{"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":"Basic Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":307.00,"npi":[1598746141]}]}]}]},{"name":"Basic Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":181.00,"npi":[1205889458]}]}]}]},{"name":"Basic Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":181.00,"npi":[1245786367,1427504554,1447706569,1639656713,1649726738]}]}]}]},{"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":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":168.00,"npi":[1598746141]},{"billed_charge":171.00,"npi":[1598746141]}]}]}]},{"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":"561398929"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":367.60,"npi":[1295789907]}]}]}]},{"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":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"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":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":252.00,"npi":[1730123175]},{"billed_charge":255.00,"npi":[1730123175]}]}]}]},{"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":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":126.00,"npi":[1447706569,1649726738]}]},{"allowed_amount":8.55,"providers":[{"billed_charge":126.00,"npi":[1063968196]}]},{"allowed_amount":13.60,"providers":[{"billed_charge":126.00,"npi":[1427504554,1447706569,1639656713,1649726738,1982150009]}]},{"allowed_amount":17.17,"providers":[{"billed_charge":126.00,"npi":[1427504554]}]},{"allowed_amount":20.05,"providers":[{"billed_charge":126.00,"npi":[1639656713]}]}]}]},{"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":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":296.49,"npi":[1215444054]}]}]}]},{"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":8.55,"providers":[{"billed_charge":23.00,"npi":[1477727139]}]}]}]},{"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":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":15.91,"providers":[{"billed_charge":49.00,"npi":[1598746141]},{"billed_charge":50.00,"npi":[1598746141]}]}]}]},{"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":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":15.91,"providers":[{"billed_charge":28.00,"npi":[1205889458]}]}]}]},{"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":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":15.91,"providers":[{"billed_charge":48.00,"npi":[1730123175]}]}]}]},{"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":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":28.00,"npi":[1649726738]}]},{"allowed_amount":10.00,"providers":[{"billed_charge":28.00,"npi":[1063968196]}]},{"allowed_amount":15.91,"providers":[{"billed_charge":28.00,"npi":[1447706569,1639656713,1649726738]},{"billed_charge":56.00,"npi":[1427504554,1447706569]}]},{"allowed_amount":23.45,"providers":[{"billed_charge":28.00,"npi":[1639656713]}]}]}]},{"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":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":45.76,"npi":[1215444054]}]}]}]},{"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":"920943759"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":23.00,"npi":[1700604022]}]}]}]},{"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":10.00,"providers":[{"billed_charge":26.00,"npi":[1477727139]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":18.48,"providers":[{"billed_charge":359.00,"npi":[1598746141]},{"billed_charge":366.00,"npi":[1598746141]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"561398929"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":489.45,"npi":[1295789907]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":18.48,"providers":[{"billed_charge":642.00,"npi":[1730123175]},{"billed_charge":899.00,"npi":[1730123175]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","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":[1447706569,1649726738]}]},{"allowed_amount":11.62,"providers":[{"billed_charge":230.00,"npi":[1063968196]}]},{"allowed_amount":18.48,"providers":[{"billed_charge":230.00,"npi":[1427504554,1447706569,1639656713,1649726738,1982150009]}]},{"allowed_amount":23.34,"providers":[{"billed_charge":230.00,"npi":[1427504554]}]},{"allowed_amount":27.24,"providers":[{"billed_charge":230.00,"npi":[1639656713]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":560.73,"npi":[1215444054]}]}]}]},{"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":"570853635"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":89.10,"providers":[{"billed_charge":590.00,"npi":[1407243926,1407384696,1467502088,1629456587,1972997120]}]}]}]},{"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":[1104808179,1356785455,1518169879,1598971913]}]}]}]},{"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":"571004971"},"service_code":["21","23"],"billing_class":"professional","payments":[{"allowed_amount":89.10,"providers":[{"billed_charge":271.00,"npi":[1265829840,1558332171,1679700140,1700171329,1720087745,1720516529,1760453385,1871099119]}]}]}]},{"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":"933380812"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":89.10,"providers":[{"billed_charge":380.00,"npi":[1295095842,1649387846]}]}]}]},{"name":"Ct Scan, Head\/Brain; W\/O Contrast Matl","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"Ct Scan, Head\/Brain; W\/O Contrast Matl","allowed_amounts":[{"tin":{"type":"ein","value":"570853635"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":39.41,"providers":[{"billed_charge":190.00,"npi":[1366592958,1629456587,1972997120]}]},{"allowed_amount":41.48,"providers":[{"billed_charge":190.00,"npi":[1467502088,1902006794]}]}]}]},{"name":"Ct Scan, Head\/Brain; W\/O Contrast Matl","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"Ct Scan, Head\/Brain; W\/O Contrast Matl","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":39.41,"providers":[{"billed_charge":608.00,"npi":[1851704472]}]}]},{"tin":{"type":"ein","value":"570963518"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":41.48,"providers":[{"billed_charge":608.00,"npi":[1417277591,1932184074]}]}]}]},{"name":"Ct Scan, Head\/Brain; W\/O Contrast Matl","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"Ct Scan, Head\/Brain; W\/O Contrast Matl","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":39.41,"providers":[{"billed_charge":181.00,"npi":[1336385616,1689061574,1962441865]}]},{"allowed_amount":41.48,"providers":[{"billed_charge":181.00,"npi":[1992153290]}]}]}]},{"name":"Electrocardiogram, Routine 12+ Leads; Tracing Only W\/O Interpretation & Report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"93005XU","description":"Electrocardiogram, Routine 12+ Leads; Tracing Only W\/O Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":96.18,"providers":[{"billed_charge":429.00,"npi":[1205889458]}]}]}]},{"name":"Electrocardiogram, Routine 12+ Leads; Tracing Only W\/O Interpretation & Report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"93005XU","description":"Electrocardiogram, Routine 12+ Leads; Tracing Only W\/O Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":6.14,"providers":[{"billed_charge":429.00,"npi":[1063968196]}]},{"allowed_amount":96.55,"providers":[{"billed_charge":429.00,"npi":[1427504554,1639656713]}]},{"allowed_amount":96.67,"providers":[{"billed_charge":429.00,"npi":[1447706569,1982150009]}]},{"allowed_amount":96.79,"providers":[{"billed_charge":429.00,"npi":[1649726738]}]},{"allowed_amount":142.34,"providers":[{"billed_charge":429.00,"npi":[1639656713]}]},{"allowed_amount":193.34,"providers":[{"billed_charge":858.00,"npi":[1447706569]}]}]}]},{"name":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"465477125"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":56.00,"npi":[1316995673]}]}]}]},{"name":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471345819"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8.29,"providers":[{"billed_charge":34.00,"npi":[1891704474]}]}]}]},{"name":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"560543246"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":7.42,"providers":[{"billed_charge":25.00,"npi":[1861430621]}]}]}]},{"name":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"570370242"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.29,"providers":[{"billed_charge":39.00,"npi":[1649237900]},{"billed_charge":40.00,"npi":[1568856482]}]}]}]},{"name":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["20","21","22","23"],"billing_class":"professional","payments":[{"allowed_amount":8.29,"providers":[{"billed_charge":34.00,"npi":[1396130951,1568545176,1588027254,1588640643,1750410700,1770901068,1861579518,1902245004,1912929282]}]}]}]},{"name":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"821910968"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.29,"providers":[{"billed_charge":56.00,"npi":[1295961332]}]}]}]},{"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":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":180.49,"providers":[{"billed_charge":1286.00,"npi":[1245686369,1295239564,1407352339,1619123502,1669435327,1689997694,1790103653]}]},{"allowed_amount":183.61,"providers":[{"billed_charge":1286.00,"npi":[1104408566,1417298266,1619123502,1669435327,1790103653]}]},{"allowed_amount":213.41,"providers":[{"billed_charge":1286.00,"npi":[1215933718]}]}]}]},{"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":"560543246"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":160.10,"providers":[{"billed_charge":545.00,"npi":[1477723765,1497013734]}]}]}]},{"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":"571004971"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":180.49,"providers":[{"billed_charge":552.00,"npi":[1013411875,1285672444,1407964372,1790302263,1831157643,1851829113]}]}]}]},{"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":"576000003"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":180.49,"providers":[{"billed_charge":465.00,"npi":[1750303806]}]}]}]},{"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":"650691102"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":153.42,"providers":[{"billed_charge":1738.00,"npi":[1548523012]}]}]}]},{"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":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":2527.00,"npi":[1649726738]}]},{"allowed_amount":996.57,"providers":[{"billed_charge":2527.00,"npi":[1639656713]}]},{"allowed_amount":997.80,"providers":[{"billed_charge":2527.00,"npi":[1982150009]}]}]}]},{"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":[1083310650,1336817295]}]},{"allowed_amount":180.49,"providers":[{"billed_charge":1870.00,"npi":[1174836696,1508094103,1750731618,1871603068]}]},{"allowed_amount":187.61,"providers":[{"billed_charge":1870.00,"npi":[1568574184,1821005075,1851887624]}]}]}]},{"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":"831057917"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":153.42,"providers":[{"billed_charge":706.20,"npi":[1376612390]}]},{"allowed_amount":180.49,"providers":[{"billed_charge":706.20,"npi":[1093243412,1154384410,1902148976,1962406769]}]}]}]},{"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":"9928525","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":"465477125"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":178.53,"providers":[{"billed_charge":1870.00,"npi":[1316995673]}]}]}]},{"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":"9928525","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":180.49,"providers":[{"billed_charge":552.00,"npi":[1275054462]}]}]}]},{"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":"9928525","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":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":987.11,"providers":[{"billed_charge":3227.00,"npi":[1598746141]}]}]}]},{"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":"9928525","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":180.49,"providers":[{"billed_charge":552.00,"npi":[1619070166]}]}]}]},{"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":"9928525","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":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":2523.00,"npi":[1730123175]}]},{"allowed_amount":997.80,"providers":[{"billed_charge":2523.00,"npi":[1730123175]}]}]}]},{"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":"9928525","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":180.49,"providers":[{"billed_charge":2527.00,"npi":[1063968196]}]},{"allowed_amount":996.57,"providers":[{"billed_charge":2527.00,"npi":[1427504554,1639656713]}]},{"allowed_amount":997.80,"providers":[{"billed_charge":2527.00,"npi":[1982150009]}]},{"allowed_amount":999.02,"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":"2026","billing_code":"9928525","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":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":615.42,"providers":[{"billed_charge":4611.82,"npi":[1215444054]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":445.80,"providers":[{"billed_charge":1403.00,"npi":[1598746141]},{"billed_charge":1431.00,"npi":[1598746141]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":62.01,"providers":[{"billed_charge":226.00,"npi":[1417464843,1932669819,1942422894]}]},{"allowed_amount":72.95,"providers":[{"billed_charge":226.00,"npi":[1255309746,1427678770,1932490661]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1517.00,"npi":[1730123175]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"650691102"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":72.95,"providers":[{"billed_charge":641.00,"npi":[1477517977]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":72.95,"providers":[{"billed_charge":1166.00,"npi":[1063968196]}]},{"allowed_amount":450.08,"providers":[{"billed_charge":1166.00,"npi":[1427504554,1639656713]}]},{"allowed_amount":451.19,"providers":[{"billed_charge":1166.00,"npi":[1649726738]}]}]}]},{"name":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and low level of medical decision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"821910968"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":64.41,"providers":[{"billed_charge":750.00,"npi":[1740755081]}]}]}]},{"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","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"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","allowed_amounts":[{"tin":{"type":"ein","value":"831057917"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":72.95,"providers":[{"billed_charge":288.72,"npi":[1306072475]}]}]}]},{"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":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":107.79,"providers":[{"billed_charge":874.00,"npi":[1356399570]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":1739.00,"npi":[1235230913]},{"billed_charge":874.00,"npi":[1689997694,1871762328]}]},{"allowed_amount":126.81,"providers":[{"billed_charge":874.00,"npi":[1275231656]}]}]}]},{"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":"471345819"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":124.44,"providers":[{"billed_charge":368.00,"npi":[1104230630]}]}]}]},{"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":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":685.58,"providers":[{"billed_charge":2077.00,"npi":[1598746141]},{"billed_charge":2119.00,"npi":[1598746141]}]}]}]},{"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":"571004971"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":105.78,"providers":[{"billed_charge":368.00,"npi":[1780197061,1932745874]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":368.00,"npi":[1003497637,1043667629,1336534080,1386613065,1649520065,1699268037,1780900100,1811252331,1851354286]}]}]}]},{"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":"576000934"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":124.44,"providers":[{"billed_charge":503.00,"npi":[1235542804]}]}]}]},{"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":105.78,"providers":[{"billed_charge":1178.00,"npi":[1346600780]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":1191.00,"npi":[1598326167]}]}]}]},{"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":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":692.16,"providers":[{"billed_charge":1847.00,"npi":[1639656713]}]},{"allowed_amount":693.00,"providers":[{"billed_charge":1847.00,"npi":[1447706569]}]}]}]},{"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":[1649909078,1740755081]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":1280.00,"npi":[1649893918,1710912720,1871912790]}]},{"allowed_amount":129.35,"providers":[{"billed_charge":1280.00,"npi":[1831551985]}]}]}]},{"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":"831057917"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":96.16,"providers":[{"billed_charge":485.28,"npi":[1558690263]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":485.28,"npi":[1528003787]}]}]}]},{"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":"9928425","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":"561398929"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":3181.25,"npi":[1295789907]}]}]}]},{"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":"9928425","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":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":689.43,"providers":[{"billed_charge":1847.00,"npi":[1205889458]}]}]}]},{"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":"9928425","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":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":693.00,"providers":[{"billed_charge":1739.00,"npi":[1730123175]}]}]}]},{"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":"9928425","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":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1847.00,"npi":[1447706569]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":1847.00,"npi":[1063968196]}]},{"allowed_amount":692.16,"providers":[{"billed_charge":1847.00,"npi":[1427504554,1639656713]}]},{"allowed_amount":693.00,"providers":[{"billed_charge":1847.00,"npi":[1447706569]}]},{"allowed_amount":693.86,"providers":[{"billed_charge":1847.00,"npi":[1649726738]}]},{"allowed_amount":741.30,"providers":[{"billed_charge":1847.00,"npi":[1245786367]}]},{"allowed_amount":1020.44,"providers":[{"billed_charge":1847.00,"npi":[1639656713]}]}]}]},{"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":"9928425","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":124.44,"providers":[{"billed_charge":1280.00,"npi":[1295961332]}]}]}]},{"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":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":183.00,"npi":[1598746141]},{"billed_charge":2926.00,"npi":[1598746141]}]},{"allowed_amount":0.20,"providers":[{"billed_charge":1.00,"npi":[1598746141]}]},{"allowed_amount":0.60,"providers":[{"billed_charge":3.00,"npi":[1598746141]}]},{"allowed_amount":27.00,"providers":[{"billed_charge":135.00,"npi":[1598746141]}]},{"allowed_amount":288.00,"providers":[{"billed_charge":1440.00,"npi":[1598746141]}]}]}]},{"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":"560619359"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1978.00,"npi":[1013918960]},{"billed_charge":239.90,"npi":[1013918960]},{"billed_charge":256.00,"npi":[1013918960]},{"billed_charge":371.00,"npi":[1013918960]},{"billed_charge":3867.00,"npi":[1013918960]},{"billed_charge":536.30,"npi":[1013918960]}]},{"allowed_amount":17041.04,"providers":[{"billed_charge":13200.00,"npi":[1013918960]}]}]}]},{"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":"561398929"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1010.00,"npi":[1295789907]},{"billed_charge":1315.60,"npi":[1295789907]},{"billed_charge":15293.10,"npi":[1295789907]},{"billed_charge":1548.10,"npi":[1295789907]},{"billed_charge":21.45,"npi":[1295789907]},{"billed_charge":2268.75,"npi":[1295789907]},{"billed_charge":27.40,"npi":[1295789907]},{"billed_charge":3038.10,"npi":[1295789907]},{"billed_charge":369.15,"npi":[1295789907]},{"billed_charge":384.35,"npi":[1295789907]},{"billed_charge":403.80,"npi":[1295789907]},{"billed_charge":404.15,"npi":[1295789907]},{"billed_charge":430.20,"npi":[1295789907]},{"billed_charge":533.45,"npi":[1295789907]},{"billed_charge":54.30,"npi":[1295789907]},{"billed_charge":765.25,"npi":[1295789907]},{"billed_charge":799.75,"npi":[1295789907]},{"billed_charge":86.63,"npi":[1295789907]},{"billed_charge":9442.45,"npi":[1295789907]},{"billed_charge":9886.80,"npi":[1295789907]}]},{"allowed_amount":17849.54,"providers":[{"billed_charge":4056.00,"npi":[1295789907]}]}]}]},{"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":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.60,"npi":[1154373843]},{"billed_charge":1.20,"npi":[1205889458]},{"billed_charge":1.80,"npi":[1154373843]},{"billed_charge":1010.10,"npi":[1154373843]},{"billed_charge":10277.00,"npi":[1154373843]},{"billed_charge":106.90,"npi":[1205889458]},{"billed_charge":1110.00,"npi":[1154373843]},{"billed_charge":1166.00,"npi":[1205889458]},{"billed_charge":118.00,"npi":[1205889458]},{"billed_charge":1191.00,"npi":[1205889458]},{"billed_charge":120.30,"npi":[1154373843]},{"billed_charge":1254.00,"npi":[1154373843]},{"billed_charge":128.40,"npi":[1154373843]},{"billed_charge":13.80,"npi":[1154373843]},{"billed_charge":13224.31,"npi":[1154373843]},{"billed_charge":1379.70,"npi":[1205889458]},{"billed_charge":140.00,"npi":[1154373843]},{"billed_charge":141.00,"npi":[1205889458]},{"billed_charge":143.00,"npi":[1205889458]},{"billed_charge":146.20,"npi":[1154373843]},{"billed_charge":1496.00,"npi":[1154373843]},{"billed_charge":165.00,"npi":[1154373843]},{"billed_charge":169.20,"npi":[1154373843]},{"billed_charge":171.20,"npi":[1154373843]},{"billed_charge":1745.00,"npi":[1205889458]},{"billed_charge":180.00,"npi":[1205889458]},{"billed_charge":19.20,"npi":[1154373843]},{"billed_charge":198.00,"npi":[1154373843]},{"billed_charge":2.40,"npi":[1154373843]},{"billed_charge":2025.00,"npi":[1154373843]},{"billed_charge":206.50,"npi":[1205889458]},{"billed_charge":2071.00,"npi":[1154373843]},{"billed_charge":23637.00,"npi":[1154373843]},{"billed_charge":238.00,"npi":[1205889458]},{"billed_charge":240.80,"npi":[1154373843]},{"billed_charge":2527.00,"npi":[1154373843]},{"billed_charge":268.00,"npi":[1205889458]},{"billed_charge":275.00,"npi":[1154373843]},{"billed_charge":29.50,"npi":[1154373843,1205889458]},{"billed_charge":3.00,"npi":[1205889458]},{"billed_charge":306.30,"npi":[1205889458]},{"billed_charge":3180.00,"npi":[1154373843]},{"billed_charge":3203.00,"npi":[1154373843]},{"billed_charge":323.00,"npi":[1205889458]},{"billed_charge":3280.00,"npi":[1154373843]},{"billed_charge":333.00,"npi":[1154373843]},{"billed_charge":344.30,"npi":[1154373843]},{"billed_charge":380.00,"npi":[1154373843]},{"billed_charge":385.00,"npi":[1154373843]},{"billed_charge":4.20,"npi":[1154373843]},{"billed_charge":4.40,"npi":[1154373843]},{"billed_charge":4.80,"npi":[1154373843,1205889458]},{"billed_charge":403.00,"npi":[1154373843]},{"billed_charge":407.80,"npi":[1154373843]},{"billed_charge":4168.00,"npi":[1154373843]},{"billed_charge":42.80,"npi":[1154373843,1205889458]},{"billed_charge":429.00,"npi":[1154373843]},{"billed_charge":46.10,"npi":[1154373843]},{"billed_charge":461.00,"npi":[1205889458]},{"billed_charge":4614.00,"npi":[1154373843]},{"billed_charge":470.80,"npi":[1154373843]},{"billed_charge":5.40,"npi":[1154373843]},{"billed_charge":50.20,"npi":[1154373843]},{"billed_charge":5219.00,"npi":[1205889458]},{"billed_charge":529.00,"npi":[1154373843]},{"billed_charge":5296.00,"npi":[1154373843]},{"billed_charge":55.00,"npi":[1154373843]},{"billed_charge":560.50,"npi":[1154373843]},{"billed_charge":561.00,"npi":[1205889458]},{"billed_charge":5860.00,"npi":[1154373843]},{"billed_charge":59.00,"npi":[1154373843]},{"billed_charge":6.00,"npi":[1154373843]},{"billed_charge":6.60,"npi":[1154373843]},{"billed_charge":6299.00,"npi":[1154373843]},{"billed_charge":649.00,"npi":[1154373843]},{"billed_charge":69.60,"npi":[1154373843]},{"billed_charge":693.00,"npi":[1205889458]},{"billed_charge":71.30,"npi":[1154373843]},{"billed_charge":726.90,"npi":[1205889458]},{"billed_charge":7311.11,"npi":[1154373843]},{"billed_charge":75.20,"npi":[1154373843]},{"billed_charge":75.80,"npi":[1205889458]},{"billed_charge":82.90,"npi":[1154373843]},{"billed_charge":834.00,"npi":[1154373843]},{"billed_charge":85.60,"npi":[1154373843]},{"billed_charge":98.60,"npi":[1154373843]},{"billed_charge":981.00,"npi":[1205889458]}]},{"allowed_amount":0.12,"providers":[{"billed_charge":0.60,"npi":[1205889458]}]},{"allowed_amount":0.82,"providers":[{"billed_charge":4.10,"npi":[1205889458]}]},{"allowed_amount":1.08,"providers":[{"billed_charge":5.40,"npi":[1205889458]}]},{"allowed_amount":1.90,"providers":[{"billed_charge":9.50,"npi":[1205889458]}]},{"allowed_amount":3.80,"providers":[{"billed_charge":19.00,"npi":[1205889458]}]},{"allowed_amount":5.90,"providers":[{"billed_charge":29.50,"npi":[1205889458]}]},{"allowed_amount":7.60,"providers":[{"billed_charge":38.00,"npi":[1205889458]}]},{"allowed_amount":8.94,"providers":[{"billed_charge":44.70,"npi":[1205889458]}]},{"allowed_amount":10.80,"providers":[{"billed_charge":54.00,"npi":[1205889458]}]},{"allowed_amount":11.80,"providers":[{"billed_charge":59.00,"npi":[1205889458]}]},{"allowed_amount":17.44,"providers":[{"billed_charge":87.20,"npi":[1205889458]}]},{"allowed_amount":17.88,"providers":[{"billed_charge":89.40,"npi":[1205889458]}]},{"allowed_amount":34.88,"providers":[{"billed_charge":174.40,"npi":[1205889458]}]},{"allowed_amount":73.00,"providers":[{"billed_charge":365.00,"npi":[1205889458]}]},{"allowed_amount":77.04,"providers":[{"billed_charge":385.20,"npi":[1205889458]}]},{"allowed_amount":9994.92,"providers":[{"billed_charge":2382.00,"npi":[1205889458]}]},{"allowed_amount":43090.16,"providers":[{"billed_charge":7146.00,"npi":[1154373843]}]}]}]},{"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":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1034.00,"npi":[1730123175]},{"billed_charge":1384.00,"npi":[1730123175]},{"billed_charge":154.00,"npi":[1730123175]},{"billed_charge":1616.00,"npi":[1730123175]},{"billed_charge":175.00,"npi":[1730123175]},{"billed_charge":1870.16,"npi":[1730123175]},{"billed_charge":2137.00,"npi":[1730123175]},{"billed_charge":2523.00,"npi":[1730123175]},{"billed_charge":255.00,"npi":[1730123175]},{"billed_charge":300.40,"npi":[1730123175]},{"billed_charge":3533.00,"npi":[1730123175]},{"billed_charge":393.00,"npi":[1730123175]},{"billed_charge":4434.00,"npi":[1730123175]},{"billed_charge":525.00,"npi":[1730123175]},{"billed_charge":531.00,"npi":[1730123175]},{"billed_charge":76.00,"npi":[1730123175]},{"billed_charge":92.00,"npi":[1730123175]},{"billed_charge":9210.84,"npi":[1730123175]}]},{"allowed_amount":2.50,"providers":[{"billed_charge":12.50,"npi":[1730123175]}]},{"allowed_amount":5.00,"providers":[{"billed_charge":25.00,"npi":[1730123175]}]},{"allowed_amount":15.00,"providers":[{"billed_charge":75.00,"npi":[1730123175]}]},{"allowed_amount":20.00,"providers":[{"billed_charge":100.00,"npi":[1730123175]}]},{"allowed_amount":35.00,"providers":[{"billed_charge":175.00,"npi":[1730123175]}]},{"allowed_amount":70.00,"providers":[{"billed_charge":350.00,"npi":[1730123175]}]},{"allowed_amount":111.40,"providers":[{"billed_charge":557.00,"npi":[1730123175]}]},{"allowed_amount":235.40,"providers":[{"billed_charge":1177.00,"npi":[1730123175]}]},{"allowed_amount":363.40,"providers":[{"billed_charge":1817.00,"npi":[1730123175]}]},{"allowed_amount":544.80,"providers":[{"billed_charge":2724.00,"npi":[1730123175]}]},{"allowed_amount":1053.36,"providers":[{"billed_charge":5266.80,"npi":[1730123175]}]},{"allowed_amount":1410.75,"providers":[{"billed_charge":7053.75,"npi":[1730123175]}]},{"allowed_amount":10291.35,"providers":[{"billed_charge":3125.00,"npi":[1730123175]}]}]}]},{"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":"621768106"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":219.00,"npi":[1124443478]},{"billed_charge":3109.00,"npi":[1124443478]},{"billed_charge":3955.00,"npi":[1124443478]},{"billed_charge":5735.00,"npi":[1124443478]}]},{"allowed_amount":12518.94,"providers":[{"billed_charge":23198.00,"npi":[1124443478]}]}]}]},{"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":0.30,"npi":[1649726738]},{"billed_charge":0.60,"npi":[1447706569,1649726738]},{"billed_charge":1.50,"npi":[1649726738]},{"billed_charge":1.80,"npi":[1649726738]},{"billed_charge":1.90,"npi":[1649726738]},{"billed_charge":10.20,"npi":[1649726738]},{"billed_charge":100.20,"npi":[1649726738]},{"billed_charge":10010.00,"npi":[1649726738]},{"billed_charge":1003.00,"npi":[1649726738]},{"billed_charge":10098.00,"npi":[1649726738]},{"billed_charge":1010.10,"npi":[1649726738]},{"billed_charge":10201.00,"npi":[1649726738]},{"billed_charge":1027.20,"npi":[1649726738]},{"billed_charge":10270.00,"npi":[1649726738]},{"billed_charge":1029.00,"npi":[1649726738]},{"billed_charge":1033.00,"npi":[1649726738]},{"billed_charge":1043.00,"npi":[1649726738]},{"billed_charge":1052.00,"npi":[1649726738]},{"billed_charge":10610.00,"npi":[1649726738]},{"billed_charge":1062.00,"npi":[1649726738]},{"billed_charge":107.10,"npi":[1447706569]},{"billed_charge":1091.50,"npi":[1649726738]},{"billed_charge":110.00,"npi":[1649726738]},{"billed_charge":1102.00,"npi":[1649726738]},{"billed_charge":11177.14,"npi":[1649726738]},{"billed_charge":1122.00,"npi":[1649726738]},{"billed_charge":113.60,"npi":[1649726738]},{"billed_charge":113.70,"npi":[1649726738]},{"billed_charge":1137.00,"npi":[1649726738]},{"billed_charge":1158.00,"npi":[1447706569]},{"billed_charge":116.60,"npi":[1649726738]},{"billed_charge":117.00,"npi":[1649726738]},{"billed_charge":118.00,"npi":[1649726738]},{"billed_charge":1180.00,"npi":[1649726738]},{"billed_charge":119.70,"npi":[1649726738]},{"billed_charge":12027.00,"npi":[1649726738]},{"billed_charge":12034.00,"npi":[1649726738]},{"billed_charge":1204.00,"npi":[1649726738]},{"billed_charge":1213.80,"npi":[1649726738]},{"billed_charge":1260.60,"npi":[1649726738]},{"billed_charge":1262.50,"npi":[1649726738]},{"billed_charge":128.40,"npi":[1649726738]},{"billed_charge":1309.00,"npi":[1649726738]},{"billed_charge":1348.90,"npi":[1649726738]},{"billed_charge":1356.00,"npi":[1649726738]},{"billed_charge":13777.40,"npi":[1649726738]},{"billed_charge":14.40,"npi":[1649726738]},{"billed_charge":140.00,"npi":[1649726738]},{"billed_charge":14077.80,"npi":[1649726738]},{"billed_charge":1414.00,"npi":[1649726738]},{"billed_charge":1445.50,"npi":[1649726738]},{"billed_charge":146.20,"npi":[1649726738]},{"billed_charge":147.50,"npi":[1649726738]},{"billed_charge":147.90,"npi":[1649726738]},{"billed_charge":14787.00,"npi":[1649726738]},{"billed_charge":148.00,"npi":[1649726738]},{"billed_charge":14865.00,"npi":[1649726738]},{"billed_charge":149.90,"npi":[1649726738]},{"billed_charge":150.10,"npi":[1649726738]},{"billed_charge":1504.50,"npi":[1649726738]},{"billed_charge":1513.00,"npi":[1649726738]},{"billed_charge":153.20,"npi":[1649726738]},{"billed_charge":1540.00,"npi":[1649726738]},{"billed_charge":155.40,"npi":[1447706569]},{"billed_charge":16.20,"npi":[1649726738]},{"billed_charge":1623.00,"npi":[1447706569]},{"billed_charge":165.00,"npi":[1649726738]},{"billed_charge":1661.40,"npi":[1649726738]},{"billed_charge":1667.40,"npi":[1649726738]},{"billed_charge":1685.60,"npi":[1649726738]},{"billed_charge":171.20,"npi":[1447706569,1649726738]},{"billed_charge":171.70,"npi":[1649726738]},{"billed_charge":17139.00,"npi":[1649726738]},{"billed_charge":1716.00,"npi":[1649726738]},{"billed_charge":1765.70,"npi":[1649726738]},{"billed_charge":177.00,"npi":[1649726738]},{"billed_charge":1817.00,"npi":[1649726738]},{"billed_charge":1826.00,"npi":[1649726738]},{"billed_charge":18298.00,"npi":[1649726738]},{"billed_charge":183.40,"npi":[1447706569]},{"billed_charge":18448.00,"npi":[1649726738]},{"billed_charge":18555.45,"npi":[1649726738]},{"billed_charge":1858.00,"npi":[1649726738]},{"billed_charge":186.00,"npi":[1649726738]},{"billed_charge":187.00,"npi":[1649726738]},{"billed_charge":187.80,"npi":[1649726738]},{"billed_charge":18850.00,"npi":[1649726738]},{"billed_charge":18992.00,"npi":[1649726738]},{"billed_charge":19.20,"npi":[1649726738]},{"billed_charge":1925.00,"npi":[1649726738]},{"billed_charge":197.20,"npi":[1649726738]},{"billed_charge":1972.00,"npi":[1649726738]},{"billed_charge":1987.30,"npi":[1649726738]},{"billed_charge":2.90,"npi":[1649726738]},{"billed_charge":202.30,"npi":[1649726738]},{"billed_charge":203.80,"npi":[1649726738]},{"billed_charge":206.50,"npi":[1649726738]},{"billed_charge":208.80,"npi":[1649726738]},{"billed_charge":2080.80,"npi":[1649726738]},{"billed_charge":21.00,"npi":[1649726738]},{"billed_charge":2119.60,"npi":[1649726738]},{"billed_charge":21195.00,"npi":[1649726738]},{"billed_charge":214.00,"npi":[1649726738]},{"billed_charge":2166.00,"npi":[1649726738]},{"billed_charge":2172.50,"npi":[1649726738]},{"billed_charge":219.30,"npi":[1649726738]},{"billed_charge":2244.00,"npi":[1649726738]},{"billed_charge":23.10,"npi":[1649726738]},{"billed_charge":2337.50,"npi":[1649726738]},{"billed_charge":2362.00,"npi":[1447706569]},{"billed_charge":23835.00,"npi":[1649726738]},{"billed_charge":2393.00,"npi":[1447706569]},{"billed_charge":23999.00,"npi":[1649726738]},{"billed_charge":24.80,"npi":[1649726738]},{"billed_charge":240.80,"npi":[1447706569,1649726738]},{"billed_charge":242.30,"npi":[1649726738]},{"billed_charge":250.60,"npi":[1649726738]},{"billed_charge":251.00,"npi":[1649726738]},{"billed_charge":2527.00,"npi":[1649726738]},{"billed_charge":2529.00,"npi":[1649726738]},{"billed_charge":256.80,"npi":[1649726738]},{"billed_charge":258.50,"npi":[1649726738]},{"billed_charge":26508.00,"npi":[1649726738]},{"billed_charge":2660.00,"npi":[1649726738]},{"billed_charge":268.00,"npi":[1649726738]},{"billed_charge":2685.00,"npi":[1649726738]},{"billed_charge":2700.00,"npi":[1649726738]},{"billed_charge":2730.00,"npi":[1649726738]},{"billed_charge":275.00,"npi":[1649726738]},{"billed_charge":277.20,"npi":[1649726738]},{"billed_charge":279.60,"npi":[1649726738]},{"billed_charge":28.00,"npi":[1447706569]},{"billed_charge":2805.00,"npi":[1649726738]},{"billed_charge":2824.80,"npi":[1649726738]},{"billed_charge":2865.00,"npi":[1649726738]},{"billed_charge":288.00,"npi":[1447706569]},{"billed_charge":2889.60,"npi":[1649726738]},{"billed_charge":29.50,"npi":[1447706569,1649726738]},{"billed_charge":291.00,"npi":[1649726738]},{"billed_charge":2941.00,"npi":[1649726738]},{"billed_charge":299.60,"npi":[1649726738]},{"billed_charge":29950.00,"npi":[1649726738]},{"billed_charge":3.60,"npi":[1649726738]},{"billed_charge":3013.00,"npi":[1649726738]},{"billed_charge":3054.99,"npi":[1649726738]},{"billed_charge":312.80,"npi":[1649726738]},{"billed_charge":313.20,"npi":[1649726738]},{"billed_charge":3203.00,"npi":[1649726738]},{"billed_charge":324.50,"npi":[1649726738]},{"billed_charge":330.00,"npi":[1649726738]},{"billed_charge":333.00,"npi":[1649726738]},{"billed_charge":335.10,"npi":[1649726738]},{"billed_charge":34.30,"npi":[1649726738]},{"billed_charge":342.40,"npi":[1649726738]},{"billed_charge":344.20,"npi":[1649726738]},{"billed_charge":35364.00,"npi":[1649726738]},{"billed_charge":354.00,"npi":[1649726738]},{"billed_charge":355.80,"npi":[1649726738]},{"billed_charge":36.80,"npi":[1649726738]},{"billed_charge":36.90,"npi":[1649726738]},{"billed_charge":3621.00,"npi":[1649726738]},{"billed_charge":3624.51,"npi":[1649726738]},{"billed_charge":37.20,"npi":[1649726738]},{"billed_charge":37.90,"npi":[1447706569]},{"billed_charge":374.00,"npi":[1649726738]},{"billed_charge":3754.00,"npi":[1447706569]},{"billed_charge":3775.00,"npi":[1649726738]},{"billed_charge":378.00,"npi":[1447706569]},{"billed_charge":38.50,"npi":[1447706569]},{"billed_charge":383.50,"npi":[1649726738]},{"billed_charge":385.00,"npi":[1447706569]},{"billed_charge":385.20,"npi":[1649726738]},{"billed_charge":3927.00,"npi":[1649726738]},{"billed_charge":4.10,"npi":[1447706569,1649726738]},{"billed_charge":4.20,"npi":[1649726738]},{"billed_charge":4.90,"npi":[1649726738]},{"billed_charge":40.20,"npi":[1649726738]},{"billed_charge":4025.00,"npi":[1649726738]},{"billed_charge":403.00,"npi":[1447706569]},{"billed_charge":4044.60,"npi":[1649726738]},{"billed_charge":408.00,"npi":[1447706569]},{"billed_charge":4092.20,"npi":[1649726738]},{"billed_charge":4108.00,"npi":[1649726738]},{"billed_charge":41286.62,"npi":[1649726738]},{"billed_charge":413.00,"npi":[1649726738]},{"billed_charge":4161.60,"npi":[1649726738]},{"billed_charge":42.80,"npi":[1447706569,1649726738]},{"billed_charge":4272.00,"npi":[1649726738]},{"billed_charge":428.00,"npi":[1649726738]},{"billed_charge":429.00,"npi":[1447706569,1649726738]},{"billed_charge":442.50,"npi":[1649726738]},{"billed_charge":45037.00,"npi":[1649726738]},{"billed_charge":453.00,"npi":[1649726738]},{"billed_charge":459.30,"npi":[1649726738]},{"billed_charge":466.10,"npi":[1649726738]},{"billed_charge":4710.00,"npi":[1649726738]},{"billed_charge":472.00,"npi":[1649726738]},{"billed_charge":4804.00,"npi":[1649726738]},{"billed_charge":481.60,"npi":[1447706569,1649726738]},{"billed_charge":4844.00,"npi":[1649726738]},{"billed_charge":486.00,"npi":[1649726738]},{"billed_charge":4866.00,"npi":[1649726738]},{"billed_charge":49.30,"npi":[1649726738]},{"billed_charge":4976.00,"npi":[1649726738]},{"billed_charge":498.60,"npi":[1649726738]},{"billed_charge":5.40,"npi":[1649726738]},{"billed_charge":50.20,"npi":[1649726738]},{"billed_charge":5018.00,"npi":[1649726738]},{"billed_charge":5046.00,"npi":[1649726738]},{"billed_charge":5124.00,"npi":[1649726738]},{"billed_charge":513.60,"npi":[1649726738]},{"billed_charge":520.20,"npi":[1649726738]},{"billed_charge":520.60,"npi":[1649726738]},{"billed_charge":522.50,"npi":[1649726738]},{"billed_charge":529.00,"npi":[1447706569,1649726738]},{"billed_charge":535.40,"npi":[1649726738]},{"billed_charge":5361.00,"npi":[1649726738]},{"billed_charge":54.20,"npi":[1649726738]},{"billed_charge":5409.01,"npi":[1649726738]},{"billed_charge":544.40,"npi":[1649726738]},{"billed_charge":54681.00,"npi":[1649726738]},{"billed_charge":55.70,"npi":[1649726738]},{"billed_charge":55552.00,"npi":[1649726738]},{"billed_charge":56.00,"npi":[1649726738]},{"billed_charge":56.80,"npi":[1649726738]},{"billed_charge":561.00,"npi":[1649726738]},{"billed_charge":5684.00,"npi":[1649726738]},{"billed_charge":57.70,"npi":[1649726738]},{"billed_charge":57654.00,"npi":[1649726738]},{"billed_charge":59.00,"npi":[1447706569,1649726738]},{"billed_charge":59.40,"npi":[1649726738]},{"billed_charge":5916.00,"npi":[1649726738]},{"billed_charge":598.50,"npi":[1649726738]},{"billed_charge":599.20,"npi":[1649726738]},{"billed_charge":5995.00,"npi":[1649726738]},{"billed_charge":6.00,"npi":[1649726738]},{"billed_charge":6.20,"npi":[1649726738]},{"billed_charge":6.40,"npi":[1649726738]},{"billed_charge":6.60,"npi":[1649726738]},{"billed_charge":6086.00,"npi":[1649726738]},{"billed_charge":60943.00,"npi":[1649726738]},{"billed_charge":62.50,"npi":[1447706569]},{"billed_charge":62.70,"npi":[1649726738]},{"billed_charge":6256.00,"npi":[1649726738]},{"billed_charge":6406.00,"npi":[1649726738]},{"billed_charge":642.00,"npi":[1649726738]},{"billed_charge":65.80,"npi":[1447706569]},{"billed_charge":66.40,"npi":[1649726738]},{"billed_charge":66.70,"npi":[1649726738]},{"billed_charge":669.20,"npi":[1649726738]},{"billed_charge":67.70,"npi":[1649726738]},{"billed_charge":675.00,"npi":[1447706569,1649726738]},{"billed_charge":6762.00,"npi":[1649726738]},{"billed_charge":678.70,"npi":[1649726738]},{"billed_charge":69.00,"npi":[1649726738]},{"billed_charge":69.60,"npi":[1649726738]},{"billed_charge":7.80,"npi":[1649726738]},{"billed_charge":70.40,"npi":[1649726738]},{"billed_charge":7058.00,"npi":[1649726738]},{"billed_charge":708.00,"npi":[1649726738]},{"billed_charge":715.60,"npi":[1649726738]},{"billed_charge":7172.00,"npi":[1649726738]},{"billed_charge":722.40,"npi":[1649726738]},{"billed_charge":7315.00,"npi":[1649726738]},{"billed_charge":740.00,"npi":[1649726738]},{"billed_charge":744.70,"npi":[1649726738]},{"billed_charge":747.00,"npi":[1649726738]},{"billed_charge":748.00,"npi":[1649726738]},{"billed_charge":75.20,"npi":[1649726738]},{"billed_charge":75.80,"npi":[1649726738]},{"billed_charge":751.00,"npi":[1447706569]},{"billed_charge":7575.00,"npi":[1649726738]},{"billed_charge":770.40,"npi":[1649726738]},{"billed_charge":774.00,"npi":[1649726738]},{"billed_charge":775.50,"npi":[1649726738]},{"billed_charge":7857.00,"npi":[1649726738]},{"billed_charge":8.80,"npi":[1649726738]},{"billed_charge":804.00,"npi":[1649726738]},{"billed_charge":8112.00,"npi":[1649726738]},{"billed_charge":813.20,"npi":[1649726738]},{"billed_charge":85.60,"npi":[1649726738]},{"billed_charge":853.00,"npi":[1649726738]},{"billed_charge":858.00,"npi":[1649726738]},{"billed_charge":867.00,"npi":[1649726738]},{"billed_charge":87.70,"npi":[1649726738]},{"billed_charge":878.00,"npi":[1649726738]},{"billed_charge":88.50,"npi":[1649726738]},{"billed_charge":88.60,"npi":[1649726738]},{"billed_charge":880.00,"npi":[1649726738]},{"billed_charge":882.00,"npi":[1649726738]},{"billed_charge":885.00,"npi":[1649726738]},{"billed_charge":898.80,"npi":[1649726738]},{"billed_charge":9.60,"npi":[1649726738]},{"billed_charge":962.50,"npi":[1649726738]},{"billed_charge":963.20,"npi":[1649726738]},{"billed_charge":97.00,"npi":[1447706569]},{"billed_charge":974.00,"npi":[1649726738]},{"billed_charge":97796.43,"npi":[1649726738]},{"billed_charge":984.80,"npi":[1649726738]},{"billed_charge":986.00,"npi":[1649726738]},{"billed_charge":9908.00,"npi":[1649726738]}]},{"allowed_amount":0.12,"providers":[{"billed_charge":0.60,"npi":[1063968196,1427504554,1447706569,1639656713]}]},{"allowed_amount":0.18,"providers":[{"billed_charge":0.60,"npi":[1649726738]}]},{"allowed_amount":0.24,"providers":[{"billed_charge":1.20,"npi":[1447706569,1639656713]}]},{"allowed_amount":0.34,"providers":[{"billed_charge":1.70,"npi":[1447706569]}]},{"allowed_amount":0.36,"providers":[{"billed_charge":1.80,"npi":[1447706569]}]},{"allowed_amount":0.38,"providers":[{"billed_charge":1.90,"npi":[1144775032]}]},{"allowed_amount":0.42,"providers":[{"billed_charge":2.10,"npi":[1447706569]}]},{"allowed_amount":0.44,"providers":[{"billed_charge":2.20,"npi":[1639656713]}]},{"allowed_amount":0.84,"providers":[{"billed_charge":4.20,"npi":[1639656713]}]},{"allowed_amount":1.96,"providers":[{"billed_charge":9.80,"npi":[1649726738]}]},{"allowed_amount":1.98,"providers":[{"billed_charge":9.90,"npi":[1427504554,1447706569]}]},{"allowed_amount":3.94,"providers":[{"billed_charge":19.70,"npi":[1447706569]}]},{"allowed_amount":3.96,"providers":[{"billed_charge":19.80,"npi":[1447706569]}]},{"allowed_amount":5.50,"providers":[{"billed_charge":27.50,"npi":[1447706569]}]},{"allowed_amount":5.90,"providers":[{"billed_charge":29.50,"npi":[1427504554,1447706569,1639656713,1649726738]}]},{"allowed_amount":8.56,"providers":[{"billed_charge":42.80,"npi":[1144775032,1447706569]}]},{"allowed_amount":8.85,"providers":[{"billed_charge":29.50,"npi":[1649726738]}]},{"allowed_amount":8.94,"providers":[{"billed_charge":44.70,"npi":[1447706569]}]},{"allowed_amount":10.04,"providers":[{"billed_charge":50.20,"npi":[1447706569]}]},{"allowed_amount":11.80,"providers":[{"billed_charge":59.00,"npi":[1447706569]}]},{"allowed_amount":13.16,"providers":[{"billed_charge":65.80,"npi":[1447706569]}]},{"allowed_amount":16.50,"providers":[{"billed_charge":82.50,"npi":[1447706569]}]},{"allowed_amount":17.12,"providers":[{"billed_charge":85.60,"npi":[1447706569,1649726738]}]},{"allowed_amount":17.70,"providers":[{"billed_charge":59.00,"npi":[1649726738]},{"billed_charge":88.50,"npi":[1447706569]}]},{"allowed_amount":20.06,"providers":[{"billed_charge":100.30,"npi":[1649726738]}]},{"allowed_amount":25.06,"providers":[{"billed_charge":125.30,"npi":[1649726738]}]},{"allowed_amount":26.55,"providers":[{"billed_charge":88.50,"npi":[1649726738]}]},{"allowed_amount":33.44,"providers":[{"billed_charge":167.20,"npi":[1447706569]}]},{"allowed_amount":37.40,"providers":[{"billed_charge":187.00,"npi":[1982150009]}]},{"allowed_amount":37.78,"providers":[{"billed_charge":188.90,"npi":[1447706569]}]},{"allowed_amount":46.70,"providers":[{"billed_charge":233.50,"npi":[1447706569]}]},{"allowed_amount":47.20,"providers":[{"billed_charge":236.00,"npi":[1447706569]}]},{"allowed_amount":48.12,"providers":[{"billed_charge":240.60,"npi":[1447706569]}]},{"allowed_amount":50.12,"providers":[{"billed_charge":250.60,"npi":[1649726738]}]},{"allowed_amount":57.76,"providers":[{"billed_charge":288.80,"npi":[1982150009]}]},{"allowed_amount":135.00,"providers":[{"billed_charge":675.00,"npi":[1447706569]}]},{"allowed_amount":203.60,"providers":[{"billed_charge":1018.00,"npi":[1447706569]}]},{"allowed_amount":506.40,"providers":[{"billed_charge":2532.02,"npi":[1649726738]}]},{"allowed_amount":574.00,"providers":[{"billed_charge":2870.00,"npi":[1144775032]}]},{"allowed_amount":636.00,"providers":[{"billed_charge":3180.00,"npi":[1144775032]}]},{"allowed_amount":813.20,"providers":[{"billed_charge":4066.00,"npi":[1649726738]}]},{"allowed_amount":949.20,"providers":[{"billed_charge":4746.00,"npi":[1649726738]}]},{"allowed_amount":959.20,"providers":[{"billed_charge":4796.00,"npi":[1447706569]}]},{"allowed_amount":1770.00,"providers":[{"billed_charge":8850.00,"npi":[1447706569]}]},{"allowed_amount":16432.13,"providers":[{"billed_charge":2878.00,"npi":[1447706569]}]},{"allowed_amount":22304.73,"providers":[{"billed_charge":14196.00,"npi":[1649726738]}]},{"allowed_amount":51517.14,"providers":[{"billed_charge":27393.00,"npi":[1649726738]}]},{"allowed_amount":67201.70,"providers":[{"billed_charge":8337.00,"npi":[1649726738]}]},{"allowed_amount":243391.19,"providers":[{"billed_charge":16674.00,"npi":[1649726738]}]}]}]},{"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":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":33.34,"providers":[{"billed_charge":111.14,"npi":[1215444054]}]},{"allowed_amount":67.68,"providers":[{"billed_charge":225.59,"npi":[1215444054]}]},{"allowed_amount":87.68,"providers":[{"billed_charge":292.26,"npi":[1215444054]}]},{"allowed_amount":123.43,"providers":[{"billed_charge":411.43,"npi":[1215444054]}]}]}]},{"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":"863305323"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":0.10,"npi":[1740998020]}]},{"allowed_amount":0.08,"providers":[{"billed_charge":0.40,"npi":[1740998020]}]},{"allowed_amount":0.09,"providers":[{"billed_charge":0.45,"npi":[1740998020]}]},{"allowed_amount":0.15,"providers":[{"billed_charge":0.75,"npi":[1740998020]}]},{"allowed_amount":0.20,"providers":[{"billed_charge":1.00,"npi":[1740998020]}]},{"allowed_amount":0.87,"providers":[{"billed_charge":4.35,"npi":[1740998020]}]},{"allowed_amount":811.40,"providers":[{"billed_charge":4057.00,"npi":[1740998020]}]},{"allowed_amount":1727.23,"providers":[{"billed_charge":8636.16,"npi":[1740998020]}]},{"allowed_amount":5105.30,"providers":[{"billed_charge":25526.52,"npi":[1740998020]}]}]}]},{"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":"888888888"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.00,"npi":[]}]},{"allowed_amount":8725.76,"providers":[{"billed_charge":11645.92,"npi":[]}]},{"allowed_amount":11645.92,"providers":[{"billed_charge":11645.92,"npi":[]}]}]}]},{"name":"Lipase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"561398929"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":281.25,"npi":[1295789907]}]}]}]},{"name":"Lipase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":12.06,"providers":[{"billed_charge":166.00,"npi":[1730123175]}]}]}]},{"name":"Lipase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":188.00,"npi":[1447706569]}]},{"allowed_amount":7.58,"providers":[{"billed_charge":188.00,"npi":[1063968196]}]},{"allowed_amount":12.06,"providers":[{"billed_charge":188.00,"npi":[1427504554,1447706569,1639656713,1649726738]}]},{"allowed_amount":17.78,"providers":[{"billed_charge":188.00,"npi":[1639656713]}]}]}]},{"name":"Lipase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":6.89,"providers":[{"billed_charge":39.69,"npi":[1215444054]}]}]}]},{"name":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9967","description":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","allowed_amounts":[{"tin":{"type":"ein","value":"561398929"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":59.85,"npi":[1295789907]}]}]}]},{"name":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9967","description":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":133.50,"providers":[{"billed_charge":667.49,"npi":[1730123175]}]}]}]},{"name":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9967","description":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":546.50,"npi":[1447706569]}]},{"allowed_amount":8.31,"providers":[{"billed_charge":421.50,"npi":[1063968196]}]},{"allowed_amount":11.14,"providers":[{"billed_charge":55.70,"npi":[1649726738]}]},{"allowed_amount":11.84,"providers":[{"billed_charge":59.20,"npi":[1427504554,1447706569]}]},{"allowed_amount":13.92,"providers":[{"billed_charge":69.60,"npi":[1639656713,1982150009]}]},{"allowed_amount":16.61,"providers":[{"billed_charge":69.60,"npi":[1063968196]}]},{"allowed_amount":17.76,"providers":[{"billed_charge":59.20,"npi":[1427504554]}]},{"allowed_amount":100.90,"providers":[{"billed_charge":504.50,"npi":[1245786367]}]},{"allowed_amount":109.30,"providers":[{"billed_charge":546.50,"npi":[1639656713]}]},{"allowed_amount":126.12,"providers":[{"billed_charge":630.60,"npi":[1427504554,1447706569]}]}]}]},{"name":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9967","description":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","allowed_amounts":[{"tin":{"type":"ein","value":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":40.59,"providers":[{"billed_charge":135.30,"npi":[1215444054]}]}]}]},{"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 o","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","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 low level o","allowed_amounts":[{"tin":{"type":"ein","value":"208870333"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":79.07,"providers":[{"billed_charge":182.00,"npi":[1053165241]}]}]}]},{"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 o","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","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 low level o","allowed_amounts":[{"tin":{"type":"ein","value":"475614738"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.02,"providers":[{"billed_charge":120.00,"npi":[1841236395]}]}]}]},{"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":"2026","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":111.49,"providers":[{"billed_charge":190.00,"npi":[1588440507]}]}]}]},{"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":"2026","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":111.49,"providers":[{"billed_charge":257.00,"npi":[1255877288,1689437931,1790193829]}]}]}]},{"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":"2026","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":"571004971"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":238.00,"npi":[1417753351]}]},{"allowed_amount":131.15,"providers":[{"billed_charge":238.00,"npi":[1417753351]}]}]},{"tin":{"type":"ein","value":"571004971"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":99.64,"providers":[{"billed_charge":238.00,"npi":[1417753351]}]}]}]},{"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":"2026","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":"571008067"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":142.00,"npi":[1013901925]}]}]}]},{"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":"2026","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":"576000922"},"service_code":["53"],"billing_class":"professional","payments":[{"allowed_amount":99.64,"providers":[{"billed_charge":132.00,"npi":[1912372905]}]}]}]},{"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":"2026","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":"881549656"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":111.49,"providers":[{"billed_charge":200.00,"npi":[1093943466]}]},{"allowed_amount":131.15,"providers":[{"billed_charge":250.00,"npi":[1790949790]}]}]}]},{"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":"2026","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":"932956310"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":293.73,"npi":[1720242183]}]}]}]},{"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":"2026","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":"991177652"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":366.00,"npi":[1477727139]}]}]}]},{"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":"2026","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":"994277174"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":111.49,"providers":[{"billed_charge":291.00,"npi":[1093454100]}]}]}]},{"name":"Ondansetron Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2405","description":"Ondansetron Hcl Injection","allowed_amounts":[{"tin":{"type":"ein","value":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":28.00,"npi":[1598746141]}]}]}]},{"name":"Ondansetron Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2405","description":"Ondansetron Hcl Injection","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":8.56,"providers":[{"billed_charge":42.80,"npi":[1205889458]}]}]}]},{"name":"Ondansetron Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2405","description":"Ondansetron Hcl Injection","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":8.56,"providers":[{"billed_charge":42.80,"npi":[1144775032,1245786367,1427504554,1447706569,1639656713,1649726738]}]},{"allowed_amount":12.84,"providers":[{"billed_charge":42.80,"npi":[1427504554]}]}]}]},{"name":"Ondansetron Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2405","description":"Ondansetron Hcl Injection","allowed_amounts":[{"tin":{"type":"ein","value":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":40.00,"npi":[1215444054]}]}]}]},{"name":"Ondansetron Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2405","description":"Ondansetron Hcl Injection","allowed_amounts":[{"tin":{"type":"ein","value":"863305323"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":23.79,"providers":[{"billed_charge":118.95,"npi":[1740998020]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71045","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":141.77,"providers":[{"billed_charge":288.00,"npi":[1598746141]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71045","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":142.56,"providers":[{"billed_charge":385.00,"npi":[1205889458]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71045","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":143.29,"providers":[{"billed_charge":290.00,"npi":[1730123175]},{"billed_charge":363.00,"npi":[1730123175]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71045","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":97.16,"providers":[{"billed_charge":385.00,"npi":[1063968196]}]},{"allowed_amount":143.12,"providers":[{"billed_charge":385.00,"npi":[1427504554,1639656713]}]},{"allowed_amount":143.29,"providers":[{"billed_charge":385.00,"npi":[1447706569,1982150009]}]},{"allowed_amount":143.48,"providers":[{"billed_charge":385.00,"npi":[1649726738]}]},{"allowed_amount":210.99,"providers":[{"billed_charge":385.00,"npi":[1639656713]}]}]}]},{"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":"570853635"},"service_code":["21","23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":38.00,"npi":[1346390952,1366592958,1407384696,1467502088,1629316575,1629456587,1831651207,1902006794,1972997120]}]}]},{"tin":{"type":"ein","value":"570853635"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.15,"providers":[{"billed_charge":38.00,"npi":[1346390952]}]}]}]},{"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":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":248.00,"npi":[1003852039,1073923686,1134104276,1518169879,1851704472]}]}]}]},{"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":"571004971"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":30.00,"npi":[1356755573,1891105896]}]},{"allowed_amount":10.63,"providers":[{"billed_charge":30.00,"npi":[1356755573,1891105896]}]}]},{"tin":{"type":"ein","value":"571004971"},"service_code":["21","23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":30.00,"npi":[1366762502,1558571091,1700171329,1750642096,1811968969,1821479593,1942401286,1942733894,1992153290]}]}]}]},{"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":"571049603"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":37.00,"npi":[1326035072]}]}]}]},{"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":"933380812"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.79,"providers":[{"billed_charge":38.00,"npi":[1649387846]}]},{"allowed_amount":8.97,"providers":[{"billed_charge":38.00,"npi":[1306951918]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2026","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":36.09,"providers":[{"billed_charge":55.00,"npi":[1104656768]}]},{"allowed_amount":72.18,"providers":[{"billed_charge":110.00,"npi":[1104656768]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":41.39,"providers":[{"billed_charge":203.00,"npi":[1730123175]}]}]}]},{"name":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Actvities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":24.13,"providers":[{"billed_charge":315.01,"npi":[1215444054]}]}]}]},{"name":"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9637259","description":"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular","allowed_amounts":[{"tin":{"type":"ein","value":"475614738"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.47,"providers":[{"billed_charge":50.00,"npi":[1841236395]}]}]}]},{"name":"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9637259","description":"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular","allowed_amounts":[{"tin":{"type":"ein","value":"842146032"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":14.47,"providers":[{"billed_charge":34.00,"npi":[1275739922]}]}]}]},{"name":"Troponin, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84484","description":"Troponin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"510473471"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":21.82,"providers":[{"billed_charge":202.00,"npi":[1598746141]}]}]}]},{"name":"Troponin, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84484","description":"Troponin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":21.82,"providers":[{"billed_charge":340.00,"npi":[1205889458]}]}]}]},{"name":"Troponin, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84484","description":"Troponin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":21.82,"providers":[{"billed_charge":143.00,"npi":[1730123175]},{"billed_charge":179.00,"npi":[1730123175]}]}]}]},{"name":"Troponin, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84484","description":"Troponin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":21.82,"providers":[{"billed_charge":340.00,"npi":[1447706569,1639656713,1649726738]}]},{"allowed_amount":27.43,"providers":[{"billed_charge":680.00,"npi":[1063968196]}]},{"allowed_amount":32.17,"providers":[{"billed_charge":340.00,"npi":[1639656713]}]},{"allowed_amount":43.65,"providers":[{"billed_charge":680.00,"npi":[1427504554,1447706569]}]}]}]},{"name":"Troponin, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84484","description":"Troponin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"822567308"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":12.47,"providers":[{"billed_charge":645.18,"npi":[1215444054]}]}]}]}]}