{"reporting_entity_name": "First Choice Next, A Product of SHSC, Inc.","reporting_entity_type": "Exchange","last_updated_on": "2026-02-08","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":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"991177652"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.63,"providers":[{"billed_charge":23.00,"npi":[1477749208]}]}]}]},{"name":"Collection, Venous Blood, Venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection, Venous Blood, Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"852276567"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.91,"providers":[{"billed_charge":25.00,"npi":[1760755003]}]}]}]},{"name":"Collection, Venous Blood, Venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection, Venous Blood, Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"991177652"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.27,"providers":[{"billed_charge":26.00,"npi":[1477749208]}]}]}]},{"name":"Computed tomography, abdomen and pelvis; with contrast material(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"service_code":["21","22","23"],"billing_class":"professional","payments":[{"allowed_amount":89.10,"providers":[{"billed_charge":1671.00,"npi":[1003852039,1104808179,1134104276,1699192088]}]}]}]},{"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":"2026","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":153.42,"providers":[{"billed_charge":1870.00,"npi":[1477995470]}]},{"allowed_amount":180.49,"providers":[{"billed_charge":1870.00,"npi":[1326661737,1831551985]}]},{"allowed_amount":187.61,"providers":[{"billed_charge":1870.00,"npi":[1184060931]}]}]}]},{"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":"2026","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":"650691102"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":124.44,"providers":[{"billed_charge":1178.00,"npi":[1942206826]}]}]}]},{"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":"2026","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":105.78,"providers":[{"billed_charge":1280.00,"npi":[1932762564]}]},{"allowed_amount":109.95,"providers":[{"billed_charge":1280.00,"npi":[1740755081]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":1280.00,"npi":[1255366266]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"570904886"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":2709.80,"npi":[1043283757]},{"billed_charge":3176.40,"npi":[1043283757]},{"billed_charge":3434.92,"npi":[1043283757]},{"billed_charge":410.00,"npi":[1043283757]},{"billed_charge":4362.00,"npi":[1043283757]},{"billed_charge":444.00,"npi":[1043283757]}]},{"allowed_amount":14000.00,"providers":[{"billed_charge":15015.00,"npi":[1043283757]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2026","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":1122.00,"npi":[1447706569]},{"billed_charge":1137.10,"npi":[1447706569]},{"billed_charge":1146.00,"npi":[1447706569]},{"billed_charge":1392.50,"npi":[1447706569]},{"billed_charge":147.50,"npi":[1447706569]},{"billed_charge":15759.00,"npi":[1447706569]},{"billed_charge":187.00,"npi":[1447706569]},{"billed_charge":205.60,"npi":[1447706569]},{"billed_charge":2349.00,"npi":[1447706569]},{"billed_charge":242.60,"npi":[1447706569]},{"billed_charge":2527.00,"npi":[1447706569]},{"billed_charge":29.50,"npi":[1447706569]},{"billed_charge":299.60,"npi":[1447706569]},{"billed_charge":3170.00,"npi":[1447706569]},{"billed_charge":3250.51,"npi":[1447706569]},{"billed_charge":354.00,"npi":[1447706569]},{"billed_charge":378.00,"npi":[1447706569]},{"billed_charge":42.80,"npi":[1447706569]},{"billed_charge":4664.00,"npi":[1447706569]},{"billed_charge":4977.00,"npi":[1447706569]},{"billed_charge":50.20,"npi":[1447706569]},{"billed_charge":556.40,"npi":[1447706569]},{"billed_charge":56.00,"npi":[1447706569]},{"billed_charge":56.60,"npi":[1447706569]},{"billed_charge":59.20,"npi":[1447706569]},{"billed_charge":599.20,"npi":[1447706569]},{"billed_charge":66.90,"npi":[1447706569]},{"billed_charge":77.70,"npi":[1447706569]},{"billed_charge":796.00,"npi":[1447706569]},{"billed_charge":85.60,"npi":[1447706569]},{"billed_charge":8854.36,"npi":[1447706569]}]},{"allowed_amount":13116.98,"providers":[{"billed_charge":3573.00,"npi":[1447706569]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":248.00,"npi":[1003852039,1114149788,1699192088]}]}]}]}]}