00,"npi":[1649726738]}]},{"allowed_amount":4768.60,"providers":[{"billed_charge":1191.00,"npi":[1447706569]}]},{"allowed_amount":6020.90,"providers":[{"billed_charge":1191.00,"npi":[1982150009]}]},{"allowed_amount":20557.13,"providers":[{"billed_charge":8337.00,"npi":[1982150009]}]},{"allowed_amount":37120.79,"providers":[{"billed_charge":2382.00,"npi":[1649726738]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"953561198"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1021.00,"npi":[1457382483]},{"billed_charge":11.00,"npi":[1457382483]},{"billed_charge":11069.00,"npi":[1457382483]},{"billed_charge":12963.00,"npi":[1457382483]},{"billed_charge":1340.87,"npi":[1457382483]},{"billed_charge":14376.00,"npi":[1457382483]},{"billed_charge":14570.00,"npi":[1457382483]},{"billed_charge":1479.00,"npi":[1457382483]},{"billed_charge":1541.78,"npi":[1457382483]},{"billed_charge":2020.00,"npi":[1457382483]},{"billed_charge":22142.00,"npi":[1457382483]},{"billed_charge":27498.00,"npi":[1457382483]},{"billed_charge":2782.00,"npi":[1457382483]},{"billed_charge":36.00,"npi":[1457382483]},{"billed_charge":4125.00,"npi":[1457382483]},{"billed_charge":42843.00,"npi":[1457382483]},{"billed_charge":7348.00,"npi":[1457382483]},{"billed_charge":7500.00,"npi":[1457382483]},{"billed_charge":782.00,"npi":[1457382483]},{"billed_charge":8.00,"npi":[1457382483]}]},{"allowed_amount":16174.43,"providers":[{"billed_charge":64692.00,"npi":[1457382483]}]},{"allowed_amount":21120.92,"providers":[{"billed_charge":21684.00,"npi":[1457382483]}]}]}]},{"name":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97140GP","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"202312101"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.03,"providers":[{"billed_charge":59.00,"npi":[1992367130]}]},{"allowed_amount":34.35,"providers":[{"billed_charge":59.00,"npi":[1487053237]}]}]}]},{"name":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97140GP","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"202504247"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.51,"providers":[{"billed_charge":39.00,"npi":[1053793844]}]}]}]},{"name":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97140GP","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"270117309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34.35,"providers":[{"billed_charge":75.00,"npi":[1548560691]}]}]}]},{"name":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97140GP","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"831585934"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.15,"providers":[{"billed_charge":75.00,"npi":[1346599867]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"134290167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.42,"providers":[{"billed_charge":188.00,"npi":[1184986580]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"205445365"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":133.11,"providers":[{"billed_charge":240.00,"npi":[1902905581]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"208870333"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":119.84,"providers":[{"billed_charge":257.00,"npi":[1407916133]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"260582112"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":133.11,"providers":[{"billed_charge":160.00,"npi":[1386806073]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"262946628"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.64,"providers":[{"billed_charge":247.00,"npi":[1366117046]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"271467095"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":113.14,"providers":[{"billed_charge":168.00,"npi":[1487419651]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"570650154"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":151.43,"providers":[{"billed_charge":203.00,"npi":[1932738440]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"570932597"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":152.35,"providers":[{"billed_charge":152.35,"npi":[1164461638]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"570992104"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.42,"providers":[{"billed_charge":177.00,"npi":[1811456981]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"753062671"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.64,"providers":[{"billed_charge":250.00,"npi":[1336362433,1992001465]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"842146032"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.00,"providers":[{"billed_charge":145.00,"npi":[1275739922]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"843743303"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.99,"providers":[{"billed_charge":175.00,"npi":[1235268210]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"852683530"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":113.39,"providers":[{"billed_charge":150.00,"npi":[1538695846]}]}]}]},{"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 le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"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 le","allowed_amounts":[{"tin":{"type":"ein","value":"853861695"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":113.14,"providers":[{"billed_charge":277.00,"npi":[1790172070]}]}]}]},{"name":"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"G6013","description":"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev","allowed_amounts":[{"tin":{"type":"ein","value":"562084824"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":229.17,"providers":[{"billed_charge":924.00,"npi":[1154716611,1306221916]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"560954779"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":70.00,"npi":[1902800329]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"570634747"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10.03,"providers":[{"billed_charge":26.00,"npi":[1215240809]}]}]},{"tin":{"type":"ein","value":"570634747"},"service_code":["21","23"],"billing_class":"professional","payments":[{"allowed_amount":9.87,"providers":[{"billed_charge":26.00,"npi":[1023471208,1194135442,1619358884,1659637569,1689683468,1770569105,1871542035]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10.03,"providers":[{"billed_charge":30.00,"npi":[1689920464]}]}]},{"tin":{"type":"ein","value":"571004971"},"service_code":["21","23"],"billing_class":"professional","payments":[{"allowed_amount":8.82,"providers":[{"billed_charge":30.00,"npi":[1396711719,1518937143]}]},{"allowed_amount":10.76,"providers":[{"billed_charge":30.00,"npi":[1093786626,1548799687,1659353886,1700056256,1750639894,1750642096,1851390884,1891105896]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"576000934"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10.03,"providers":[{"billed_charge":38.00,"npi":[1851359228]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"933380812"},"service_code":["21","23"],"billing_class":"professional","payments":[{"allowed_amount":10.76,"providers":[{"billed_charge":38.00,"npi":[1023026234,1083817084,1205875788,1245518653,1295095842,1316992530,1457497307,1700088580,1700883154,1730138793]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99232","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":93.42,"providers":[{"billed_charge":149.00,"npi":[1902822166]}]}]},{"tin":{"type":"ein","value":"571004971"},"service_code":["21","22"],"billing_class":"professional","payments":[{"allowed_amount":100.20,"providers":[{"billed_charge":149.00,"npi":[1174919070,1265926505,1336308964,1548210115,1871121350]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99232","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"582569828"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":78.34,"providers":[{"billed_charge":317.20,"npi":[1265637425,1972824357]}]},{"allowed_amount":109.24,"providers":[{"billed_charge":317.20,"npi":[1417536830,1508444803]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99232","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"850499645"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":78.34,"providers":[{"billed_charge":667.00,"npi":[1073179305,1235699034]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99233","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"262976526"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":123.55,"providers":[{"billed_charge":215.00,"npi":[1376650275]}]},{"allowed_amount":171.47,"providers":[{"billed_charge":215.00,"npi":[1790822450]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99233","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"561667838"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":112.85,"providers":[{"billed_charge":353.00,"npi":[1497715825]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99233","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":140.55,"providers":[{"billed_charge":224.00,"npi":[1194250183]}]},{"allowed_amount":150.76,"providers":[{"billed_charge":224.00,"npi":[1265926505,1336308964,1528563772,1598084717,1659830958]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99233","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"576000934"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":140.55,"providers":[{"billed_charge":353.00,"npi":[1508421744]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99233","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"582569828"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":164.36,"providers":[{"billed_charge":477.12,"npi":[1417536830]}]}]}]},{"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 a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99233","description":"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 a","allowed_amounts":[{"tin":{"type":"ein","value":"850499645"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":117.85,"providers":[{"billed_charge":1004.00,"npi":[1073166807,1194242305,1457369175,1891780052,1891954889]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97530GP","description":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"202312101"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.99,"providers":[{"billed_charge":78.00,"npi":[1992367130]}]},{"allowed_amount":46.11,"providers":[{"billed_charge":78.00,"npi":[1487053237]}]},{"allowed_amount":85.98,"providers":[{"billed_charge":156.00,"npi":[1992367130]}]},{"allowed_amount":128.97,"providers":[{"billed_charge":234.00,"npi":[1598837916,1992367130]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97530GP","description":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"202504247"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.30,"providers":[{"billed_charge":50.00,"npi":[1053793844,1770254914]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97530GP","description":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"270117309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.22,"providers":[{"billed_charge":150.00,"npi":[1548560691]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97530GP","description":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"571056849"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.45,"providers":[{"billed_charge":55.00,"npi":[1972859684]}]},{"allowed_amount":104.90,"providers":[{"billed_charge":110.00,"npi":[1972859684]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97530GP","description":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"831585934"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":113.37,"providers":[{"billed_charge":255.00,"npi":[1346599867]}]}]}]},{"name":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97110GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"202312101"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34.74,"providers":[{"billed_charge":63.00,"npi":[1598837916,1992367130]}]},{"allowed_amount":37.27,"providers":[{"billed_charge":63.00,"npi":[1487053237]}]},{"allowed_amount":69.49,"providers":[{"billed_charge":126.00,"npi":[1992367130]}]}]}]},{"name":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97110GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"202504247"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34.18,"providers":[{"billed_charge":46.00,"npi":[1053793844,1770254914]}]}]}]},{"name":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"97110GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"571056849"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.38,"providers":[{"billed_charge":72.78,"npi":[1972859684]}]},{"allowed_amount":84.78,"providers":[{"billed_charge":145.56,"npi":[1972859684]}]},{"allowed_amount":127.16,"providers":[{"billed_charge":218.34,"npi":[1972859684]}]}]}]}]}
